Validation of a simple stool diary used by caregivers to document diarrhea among young children in a low-income country
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Validation of a simple stool diary used by caregivers to document diarrhea among young children in a low-income country. / Grenov, Benedikte; Namusoke, Hanifa; Nabukeera-Barungi, Nicolette; Lanyero, Betty; Ritz, Christian; Carlsson, Amalie; Vinther, Cecilie Kragh; Michaelsen, Kim F.; Holm-Larsen, Tove.
I: Journal of Pediatric Gastroenterology and Nutrition, Bind 65, Nr. 2, 2017, s. 156-164.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Validation of a simple stool diary used by caregivers to document diarrhea among young children in a low-income country
AU - Grenov, Benedikte
AU - Namusoke, Hanifa
AU - Nabukeera-Barungi, Nicolette
AU - Lanyero, Betty
AU - Ritz, Christian
AU - Carlsson, Amalie
AU - Vinther, Cecilie Kragh
AU - Michaelsen, Kim F.
AU - Holm-Larsen, Tove
N1 - CURIS 2017 NEXS 194
PY - 2017
Y1 - 2017
N2 - OBJECTIVES: Development and validation of a simple stool diary for caretakers collecting data on stool frequency and consistency among young children in a low-income country.METHODS: Focus group studies evaluated how diarrhea was understood by caregivers (content validity). The sensitivity, reliability, and correlations between dehydration and diary scores (construct validity) were tested in a clinical trial.RESULTS: Caregivers recognized and understood the concept and severity of diarrhea. Stool frequency and liquid consistency decreased in children admitted with diarrhea (p < 0.0001 for both), confirming good sensitivity of the diary. High reliability was obtained after a few days of training. The caregiver intra-correlation coefficients were 0.66 (0.55-0.77) and 0.75 (0.66-0.84) after two and seven days of training, respectively, and subjective staff evaluation of caregiver scores showed that ≤6% of caregivers had low scoring abilities after three days. The degree of dehydration (4-point score) was correlated with both increasing stool frequency and liquid stool consistency (+0.2 points (0.07-0.3), p = 0.0018 for six or more diarrheal stools, compared to three or more diarrheal stools per day, and +0.5 points (0.3-0.6), p < 0.0001 for diarrheal episodes with three or more watery stools/day compared to episodes with three or more "watery + abnormally loose + loose" stools per day).CONCLUSIONS: The diary showed high validity, good reliability, and high sensitivity. After three days of training, caregivers with mainly no or limited education could report stool consistency with good reliability. Stool consistency, which correlated strongly with dehydration, may be considered an important marker of diarrhea severity in future research.
AB - OBJECTIVES: Development and validation of a simple stool diary for caretakers collecting data on stool frequency and consistency among young children in a low-income country.METHODS: Focus group studies evaluated how diarrhea was understood by caregivers (content validity). The sensitivity, reliability, and correlations between dehydration and diary scores (construct validity) were tested in a clinical trial.RESULTS: Caregivers recognized and understood the concept and severity of diarrhea. Stool frequency and liquid consistency decreased in children admitted with diarrhea (p < 0.0001 for both), confirming good sensitivity of the diary. High reliability was obtained after a few days of training. The caregiver intra-correlation coefficients were 0.66 (0.55-0.77) and 0.75 (0.66-0.84) after two and seven days of training, respectively, and subjective staff evaluation of caregiver scores showed that ≤6% of caregivers had low scoring abilities after three days. The degree of dehydration (4-point score) was correlated with both increasing stool frequency and liquid stool consistency (+0.2 points (0.07-0.3), p = 0.0018 for six or more diarrheal stools, compared to three or more diarrheal stools per day, and +0.5 points (0.3-0.6), p < 0.0001 for diarrheal episodes with three or more watery stools/day compared to episodes with three or more "watery + abnormally loose + loose" stools per day).CONCLUSIONS: The diary showed high validity, good reliability, and high sensitivity. After three days of training, caregivers with mainly no or limited education could report stool consistency with good reliability. Stool consistency, which correlated strongly with dehydration, may be considered an important marker of diarrhea severity in future research.
KW - Faculty of Science
KW - Diarrhea
KW - Malnutrition
KW - Stool frequency
KW - Stool consistancy
U2 - 10.1097/MPG.0000000000001462
DO - 10.1097/MPG.0000000000001462
M3 - Journal article
C2 - 27861203
VL - 65
SP - 156
EP - 164
JO - Journal of Pediatric Gastroenterology and Nutrition
JF - Journal of Pediatric Gastroenterology and Nutrition
SN - 0277-2116
IS - 2
ER -
ID: 169157286