Investigating the Effect of Nurse-Centered Strategies on Functional Chronic Constipation of Children aged 3-14 years Referring to Imam Reza Clinic of Shiraz University of Medical Sciences in 2014

Faramarzian, Zohre; Kargar, Marzieh; Dehghani, Mohsen; Zare, Najaf

doi:10.5812/semj.14874

Cited by 2 publications

(19 citation statements)

References 18 publications

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“…The 12 studies listed in Table 1 were published between 2003 and 2021 with 67% (n = 8) being published in the last 10 years. Two studies were conducted in the United Kingdom (UK), 36 , 39 3 in the United States of America (USA), 38 , 41 , 43 one study each was conducted in Canada, 37 Italy, 35 Indonesia, 45 Iran, 44 and Australia 16 ; one 40 was conducted across 3 countries; and one 42 was conducted across 9 countries within Europe.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies were qualitative, 36 , 37 and 10 were quantitative. 16 , 35 , 38 - 45 All but one study 38 used author-developed data collection tools. Four studies 35 , 41 , 44 , 45 cite 1 guideline, and 3 40 , 42 , 43 cite 2 guidelines.…”

Section: Resultsmentioning

confidence: 99%

“…The remaining 6 studies specifically cite evidence-based guidelines that is, NASPGHAN and/or ESPGHAN, 41 , 43 , 45 and Rome II and/or Rome III. 35 , 42 , 44 …”

Section: Resultsmentioning

confidence: 99%

“…For example, of 4 studies that each deliver 6 aspects of ICC health education, 2 do not cite guidelines, 38 , 39 1 cites 2 guidelines, 40 and 1 cites 1 guideline. 44 …”

Section: Resultsmentioning

confidence: 99%

“…Some studies provided ICC health education that is not supported by the guidelines. 38 , 39 , 41 , 43 , 44 …”

Section: Resultsmentioning

confidence: 99%

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A Scoping Review of Non-Pharmacological Health Education Provided to Families of Children With Idiopathic Childhood Constipation Within Primary Health Care

Houghton

Arabiat

Ireson

et al. 2022

J Prim Care Community Health

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Objectives: Idiopathic childhood constipation is a prevalent condition that initially brings the child under the care of the primary health care team. Although it is acknowledged that health education is crucial to reducing chronicity, the range of evidenced-based non-pharmacological health education provided to families has not previously been reviewed. For this scoping review, 4 research questions sought to identify papers that provide information on the utilization of guidelines, the range of health education, who provides it, and whether any gaps exist. Methods: Following a registered protocol and using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews, searches of 10 online databases, reference lists, Google Scholar, and book chapter references were made. Eligible papers were original research published in English between January 2000 and December 2022. Results: Twelve worldwide studies (2 qualitative and 10 quantitative) reported that: evidence-based guidelines are not consistently used by primary care providers; the range of non-pharmacological health education provided is inconsistent; the non-pharmacological health education is provided by doctors, nurses, and pharmacists; and that gaps exist in non-pharmacological health education provision. Conclusion: This review demonstrates that rather than a lack of guideline-awareness, decreased specific idiopathic childhood constipation knowledge (and possibly time) may be responsible for inconsistent non-pharmacological health education. Inappropriate treatment and management of some children escalates risk for chronicity. Improving health education provision however, may be achieved through: increased collaboration; better utilization of nurses; and through developing the child’s health literacy by involving both child and family in all aspects of health education and decision-making.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The remaining 6 studies specifically cite evidence-based guidelines that is, NASPGHAN and/or ESPGHAN, 41 , 43 , 45 and Rome II and/or Rome III. 35 , 42 , 44 …”

Section: Resultsmentioning

confidence: 99%

“…For example, of 4 studies that each deliver 6 aspects of ICC health education, 2 do not cite guidelines, 38 , 39 1 cites 2 guidelines, 40 and 1 cites 1 guideline. 44 …”

Section: Resultsmentioning

confidence: 99%

“…Some studies provided ICC health education that is not supported by the guidelines. 38 , 39 , 41 , 43 , 44 …”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

A Scoping Review of Non-Pharmacological Health Education Provided to Families of Children With Idiopathic Childhood Constipation Within Primary Health Care

Houghton

Arabiat

Ireson

et al. 2022

J Prim Care Community Health

View full text Add to dashboard Cite

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Strategies used for childhood chronic functional constipation: the SUCCESS evidence synthesis

Todhunter-Brown,

Booth,

Campbell

et al. 2024

Health Technol Assess

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Background Up to 30% of children have constipation at some stage in their life. Although often short-lived, in one-third of children it progresses to chronic functional constipation, potentially with overflow incontinence. Optimal management strategies remain unclear. Objective To determine the most effective interventions, and combinations and sequences of interventions, for childhood chronic functional constipation, and understand how they can best be implemented. Methods Key stakeholders, comprising two parents of children with chronic functional constipation, two adults who experienced childhood chronic functional constipation and four health professional/continence experts, contributed throughout the research. We conducted pragmatic mixed-method reviews. For all reviews, included studies focused on any interventions/strategies, delivered in any setting, to improve any outcomes in children (0–18 years) with a clinical diagnosis of chronic functional constipation (excluding studies of diagnosis/assessment) included. Dual reviewers applied inclusion criteria and assessed risk of bias. One reviewer extracted data, checked by a second reviewer. Scoping review: We systematically searched electronic databases (including Medical Literature Analysis and Retrieval System Online, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature) (January 2011 to March 2020) and grey literature, including studies (any design) reporting any intervention/strategy. Data were coded, tabulated and mapped. Research quality was not evaluated. Systematic reviews of the evidence of effectiveness: For each different intervention, we included existing systematic reviews judged to be low risk of bias (using the Risk of Bias Assessment Tool for Systematic Reviews), updating any meta-analyses with new randomised controlled trials. Where there was no existing low risk of bias systematic reviews, we included randomised controlled trials and other primary studies. The risk of bias was judged using design-specific tools. Evidence was synthesised narratively, and a process of considered judgement was used to judge certainty in the evidence as high, moderate, low, very low or insufficient evidence. Economic synthesis: Included studies (any design, English-language) detailed intervention-related costs. Studies were categorised as cost-consequence, cost-effectiveness, cost-utility or cost-benefit, and reporting quality evaluated using the consensus health economic criteria checklist. Systematic review of implementation factors: Included studies reported data relating to implementation barriers or facilitators. Using a best-fit framework synthesis approach, factors were synthesised around the consolidated framework for implementation research domains. Results Stakeholders prioritised outcomes, developed a model which informed evidence synthesis and identified evidence gaps. Scoping review 651 studies, including 190 randomised controlled trials and 236 primary studies, conservatively reported 48 interventions/intervention combinations. Effectiveness systematic reviews studies explored service delivery models (n = 15); interventions delivered by families/carers (n = 32), wider children’s workforce (n = 21), continence teams (n = 31) and specialist consultant-led teams (n = 42); complementary therapies (n = 15); and psychosocial interventions (n = 4). One intervention (probiotics) had moderate-quality evidence; all others had low to very-low-quality evidence. Thirty-one studies reported evidence relating to cost or resource use; data were insufficient to support generalisable conclusions. One hundred and six studies described implementation barriers and facilitators. Conclusions Management of childhood chronic functional constipation is complex. The available evidence remains limited, with small, poorly conducted and reported studies. Many evidence gaps were identified. Treatment recommendations within current clinical guidelines remain largely unchanged, but there is a need for research to move away from considering effectiveness of single interventions. Clinical care and future studies must consider the individual characteristics of children. Study registration This study is registered as PROSPERO CRD42019159008. Funding This award was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme (NIHR award ref: 128470) and is published in full in Health Technology Assessment; Vol. 28, No. 5. See the NIHR Funding and Awards website for further award information.

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Investigating the Effect of Nurse-Centered Strategies on Functional Chronic Constipation of Children aged 3-14 years Referring to Imam Reza Clinic of Shiraz University of Medical Sciences in 2014

Cited by 2 publications

References 18 publications

A Scoping Review of Non-Pharmacological Health Education Provided to Families of Children With Idiopathic Childhood Constipation Within Primary Health Care

A Scoping Review of Non-Pharmacological Health Education Provided to Families of Children With Idiopathic Childhood Constipation Within Primary Health Care

Strategies used for childhood chronic functional constipation: the SUCCESS evidence synthesis

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