TY - JOUR
T1 - Outcomes of Combined Medical and Behavioral Treatments for Constipation Within a Specialty Outpatient Clinic
AU - Hankinson, Jessica Curley
AU - Borden, Lindsay
AU - Allen, Taryn
AU - Santo Domingo, Lisa
AU - Oliva-Hemker, Maria
AU - Mathews, Tara
AU - Brock, Kristen
AU - Perry-Parrish, Carisa
AU - Reynolds, Elizabeth K.
AU - Specht, Matthew
AU - Ostrander, Rick
PY - 2017/8/21
Y1 - 2017/8/21
N2 - Chronic constipation is a common and challenging childhood problem. Effective treatment for chronic constipation and fecal incontinence includes a combination of medical and behavioral treatments. This study evaluates the outcomes associated with providing these treatments in a specialty outpatient clinic consisting of a nurse practitioner and behavioral psychologist. Fifty-seven patients were followed up for initial and follow-up appointments in this multidisciplinary chronic constipation clinic. In addition, 65% of the patients did not return after the initial visit; from this cohort, 21 patients (20%) were randomly selected and outcomes were derived by phone interview. Results showed a reduction in bowel accident frequency, abdominal pain, use of diapers, and perceptions of having constipation. In most cases, these outcomes were achieved after a single visit; however, a more extended treatment was required to achieve optimal benefits for patients who initially presented with frequent bowel accidents. These results suggest that a multidisciplinary clinic comprised of a nurse practitioner and behavioral psychologist provides an effective and efficient way to provide a combined treatment protocol for constipation in children. Future research should evaluate long-term effects of this intervention on constipation symptoms and overall health care utilization. (PsycINFO Database Record
AB - Chronic constipation is a common and challenging childhood problem. Effective treatment for chronic constipation and fecal incontinence includes a combination of medical and behavioral treatments. This study evaluates the outcomes associated with providing these treatments in a specialty outpatient clinic consisting of a nurse practitioner and behavioral psychologist. Fifty-seven patients were followed up for initial and follow-up appointments in this multidisciplinary chronic constipation clinic. In addition, 65% of the patients did not return after the initial visit; from this cohort, 21 patients (20%) were randomly selected and outcomes were derived by phone interview. Results showed a reduction in bowel accident frequency, abdominal pain, use of diapers, and perceptions of having constipation. In most cases, these outcomes were achieved after a single visit; however, a more extended treatment was required to achieve optimal benefits for patients who initially presented with frequent bowel accidents. These results suggest that a multidisciplinary clinic comprised of a nurse practitioner and behavioral psychologist provides an effective and efficient way to provide a combined treatment protocol for constipation in children. Future research should evaluate long-term effects of this intervention on constipation symptoms and overall health care utilization. (PsycINFO Database Record
KW - Behavioral interventions
KW - Clinical setting
KW - Fecal incontinence
KW - Functional constipation
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U2 - 10.1037/cpp0000202
DO - 10.1037/cpp0000202
M3 - Article
AN - SCOPUS:85028018499
JO - Clinical Practice in Pediatric Psychology
JF - Clinical Practice in Pediatric Psychology
SN - 2169-4826
ER -