An Internet intervention as adjunctive therapy for pediatric encopresis.

Ritterband, Lee M.; Cox, Daniel J.; Walker, Lynn S.; Kovatchev, Boris; McKnight, Lela; Patel, K.H.; Borowitz, Stephen M.; Sutphen, James L.

doi:10.1037/0022-006x.71.5.910

Cited by 142 publications

(118 citation statements)

References 16 publications

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“…These results are very comparable to those from the previous face-to-face trial of family problem solving with families of children with TBI , suggesting that an on-line approach can be as successful as one delivered in person. These results are consistent with those of the other study that has implemented a family-centered intervention over the Web (Ritterband et al, 2003). It is noteworthy that virtually all participants with prior psychotherapy experience in the present project reported that FPS was more helpful than prior experiences with psychotherapy.…”

Section: Discussionsupporting

confidence: 92%

“…On-line or computer-mediated approaches have not been widely used with families, although existing stud-ies indicate considerable potential (Glueckauf et al, 2002;Ritterband et al, 2003). Glueckauf and colleagues reported that home-based family videoconferencing, phone conferencing, and face-to-face meetings were equally effective in reducing the frequency and severity of problem behaviors in teenagers with epilepsy.…”

Section: Emerging Technologies and On-line Therapeutic Interventionsmentioning

confidence: 99%

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A Web-based family problem-solving intervention for families of children with traumatic brain injury

Wade

Wolfe

Pestian

2004

Behavior Research Methods, Instruments, & Computers

111

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We developed a Web-based intervention for pediatric traumatic brain injury (TBI) and examined its feasibility for participants with limited computer experience. Six families, including parents, siblings, and children with TBI, were given computers, Web cameras, and high-speed Internet access. Weekly videoconferences with the therapist were conducted after participants completed on-line interactive experiences on problem solving, communication, and TBI-specific behavior management. Families were assigned to videoconference with NetMeeting (iBOT cameras) or ViaVideo. Participants ranked the Web site and videoconferences as moderately to very easy to use. ViaVideo participants rated videoconferencing significantly more favorably relative to face-to-face meetings than did NetMeeting participants. Both the Web site and videoconferencing were rated as very helpful. All families demonstrated improved outcomes on one or more target behaviors, including increased understanding of the injury and improved parent-child relationships. All parents and siblings and all but 1 child with TBI said they would recommend the program to others. We conclude that a face-to-face intervention can be successfully adapted to the Web for families with varied computer experience.

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Section: Discussionsupporting

confidence: 92%

Section: Emerging Technologies and On-line Therapeutic Interventionsmentioning

confidence: 99%

A Web-based family problem-solving intervention for families of children with traumatic brain injury

Wade

Wolfe

Pestian

2004

Behavior Research Methods, Instruments, & Computers

111

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“…5 On the Web page, users read the following instructions: "We hope you find the information in this website to be helpful. Before you can begin, please enter the ID number you were given in the space below, and then click the button to begin."…”

Section: Web Sitementioning

confidence: 99%

Using the Internet to Provide Information Prescriptions

Ritterband¹,

Borowitz

Cox³

et al. 2005

Pediatrics

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ABSTRACT.Introduction. An information prescription is the provision of specific information to a patient on how to help manage a health problem. The Internet is being used increasingly as a source for information prescriptions, with clinicians directing patients to specific Web sites. As with any health care intervention, patients' lack of compliance is a barrier to the effectiveness of Web-based information prescriptions (WebIPs). WebIPs cannot be helpful if patients do not review the information prescribed for them.Objective. The main objective of this study was to quantify the percentage of families who visit a Web site that was specifically prescribed by their physician. In addition, the use of an e-mail reminder was used to determine if it increases the likelihood that families will visit the prescribed Web site. Finally, barriers to accessing the prescribed Web site were identified.Methods. Children were eligible if they presented to the pediatric gastroenterology clinic with chronic constipation and/or encopresis and their family had an active e-mail account and access to the Internet in their home. During their clinic visit, physicians instructed families to visit a Web site that provided educational information pertinent to their child's problem. Families were given a form with the Web-site address and a log-in identification number. Two days after their clinic visit, half of the families received an e-mail reminding them to visit the Web site. Families were contacted 1 week after their clinic visit to identify barriers to accessing the Web site.Results. Eighty-three families participated in the study. Of the 83 families, 54 (65%) visited the prescribed Web site within 1 week of their clinic visit. Families who received e-mail reminders were significantly more likely to visit the Web site than families who did not receive an e-mail reminder (77% vs 53%). This difference could not be explained by the type or speed of Internet connection or how frequently they accessed the Internet or e-mail. The most common reasons that families cited for not accessing the Web site were "I forgot" and "I didn't have time." Few families cited technical reasons for not accessing the Web site.Conclusions. Almost two thirds of the families given a WebIP logged on to the prescribed Web site. The probability that families would access the site was increased by 45% with an e-mail reminder. Clearly, e-mail prompts improve compliance to WebIPs. As content and treatment programs continue to proliferate on the Web, it is important to identify barriers and solutions to them to improve overall compliance. One of the main advantages of WebIPs is that patients can receive additional information about their problem that they can review as often as necessary, at their own pace, and whenever and wherever they choose. WebIPs have additional advantages in that (1) the information can be updated or added to quickly and easily, (2) the information is accessible anywhere there is a computer with Internet access, (3) the information can be pres...

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“…В итоге поведенческая терапия уси-ливает мотивацию, предусматривает систему поощрения, таким образом, приучая ребенка не избегать посещения туалета. Такой подход в сочетании с приемом слабительных средств снижает частоту каломазания (недержания кала), увеличивает число актов дефекации в туалете и частоту самопроизвольных посещений туалета [33].…”

Section: группа сравненияunclassified

Pressing Issues of Pediatric Constipation Development, Treatment Options

Дубровская¹,

Паршина²

2012

Vopr. sovr. pediatr.

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Запор -замедленная, затрудненная или системати-чески недостаточная дефекация (нерегулярное опорож-нение кишечника).Запор является одной из наиболее распространен-ных патологий. По поводу запоров к педиатрам обра-щаются от 3 до 5% пациентов, к гастроэнтерологу -до 25% населения. [1]. Существующее мнение, что дети «перерастают» проблему запоров, не подтверждается длительными наблюдениями: у 30-52% детей симпто-мы сохраняются в течение последующих 5 лет, около 25% детей продолжают страдать запорами во взрослом возрасте. Поздний дебют заболевания в подростковом возрасте рассматривается как предиктор синдрома раз-драженной кишки у взрослых. Возобновление симпто-мов запора во взрослом возрасте чаще характерно для женщин, как и более высокая частота функциональных расстройств пищеварительного тракта [2]. За послед-нее десятилетие в США частота встречаемости запоров среди всего населения увеличилась в 4 раза, наиболь-шее число обращений к врачу зафиксировано у детей в возрасте до 15 лет; пациентам с диагнозом «Запор» было выписано 5,4 миллионов рецептов, что свидетель-ствует о растущей актуальности данной проблемы среди детей всего мира [3]. Согласно данным, опубликованным в последние годы в Российской Федерации, частота запо-ров у детей составляет около 25-30% [4,5]. По данным многоцентрового исследования, в Федеральных округах России (2195 детей) хронический запор (по Римским критериям III) был диагностирован в 53%, наиболь-шая частота встречаемости патологии отмечалась среди детей старшего школьного возраста (56%) [6].Патофизиология запоров у детей обусловлена мно-жеством этиологических факторов и их различным вза-имодействием (табл. 1).Накопленный клинический опыт и научные иссле-дования позволяют утверждать, что хорошо собранно-го анамнеза и тщательно проведенного клинического осмотра ребенка обычно оказывается достаточно, что-бы исключить органическую причину запора [7]. В этой ситуации нет необходимости проводить сложный ком-плекс обследований и лабораторных исследований, пре-жде чем начинать лечение. Только в атипичных случаях с тревожными клиническими симптомами (табл. 2), при-знаками полового насилия или при отсутствии улучше-ния на фоне проводимой традиционной терапии показа-ны дальнейшие исследования [8].Признаки полового насилия выявляют, основываясь на данных анамнеза (обнаружение фекалий, покрытых спермой), а также на результатах физикального обсле-дования: сильный страх перед осмотром и ректальным исследованием, рубцы в области ануса, глубокие трещи-ны ануса, гематомы.

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An Internet intervention as adjunctive therapy for pediatric encopresis.

Cited by 142 publications

References 16 publications

A Web-based family problem-solving intervention for families of children with traumatic brain injury

A Web-based family problem-solving intervention for families of children with traumatic brain injury

Using the Internet to Provide Information Prescriptions

Pressing Issues of Pediatric Constipation Development, Treatment Options

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