The Modified Bristol Stool Form Scale: A Reliable and Valid Tool to Score Stool Consistency in Dutch (Non)Toilet-trained Toddlers.
J Pediatr Gastroenterol Nutr
; 73(2): 210-216, 2021 08 01.
Article
in En
| MEDLINE
| ID: mdl-34402810
ABSTRACT
OBJECTIVE:
The aim of the study was to assess whether the modified Bristol Stool Form Scale (m-BSFS) is reliable, valid and user-friendly to use by parents, grandparents, and day childcare employees to evaluate stool consistency in toilet and nontoilet-trained toddlers in the Netherlands. STUDYDESIGN:
Translation to Dutch and validity of the m-BSFS (scoring 32 general stool pictures) for 1 to 3 year old toddlers (nâ=â89) was evaluated by parents, grandparents, and day childcare employees. A subgroup of participants scored an additional 7 pictures of stools in a diaper to validate the m-BSFS for non-toilet-trained toddlers (nâ=â16). To determine inter-rater reliability, 2-way random effects single-rater intraclass correlation coefficient (ICC)consistency was used. Intra-rater reliability was measured by Cohen kappa (κ) by rating the same pictures in random order twice, with at least 1 week between the first and second scoring.RESULTS:
Inter- and intra-rater reliability of the m-BSFS were above recommended minimal standards of 0.61 for the 32 general stool pictures as well as for the 7 pictures of stools in a diaper. ICCconsistency for the general stool pictures of the first and second ratings were 0.71 (nâ=â89) and 0.79 (nâ=â77), respectively, with a κ of 0.71 (nâ=â77). ICCconsistency for the stools in diaper pictures of the first and second ratings were 0.93 (nâ=â16) and 0.93 (nâ=â15), respectively, with a κ of 0.77 (nâ=â15).CONCLUSIONS:
The m-BSFS is reliable, valid and user-friendly to use by Dutch-speaking parents, grandparents, and day childcare workers to evaluate stool consistency in both toilet- and nontoilet-trained toddlers in the Netherlands.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bathroom Equipment
Limits:
Child, preschool
/
Humans
/
Infant
Language:
En
Journal:
J Pediatr Gastroenterol Nutr
Year:
2021
Type:
Article