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The effects of undergarment type on the urinary continence of toddlers

Jennifer L Simon1, Rachel H Thompson

  • 1University of Kansas, Lawrence 66045, USA.

Journal of Applied Behavior Analysis
|October 6, 2006
PubMed

Insights

Later toilet training poses challenges for childcare providers. Wearing underwear may help toddlers achieve urinary continence, with mixed but promising results in a small study.

Area of Science:

  • Pediatrics
  • Child Development
  • Urology

Background:

  • Delayed toilet training is a growing trend among typically developing children.
  • This trend presents challenges, including increased costs and health risks in child-care settings.
  • Previous research suggests underwear may aid toilet skill development.

Purpose of the Study:

  • To investigate the impact of different absorbent garments on urinary continence in toddlers.
  • To compare the effects of disposable diapers, training pants, and underwear on toileting skills.

Main Methods:

  • A study involving 5 typically developing toddlers in a child-care setting.
  • Observation of urinary continence while wearing disposable diapers, pull-on training pants, or underwear.
  • Monitoring fluid intake and sitting duration for some participants.

Main Results:

  • Underwear use led to decreased incontinence and increased continent urinations in 2 out of 5 toddlers.
  • No significant improvement was observed in 2 participants.
  • Favorable trends toward continence were noted in the 5th participant when underwear was combined with increased fluid intake and longer sitting periods.

Conclusions:

  • Wearing underwear shows potential to facilitate urinary continence in some toddlers.
  • The effectiveness of underwear may vary among children and could be influenced by other factors.
  • Further research is warranted to explore optimal strategies for toilet training support in childcare settings.

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