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A Pilot Randomized Clinical Trial of a Multidisciplinary Intervention for Encopresis in Children with Autism Spectrum Disorder

Title: A Pilot Randomized Clinical Trial of a Multidisciplinary Intervention for Encopresis in Children with Autism Spectrum Disorder
Language: English
Authors: Lomas Mevers, Joanna (ORCID 0000-0001-7774-1219); Call, Nathan A.; Gerencser, Kristina R.; Scheithauer, Mindy; Miller, Sarah J.; Muething, Colin; Hewett, Shannon; McCracken, Courtney; Scahill, Lawrence; McElhanon, Barbara O.
Source: Journal of Autism and Developmental Disorders. Mar 2020 50(3):757-765.
Availability: Springer. Available from: Springer Nature. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Peer Reviewed: Y
Page Count: 9
Publication Date: 2020
Document Type: Journal Articles; Reports - Research
Descriptors: Autism; Pervasive Developmental Disorders; Behavior Modification; Intervention; Health Behavior; Caregiver Role; Training; Program Effectiveness; Toilet Training; Drug Therapy; Reinforcement; Children
DOI: 10.1007/s10803-019-04305-5
ISSN: 0162-3257
Abstract: Children with autism spectrum disorder (ASD) are often delayed in achieving bowel continence, resulting in negative outcomes. In this pilot trial, 20 children with ASD and encopresis were randomly assigned to multidisciplinary intervention for encopresis (MIE; n = 10) or a waitlist control group (n = 10). The MIE group was treated for constipation and received a 10-day behavioral intervention that utilized suppositories to produce predictable bowel movements that were reinforced. Caregivers were trained to implement the intervention. Results support the feasibility of clinical trials of MIE, with high enrolment, competition, attendance, and caregiver acceptability. Preliminary outcomes were positive, with six of 10 in the MIE group achieving continence by the end of treatment compared to 0 in the control group (p = 0.005).
Abstractor: As Provided
Entry Date: 2020
Accession Number: EJ1243037
Database: ERIC