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An Internet intervention as adjunctive therapy for pediatric encopresis

Lee M Ritterband1, Daniel J Cox, Lynn S Walker

  • 1Department of Psychiatric Medicine, Center for Behavioral Medicine Research, University of Virginia Health System, Charlottesville, VA 22908 USA. leer@virginia.edu

Journal of Consulting and Clinical Psychology
|October 1, 2003
PubMed

Insights

Internet-delivered toilet training significantly improved encopresis symptoms in children, reducing fecal soiling and increasing toilet use. This approach offers a convenient way to deliver behavioral interventions.

Area of Science:

  • Pediatric Gastroenterology
  • Behavioral Health Interventions
  • Digital Health

Background:

  • Encopresis is a common condition in children, often managed with behavioral interventions.
  • Access to specialized interventions can be limited by geographical factors.

Purpose of the Study:

  • To evaluate the efficacy of an enhanced, Internet-delivered toilet training program for children with encopresis.
  • To compare outcomes between children receiving Internet intervention and those in a control group.

Main Methods:

  • A randomized controlled trial involving 24 children diagnosed with encopresis.
  • Participants were assigned to either an Internet intervention group (Web) or a no Internet intervention group (No-Web).
  • Both groups received routine medical care.

Main Results:

  • The Internet intervention group showed significantly greater reductions in fecal soiling (p<.02).
  • Participants in the Web group also demonstrated increased toilet defecation and unprompted toilet trips (p<.02).
  • Knowledge and general toileting behaviors improved similarly in both groups.

Conclusions:

  • Internet-based interventions are effective for delivering sophisticated behavioral treatments for encopresis.
  • This digital health approach enhances accessibility for a widespread population.
  • Enhanced toilet training via the Internet shows promise for pediatric behavioral health.

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