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Multicentric evaluation of the adherence to Peristeen® transanal irrigation system in children / P. Lallemant-Dudek in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)
[article]
Titre : Multicentric evaluation of the adherence to Peristeen® transanal irrigation system in children Type de document : texte imprimé Auteurs : P. Lallemant-Dudek ; C. Cretolle ; F. Hameury ; J.L. Lemelle ; A. Ranke ; C. Louis-Borrione ; V. Forin Année de publication : 2020 Article en page(s) : p. 28-32 Note générale : doi.org/10.1016/j.rehab.2019.04.003 Langues : Anglais (eng) Mots-clés : Faecal incontinence Constipation Transanal irrigation Children Adherence Therapeutic education Training session Résumé : Background
Since 2009 in France, the Peristeen® transanal irrigation (TAI) device has represented an alternative treatment of faecal incontinence (FI).
Objective
The primary objective of this study was to assess the mid-term adherence to TAI in paediatric patients. The secondary objective was to identify factors determining TAI continuation.
Methods
This observational study conducted in 5 French paediatric centres prospectively reviewed from March to May 2012 all children educated in TAI for at least 9 months.
Results
We included 149 children (mean [SD] age 10.6 [4.1] years) educated in TAI. Children mainly had neurogenic disorders (52.3%) or congenital malformations (30.9%). The main symptoms motivating TAI initiation were recurring faecaloma (59.7%) and daily FI (65.1%). At last follow-up (mean 14 [7.4] months), 129 (86.6%) children continued the TAI procedure, independent of pathology or age. The main motivation was resolution of FI and/or constipation (77.3%). In total, 107 (82.9%) children fulfilled the initial therapeutic contract established with their healthcare professional before TAI initiation was met. Twenty children had stopped the TAI when they answered the questionnaire, at a mean duration of 16 (8.4) months. The reasons were mainly “lack of motivation” (45%), “poor tolerance” (35%), “difficulties” performing the procedure (35%) and “inefficacy” (30%). Factors related to continuation were performing at least one TAI procedure under a nurse's supervision during the initial training and prescribing TAI at a daily frequency (P = 0.014 and P = 0.04). Continuing constipation treatment after the training session was a factor in discontinuation (P = 0.024).
Conclusion
This study reports a very high mid-term adherence to TAI in a paediatric cohort, provided that the training is pragmatic, personalized and repeated.Permalink : ./index.php?lvl=notice_display&id=90684
in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 28-32[article] Multicentric evaluation of the adherence to Peristeen® transanal irrigation system in children [texte imprimé] / P. Lallemant-Dudek ; C. Cretolle ; F. Hameury ; J.L. Lemelle ; A. Ranke ; C. Louis-Borrione ; V. Forin . - 2020 . - p. 28-32.
doi.org/10.1016/j.rehab.2019.04.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 28-32
Mots-clés : Faecal incontinence Constipation Transanal irrigation Children Adherence Therapeutic education Training session Résumé : Background
Since 2009 in France, the Peristeen® transanal irrigation (TAI) device has represented an alternative treatment of faecal incontinence (FI).
Objective
The primary objective of this study was to assess the mid-term adherence to TAI in paediatric patients. The secondary objective was to identify factors determining TAI continuation.
Methods
This observational study conducted in 5 French paediatric centres prospectively reviewed from March to May 2012 all children educated in TAI for at least 9 months.
Results
We included 149 children (mean [SD] age 10.6 [4.1] years) educated in TAI. Children mainly had neurogenic disorders (52.3%) or congenital malformations (30.9%). The main symptoms motivating TAI initiation were recurring faecaloma (59.7%) and daily FI (65.1%). At last follow-up (mean 14 [7.4] months), 129 (86.6%) children continued the TAI procedure, independent of pathology or age. The main motivation was resolution of FI and/or constipation (77.3%). In total, 107 (82.9%) children fulfilled the initial therapeutic contract established with their healthcare professional before TAI initiation was met. Twenty children had stopped the TAI when they answered the questionnaire, at a mean duration of 16 (8.4) months. The reasons were mainly “lack of motivation” (45%), “poor tolerance” (35%), “difficulties” performing the procedure (35%) and “inefficacy” (30%). Factors related to continuation were performing at least one TAI procedure under a nurse's supervision during the initial training and prescribing TAI at a daily frequency (P = 0.014 and P = 0.04). Continuing constipation treatment after the training session was a factor in discontinuation (P = 0.024).
Conclusion
This study reports a very high mid-term adherence to TAI in a paediatric cohort, provided that the training is pragmatic, personalized and repeated.Permalink : ./index.php?lvl=notice_display&id=90684 Exemplaires (1)
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Exclu du prêtThe toileting habit profile questionnaire: Examining construct validity using the Rasch model / Isabelle Beaudry-Bellefeuille in The British Journal of Occupational Therapy, Vol. 85 Issue 4 (Avril 2019)
[article]
Titre : The toileting habit profile questionnaire: Examining construct validity using the Rasch model Type de document : texte imprimé Auteurs : Isabelle Beaudry-Bellefeuille ; Anita Bundy ; Alison E. Lane ; Eduardo Ramos Polo ; Shelly J. Lane Année de publication : 2019 Article en page(s) : p. 235-247 Note générale : doi.org/10.1177/0308022618813266 Langues : Anglais (eng) Mots-clés : Child constipation faecal incontinence occupational therapy sensation disorders Résumé : Introduction
Preliminary reports support the hypothesis that sensory issues may be related to atypical defecation habits in children. Clinical practice in this area is limited by the lack of validated measures. The toileting habit profile questionnaire was designed to address this gap.
Methods
This study included two phases of validity testing. In phase 1, we used Rasch analysis of existing data to assess item structural validity, directed content analysis of recent literature to determine the extent to which items capture clinical concerns, and expert review to validate the toileting habit profile questionnaire. Based on phase 1 outcomes, we made adjustments to toileting habit profile questionnaire items. In phase 2, we examined the item structural validity of the revised toileting habit profile questionnaire.
Results
Phase 1 resulted in a 17-item questionnaire: 15 items designed to identify habits linked to sensory over-reactivity and two designed to identify sensory under-reactivity and/or poor perception items. The analysis carried out in phase 2 supported the use of the sensory over-reactivity items. Remaining items can be used as clinical observations.
Conclusion
Caregiver report of behaviour using the revised toileting habit profile questionnaire appears to adequately capture challenging defecation behaviours related to sensory over-reactivity. Identifying challenging behaviours related to sensory under-reactivity and/or perception issues using exclusively the revised toileting habit profile questionnaire is not recommended.Permalink : ./index.php?lvl=notice_display&id=80409
in The British Journal of Occupational Therapy > Vol. 85 Issue 4 (Avril 2019) . - p. 235-247[article] The toileting habit profile questionnaire: Examining construct validity using the Rasch model [texte imprimé] / Isabelle Beaudry-Bellefeuille ; Anita Bundy ; Alison E. Lane ; Eduardo Ramos Polo ; Shelly J. Lane . - 2019 . - p. 235-247.
doi.org/10.1177/0308022618813266
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 85 Issue 4 (Avril 2019) . - p. 235-247
Mots-clés : Child constipation faecal incontinence occupational therapy sensation disorders Résumé : Introduction
Preliminary reports support the hypothesis that sensory issues may be related to atypical defecation habits in children. Clinical practice in this area is limited by the lack of validated measures. The toileting habit profile questionnaire was designed to address this gap.
Methods
This study included two phases of validity testing. In phase 1, we used Rasch analysis of existing data to assess item structural validity, directed content analysis of recent literature to determine the extent to which items capture clinical concerns, and expert review to validate the toileting habit profile questionnaire. Based on phase 1 outcomes, we made adjustments to toileting habit profile questionnaire items. In phase 2, we examined the item structural validity of the revised toileting habit profile questionnaire.
Results
Phase 1 resulted in a 17-item questionnaire: 15 items designed to identify habits linked to sensory over-reactivity and two designed to identify sensory under-reactivity and/or poor perception items. The analysis carried out in phase 2 supported the use of the sensory over-reactivity items. Remaining items can be used as clinical observations.
Conclusion
Caregiver report of behaviour using the revised toileting habit profile questionnaire appears to adequately capture challenging defecation behaviours related to sensory over-reactivity. Identifying challenging behaviours related to sensory under-reactivity and/or perception issues using exclusively the revised toileting habit profile questionnaire is not recommended.Permalink : ./index.php?lvl=notice_display&id=80409 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt