Brief report: Adherence to fluid recommendations in children receiving treatment for retentive encopresis

Elizabeth S Kuhl1, Barbara T Felt, Susana R Patton

  • 1Department of Psychology, Eastern Michigan University, USA. elizabeth.kuhl@cchmc.org

Insights

Children with retentive encopresis increased fluid intake during treatment but showed low adherence to goals. High juice consumption is a concern, indicating a need for better education and strategies.

Area of Science:

  • Pediatric Gastroenterology
  • Behavioral Health

Background:

  • Retentive encopresis is a common childhood condition.
  • Adequate fluid intake is crucial for managing encopresis.
  • Data on fluid intake adherence in treated children are limited.

Purpose of the Study:

  • To assess fluid intake adherence in children undergoing treatment for retentive encopresis.
  • To evaluate the types of fluids consumed by these children.

Main Methods:

  • Retrospective chart review of diet diaries from 26 children (ages 3-12).
  • Children completed a group behavioral intervention for retentive encopresis.

Main Results:

  • Mean daily clear fluid intake significantly increased during treatment.
  • Water and juice were the primary fluids used to increase intake.
  • Adherence rates to established clear fluid goals were below 50%.

Conclusions:

  • Increased fluid intake did not correlate with high adherence to fluid goals.
  • High juice consumption poses potential health risks.
  • Future research should explore enhanced fluid education and behavioral strategies to improve adherence.
Abstract

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