Trial Outcomes & Findings for Use of a Squatting Assist Device in Patients With Constipation (NCT NCT02877394)

NCT ID: NCT02877394

Last Updated: 2026-07-28

Results Overview

Subjects completed a bowel diary indicating the number of CSBMs they had each week. Weekly CSBM Frequency = (Number of CSBMs recorded in 7 days/Number of days with bowel entries in subject diary) X 7

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

107 participants

Primary outcome timeframe

baseline, 4 weeks

Results posted on

2026-07-28

Participant Flow

107 subjects were enrolled however 43 subjects were excluded prior to randomization due to 25 subjects screen failing and 18 subjects withdrawing.

Participant milestones

Participant milestones
Measure
Squatting Assist Device
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Overall Study
STARTED
31
33
Overall Study
COMPLETED
31
33
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Use of a Squatting Assist Device in Patients With Constipation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Squatting Assist Device
n=31 Participants
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
n=33 Participants
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Total
n=64 Participants
Total of all reporting groups
Sex: Female, Male
Female
31 Participants
n=20 Participants
33 Participants
n=20 Participants
64 Participants
n=40 Participants
Sex: Female, Male
Male
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Age, Continuous
42.5 years
STANDARD_DEVIATION 16.5 • n=20 Participants
50.3 years
STANDARD_DEVIATION 12.0 • n=20 Participants
46.5 years
STANDARD_DEVIATION 14.8 • n=40 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=20 Participants
1 Participants
n=20 Participants
1 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
31 Participants
n=20 Participants
30 Participants
n=20 Participants
61 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
2 Participants
n=20 Participants
2 Participants
n=40 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Asian
0 Participants
n=20 Participants
2 Participants
n=20 Participants
2 Participants
n=40 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
1 Participants
n=20 Participants
1 Participants
n=40 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=20 Participants
0 Participants
n=20 Participants
1 Participants
n=40 Participants
Race (NIH/OMB)
White
30 Participants
n=20 Participants
29 Participants
n=20 Participants
59 Participants
n=40 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
1 Participants
n=20 Participants
1 Participants
n=40 Participants
Region of Enrollment
United States
31 participants
n=20 Participants
33 participants
n=20 Participants
64 participants
n=40 Participants

PRIMARY outcome

Timeframe: baseline, 4 weeks

Subjects completed a bowel diary indicating the number of CSBMs they had each week. Weekly CSBM Frequency = (Number of CSBMs recorded in 7 days/Number of days with bowel entries in subject diary) X 7

Outcome measures

Outcome measures
Measure
Squatting Assist Device
n=31 Participants
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
n=33 Participants
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Mean Weekly Complete Spontaneous Bowel Movement (CSBM) Frequency
Baseline
0.8 bowel movements per week
Standard Deviation 0.8
0.9 bowel movements per week
Standard Deviation 1.0
Mean Weekly Complete Spontaneous Bowel Movement (CSBM) Frequency
4 Weeks
1.6 bowel movements per week
Standard Deviation 1.8
1.2 bowel movements per week
Standard Deviation 1.7

SECONDARY outcome

Timeframe: Baseline; 4 weeks

Subjects completed a bowel diary indicating the number of SBMs (bowel movements that occurred without requiring the use of a laxative or enema or of manual disimpaction) they had each week. Weekly SBM frequency= (Number of SBMs recorded in 7 days /Number of days with bowel entries) X 7

Outcome measures

Outcome measures
Measure
Squatting Assist Device
n=31 Participants
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
n=33 Participants
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Mean Weekly Spontaneous Bowel Movement (SBM) Frequency
Baseline
5.2 bowel movements per week
Standard Deviation 4.2
5.7 bowel movements per week
Standard Deviation 4.3
Mean Weekly Spontaneous Bowel Movement (SBM) Frequency
4 weeks
5.3 bowel movements per week
Standard Deviation 3.5
6.3 bowel movements per week
Standard Deviation 4.1

SECONDARY outcome

Timeframe: Baseline; 4 weeks

The Bristol Stool Scale classifies human stool into seven types, ranging from hard lumps (1) indicating constipation to watery stools (7) indicating diarrhea. Total scores range from 1 to 7 with higher scores indicating less constipation.

Outcome measures

Outcome measures
Measure
Squatting Assist Device
n=31 Participants
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
n=33 Participants
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Mean Bristol Stool Form Score (BSFS)
Baseline
3.2 score on a scale
Standard Deviation 1.2
2.8 score on a scale
Standard Deviation 1.6
Mean Bristol Stool Form Score (BSFS)
4 Weeks
3.3 score on a scale
Standard Deviation 1.0
2.9 score on a scale
Standard Deviation 1.4

SECONDARY outcome

Timeframe: Baseline; 4 weeks

Straining severity score was measured using a 5-point scale. Total scores ranged from 1 to 5 with higher scores indicating more severe straining.

Outcome measures

Outcome measures
Measure
Squatting Assist Device
n=31 Participants
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
n=33 Participants
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Straining Severity Score
Baseline
2.6 score on a scale
Standard Deviation 0.6
3.0 score on a scale
Standard Deviation 0.9
Straining Severity Score
4 Weeks
2.3 score on a scale
Standard Deviation 0.7
2.7 score on a scale
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Baseline; 4 Weeks

Worse abdominal bloating score was measured using a 5-point scale. Total scores ranged from 1 to 5 with higher scores indicating more abdominal bloating.

Outcome measures

Outcome measures
Measure
Squatting Assist Device
n=31 Participants
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
n=33 Participants
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Worst Abdominal Bloating Score
Baseline
2.8 score on a scale
Standard Deviation 0.7
2.6 score on a scale
Standard Deviation 1.1
Worst Abdominal Bloating Score
4 Weeks
2.7 score on a scale
Standard Deviation 0.9
2.5 score on a scale
Standard Deviation 0.9

SECONDARY outcome

Timeframe: Week 2, Week 3, Week 4

Population: 1 subject in the Squatting Assist Device arm did not return the questionnaire and 2 subjects in the Sham Squatting Assist Device arm did not return the questionnaire.

Overall relief of constipation score was measured using a 7-point scale. Scores ranged from 1 (considerably relieved) to 7 (significantly worse) with higher scores indicating worse overall relief. The average scores were calculated through week 2, week 3 and week 4 then combined for a total overall average relief score divided by 3.

Outcome measures

Outcome measures
Measure
Squatting Assist Device
n=30 Participants
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
n=31 Participants
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Average Overall Relief of Constipation Score
3.6 score on a scale
Standard Deviation 0.8
3.9 score on a scale
Standard Deviation 1.2

SECONDARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4

Population: 6 subjects in the Squatting Assist Device arm and 6 subjects in the Sham Squatting Assist Device arm did not complete the questionnaire.

The number of subjects who reported adequate relief of constipation for ≥ 3 of 4 weeks during treatment period

Outcome measures

Outcome measures
Measure
Squatting Assist Device
n=25 Participants
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
n=27 Participants
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Adequate Relief of Constipation
6 Participants
7 Participants

SECONDARY outcome

Timeframe: 4 Weeks

Population: 5 subjects in the Squatting Assist Device arm and 3 subjects in the Sham Squatting Assist Device arm did not complete the questionnaire.

Satisfaction was rated on a 5-point scale from 1 (not at all satisfied) to 5 (very satisfied). Total score ranges from 1-5 with higher scores indicating higher satisfaction.

Outcome measures

Outcome measures
Measure
Squatting Assist Device
n=26 Participants
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
n=30 Participants
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Satisfaction With Effects of the Foot Stool on Bowel Symptoms
2.7 score on a scale
Standard Deviation 1.1
2.4 score on a scale
Standard Deviation 1.3

SECONDARY outcome

Timeframe: 4 Weeks

Population: 5 subjects in the Squatting Assist Device arm and 2 subjects in the Sham Squatting Assist Device arm did not complete the questionnaire.

Perceived improvement in constipation with foot stool use was measured using a 100-point scale. Scores ranged from 0 (no improvement) to 100 (extremely improved) with higher scores indicating higher perceived improvement.

Outcome measures

Outcome measures
Measure
Squatting Assist Device
n=26 Participants
The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty. Squatting Assist Device: The Squatty Potty is a 7 inch tall stool to assist subjects in maintaining a squatting position while using a toilet. While sitting on the toilet, the subject supports her feet on the Squatty Potty.
Sham Squatting Assist Device
n=31 Participants
This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool. Sham Squatting Assist Device: This stool is 2 inches tall and is similar in appearance to the Squatty Potty. While sitting on the toilet, the subject supports her feet on the 2 inch high stool.
Perceived Improvement in Constipation With Foot Stool Use
39.9 score on a scale
Standard Deviation 27.8
29 score on a scale
Standard Deviation 27.8

Adverse Events

Squatting Assist Device

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Sham Squatting Assist Device

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Adil Bharucha, M.B.B.S., M.D.

Mayo Clinic

Phone: 507-266-6931

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place