{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:29:52Z","timestamp":1791498592614,"version":"4.3.4"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,4,28]],"date-time":"2015-04-28T00:00:00Z","timestamp":1430179200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Coeliac disease is a chronic autoimmune disease that requires strict adherence to a gluten\u2010free diet. However, strict adherence to a gluten\u2010free diet is difficult, with findings from a recent review suggesting that up to 42% of individuals with coeliac disease do not eat a strict gluten\u2010free diet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present study aimed to examine psychosocial predictors of adherence (purposeful and accidental) to a gluten\u2010free diet among adults with coeliac disease over a 1\u2010month period. In this longitudinal study, 212 North American adults with coeliac disease completed online questionnaires at two time points, baseline and 1\u00a0month later.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results revealed that intentions partially mediated the effects of symptom severity, self\u2010regulatory efficacy, planning and knowledge on <jats:italic>purposeful<\/jats:italic> gluten consumption. Intentions did not mediate the effects of severity, response cost, self\u2010regulatory efficacy, planning and knowledge for <jats:italic>accidental<\/jats:italic> gluten consumption but, interestingly, self\u2010regulatory efficacy directly predicted fewer <jats:italic>accidental<\/jats:italic> incidents of gluten\u2010consumption.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings delineate the differential psychological processes in understanding accidental and purposeful gluten consumption among adults with coeliac disease and emphasise the importance of bolstering self\u2010regulatory efficacy beliefs to prevent accidental and purposeful consumption of gluten.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12321","type":"journal-article","created":{"date-parts":[[2015,4,28]],"date-time":"2015-04-28T11:58:03Z","timestamp":1430222283000},"page":"391-398","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Prediction of adherence to a gluten\u2010free diet using protection motivation theory among adults with coeliac disease"],"prefix":"10.1111","volume":"29","author":[{"given":"A. J.","family":"Dowd","sequence":"first","affiliation":[{"name":"School of Health and Exercise Sciences The University of British Columbia at Okanagan Kelowna BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. E.","family":"Jung","sequence":"additional","affiliation":[{"name":"School of Health and Exercise Sciences The University of British Columbia at Okanagan Kelowna BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Y.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Education and Counselling Psychology The University of British Columbia Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. R.","family":"Beauchamp","sequence":"additional","affiliation":[{"name":"School of Kinesiology The University of British Columbia Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra071600"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2009.04053.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-007-0055-3"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0b013e31816a8c9b"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2012.11.001"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12203"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/10413209308411309"},{"key":"e_1_2_6_9_1","volume-title":"Gluten\u2010Free Diet: A Comprehensive Resource Guide","author":"Case S","year":"2010"},{"key":"e_1_2_6_10_1","first-page":"113","volume-title":"Handbook of Behavior Research","author":"Rogers RW","year":"1997"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870449808407300"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910703762879219"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-12.1.8"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2011.01.026"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105308090930"},{"key":"e_1_2_6_16_1","first-page":"371","volume-title":"Advances in Sport and Exercise Psychology Measurement","author":"McAuley E","year":"1998"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2012.01288.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1988.10478722"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2013.47"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02874555"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01663995"},{"key":"e_1_2_6_22_1","first-page":"17","article-title":"Patients' experiences and perceptions of living with coeliac disease \u2013 implications for optimizing care","volume":"21","author":"Ukkola A","year":"2012","journal-title":"J Gastrointestin Liver Dis"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjhn.12321","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjhn.12321","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.12321","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T14:10:08Z","timestamp":1696169408000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.12321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,28]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1111\/jhn.12321"],"URL":"https:\/\/doi.org\/10.1111\/jhn.12321","archive":["Portico"],"relation":{},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,28]]},"assertion":[{"value":"2015-04-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}