Division of Behavioral Medicine and Clinical Psychology, Center for Adherence and Self-Management, Cincinnati Children's Hospital Medical Center.
J Pediatr Psychol. 2018 May 1;43(4):392-401. doi: 10.1093/jpepsy/jsx138.
To summarize gluten-free diet (GFD) nonadherence risk factors, nonadherence rates, and current intervention research within an integrative framework and to develop a research agenda for the development and implementation of evidence-based GFD adherence interventions.
Topical review of literature published since 2008 investigating GFD adherence in pediatric samples.
Reviews of pediatric studies indicate GFD nonadherence rates ranging from 19 to 56%. There are few evidence-based, published pediatric GFD adherence interventions. Novel assessments of GFD adherence are promising but require further study. Nonmodifiable and modifiable factors within individual, family, community, and health systems domains must be considered when developing future interventions. Clinical implications are discussed.
Avenues for future research include development and refinement of adherence assessment tools and development of evidence-based GFD adherence interventions. Novel technologies (e.g., GFD mobile applications) require empirical study but present exciting opportunities for adherence intervention.
在一个综合框架内总结 gluten-free diet (GFD) 不依从的风险因素、不依从率以及当前的干预研究，并为开发和实施基于证据的 GFD 依从性干预措施制定研究议程。
对 2008 年以来发表的关于儿科样本中 GFD 依从性的文献进行专题综述。
对儿科研究的综述表明，GFD 不依从率从 19%到 56%不等。目前，针对儿童 GFD 依从性的循证干预措施很少。GFD 依从性的新型评估方法很有前景，但需要进一步研究。在制定未来干预措施时，必须考虑个体、家庭、社区和卫生系统领域内不可改变和可改变的因素。讨论了临床意义。
未来研究的途径包括开发和完善依从性评估工具以及开发基于证据的 GFD 依从性干预措施。新型技术（例如 GFD 移动应用程序）需要进行实证研究，但为依从性干预提供了令人兴奋的机会。
