Validation of BITTS Clinical Trial
Official title:
Validation BITSS Brussels Infant Stool Scale
validation of stool scale in toddlers
objective : the Bristol stool form scale (BSFS) is inadequate for non-toilet trained children. The Brussels Infant and Toddler Stool Scale (BITTS) was developed, consisting of 7 photograps of diapers containing stools of infants and toddlers. We aimed to evaluate inter-observer reliability of stool consistency assessment among parents, nurses and medical doctors using the BITTS. Method : In this multicenter cross-sectional study (2016-2017), Bitts photograps were rated according to the BSFS. The reliability of the BITTS was evaluated using the overall proportion of perfect agreement and the linearly weighted K statistic. What is known : - reliable assessment of stool consistency is important for evaluating children's defecation pattern and diagnosing gastrointestinal disorders. - the reliability of the Bristol Stool Form Scale, developed for adults, has been debated for young children who are non-toilet trained and wear diapers To get validation of the BITTS : - a non-toilet trained child makes stool in diaper - caregiver scores the aspect of the stool according to the BITTS - caregiver takes a picture of the diaper - after 1 monts she rescores the picture according to the BITTS ;