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 tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Grenov, B, Namusoke, H, Nabukeera-Barungi, N, Lanyero, B, Ritz, C, Carlsson, A, Vinther, CK, Michaelsen, KF & Holm-Larsen, T 2017, 'Validation of a simple stool diary used by caregivers to document diarrhea among young children in a low-income country', Journal of Pediatric Gastroenterology and Nutrition, bind 65, nr. 2, s. 156-164. https://doi.org/10.1097/MPG.0000000000001462

APA

Grenov, B., Namusoke, H., Nabukeera-Barungi, N., Lanyero, B., Ritz, C., Carlsson, A., ... Holm-Larsen, T. (2017). Validation of a simple stool diary used by caregivers to document diarrhea among young children in a low-income country. Journal of Pediatric Gastroenterology and Nutrition, 65(2), 156-164. https://doi.org/10.1097/MPG.0000000000001462

Vancouver

Grenov B, Namusoke H, Nabukeera-Barungi N, Lanyero B, Ritz C, Carlsson A o.a. Validation of a simple stool diary used by caregivers to document diarrhea among young children in a low-income country. Journal of Pediatric Gastroenterology and Nutrition. 2017;65(2):156-164. https://doi.org/10.1097/MPG.0000000000001462

Author

Grenov, Benedikte ; Namusoke, Hanifa ; Nabukeera-Barungi, Nicolette ; Lanyero, Betty ; Ritz, Christian ; Carlsson, Amalie ; Vinther, Cecilie Kragh ; Michaelsen, Kim F. ; Holm-Larsen, Tove. / Validation of a simple stool diary used by caregivers to document diarrhea among young children in a low-income country. I: Journal of Pediatric Gastroenterology and Nutrition. 2017 ; Bind 65, Nr. 2. s. 156-164.

Bibtex

@article{ffedc20d0d844a31841bb2a25d4fbecb,
title = "Validation of a simple stool diary used by caregivers to document diarrhea among young children in a low-income country",
abstract = "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.",
keywords = "Faculty of Science, Diarrhea, Malnutrition, Stool frequency, Stool consistancy",
author = "Benedikte Grenov and Hanifa Namusoke and Nicolette Nabukeera-Barungi and Betty Lanyero and Christian Ritz and Amalie Carlsson and Vinther, {Cecilie Kragh} and Michaelsen, {Kim F.} and Tove Holm-Larsen",
note = "CURIS 2017 NEXS 194",
year = "2017",
doi = "10.1097/MPG.0000000000001462",
language = "English",
volume = "65",
pages = "156--164",
journal = "Journal of Pediatric Gastroenterology and Nutrition",
issn = "0277-2116",
publisher = "Lippincott Williams & Wilkins",
number = "2",

}

RIS

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