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            <front>

                <journal-meta>
                                                                <journal-id>j. fac. pharm. ankara</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Journal of Faculty of Pharmacy of Ankara University</journal-title>
            </journal-title-group>
                            <issn pub-type="ppub">1015-3918</issn>
                                        <issn pub-type="epub">2564-6524</issn>
                                                                                            <publisher>
                    <publisher-name>Ankara University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.33483/jfpau.1330731</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Pharmacy Management</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Eczacılık İşletmeciliği</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="tr">
                                    <trans-title>SERBEST ECZACILARIN ÇÖLYAK HASTALIĞINA YÖNELİK BİLGİ, TUTUM VE UYGULAMALARININ DEĞERLENDİRİLMESİ</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>EVALUATION OF KNOWLEDGE, ATTITUDES, AND PRACTICES OF COMMUNITY PHARMACISTS TOWARD CELIAC DISEASE</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-4034-7351</contrib-id>
                                                                <name>
                                    <surname>Akarsu Orunç</surname>
                                    <given-names>Esin</given-names>
                                </name>
                                                                    <aff>VAN YUZUNCU YIL UNIVERSITY</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-2786-4610</contrib-id>
                                                                <name>
                                    <surname>Arslan</surname>
                                    <given-names>Miray</given-names>
                                </name>
                                                                    <aff>VAN YÜZÜNCÜ YIL ÜNİVERSİTESİ, ECZACILIK FAKÜLTESİ, ECZACILIK MESLEK BİLİMLERİ BÖLÜMÜ, ECZACILIK İŞLETMECİLİĞİ ANABİLİM DALI</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20230920">
                    <day>09</day>
                    <month>20</month>
                    <year>2023</year>
                </pub-date>
                                        <volume>47</volume>
                                        <issue>3</issue>
                                        <fpage>935</fpage>
                                        <lpage>943</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20230721">
                        <day>07</day>
                        <month>21</month>
                        <year>2023</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20230816">
                        <day>08</day>
                        <month>16</month>
                        <year>2023</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 1971, Journal of Faculty of Pharmacy of Ankara University</copyright-statement>
                    <copyright-year>1971</copyright-year>
                    <copyright-holder>Journal of Faculty of Pharmacy of Ankara University</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="tr">
                            <p>Amaç: Eczacıların bilgi ve tutumları, eczacıların hasta danışmanlığı hizmetlerinde önemli bir rol oynamaktadır. Çölyak hastalığı, hasta takibi ve danışmanlığının gerekli olduğu hastalıklardan biridir ve bu hastalıkta eczacıların rollerini ele alan çalışma sayısı oldukça sınırlıdır. Bu çalışma, serbest eczacıların çölyak hastalığı konusundaki bilgi, tutum ve uygulamalarını değerlendirerek bu boşluğu doldurmayı ve halk sağlığına katkıda bulunmayı amaçlamaktadır.Gereç ve Yöntem: Literatüre dayalı olarak serbest eczacıların çölyak hastalığına yönelik bilgi, tutum ve uygulamalarını içeren bir ölçüm aracı geliştirilmiştir. Ölçme aracı 2021 yılında Türkiye&#039;deki serbest eczacılara online olarak uygulanmıştır. Elde edilen veriler açıklayıcı faktör analizine (EFA) tabi tutulmuştur.Sonuç ve Tartışma: Çalışmaya katılan eczacı sayısı 408’dir. Çölyak hastalığı bilgisi, çölyak hastalığına yönelik tutum, çölyak hastalarına yönelik danışmanlık uygulamaları ve mesleki gelişim uygulamaları olmak üzere dört faktörlü bir yapı elde edilmiştir. Faktörlerin Cronbach alfa değerleri 0.794 ile 0.935 arasında hesaplanmıştır ve bu yüksek güvenilirlik göstermektedir. Bu faktörler toplam varyansın %70.343&#039;ünü açıklamaktadır. Serbest eczacılar, çölyak hastalığı danışmanlığına karşı olumlu tutumlara sahiptir. Yine de bilgi ve uygulama açısından bazı eksiklikler bulunmaktadır. Hem lisans eğitiminde hem de mesleki eğitim programlarında çölyak hastalığı ile ilgili konulara yer verilerek eczacıların çölyak hastalıkları konusundaki bilgi ve farkındalıklarının artırılabileceği düşünülmektedir.</p></trans-abstract>
                                                                                                                                    <abstract><p>Objective: The knowledge and attitude of pharmacists play an essential role in the patient counseling services of pharmacists. Celiac disease is one of the diseases in which patient follow-up and counseling are essential, and the number of studies dealing with the roles of pharmacists in this disease is very limited. This study aims to fill this gap and contribute to public health by evaluating community pharmacists&#039; knowledge, attitudes, and practices for celiac disease. Material and Method: Based on the literature, a measurement tool including the knowledge, attitudes, and practices of community pharmacists for celiac disease has been developed. The measurement tool was applied online to community pharmacists in Türkiye in 2021. The obtained data were subjected to explanatory factor analysis (EFA). Result and Discussion: The number of pharmacists participating in this study is 408. A four-factor structure was obtained: knowledge of celiac disease, attitude towards celiac disease, counseling practices for celiac patients, and professional development practices. The Cronbach&#039;s alpha values of the factors were calculated between 0.794 and 0.935, which shows high reliability. These factors explained 70.343% of the total variance. The community pharmacists had positive attitudes toward counseling for celiac disease. Still, there were some deficiencies in terms of knowledge and practice. It is thought that the knowledge and awareness of pharmacists on celiac diseases can be increased by including issues related to celiac disease in both undergraduate education and vocational training programs.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Attitude</kwd>
                                                    <kwd>  celiac disease</kwd>
                                                    <kwd>  community pharmacist</kwd>
                                                    <kwd>  knowledge</kwd>
                                                    <kwd>  practice</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="tr">
                                                    <kwd>Bilgi birikimi</kwd>
                                                    <kwd>  çölyak hastalığı</kwd>
                                                    <kwd>  serbest eczacı</kwd>
                                                    <kwd>  tutum</kwd>
                                                    <kwd>  uygulama</kwd>
                                            </kwd-group>
                                                                                                                                        </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1.	García Nieto, V.M. (2014). A history of celiac disease. Celiac Disease and Non-Celiac Gluten Sensitvity; Rodrigo, L., Peña, AS, Eds, 45-59.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2.	Kara, A., Demirci, E., Ozmen, S. (2019). Evaluation of psychopathology and quality of life in children with celiac disease and their parents. Gazi Medical Journal, 30(1), 43-47. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3.	Fera, T., Cascio, B., Angelini, G., Martini, S., Guidetti, C.S. (2003). Affective disorders and quality of life in adult coeliac disease patients on a gluten-free diet. European Journal of Gastroenterology and Hepatology, 15(12), 1287-1292.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4.	Lebenthal, E., Shteyer, E., Branski, D. (2008). The changing clinical presentation of celiac disease. In Frontiers in Celiac Disease (Vol. 12, pp. 18-22). Karger Publishers.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5.	Gottlieb, K., Dawson, J., Hussain, F., Murray, J.A. (2015). Development of drugs for celiac disease: Review of endpoints for Phase 2 and 3 trials. Gastroenterology Report, 3(2), 91-102. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6.	Rajput, M.S., Chauhan, A., Makharia, G.K. (2021). Epidemiology of celiac disease. In advances in celiac disease: Improving pediatric and adult care (pp. 7-22). Cham: Springer International Publishing.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7.	Molder, A., Balaban, D.V., Jinga, M., Molder, C.C. (2020). Current evidence on computer-aided diagnosis of celiac disease: Systematic review. Frontiers in Pharmacology, 11, 341. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8.	Lerner, A., Jeremias, P., Matthias, T. (2015). The world incidence and prevalence of autoimmune diseases is increasing. International Journal of Celiac Disease, 3(4), 151-155. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">9.	Sverker, A., Östlund, G., Hallert, C., Hensing, G. (2007). Sharing life with a gluten‐intolerant person–the perspective of close relatives. Journal of Human Nutrition and Dietetics, 20(5), 412-422. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">10.	Mangione, R.A., Patel, P.N. (2008). Caring for patients with celiac disease: The role of the pharmacist. Journal of the American Pharmacists Association, 48(5), e125-e139.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">11.	Crowe, J.P., Falini, N.P. (2001). Gluten in pharmaceutical products. American Journal of Health-System Pharmacy, 58(5), 396-401. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">12.	Assiri, A.M., Saeed, A., Saeed, E., El-Mouzan, M.I., Alsarkhy, A.A., Al-Turaiki, M., Al Mehaideb, A., Rashid, M, Ullah, A. (2015). Assessment of knowledge of celiac disease among health care professionals. Saudi Medical Journal, 36(6), 751. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">13.	Dembiński, Ł., Mazur, A., Dąbrowski, M., Jackowska, T., Banaszkiewicz, A. (2021). Knowledge of medical students and medical professionals regarding nutritional deficiencies in patients with celiac disease. Nutrients, 13(6), 1771-1777. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">14.	Riznik, P., De Leo, L., Dolinsek, J., Gyimesi, J., Klemenak, M., Koletzko, B., Koletzko, S., Koltai, T., Korponay-Szabó, I.R., Krencnik, T., Milinovic, M., Not, T., Palcevski, G., Sblattero, D., Werkstetter, K.J., Dolinsek, J. (2021). The knowledge about celiac disease among healthcare professionals and patients in Central Europe. Journal of Pediatric Gastroenterology and Nutrition, 72(4), 552-557.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">15.	Barzegar F, Rostami-Nejad M, Rostami K, Ahmadi, S., Shalmani, H.M., Sadeghi, A., Khani, M.A., Aldulaimi, D., Zali, M.R.. (2019). Lack of health care professional&#039;s awareness for management of celiac disease may contribute to the under diagnosis of celiac disease. Gastroenterology and Hepatology from Bed to Bench. 12, 203-208.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">16.	Jinga, M., Popp, A., Balaban, D.V., Dima, A., Jurcut, C. (2018). Physicians’ attitude and perception regarding celiac disease: A questionnaire-based study. The Turkish Journal of Gastroenterology, 29(4), 419-426. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">17.	Karaoğlu, A.S. (2019). Uzmanlık Tezi. Çölyak Hastalığı Konusunda Hekimlerin Farkındalığı ve Eğitimin Etkisi. Aile Hekimliği Anabilim Dalı, Tıp Fakültesi, Sağlık Bilimleri Üniversitesi, Ankara, Türkiye.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">18.	Avena-Woods, C., Mangione, R.A., Wu, W.K. (2018). Exploring the community pharmacist’s knowledge of celiac disease. American Journal of Pharmaceutical Education, 82(2), 100-105. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">19.	Launiala, A. (2009). How much can a KAP survey tell us about people&#039;s knowledge, attitudes and practices? Some observations from medical anthropology research on malaria in pregnancy in Malawi. Anthropology Matters, 11(1), 1-13. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">20.	World Health Organization. (2008). Advocacy, communication and social mobilization for TB control: A guide to developing knowledge, attitude and practice surveys (No. WHO/HTM/STB/2008.46). World Health Organization.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">21.	Bastani, P., Jooybar, M., Zadeh, M.A., Samadbeik, M. (2017). Community pharmacy-based survey on pharmacists’ knowledge, attitude, and performance regarding dietary supplements: Evidence from South of Iran. National Journal of Physiology, Pharmacy and Pharmacology, 7(4), 396-402. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">22.	Mehralian, G., Yousefi, N., Hashemian, F., Maleksabet, H. (2014). Knowledge, attitude and practice of pharmacists regarding dietary supplements: a community pharmacy-based survey in Tehran. Iranian Journal of Pharmaceutical Research, 13(4), 1457-1465.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">23.	Field, A. (2009). Discovering Statistics Using SPSS. 3th Ed. Los Angeles: Sage Publication. p. 627-85.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">24.	Tabachnick, B.G., Fidell, L.S. (2007). Using Multivariate Statistics, 5th Ed. USA: Pearson Education Inc.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">25.	Hair, J.F., Black, W., Anderson, R., Babin, B.R., Tahtam, R.L. (2010). Multivariate Data Analysis: A Global Perspective. Seventh ed. Upper Saddle Rive, N.J.; London: Pearson Education.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">26.	Schreiber, J.B., Nora, A., Stage, F.K., Barlow, E.A., King, J. (2006). Reporting structural equation modeling and confirmatory factor analysis results: A review. The Journal of Educational Research, 99(6), 323-338. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">27.	Hinkin, T.R. (1998). A brief tutorial on the development of measures for use in survey questionnaires. Organizational Research Methods, 1(1), 104-121.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">28.	Shah, A.V., Serajuddin, A.T., Mangione, R.A. (2018). Making all medications gluten free. Journal of Pharmaceutical Sciences, 107(5), 1263-1268. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">29.	Mercan, S. (2018). Uzmanlık Tezi. Eczane Eczacılarının Diyabet Hastalarının Tedavisi, İzlemi ve Eğitimindeki Rollerinin İncelenmesi: İstanbul Zeytinburnu örneği. Halk Sağlığı Anabilim Dalı, Tıp Fakültesi, Bezmialem Vakıf Üniversitesi, İstanbul, Türkiye.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">30.	Narmansoy, G. (2010). Osmanlı’dan günümüze eczacının değişen konumu. Osmanlı Bilimi Araştırmaları, 12(1), 151-163.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">31.	Hargie, O.D., Morrow, N.C., Woodman, C. (2000). Pharmacists’ evaluation of key communication skills in practice. Patient Education and Counseling, 39(1), 61-70. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">32.	Grice, G.R., Gattas, N.M., Sailors, J., Murphy, J.A., Tiemeier, A., Hurd, P., Prosser, T., Berry, T., Duncan, W. (2013). Health literacy: Use of the Four Habits Model to improve student pharmacists’ communication. Patient Education and Counseling, 90(1), 23-28. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">33.	Greenhill, N., Anderson, C., Avery, A., Pilnick, A. (2011). Analysis of pharmacist-patient communication using the Calgary-Cambridge guide. Patient Education and Counseling, 83(3), 423-431. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">34.	Garg, A., Gupta, R. (2014). Predictors of compliance to gluten-free diet in children with celiac disease. International Scholarly Research Notices, 2014,1-9.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">35.	Green, P.H., Cellier, C. (2007). Celiac disease. New England Journal of Medicine, 357(17), 1731-1743. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">36.	Ertem, D. (2014). Çölyak Hastalığı. Klinik Tıp Pediatri Dergisi, 9(1), 1-10.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">37.	Haines, M.L., Anderson, R.P., Gibson, P.R. (2008). Systematic review: The evidence base for long‐term management of coeliac disease. Alimentary Pharmacology &amp; Therapeutics, 28(9), 1042-1066. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">38.	See, J., Murray, J.A. (2006). Gluten‐free diet: The medical and nutrition management of celiac disease. Nutrition in Clinical Practice, 21(1), 1-15. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">39.	Kuloğlu, Z. (2014). Çölyak hastalığı. Türkiye Çocuk Hastalıkları Dergisi. 8, 105-111.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">40.	Küçükazman, M., Ata, N., Dal, K., Nazlıgül, Y. (2008). Çölyak hastalığı. Dirim Tıp Gazetesi, 83, 85-92.</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">41.	Green, P.H., Jabri, B. (2003). Coeliac disease. The Lancet, 362(9381), 383-391. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">42.	Larizza, D., Calcaterra, V., De Giacomo, C., De Silvestri, A., Asti, M., Badulli, C., Autelli, M., Coslovich, E., Martinetti, M. (2001). Celiac disease in children with autoimmune thyroid disease. The Journal of Pediatrics, 139(5), 738-740. [CrossRef]</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
