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Journal of Pediatric Psychology Advance Access originally published online on March 20, 2009
Journal of Pediatric Psychology 2009 34(10):1165-1169; doi:10.1093/jpepsy/jsp017
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: Adherence to Fluid Recommendations in Children Receiving Treatment for Retentive Encopresis

Elizabeth S. Kuhl, MS1, Barbara T. Felt, MD2 and Susana R. Patton, PhD2

1Department of Psychology, Eastern Michigan University and 2Division of Child Behavioral Health, University of Michigan/C.S. Mott Children's Hospital

All correspondence concerning this article should be addressed to Elizabeth S. Kuhl, MS, Cincinnati Children's Hospital Medical Center, Division of Clinical Psychology and Behavioral Medicine, MLS 3015, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA. E-mail: elizabeth.kuhl{at}cchmc.org


  Abstract

Objective Limited data are available regarding whether children being treated for retentive encopresis are adherent to recommendations to increase their daily fluid intake. The purpose of this study was to examine fluid adherence in children who received treatment for retentive encopresis. Methods A retrospective chart review was performed using diet diary data for 26 children (ages 3–12) who completed a group behavioral intervention for retentive encopresis. Results Mean daily intake of clear fluid increased significantly during treatment and children relied primarily on water and juice to make this dietary change. However, adherence rates to clear fluid goals were <50%. Conclusions Children's increased clear fluid intake did not equate to high fluid adherence. Children's high juice consumption is concerning as it could place them at risk for other negative health consequences. Future research should examine whether enhanced fluid education and use of behavior change strategies yield higher fluid adherence.

Key words: adherence; encopresis; nutrition.

Received October 19, 2008; revision received February 22, 2009; accepted February 23, 2009


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