Validation BITSS Brussels Infant Stool Scale

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03705689

Enrollment

500

Registered

2018-10-15

Start date

2018-11-01

Completion date

2019-11-01

Last updated

2020-11-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Validation of BITTS

Brief summary

validation of stool scale in toddlers

Detailed description

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

Interventions

OTHERvalidation of Bitts

No intervention, observation of photographs of stool

Study design

Observational model

CASE_CONTROL

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

0 Years to 5 Years

Healthy volunteers

Yes

Inclusion criteria

pictures of diapers with stool of all childeren who are non-toilet trained \-

Exclusion criteria

* none

Design outcomes

Primary

Measure	Time frame	Description
to evaluate the inter-observer reliability of stool consistency	6months	stool of a non-toilet trained child wuk be scired by a caregiver according to the BITTS. Then the caregiver takes a picter of this diaper with stool. After 1 month she rescores the picter according to BITTS

Countries

Belgium

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026