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25-11-2019 | Original Paper | Uitgave 3/2020

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

Tijdschrift:: Journal of Autism and Developmental Disorders > Uitgave 3/2020

Auteurs:: Joanna Lomas Mevers, Nathan A. Call, Kristina R. Gerencser, Mindy Scheithauer, Sarah J. Miller, Colin Muething, Shannon Hewett, Courtney McCracken, Lawrence Scahill, Barbara O. McElhanon

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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).

Registered at clinicaltrials.gov (https://clinicaltrials.gov); ID: NCT02383732.

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Titel: A Pilot Randomized Clinical Trial of a Multidisciplinary Intervention for Encopresis in Children with Autism Spectrum Disorder
Auteurs:: Joanna Lomas Mevers
Nathan A. Call
Kristina R. Gerencser
Mindy Scheithauer
Sarah J. Miller
Colin Muething
Shannon Hewett
Courtney McCracken
Lawrence Scahill
Barbara O. McElhanon
Publicatiedatum: 25-11-2019
DOI: https://doi.org/10.1007/s10803-019-04305-5
Uitgeverij: Springer US
Tijdschrift: Journal of Autism and Developmental Disorders
Uitgave 3/2020
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432

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