An RCT of an Internet Intervention for Pediatric Encopresis with One Year Follow-Up.
An RCT of an Internet Intervention for Pediatric Encopresis with One Year Follow-Up.
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一项针对儿童大便失禁的互联网干预随机对照试验，并进行一年随访。
DOI：
10.1037/cpp0000007
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发表时间：
2013
影响因子：
1.1
通讯作者：
Cox,DanielJ
中科院分区：
文献类型：
--
作者：
Ritterband,LeeM;Thorndike,FrancesP;Lord,HollyR;Borowitz,Stephen;Walker,LynnS;Ingersoll,KarenS;Sutphen,James;Cox,DanielJ
尿失禁是数百万儿童面临的一个重大医学问题。尽管它很流行，但治疗成功率很低，这表明它往往很难治疗。这项研究的目的是评估互联网对来自美国各地的儿童的包扎干预(UCanPoopToo)。采用2(组)×3(时间)随机对照试验评价UCanPoopToo的疗效。参与者被随机分为常规治疗(TAU)组或TAU+UCanPoopToo组。评估在基线(Pre)、基线后4-6周(Post)和一年随访(Post12)时完成。在基线情况下，TAU和TAU+UCanPoopToo在过去两周的中位数分别报告了9起和8起事故。使用预期的在线日记数据，TAU组报告的Post事故和Post12事故的中位数分别为8起和3起，而TAU+UCanPoopToo组报告的Post事故和Post12事故的中位数分别为4.5起和1起。术后12个月，TAU组成功率(≤1次/2周)为28%，TAU+UCanPoopToo组为%，差异有统计学意义(P<0.05)。在12个月后，TAU组的治愈率(0次/2周)与TAU+UCanPoopToo组的50%相比也有显著差异。这项研究支持使用互联网干预来加密。提高临床医生将患者转介给循证互联网干预措施的能力对临床实践具有重要意义，因为它扩大了患者治疗选择的范围，并使原本无法提供的干预措施得以提供。
Encopresis is a significant medical problem for millions of children. Despite its prevalence, poor treatment success rates indicate that it is often difficult to treat. The goal of this study was to evaluate an Internet intervention for encopresis (UCanPoopToo) with children from across the US. A 2 (Group) × 3 (Time) RCT was used to evaluate the efficacy of UCanPoopToo. Participants were randomized to a treatment-as-usual (TAU) or TAU + UCanPoopToo group. Assessments were completed at baseline (Pre), 4–6 weeks following baseline (Post), and one year follow-up (Post12). At baseline, the TAU and TAU + UCanPoopToo retrospectively reported a median 9 and 8 accidents, respectively, over the previous two weeks. Using prospective online diary data, the TAU group reported a median 8 accidents at Post and 3 accidents at Post12, compared to the TAU + UCanPoopToo group report of a median 4.5 accidents at Post and 1 accident at Post12. At Post12, a significant difference was found between success rates (≤1 accident/2 weeks) of 28% for the TAU group and 64% for the TAU + UCanPoopToo group. At Post12, a significant difference was also found between cure rates (0 accidents/2 weeks) of 20% for the TAU group and 50% for the TAU + UCanPoopToo group. This study supports the use of an Internet intervention for encopresis. Increasing the ability for clinicians to refer their patients to evidence-based Internet interventions has meaningful implications for clinical practice as it extends the reach of treatment options for patients and enables provision of interventions otherwise unavailable.