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Home > "I" Clinical Trials Conditions > Internet-based Treatment of Early Childhood Fecal Incontinence  Internet-based Treatment of Early Childhood Fecal Incontinence
Internet-based Treatment of Early Childhood Fecal Incontinence
For Condition: Encopresis
Status: Recruiting
Sponsor(s): National Institute of Child Health and Human Development (NICHD) ,
Synopsis: Encopresis, also known as fecal incontinence, is the voluntary or involuntary passage of stools causing soiling of clothes by a child over 4 years of age. The purpose of this study is to evaluate an Internet intervention for the treatment of encopresis.
Details: An estimated 2.3% of children suffer from encopresis. Enhanced Toilet Training (ETT) is one of the most effective ways of treating this disorder. When delivered by skilled and knowledgeable clinicians, ETT is twice as effective as intensive medical management alone. Although ETT is effective in treating encopretic children, there are six major barriers to its implementation: 1) availability of a knowledgeable and skilled clinician; 2) parental acceptance of referral to a mental health professional; 3) expense of service; 4) burden of time and distance to access such specialty services; 5) child resistance to disclosure of embarrassing material; and 6) willingness of the child and parent to follow treatment recommendations. This project will circumvent these barriers by developing an interactive Internet-based ETT program. The study will then assess the feasibility of the program by determining the acceptance, function, and effectiveness of the intervention. This project will have four phases. Phase 1 will identify optimal Internet and treatment elements as well as issues in need of experimental investigation. Phase 2 will investigate how to enhance Internet interventions. Phase 3 will evaluate the relative benefit of adding the Internet treatment to clinical services provided by clinicians in the fields of medicine and mental health. Phase 4 will investigate the relative long-term benefits of adding such an Internet-based intervention to professional care to determine its impact on symptom improvement, relapse prevention, quality of life, and its cost-effectiveness. Phase 4 will also assess to what extent the program is disseminated worldwide when made available on the Internet.
Eligibility:
Study Type: Interventional, Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 6 Years/12 Years
Genders: Both
Protocol Entry Criteria: Inclusion Criteria - Child seen by pediatrician, family physician, or psychologist for the treatment of encopresis - Access to the Internet, either through a family computer or a community computer Exclusion Criteria - Diagnosis of either mental retardation (IQ < 85) or a primary illness responsible for fecal soiling (e.g., spina bifida)
Total Enrollment: 100
Location and Contact Information:
Overall Study Official:
DanielCox, Principal Investigator, University of Virginia
University of Virginia Health System *Recruiting*
Charlottesville, Virginia, 22902
United States
Recruiting Vanessa Lucas 434-924-8020
Additional Information:
Study ID Numbers: 2R01 HD28160-12;
Study Start Date: October 2003
Record last reviewed: January 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00067769
Other Encopresis Studies:
1. Internet-based Treatment of Early Childhood Fecal Incontinence
Related Studies:
Other Encopresis Clinical Trials
Other Virginia Clinical Trials
Other Charlottesville Clinical Trials
Internet-based Treatment of Early Childhood Fecal Incontinence
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