Ritterband Lee M, Cox Daniel J, Walker Lynn S, Kovatchev Boris, McKnight Lela, Patel Kushal, Borowitz Stephen, Sutphen James
Department of Psychiatric Medicine, Center for Behavioral Medicine Research, University of Virginia Health System, Charlottesville, VA 22908 USA.
J Consult Clin Psychol. 2003 Oct;71(5):910-7. doi: 10.1037/0022-006X.71.5.910.
This study evaluated the benefits of enhanced toilet training delivered through the Internet for children with encopresis. Twenty-four children with encopresis were randomly assigned to the Internet intervention group (Web) or no Internet intervention group (No-Web). All participants continued to receive routine care from their primary care physician. The Web participants demonstrated greater improvements in terms of reduced fecal soiling, increased defecation in the toilet, and increased unprompted trips to the toilet (ps<.02). Both groups demonstrated similar improvements in knowledge and toileting behaviors. Internet interventions may be an effective way of delivering sophisticated behavioral interventions to a large and dispersed population in a convenient format.
本研究评估了通过互联网提供强化排便训练对大便失禁儿童的益处。24名大便失禁儿童被随机分配到互联网干预组（网络组）或无互联网干预组（无网络组）。所有参与者继续接受其初级保健医生的常规护理。网络组参与者在减少粪便污染、增加在厕所排便以及增加主动去厕所的次数方面有更大改善（p值<0.02）。两组在知识和排便行为方面都有类似改善。互联网干预可能是以方便的形式向大量分散人群提供复杂行为干预的有效方式。
