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The efficacy of a wetting alarm diaper for toilet training of young healthy children in a day‐care center: A randomized control trial
Author(s) -
Vermandel Alexandra,
Van Kampen Marijke,
De Wachter Stefan,
Weyler Joost,
Wyndaele JeanJacques
Publication year - 2009
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.20658
Subject(s) - toilet , medicine , toileting , randomized controlled trial , alarm , day care , physical therapy , pediatrics , nursing , activities of daily living , surgery , materials science , pathology , composite material
Aims To evaluate, in a randomized controlled way, the use of a daytime wetting alarm in a day‐care center during three consecutive weeks in healthy children. Methods Thirty‐nine healthy young children, between 18 and 30 months old, were selected at random for a wetting alarm diaper training (n = 27) or control wearing a placebo alarm (n = 12). Toilet behavior was observed during a period of 10 hr by independent observers before, at the end of, and 2 weeks after training. Children were defined as completing daytime toilet training when the child wore undergarments, showed awareness of a need to void, initiated the toileting without prompts or reminder from the trainer and had maximum one leakage accident per day. Results Children in the wetting alarm diaper training group achieved independent bladder control in 51.9% and did significantly better than in the control group (8.3%) ( P = 0.013). The results were sustained during the following 14 days ( P = 0.013). Conclusion The wetting alarm diaper training is an effective option for toilet training young healthy children in a day‐care center. It offers day‐care providers clear guidelines and limits the time to complete toilet training in many children without putting too much burden on the child and the day‐care center activities. Neurourol. Urodynam. 28:305–308, 2009. © 2008 Wiley‐Liss, Inc.