The Short- and Long-term Effects of Simple Behavioral Interventions for Nocturnal Enuresis in Young Children : A Randomized Controlled Trial
article
Objective: To assess the short- and long-term effects of 3 simple behavioral interventions to overcome nocturnal enuresis in young children. Study design: We performed a randomized controlled trial in children aged four to five years with mono-symptomatic nocturnal enuresis (n = 570). The children were placed in one of four groups: (1) lifting to urinate and ask for a password; (2) the same as group 1, without a password; (3) using a reward system; or (4) a control group. Each participant was asked to carry out the appointed intervention for 6 months or until 14 consecutive dry nights occurred, which was the continence criterion. A follow-up was performed approximately 3 years after the study. Results: After 6 months, lifting the child to the toilet without the use of a password was the only intervention that resulted in significantly more dry children (37%) than the control group (21%). Three years later, both lifting groups had the highest (78%) and the control group the lowest (69%) percentage of dry children. Conclusions: The intervention lifting to urinate without the use of a password leads to more dry children compared with no active treatment in children aged 4 to 5 years with nocturnal enuresis. © 2009 Mosby, Inc. All rights reserved.
Topics
Jeugd en Gezondheidbehavior therapychildchild rearingclinical trialcontrolled clinical trialcontrolled studyfemalefollow upgeneral condition improvementhumanintervention studylong term caremajor clinical studymalemicturitionnocturnal enuresispreschool childpriority journalrandomized controlled trialrewardshort course therapytherapy effecttreatment outcometreatment response
TNO Identifier
241516
ISSN
00223476
Source
Journal of Pediatrics, 154(5)
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