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T-Space at The University of Toronto Libraries >
Journal of Medical Internet Research >
Volume 10 (2008)  >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/16664

Title: Real World Use of an Internet Intervention for Pediatric Encopresis
Authors: Ritterband, Lee M
Ardalan, Kaveh
Thorndike, Frances P
Magee, Joshua C
Saylor, Drew K
Cox, Daniel J
Sutphen, James L
Borowitz, Stephen M
Eysenbach, Gunther
Keywords: Original Paper
behavioral intervention
Issue Date: 30-Jun-2008
Publisher: Gunther Eysenbach; Centre for Global eHealth Innovation, Toronto, Canada
Citation: Lee M Ritterband, Kaveh Ardalan, Frances P Thorndike, Joshua C Magee, Drew K Saylor, Daniel J Cox, James L Sutphen, Stephen M Borowitz. Real World Use of an Internet Intervention for Pediatric Encopresis. J Med Internet Res 2008;10(2):e16 <URL: http://www.jmir.org/2008/2/e16/>
Abstract: [This item is a preserved copy and is not necessarily the most recent version. To view the current item, visit http://www.jmir.org/2008/2/e16/ ] Background: The Internet is a significant source of medical information and is now being shown to be an important conduit for delivering various health-related interventions. Objective: This paper aimed to examine the utility and impact of an Internet intervention for childhood encopresis as part of standard medical care in a “real world” setting. Methods: Patients diagnosed with encopresis were given a Web-based information prescription to use an Internet intervention for pediatric encopresis. A total of 22 families utilized the intervention between July 2004 and June 2006. A chart review and phone interview were undertaken to collect user characteristics; defecation-related information, including frequency of soiling, bowel movements (BMs) in the toilet, and amount of pain associated with defecation; and information on computer/Internet usage. Three questionnaires were used to examine the utility of, impact of, and adherence to the Internet intervention. Program utilization was obtained from a data tracking system that monitored usage in real time. Results: Overall, parents rated the Internet intervention as enjoyable, understandable, and easy to use. They indicated that the Internet intervention positively affected their children, decreasing overall accidents and increasing child comfort on the toilet at home. Of the 20 children who initially reported fecal accidents, 19 (95%) experienced at least a 50% improvement, with a reduction of accident frequency from one fecal accident per day to one accident per week. Although it is not clear whether this improvement is directly related to the use of the Internet intervention, patient feedback suggests that the program was an important element, further establishing Internet interventions as a viable and desirable addition to standard medical care for pediatric encopresis. Conclusions: To our knowledge, this is the first time a pediatric Internet intervention has been examined as part of a “real world” setting. This is an important step toward establishing Internet interventions as an adjunctive component to treatment of pediatric patients in a clinical setting, particularly given the positive user feedback, possible cost savings, and significant potential for large-scale dissemination.
Description: Reviewer: Mohr, David
Reviewer: DuongTran, Paul
URI: http://dx.doi.org/ 10.2196/jmir.1081
ISSN: 1438-8871
Rights: © Lee M Ritterband, Kaveh Ardalan, Frances P Thorndike, Joshua C Magee, Drew K Saylor, Daniel J Cox, James L Sutphen, Stephen M Borowitz. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 30.06.2008. Except where otherwise noted, articles published in the Journal of Medical Internet Research are distributed under the terms of the Creative Commons Attribution License (http://www.creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided 1) the original work is properly cited, including full bibliographic details and the original article URL on www.jmir.org, and 2) this statement is included.
Appears in Collections:Volume 10 (2008)

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