{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:40:46Z","timestamp":1777527646610,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000005","name":"United States Department of Defense","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>Functional constipation (FC) comprises 30% of pediatric gastroenterology clinic visits. FC results from withholding behaviors that can be worsened by poor toileting posture. The use of a defecation posture modification device (DPMD)\u2014a potty stool\u2014has demonstrated benefit in adults. The aim of this study was to assess the risks and benefits of incorporating a DPMD as an adjunct to the FC treatment plan for children. Toilet-trained children aged \u22654 years meeting the Rome IV criteria for FC were enrolled and offered a DPMD at no cost and were followed for 4 months. There were no injuries or treatment-related adverse events reported by the 43 subjects who completed the study. Notably, 98% (n = 42) of respondents would recommend the DPMD to assist other children with FC. DPMD users showed a 33% reduction in fecal incontinence compared with 60% non-users. The DPMD represents a safe adjunct to incorporate into the FC management plan of children.<\/jats:p>","DOI":"10.1177\/00099228241278900","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T09:11:07Z","timestamp":1725354667000},"page":"558-563","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Potty Stools, a Pilot Study to Step Up the Management of Functional Constipation in Children"],"prefix":"10.1177","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1217-9795","authenticated-orcid":false,"given":"Patrick T.","family":"Reeves","sequence":"first","affiliation":[{"name":"Pediatric Colorectal Center, Brooke Army Medical Center, San Antonio, TX, USA"},{"name":"Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA"},{"name":"Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taylor","family":"Meyers","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bailey","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip L.","family":"Rogers","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA"},{"name":"Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Jack","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan T.","family":"Kolasinski","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA"},{"name":"Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7493-7942","authenticated-orcid":false,"given":"Carolyn Sullivan","family":"Burklow","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA"},{"name":"Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve","family":"Min","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA"},{"name":"Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cade M.","family":"Nylund","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA"},{"name":"Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,3]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2010.12.010"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.02.015"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.09.015"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2019.06.059"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.03.016"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002795"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2018.01.002"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2002.00005.x"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2021.102711"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40199-019-00297-w"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2005.03863.x"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(19)37725-X"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0000000000001143"},{"key":"e_1_3_2_15_2","unstructured":"How the squatty potty works in 20 seconds! YouTube.com. Published 2020. Accessed August 21 2024. https:\/\/www.youtube.com\/watch?v=izylyU7gHq4."},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.02.014"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13294"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000000414"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000000266"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228241278900","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228241278900","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228241278900","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228241278900","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:33:50Z","timestamp":1777394030000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228241278900"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,3]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1177\/00099228241278900"],"URL":"https:\/\/doi.org\/10.1177\/00099228241278900","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,3]]}}}