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Evaluating bowel movements, self-initiations, and problem behavior with the emergence of urinary continence

Brandon C Perez1, Samuel L Morris2, Janelle K Bacotti1

  • 1Department of Psychology, University of Florida.

Journal of Applied Behavior Analysis
|April 12, 2021
PubMed

Insights

Toilet training for children with Autism Spectrum Disorder (ASD) improves urinary continence and also positively impacts bowel movements and self-initiation behaviors. This study highlights the interconnectedness of toileting skills in ASD.

Area of Science:

  • Developmental Psychology
  • Clinical Psychology
  • Behavior Analysis

Background:

  • Toilet training research for children with Autism Spectrum Disorder (ASD) primarily focuses on urinary continence.
  • The impact of urinary continence interventions on other related toileting behaviors remains under-explored.

Purpose of the Study:

  • To retrospectively analyze the effects of a toilet training intervention on nontargeted dependent variables in children with ASD.
  • To examine the relationship between improved urinary continence and other toileting behaviors.

Main Methods:

  • Retrospective analysis of data from a previous study by Perez et al. (2020).
  • Examined correlations between urinary continence and bowel movements, self-initiation correspondence, percentage of self-initiated urinations, self-initiation rate, and problem behavior.

Main Results:

  • Improvements in urinary continence were strongly correlated with positive changes in all nontargeted dependent variables.
  • This includes better bowel movement management and increased self-initiation of toileting behaviors.

Conclusions:

  • Toilet training interventions targeting urinary continence in children with ASD appear to have broader positive effects on related toileting skills.
  • Findings suggest a holistic approach to toilet training for children with ASD is beneficial for clinical practice and future research.

Keywords:
autism spectrum disorderbowel movementproblem behaviorself-initiationtoilet training

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