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Long-term effectiveness of the response restriction method for establishing diurnal bladder control
Wietske M W J van Oorsouw1, P C Duker, L Melein
1Radboud University Nijmegen, Behavioral Science Institute, Department of Special Education, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands. w.vanoorsouw@pwo.ru.nl
Research in Developmental Disabilities
|August 1, 2009
Summary
The response restriction method significantly reduced toileting accidents in individuals with intellectual disabilities over the long term. However, housing conditions, not stereotypic behavior, influenced the maintenance of diurnal bladder control.
Area of Science:
- Behavioral Psychology
- Developmental Disabilities Research
Background:
- Establishing diurnal bladder control is crucial for individuals with intellectual disabilities.
- Long-term maintenance of bladder control presents significant challenges.
Purpose of the Study:
- To assess the long-term effectiveness of the response restriction method for diurnal bladder control.
- To investigate the influence of stereotypic behavior and housing conditions on bladder control maintenance.
Main Methods:
- A longitudinal study involving 48 participants with intellectual disabilities.
- Assessment of toileting accidents over 28-66 months post-intervention.
- Correlation analysis of accidents with stereotypic behavior and housing conditions.
Main Results:
- A statistically significant decrease in toileting accidents was observed during follow-up.
- Stereotypic behavior did not correlate with the maintenance of bladder control.
- Individuals in residential facilities were more likely to experience regression in bladder control compared to those living with family.
Conclusions:
- The response restriction method demonstrates long-term effectiveness in improving diurnal bladder control.
- Housing environment is a critical factor influencing the sustained success of bladder control interventions.
- Clinical practices should consider housing conditions when supporting individuals with intellectual disabilities in maintaining bladder control.
