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Journal of Pediatric Psychology Advance Access published online on September 4, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn091
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© The Author 2008. 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

Exploring the Relationship between Parental Worry about their Children's Health and Usage of an Internet Intervention for Pediatric Encopresis

Joshua C. Magee, MA1, Lee M. Ritterband, PhD2, Frances P. Thorndike, PhD2, Daniel J. Cox, PhD2 and Stephen M. Borowitz, MD3

1Department of Psychology, University of Virginia, 2Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, and 3Division of Pediatric Gastroenterology and Nutrition, University of Virginia

All correspondence concerning this article should be addressed to Lee M. Ritterband, Department of Psychiatry and Neurobehavioral Sciences, Behavioral Health & Technology, University of Virginia Health System, 310 Old Ivy Way, Suite 102, Charlottesville, VA 22903. E-mail: LEER{at}virginia.edu


  Abstract

Objective To investigate whether parental worry about their children's health predicts usage of a pediatric Internet intervention for encopresis. Methods Thirty-nine families with a child diagnosed with encopresis completed a national clinical trial of an Internet-based intervention for encopresis (www.ucanpooptoo.com). Parents rated worry about their children's health, encopresis severity, current parent treatment for depression, and parent comfort with the Internet. Usage indicators were collected while participants utilized the intervention. Results Regression analyses showed that parents who reported higher baseline levels of worry about their children's health showed greater subsequent intervention use (β =.52, p =.002), even after accounting for other plausible predictors. Exploratory analyses indicated that this effect may be stronger for families with younger children. Conclusions Characteristics of individuals using Internet-based treatment programs, such as parental worry about their children's health, can influence intervention usage, and should be considered by developers of Internet interventions.

Received February 20, 2008; revision received August 8, 2008; accepted August 8, 2008


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