1. Self-Efficacy in Children with Functional Constipation Is Associated with Treatment Success
- Author
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Aryn C. Karpinski, Eva Stoops, Allan Rosenberg, Neha R. Santucci, Paul E. Hyman, Rachel E. Herdes, Miranda A.L. van Tilburg, L. E. Rein, and Amir Amado-Feeley
- Subjects
medicine.medical_specialty ,Adolescent ,Treatment outcome ,03 medical and health sciences ,0302 clinical medicine ,Defecation disorders ,Surveys and Questionnaires ,030225 pediatrics ,medicine ,Humans ,Fecal incontinence ,030212 general & internal medicine ,Child ,Defecation ,Self-efficacy ,business.industry ,medicine.disease ,Self Efficacy ,Clinic visit ,Treatment Outcome ,Treatment success ,Pediatrics, Perinatology and Child Health ,Physical therapy ,Functional constipation ,medicine.symptom ,business ,Constipation ,Fecal Incontinence - Abstract
To assess the relationship between self-efficacy, the belief that an individual can succeed at a goal, and short-term treatment outcome in children with functional constipation.Patients with functional constipation age 8-16 years completed the Self-Efficacy for Functional Constipation Questionnaire (SEFCQ), consisting of 14 statements about performing tasks needed for defecation. Patients completed SEFCQ before, immediately after, and 3 weeks after their clinic visit. Treatment success was defined as ≥3 bowel movements into the toilet and no fecal incontinence in the third week.75% of patients had a successful outcome. Scores were higher in the group that was successful than in those that failed before, immediately after the visit, and 3 weeks later (P .001). Self-efficacy improved at all time points in the group that was successful (P .001). In the group that failed, scores improved immediately after clinic visit (P .01) but were unchanged at follow-up (P .05).Improved self-efficacy is associated with successful outcomes in children with functional constipation, thus, it may be beneficial to enhance self-efficacy for defecation during treatment.
- Published
- 2020