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- W2978745258 abstract "Introduction: Guidelines for pediatric functional constipation (FC) recommend education, disimpaction, and maintenance of soft stools but only 50-60% enjoy treatment success. Self-efficacy is the belief that an individual can succeed at a goal. We hypothesized that if children with FC believe that they cannot defecate comfortably, this low self-efficacy prevents treatment success. Methods: We wrote 21 statements about the ability to perform tasks for defecation. 130 subjects age 8-16y and 99 healthy controls completed SEFCQ at baseline. Subjects completed the SEFCQ before, immediately after and 3 weeks after the first visit. We established success as 3 or more bowel movements and no fecal incontinence in week 3. Results: Mean age was 11+ 3y, 42% were Caucasian, 53% male and 43% had fecal incontinence (FI). Selfeffi cacy improved immediately after clinic visit regardless of outcome (P < 0.001). SEFCQ scores were higher in the Success group at 3 week follow up (P < 0.001) but did not change in the Fail group. Children with FI had lower baseline self-efficacy than those without FI (P < 0.01). Conclusion: Improved self-efficacy is associated with treatment success in FC. We speculate that it might be desirable to find ways of enhancing self-efficacy in children with FC.Figure 1Figure 2Figure 3" @default.
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- W2978745258 date "2016-10-01" @default.
- W2978745258 modified "2023-09-27" @default.
- W2978745258 title "Self-Efficacy in Children with Functional Constipation and Associated Fecal Incontinence Predicts Treatment Success" @default.
- W2978745258 doi "https://doi.org/10.14309/00000434-201610001-01036" @default.
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