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Eastern Michigan University

Water intake and adherence to clear fluid goals in children receiving treatment for encopresis

Abstract

dc:description.abstract

<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>

Degree

thesis:*
Name thesis:degree_name
Doctor of Philosophy (PhD)
Level thesis:degree_level
Open Access Dissertation
Discipline thesis:degree_discipline
Psychology
Year dc:date.available
2009

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Kuhl, Elizabeth Shannon
Contributors dc:contributor
  • Flora Hoodin, Ph.D., Chair
  • Susana Patton, Ph.D.
  • Barbara Felt, M.D.

Subjects

dc:subject × 5

Identifiers

dc:identifier.*
Repository record dc:identifier
https://commons.emich.edu/theses/506
OAI identifier oai:identifier
oai:commons.emich.edu:theses-1878

Chain of custody

source
Harvested from
Eastern Michigan University
Base URL
commons.emich.edu/do/oai/
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Kuhl, Elizabeth Shannon. Water intake and adherence to clear fluid goals in children receiving treatment for encopresis. Open Access Dissertation thesis, 2009. https://commons.emich.edu/theses/506