A six-session group intervention for treatment of retentive encopresis designed by Stark and colleagues yields high adherence for fiber (Stark et al., 1990a; Stark et al., 1997), but not fluid (Kuhl et al., 2009), recommendations. Children may also rely heavily on drinking juice to meet their clear fluid targets (Kuhl et al., 2009). This study examined the effectiveness of an enhanced intervention (EI) in improving children’s fluid goal adherence and modifying their daily fluid intake to include more water and less juice.
Data for 19 children who completed treatment previously served as the Non-Enhanced Intervention (NEI), and 18 children completed the EI. Participation in the EI significantly predicted higher daily water intake, lower daily juice intake, and better adherence to clear fluid goals. These findings demonstrate the importance of nutrition-based education and behavioral strategies in helping children make lifestyle changes necessary to meet fluid-based recommendations.
","abstract_html":"<p>A six-session group intervention for treatment of retentive encopresis designed by Stark and colleagues yields high adherence for fiber (Stark et al., 1990a; Stark et al., 1997), but not fluid (Kuhl et al., 2009), recommendations. Children may also rely heavily on drinking juice to meet their clear fluid targets (Kuhl et al., 2009). This study examined the effectiveness of an enhanced intervention (EI) in improving children’s fluid goal adherence and modifying their daily fluid intake to include more water and less juice.</p> <p>Data for 19 children who completed treatment previously served as the Non-Enhanced Intervention (NEI), and 18 children completed the EI. Participation in the EI significantly predicted higher daily water intake, lower daily juice intake, and better adherence to clear fluid goals. These findings demonstrate the importance of nutrition-based education and behavioral strategies in helping children make lifestyle changes necessary to meet fluid-based recommendations.</p>","abstract_has_math":false,"creators":["Kuhl, Elizabeth Shannon"],"institution":null,"degree_name":"Doctor of Philosophy (PhD)","degree_level":"Open Access Dissertation","degree_discipline":"Psychology","degree_department":null,"school":null,"contributors":["Flora Hoodin, Ph.D., Chair","Susana Patton, Ph.D.","Barbara Felt, M.D."],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2009,"date_issued":"2009-05-28T07:00:00Z","date_published":"2009-05-28T07:00:00Z","updated_at":"2026-07-24T02:16:51Z","subjects":["encopresis","water","adherence","nutrition","Clinical Psychology"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://commons.emich.edu/theses/506","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Flora Hoodin, Ph.D., Chair","Susana Patton, Ph.D.","Barbara Felt, M.D."]},{"key":"dc:creator","label":"Author","values":["Kuhl, Elizabeth Shannon"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2013-09-17T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Psychology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Philosophy (PhD)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["encopresis","water","adherence","nutrition","Clinical Psychology"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://commons.emich.edu/theses/506"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["A six-session group intervention for treatment of retentive encopresis designed by Stark and colleagues yields high adherence for fiber (Stark et al., 1990a; Stark et al., 1997), but not fluid (Kuhl et al., 2009), recommendations. Children may also rely heavily on drinking juice to meet their clear fluid targets (Kuhl et al., 2009). This study examined the effectiveness of an enhanced intervention (EI) in improving children’s fluid goal adherence and modifying their daily fluid intake to include more water and less juice.
Data for 19 children who completed treatment previously served as the Non-Enhanced Intervention (NEI), and 18 children completed the EI. Participation in the EI significantly predicted higher daily water intake, lower daily juice intake, and better adherence to clear fluid goals. These findings demonstrate the importance of nutrition-based education and behavioral strategies in helping children make lifestyle changes necessary to meet fluid-based recommendations.
"]},{"key":"dc:title","label":"Title","values":["Water intake and adherence to clear fluid goals in children receiving treatment for encopresis"]}]}],"canonical_facts":{"dc:contributor":["Flora Hoodin, Ph.D., Chair","Susana Patton, Ph.D.","Barbara Felt, M.D."],"dc:creator":["Kuhl, Elizabeth Shannon"],"dc:date.available":["2013-09-17T07:00:00Z"],"dc:description.abstract":["A six-session group intervention for treatment of retentive encopresis designed by Stark and colleagues yields high adherence for fiber (Stark et al., 1990a; Stark et al., 1997), but not fluid (Kuhl et al., 2009), recommendations. Children may also rely heavily on drinking juice to meet their clear fluid targets (Kuhl et al., 2009). This study examined the effectiveness of an enhanced intervention (EI) in improving children’s fluid goal adherence and modifying their daily fluid intake to include more water and less juice.
Data for 19 children who completed treatment previously served as the Non-Enhanced Intervention (NEI), and 18 children completed the EI. Participation in the EI significantly predicted higher daily water intake, lower daily juice intake, and better adherence to clear fluid goals. These findings demonstrate the importance of nutrition-based education and behavioral strategies in helping children make lifestyle changes necessary to meet fluid-based recommendations.
"],"dc:identifier":["https://commons.emich.edu/theses/506"],"dc:subject":["encopresis","water","adherence","nutrition","Clinical Psychology"],"dc:title":["Water intake and adherence to clear fluid goals in children receiving treatment for encopresis"],"thesis:degree_discipline":["Psychology"],"thesis:degree_level":["Open Access Dissertation"],"thesis:degree_name":["Doctor of Philosophy (PhD)"]},"updated_at":"2026-07-24T02:16:51Z"}