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Health literacy informed approach may help treat kids with chronic functional constipation
Patrick T. Reeves and colleagues from the Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD recently found out that the Uniformed Services Constipation Action Plan (USCAP) met all criteria for clinical implementation for treating children with chronic functional constipation, as stated in the Journal of Pediatrics.
The USCAP facilitates the management of functional constipation by using a health literacy-informed approach to provide instructions for pharmacotherapies and lifestyle modifications.
The authors carried out this study to assess the Uniformed Services Constipation Action Plan (USCAP) as an evidence-based, personalized, clinical action tool with pictograms to aid clinicians and families in the management of functional constipation.
This study included part 1 (pictogram validation) and part 2 (assessment). For part 1, pictogram transparency, translucency, and recall were assessed by parent survey (transparency ≥85%, mean translucency score ≥5, recall ≥85% required for validation). For part 2, the USCAP was assessed by parents, clinical librarians, and clinicians.
Parental perceptions (n = 65) were assessed using the Consumer Information Rating Form (17 questions) to gauge comprehensibility, design quality, and usefulness. Readability was assessed by 5 formulas and a Readability Composite The score was calculated. Clinical librarians (n = 3) used the Patient Education Materials Assessment Tool to measure understandability (19 questions) and actionability (7 questions) (>80% rating was acceptable). Suitability was assessed by clinicians (n = 34) using Doak's Suitability Assessment of Materials (superior ≥70% rating).
The following findings were highlighted-
a. All 12 pictograms demonstrated appropriate transparency, translucency, and recall.
b. Parental perceptions reflected appropriate comprehensibility, design quality, and usefulness.
c. The Readability Composite Score was consistent with a fifth-grade level.
d. Clinical librarians reported acceptable understandability and actionability.
e. Clinicians reported superior suitability.
Therefore, the authors concluded that "The USCAP met all criteria for clinical implementation and future study of USCAP implementation for treating children with chronic functional constipation."
BDS, MDS( Pedodontics and Preventive Dentistry)
Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751