{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:23:21Z","timestamp":1791872601848,"version":"4.3.4"},"reference-count":65,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T00:00:00Z","timestamp":1744070400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Coeliac disease (CD) is an autoimmune disease affecting 1.4% of the population worldwide. The only treatment for this condition is a strict, lifelong gluten\u2010free diet (GFD). Although the complexity of this condition is recognised, the definitive follow\u2010up strategy and long\u2010term management have still not been developed in the United Kingdom (UK) and Australia. This meta\u2010synthesis aimed to explore the experiences of patients living with CD who follow the GFD in the UK and Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search for primary qualitative literature related to experiences of patients with CD on a GFD and a meta\u2010synthesis of the results were conducted. Healthcare\u2010relevant online databases were screened: Academic Search Complete, CINAHL, MEDLINE, and Scopus, followed by reference list searching. A defined inclusion criteria were used to identify relevant studies. The data synthesis from the literature followed the thematic synthesis approach. A clear description of the methodology and peer review were applied to ensure transparency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 286 studies were screened for eligibility. Of those, six studies met the inclusion criteria. The experiences of 198 patients living with CD were analysed and reported. Five analytical themes emerged through the thematic synthesis process: acceptance and adaptation, dietary burden, cost burden, socialising, and importance of support. All themes were found to impact patients' quality of life (QoL). The overall quality of the reviewed studies was described as good.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This meta\u2010synthesis revealed insights into the daily experiences of patients with CD in adhering to a GFD in the UK and Australia, being the first secondary qualitative study to explore this phenomenon. It highlighted the need for the development of defined strategies for patient follow\u2010up to provide holistic care, considering the complexities of this condition and its impact on both physical and psychological domains.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70043","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T11:41:16Z","timestamp":1744112476000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A Meta\u2010Synthesis Exploring Daily Experiences of Adults With Coeliac Disease in Adhering to a Gluten\u2010Free Diet"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7096-8299","authenticated-orcid":false,"given":"Anna","family":"Kowalczuk","sequence":"first","affiliation":[{"name":"Faculty of Health and Life Sciences Coventry University Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Moor","sequence":"additional","affiliation":[{"name":"Faculty of Health and Life Sciences Coventry University Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2011-301346"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.06.037"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i42.6036"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365520903100473"},{"key":"e_1_2_12_6_1","volume-title":"Coeliac Disease: Recognition, Assessment and Management","author":"National Institute for Health and Care Excellence (NICE)","year":"2015"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-11-188"},{"key":"e_1_2_12_8_1","first-page":"278","volume-title":"Coeliac Disease and Gluten\u2010Related Disorders","author":"Schiepatti A.","year":"2021"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2013-306578"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.00788"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.14.46"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200412000-00008"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200312000-00006"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12375"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2021.110537"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2005.00591.x"},{"issue":"3","key":"e_1_2_12_17_1","first-page":"287","article-title":"Perceived Barriers to Gluten\u2010Free Diet Adherence by People With Celiac Disease In Greece","volume":"36","author":"Bathrellou E.","year":"2023","journal-title":"Annals of Gastroenterology"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2009.04053.x"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2008.03820.x"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12379"},{"key":"e_1_2_12_21_1","volume-title":"Document: Briefing: NHS Support for Patients With Coeliac Disease [Internet]","author":"Coeliac U. 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