{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T16:34:41Z","timestamp":1793118881958,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The only treatment for coeliac disease is the exclusion of all gluten from the diet. Adherence to a gluten free (GF) diet requires knowledge acquisition and changes in behaviours. The service evaluation aimed to evaluate the impact of a dietitian\u2010led webinar for adults with coeliac disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The pre\u2010recorded dietitian\u2010led webinar had been developed by specialist dietitians and gastroenterologists and was integrated into a patient pathway. A pre\u2010 and post\u2010webinar online survey was designed to evaluate the impact of the webinar for adult patients with coeliac disease. Patients were invited to complete an online survey prior to accessing the webinar. Four weeks later, the patients were invited to complete the post\u2010webinar survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The webinar was accessed by 1050 adults with coeliac disease, of which 57% were diagnosed within the preceding 8 weeks. In patients who completed both surveys, there was a significant improvement in confidence (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and knowledge (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) to follow a GF diet (\n                      <jats:italic>n<\/jats:italic>\n                      = 165). Among patients who reported gastrointestinal symptoms on gluten ingestion (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200971), a greater proportion reported satisfactory symptom relief after watching the webinar (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). Behaviours to minimise gluten ingestion were positively impacted, whereby a higher proportion of patients reported to\n                      <jats:italic>\u2018doing things to avoid eating gluten when preparing in the home\u2019<\/jats:italic>\n                      and \u2018\n                      <jats:italic>having GF foods on hand while they are out\u2019<\/jats:italic>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The dietitian\u2010led webinar enabled timely access to high\u2010quality resources from specialists. Access to the webinar positively impacted knowledge and behaviours to minimise gluten ingestion. This is a practical and inexpensive solution to enable specialist dietitians to utilise their skills and finite time for appointments with patients with more complex presentations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70350","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:34:23Z","timestamp":1790231663000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Evaluation of a Dietitian\u2010Led Webinar for Adults With Coeliac Disease: A Positive Change in Gluten\u2010Free Food Knowledge and Behaviours"],"prefix":"10.1111","volume":"39","author":[{"given":"Leah","family":"Seamark","sequence":"first","affiliation":[{"name":"Somerset NHS Foundation Trust Community Dietetics Bridgwater UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Radcliffe","sequence":"additional","affiliation":[{"name":"Somerset NHS Foundation Trust Community Dietetics Bridgwater UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6600-7051","authenticated-orcid":false,"given":"Marianne","family":"Williams","sequence":"additional","affiliation":[{"name":"The Gut Clinic Somerset UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jim","family":"Gotto","sequence":"additional","affiliation":[{"name":"Somerset NHS Foundation Trust Community Dietetics Bridgwater UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridie","family":"Watson","sequence":"additional","affiliation":[{"name":"North Bristol NHS Trust Westbury\u2010On\u2010Trym  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Trudgeon","sequence":"additional","affiliation":[{"name":"Somerset NHS Foundation Trust Community Dietetics Bridgwater UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3017-0559","authenticated-orcid":false,"given":"Sue","family":"Reeves","sequence":"additional","affiliation":[{"name":"University of Roehampton London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0108-1645","authenticated-orcid":false,"given":"Yvonne","family":"Jeanes","sequence":"additional","affiliation":[{"name":"British Dietetic Association, Birmingham  UK"},{"name":"Kings College London, Holborn  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.06.037"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31796-8"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S002966511800277X"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.13380"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2007.00813.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2020-101493"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.13314"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.70202"},{"key":"e_1_2_11_10_1","unstructured":"NHS Report. 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