en
Scientific article
Open access
English

Perceived Effectiveness and Overall Satisfaction of Using a Toilet Stool to Prevent or Treat Constipation: An Analysis of Online Comments

Published inThe Journal of the American Board of Family Practice, vol. 35, no. 4, p. 836-839
First online date2022-07-27
Abstract

Introduction: Constipation is a common complaint in the general population. Squatting (using a toilet stool) is associated with faster and more complete bowel emptying, and could therefore help prevent or treat constipation. We analyzed the reviews of online buyers of a toilet stool to assess perceived effectiveness, overall satisfaction and potential side effects.

Methods: In this exploratory mixed-method study, we collected all plain text reviews left between November 2013 and March 2020 by buyers of a toilet stool on Amazon. We adapted the Framework method to perform a seven-step process to analyze user reviews. We assigned numerical values from -5 (minimum) to +5 (maximum) to perceived effectiveness and overall satisfaction.

Results: We included comments left by 10,027 customers who purchased 19 different types of toilet stools (79.1% seven-inch stools, 16.1% folding stools, 4.8% other stools). Perceived effectiveness and overall satisfaction were high (median = 5 and interquartile range = 0 for both variables). Eighty-one individuals reported adverse events related to toilet stool use, mainly musculoskeletal pain (N = 26), numbness in the lower limbs (N = 16), falls (n = 11), constipation (N = 9), anorectal symptom (N = 8), and cramps (N = 6).

Conclusion: Perceived effectiveness and overall satisfaction were rated high by those who purchased a toilet stool online. In addition, their use seems to be safe (<1% reported adverse effects). Our results suggest a good risk-benefit ratio. The device may offer an inexpensive option to treat or prevent constipation, and may reduce the frequency of medical visits and the risks associated with long-term use of laxatives.

eng
Keywords
  • Bathroom Equipment
  • Constipation / chemically induced
  • Constipation / prevention & control
  • Humans
  • Laxatives / therapeutic use
  • Odds Ratio
  • Personal Satisfaction
Citation (ISO format)
SEBOE, Paul et al. Perceived Effectiveness and Overall Satisfaction of Using a Toilet Stool to Prevent or Treat Constipation: An Analysis of Online Comments. In: The Journal of the American Board of Family Practice, 2022, vol. 35, n° 4, p. 836–839. doi: 10.3122/jabfm.2022.04.210474
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Article (Published version)
accessLevelPublic
Identifiers
ISSN of the journal0893-8652
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35downloads

Technical informations

Creation07/28/2022 6:41:00 AM
First validation07/28/2022 6:41:00 AM
Update time03/16/2023 7:30:35 AM
Status update03/16/2023 7:30:34 AM
Last indexation02/01/2024 8:44:42 AM
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