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Using a pants alarm for the treatment of day wetting: problems with compliance
Harrie Boelens1, Sandra van den Broek, Jos Beishuizen
1Department of Psychology, Leiden University, The Netherlands. boelens@fsw.leidenuniv.nl
Insights
This study evaluated a day wetting treatment using a pants alarm and rewards in four children. The combined approach was only effective for one child, with others showing noncompliance issues.
Area of Science:
- Pediatrics
- Behavioral Science
Background:
- Daytime urinary incontinence (day wetting) affects normally capable children.
- Effective treatments for day wetting are crucial for child well-being.
Purpose of the Study:
- To evaluate a treatment for day wetting in children.
- To assess the efficacy of a pants alarm combined with rewards.
Main Methods:
- A treatment combining a pants alarm and reward system was administered to four children aged 4 to 10 years.
- Children were rewarded with praise and tokens for successful toilet urination.
Main Results:
- The treatment was effective in only one of the four children.
- Three children exhibited noncompliance, including not wearing the alarm or improper alarm usage.
Conclusions:
- The combined pants alarm and reward treatment for day wetting showed limited effectiveness.
- Noncompliance is a significant challenge in this treatment approach, requiring specific management strategies.
Abstract:
A treatment of day wetting was evaluated in four normally capable children (ages 4:9, 4:10. 6:3, and 10:1 years). The treatment combined the use of a pants alarm with rewards (praise and tokens) for urinating in the toilet. The treatment was effective for one child only. The others showed many instances of noncompliance (not wearing the alarm, wearing the alarm with loose contacts or with the contacts on places where they could not detect urine). Tactics for dealing with this are suggested.
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