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Stool toileting refusal: a prospective intervention targeting parental behavior.

Bruce Taubman1, Nathan J Blum, Nicole Nemeth

  • 1Department of Pediatrics, Divisions of Gastroenterology and Nutrition, University of Pennsylvania, Philadelphia, USA. Taubman1@aol.com

Archives of Pediatrics & Adolescent Medicine
|December 10, 2003
PubMed
Summary

A parental behavior intervention did not reduce stool toileting refusal rates but shortened its duration, leading to earlier toilet training completion for children.

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Area of Science:

  • Pediatrics
  • Child Psychology
  • Behavioral Science

Background:

  • Stool toileting refusal is a common challenge during childhood toilet training.
  • Parental behavior significantly influences toilet training outcomes.
  • Understanding effective interventions is crucial for pediatric health.

Purpose of the Study:

  • To assess the impact of a parental behavior intervention on stool toileting refusal in young children.
  • To determine if modifying parental communication and reinforcement affects the incidence and duration of stool toileting refusal.

Main Methods:

  • A randomized controlled trial involving 406 children aged 17-19 months.
  • Intervention group received specific instructions on positive reinforcement and avoiding negative language regarding feces.

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  • Control group received standard child-oriented toilet training advice.

    • Main Results:

    • No significant difference in the incidence of stool toileting refusal between groups (23% vs 26%).
    • The intervention group experienced a significantly shorter duration of stool toileting refusal (5.2 months vs 7.6 months).
    • Children in the intervention group completed toilet training earlier.

    Conclusions:

    • The intervention effectively reduced the duration of stool toileting refusal, not its occurrence.
    • This approach can help mitigate negative consequences associated with prolonged stool toileting refusal.
    • Targeting parental behavior offers a viable strategy to improve toilet training efficiency.