title: Brief report: Adherence to fluid recommendations in children receiving treatment for retentive encopresis.
abstract: OBJECTIVE
  Limited data are available regarding whether children being treated for retentive encopresis are adherent to recommendations to increase their daily fluid intake. The purpose of this study was to examine fluid adherence in children who received treatment for retentive encopresis.
  
  
  METHODS
  A retrospective chart review was performed using diet diary data for 26 children (ages 3-12) who completed a group behavioral intervention for retentive encopresis.
  
  
  RESULTS
  Mean daily intake of clear fluid increased significantly during treatment and children relied primarily on water and juice to make this dietary change. However, adherence rates to clear fluid goals were <50%.
  
  
  CONCLUSIONS
  Children's increased clear fluid intake did not equate to high fluid adherence. Children's high juice consumption is concerning as it could place them at risk for other negative health consequences. Future research should examine whether enhanced fluid education and use of behavior change strategies yield higher fluid adherence.
authors.affiliation: Department of Psychology, Eastern Michigan University, USA. elizabeth.kuhl@cchmc.org
authors.forename: Elizabeth S
authors.initials: ES
authors.lastname: Kuhl
authors.forename: Barbara T
authors.initials: BT
authors.lastname: Felt
authors.forename: Susana R
authors.initials: SR
authors.lastname: Patton
mesh_terms: D001521:Behavior Therapy; D001628:Beverages; D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000523:psychology* / Q000628:therapy*; D015930:Diet Records; D004688:Encopresis / Q000523:psychology* / Q000628:therapy*; D005196:Family Therapy; D005260:Female; D005440:Fluid Therapy / Q000523:psychology*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010349:Patient Compliance / Q000523:psychology*; D011615:Psychotherapy, Group; D012189:Retrospective Studies