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Peer-Interactıon Group Support in Adolescents with Celiac Disease: A Randomized Controlled Study in Turkey

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Abstract

Background

Celiac disease requires appropriate management and support, both medically and psychologically. This is especially important for adolescents, who may benefit from relevant peer interactions.

Objective

This study evaluated the effects of interactive peer support on quality of life, friendship relations, and coping levels among adolescents with celiac disease.

Method

This was a randomized controlled trial in which 36 adolescents (13–18 years of age) with celiac disease were equally divided into study and control groups. The study group was exposed to six interactive peer group sessions that were held every other week for 3 months under the supervision of nurses, while the control group was not exposed to any sessions, training, or consulting. All were assessed at baseline and post-intervention via the Pediatric Quality of Life Inventory, Friendship Qualities Scale, and KIDCOPE scale.

Results

Several changes were detected upon final assessment. First, the mean scores for the PedsQL and FSS were significantly higher in the study group when compared to the control group. Second, the study group had higher mean scores for active coping and avoidance coping when compared to baseline. Third, the study group had significantly lower mean scores for negative coping when compared to the control group.

Conclusions

Under the supervision of nurses, participants who were exposed to the peer support group showed improved quality of life, decreased social isolation, and enhanced positive coping strategies when dealing with celiac disease.

ClinicalTrials.gov Identifier NCT04533776.

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Contributions

Dr. MTB, Dr. HÇ, Dr. AB, had primary responsibility for protocol development, patient screening, enrollment, outcome assessment, preliminary data analysis and writing the manuscript. Dr. MTB, Dr. AB, participated in the development of the protocol and analytical framework for the study and contributed to the writing of the manuscript. Dr. MTB and Dr. HÇ, contributed in the same ways as Dr. MTB and Dr. AB, and was responsible for patient screening. Dr. MTB, Dr. HÇ, Dr. AB, supervised the design and execution of the study, performed the final data analyses and contributed to the writing of the manuscript.

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Correspondence to Melike Taşdelen Baş.

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An ethics approval was taken from the Clinical Research Ethics Committee of Hacettepe University (meeting date: 05.24.2018, decision no: 2018/08-24 (KA-180047).

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Taşdelen Baş, M., Çavuşoğlu, H. & Bükülmez, A. Peer-Interactıon Group Support in Adolescents with Celiac Disease: A Randomized Controlled Study in Turkey. Child Youth Care Forum 51, 967–986 (2022). https://doi.org/10.1007/s10566-021-09664-8

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