Related Experiment Videos
Successful management of daytime enuresis using alarm procedures: a randomly controlled trial
Insights
A study on daytime wetting in children found that non-contingent alarm devices were as effective as contingent ones. These alarms offer a recommended solution for diurnal enuresis, though some relapse occurred later.
Area of Science:
- Pediatrics
- Urology
- Behavioral Medicine
Background:
- Daytime wetting (diurnal enuresis) affects many children, impacting their quality of life.
- Alarm therapy is a common treatment for enuresis, but the optimal type of alarm is debated.
Purpose of the Study:
- To compare the effectiveness of contingent versus non-contingent alarm devices in treating daytime wetting in children.
- To determine if a simpler, non-contingent alarm is a viable alternative for routine clinical use.
Main Methods:
- A randomized controlled trial involving 44 children with daytime wetting.
- Comparison of two alarm types: contingent (sounds upon wetting) and non-contingent (timed intervals).
- Quota allocation ensured group comparability; response and relapse rates were monitored.
Main Results:
- Two-thirds of children responded to alarm therapy, achieving dryness.
- The non-contingent alarm demonstrated comparable efficacy to the contingent alarm.
- A relapse rate of 23% was observed up to two years post-treatment.
Conclusions:
- Non-contingent alarm devices are effective for treating daytime enuresis in children.
- The non-contingent alarm is recommended for routine use due to its comparable efficacy and potential simplicity.
- Long-term follow-up is necessary to monitor relapse rates in children treated for diurnal enuresis.
Abstract:
Forty four children with daytime wetting were included in a randomly controlled trial of two alarm devices, a contingent one that sounded when wetting occurred and a non-contingent one that went off from time to time unrelated to wetting events. A quota allocation system ensured comparability between treatment groups. Two thirds responded to an alarm by becoming dry. The non-contingent alarm produced as good a response as the contingent one and is recommended for routine use in children with diurnal enuresis. Twenty three per cent of those who responded to treatment relapsed up to two years after completion of the trial.