ISSN: 2008-2258
Vol 12, No 3 (2019): Summer
Lack of health care professional’s awareness for management of celiac disease may contribute to the under diagnosis of celiac disease
Gastroenterology and Hepatology from Bed to Bench,
,
,
Page 203-208
https://doi.org/10.22037/ghfbb.v12i3.1389
Abstract
Aim: We assessed the knowledge of physicians regarding diagnosis and treatment of celiac disease (CD).
Background: Specialists as the main therapist group of CD patients may play crucial role in the diagnosis and treatment of CD. Therefore, training and ensuring their capabilities is important.
Methods: The population was specialists including Gastroenterologist, GI fellow, consultants, residents and general practitioners graduated in Medical Sciences Universities in Iran. The examination was the experts made and aimed to assess the educational needs of physicians and explore their failures in the diagnosis and treatment of CD with the key feature approach. Data was collected using a questionnaire that its validity and reliability was confirmed by experts (r = 91.6%). The total score was 150 with the classification of participants to the following categories: good (112- 150), intermediate (39-112) and weak ( ?38).
Results: Out of 300 participants, 197 questionnaires were returned (Response rate = 66%). The mean age of the participants was 42.67 years (SD = 7.9 years) with majority were male (63.6%). Average score of participates who had less than three year’s experience was significantly higher than others (P?0.05). Only 12.1% and 9.8% of specialists have got the excellent score for diagnosis and treatment, respectively.
Conclusion: It may conclude that specialists have had performance gap and around 90% needed training based on the principles of instructional design in order to improve their knowledge and skills to do and practice their assigned tasks. Therefore, development of training packages according to the principles of instructional design is suggested.
Keywords: Instructional design, Celiac Disease, specialists, need assessment.
(Please cite as: Barzegar F, Rostami-Nejad M, Rostami K, Ahmadi S, Mohaghegh-Shalmani H, Sadeghi A, et al. Lack of health care professional’s awareness for management of celiac disease may contribute to the under diagnosis of celiac disease Gastroenterol Hepatol Bed Bench 2019;12(3):203-208).
- Instructional design
- Celiac Disease
- specialists
- need assessment.
How to Cite
References
2.Shamir R, Lerner A, Shinar E, Lahat N, Sobel E, Bar-or R, et al. The use of a single serological marker underestimates the prevalence of celiac disease in Israel: a study of blood donors. Am J Gastroenterol 2002;97:2589.
3.Rostami-Nejad M, Rostami K, Emami MH, Zali MR, Malekzadeh R. Epidemiology of celiac disease in Iran: a review. Middle East J Dig Dis 2011;3:5.
4.Qari FA. Clinical presentation of adult celiac disease in Western Saudi Arabia. Saudi Med J 2002;23:1514-7.
5.Akbari MR, Mohammadkhani A, Fakheri H, Zahedi MJ, Shahbazkhani B, Nouraie M, et al. Screening of the adult population in Iran for coeliac disease: comparison of the tissue-transglutaminase antibody and anti-endomysial antibody tests. Eur J Gastroenterol Hepatol 2006;18:1181-6.
6.Khoshnia M, Pourshams A, Mohammadkhani A, Tavangar S, Shahbazkhani B, Malekzadeh R. Celiac disease in gonbad-kavoos. Govaresh 2012;10:131-3.
7.Barzegar F, Rostami-Nejad M, Mohaghegh-Shalmani H, Sadeghi A, Allahverdy M. The effect of education on the knowledge of patients with Celiac disease. Gastroenterol Hepatol Bed Bench 2017;10:S15-19.
8.Green PH, Jabri B. Coeliac disease. Lancet 2003;362:383-91.
9.Hill ID, Dirks MH, Liptak GS, Colletti RB, Fasano A, Guandalini S, et al. Guideline for the diagnosis and treatment of celiac disease in children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr 2005;40:1-19.
10.Assiri AM, Saeed A, Saeed E, El-Mouzan MI, Alsarkhy AA, Al-Turaiki M, et al. Assessment of knowledge of celiac disease among health care professionals. Saudi Med J 2015;36:751.
11.Freeman HJ. Adult celiac disease and its malignant complications. Gut Liver 2009;3:237-46.
12.Rostami Nejad M, Rostami K, Pourhoseingholi MA, Nazemalhosseini Mojarad E, Habibi M, Dabiri H, et al. Atypical presentation is dominant and typical for coeliac disease. J Gastro Liver Dis 2009;18:285-91.
13.Collin P, Vilppula A, Luostarinen L, Holmes GKT, Kaukinen K. Review article: coeliac disease in later life must not be missed. Aliment Pharmacol Ther 2018;47:563-72.
14.Barzegar F, Pourhoseingholi MA, Rostami-Nejad M, Gholizadeh S, Malekpour MR, Sadeghi A, et al. Transcultural adaptation and validation of a Persian version of celiac disease questionnaire (CDQ); a specific questionnaire to measure quality of life of Iranian patients with celiac disease. Galen Med J 2018;7:e1106
15.Long K, Rubio-Tapia A, Wagie A, Melton Iii L, Lahr B, Van Dyke C, et al. The economics of coeliac disease: a population based study. Aliment Pharmacol Ther 2010;32:261-9.
16.Zipser RD, Farid M, Baisch D, Patel B, Patel D. Physician awareness of celiac disease: a need for further education. J Gen Intern Med 2005;20:644-6.
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