title: Increasing daily water intake and fluid adherence in children receiving treatment for retentive encopresis.
abstract: OBJECTIVE
  To examine the efficacy of an enhanced intervention (EI) compared to standard care (SC) in increasing daily water intake and fluid goal adherence in children seeking treatment for retentive encopresis.
  
  
  METHODS
  Changes in beverage intake patterns and fluid adherence were examined by comparing 7-week diet diary data collected during participation in the EI to achieved data for families who had previously completed the SC.
  
  
  RESULTS
  Compared to children in SC (n = 19), children in the EI (n = 18) demonstrated a significantly greater increase in daily water intake from baseline to the conclusion of treatment ( p ≤ .001), and were four and six times more likely to meet fluid targets in Phases 1 (Weeks 3-4) and 2 (Weeks 5-6) of fluid intervention, respectively (both p ≤ .001).
  
  
  CONCLUSIONS
  Enhanced education and behavioral strategies were efficacious in increasing children's intake of water and improving fluid adherence. Future research should replicate the findings in a prospective randomized clinical trial to discern their effectiveness.
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: Flora
authors.initials: F
authors.lastname: Hoodin
authors.forename: Jennifer
authors.initials: J
authors.lastname: Rice
authors.forename: Barbara T
authors.initials: BT
authors.lastname: Felt
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Rausch
authors.forename: Susana R
authors.initials: SR
authors.lastname: Patton
mesh_terms: D001521:Behavior Therapy; D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000628:therapy*; D015930:Diet Records; D004327:Drinking Behavior; D004688:Encopresis / Q000628:therapy*; D005196:Family Therapy; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D008297:Male; D015146:Midwestern United States; D010349:Patient Compliance; D011615:Psychotherapy, Group