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Toilet Training: Behavioral and Medical Considerations

  • Pamela McPherson
  • Claire O. Burns
  • Mark J. Garcia
  • Vinay S. Kothapalli
  • Shawn E. McNeil
  • Timothy Thompson
Chapter
Part of the Autism and Child Psychopathology Series book series (ACPS)

Abstract

The achievement of toileting competence is an important milestone in an individual’s physical, emotional, and social development. Most families in developed countries agree that successful toileting involves voiding in a commode and doing so independently with volitional control. Because the majority of children achieve this skill without clinical intervention, research on toilet training has been limited. Additionally, there are no consensus established operational definitions or universal data driven support for any one particular method, effectively limiting efficacy based research. However, individuals with intellectual or developmental disabilities, physical challenges, or chronic medical conditions may require intervention in order to achieve mastery of toileting skills. For those individuals and their loved ones, this chapter reviews toilet training methods, both learner- and trainer-centered, as well as readiness factors, training challenges, and specific toilet training techniques.

Keywords

Toilet training Toilet training protocol Assessment Developmental disability Behavioral intervention Medical intervention 

References

  1. Allen, H. A., Austin, J. C., Boyt, M. A., Hawtrey, C. E., & Cooper, C. S. (2007). Initial trial of timed voiding is warranted for all children with daytime incontinence. Urology, 69(5), 962–965.  https://doi.org/10.1016/j.urology.2007.01.049 PubMedCrossRefGoogle Scholar
  2. American Academy of Pediatrics. (2016). The American Academy of pediatrics guide to toilet training: revised and updated second edition. Bantam.Google Scholar
  3. American Psychiatric Association. (2013). DSM 5. American Psychiatric Association.Google Scholar
  4. Ardic, A., & Cavkaytar, A. (2014). Effectiveness of the modified intensive toilet training method on teaching toilet skills to children with autism. Education and Training in Autism and Developmental Disabilities, 49(2), 263–276.Google Scholar
  5. Arendonk, K. J., Austin, J. C., Boyt, M. A., & Cooper, C. S. (2006). Frequency of wetting is predictive of response to anticholinergic treatment in children with overactive bladder. Urology, 67(5), 1049–1053.  https://doi.org/10.1016/j.urology.2005.11.060 PubMedCrossRefGoogle Scholar
  6. Austin, P. F., Bauer, S. B., Bower, W., Chase, J., Franco, I., Hoebeke, P., … Yang, S. S. (2014). The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization Committee of the International Children’s Continence Society. The Journal of Urology, 191.  https://doi.org/10.1016/j.juro.2014.01.110
  7. Azrin, N. H., & Foxx, R. M. (1971). A rapid method of toilet training the institutionalized retarded. Journal of Applied Behavior Analysis, 4(2), 89–99.PubMedPubMedCentralCrossRefGoogle Scholar
  8. Azrin, N. H., Sneed, T. J., & Foxx, R. M. (1973). Dry bed: A rapid method of eliminating bedwetting (enuresis) of the retarded. Behaviour Research and Therapy, 11, 427–434.PubMedCrossRefGoogle Scholar
  9. Azrin, N. H., & Foxx, R. M. (1974). Toilet training in less than a day. New York: Pocket Books.Google Scholar
  10. Azrin, N. H., Sneed, T. J., & Foxx, R. M. (1973). Dry bed: A rapid method of eliminating bedwetting (enuresis) of the retarded. Behaviour Research and Therapy, 11, 427–434.PubMedCrossRefGoogle Scholar
  11. Baeyens, D., Roeyers, H., Hoebeke, P., Verté, S., Hoecke, E. V., & Walle, J. V. (2004). Attention deficit/hyperactivity disorder in children with nocturnal enuresis. The Journal of Urology, 171(6), 2576–2579.  https://doi.org/10.1097/01.ju.0000108665.22072.b2 PubMedCrossRefGoogle Scholar
  12. Bainbridge, N., & Myles, B. S. (1999). The use of priming to introduce toilet training to a child with autism. Focus on Autism and Other Developmental Disabilities, 14, 106–109.CrossRefGoogle Scholar
  13. Bakwin, H. (1971). Enuresis in twins. Archives of Pediatrics & Adolescent Medicine, 121(3), 222.  https://doi.org/10.1001/archpedi.1971.02100140088007 CrossRefGoogle Scholar
  14. Bandura, A. (1993). Perceived self-efficacy in cognitive development and functioning. Educational Psychologist, 28(2), 117–148.  https://doi.org/10.1207/s15326985ep2802_3 CrossRefGoogle Scholar
  15. Barone, J. G., Jasutkar, N., & Schneider, D. (2009). Later toilet training is associated with urge incontinence in children. Journal of Pediatric Urology, 5(6), 458–461.PubMedCrossRefGoogle Scholar
  16. Belva, B., Matson, J. L., Barker, A., Shoemaker, M. E., & Mahan, S. (2011). The relationship between adaptive behavior and specific toileting problems according to the profile on toileting issues (POTI). Journal of Developmental and Physical Disabilities, 23(6), 535–542.CrossRefGoogle Scholar
  17. Berk, L. B., & Friman, P. C. (1990). Epidemiologic aspects of toilet training. Clinical Pediatrics, 29(5), 278–282.  https://doi.org/10.1177/000992289002900505 PubMedCrossRefGoogle Scholar
  18. Bernasconi, M., Borsari, A., Garzoni, L., Siegenthaler, G., Bianchetti, M. G., & Rizzi, M. (2009). Vaginal voiding: A common cause of daytime urinary leakage in girls. Journal of Pediatric and Adolescent Gynecology, 22(6), 347–350.  https://doi.org/10.1016/j.jpag.2008.07.017 PubMedCrossRefGoogle Scholar
  19. Bloom, D. A., Seeley, W. W., Ritchey, M., & McGuide, G. (1993). Toilet habits and continence in children: An opportunity sampling in search of normal parameters. The Journal of Urology, 149(5), 1087–1090.PubMedCrossRefGoogle Scholar
  20. Brazelton, T. B. (1962). A child-oriented approach to toilet training. Pediatrics, 29(1), 121–128.PubMedGoogle Scholar
  21. Brazelton, T. B., Christophersen, E. R., Frauman, A. C., Gorski, P. A., Poole, J. M., Stadtler, A. C., & Wright, C. L. (1999). Instruction, timeliness, and medical influences affecting toilet training. Pediatrics, 103(Supplement 3), 1353–1358.PubMedGoogle Scholar
  22. Buie, T., Campbell, D. B., Fuchs, G. J., III, Furuta, G. T., Levy, J., VandeWater, J., … Winter, H. (2010). Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: A consensus report. Pediatrics, 125, S1–S18.PubMedCrossRefGoogle Scholar
  23. Butler, J. F. (1976). The toilet training success of parents after reading toilet training in less than a day. Behavior Therapy, 7(2), 185–191.  https://doi.org/10.1016/S0005-7894(76)80274-2 CrossRefGoogle Scholar
  24. Chase, J., Austin, P., Hoebeke, P., & Mckenna, P. (2010). The management of dysfunctional voiding in children: A report from the standardisation committee of the International Children’s Continence Society. The Journal of Urology, 183, 1296–1302.  https://doi.org/10.1016/j.juro.2009.12.059 PubMedCrossRefGoogle Scholar
  25. Choby, B. A., & George, S. (2008). Toilet training. American Family Physician, 78(9), 1059–1064.PubMedGoogle Scholar
  26. Cicero, F. R., & Pfadt, A. (2002). Investigation of a reinforcement-based toilet training procedure for children with autism. Research in Developmental Disabilities, 23, 319–331.PubMedCrossRefGoogle Scholar
  27. Coleman, P. K., & Karraker, K. H. (1998). Self-efficacy and parenting quality: Findings and future applications. Developmental Review, 18(1), 47–85.  https://doi.org/10.1006/drev.1997.0448 CrossRefGoogle Scholar
  28. Dalrymple, N. J., & Angrist, M. H. (1988). Toilet training a sixteen year old with autism in a natural setting. The British Journal of Mental Subnormality, 34, 117–130.CrossRefGoogle Scholar
  29. De Montigny, F., & Lacharité, C. (2005). Perceived parental efficacy: Concept analysis. Journal of Advanced Nursing, 49(4), 397–396.CrossRefGoogle Scholar
  30. Drysdale, B., Lee, C. Y. Q., Anderson, A., & Moore, D. W. (2015). Using video modeling incorporating animation to teach toileting to two children with autism spectrum disorder. Journal of Developmental and Physical Disabilities, 27(2), 149–165.CrossRefGoogle Scholar
  31. Farhat, W., Bägli, D. J., Capolicchio, G., O’Reilly, S., Merguerian, P. A., Khoury, A., & Mclorie, G. A. (2000). The dysfunctional voiding scoring system: Quantitative standardization of dysfunctional voiding symptoms in children. The Journal of Urology, 164(3), 1011–1015.  https://doi.org/10.1016/s0022-5347(05)67239-4 PubMedCrossRefGoogle Scholar
  32. Finney, S. M., Andersson, K., Gillespie, J. I., & Stewart, L. H. (2006). Antimuscarinic drugs in detrusor overactivity and the overactive bladder syndrome: Motor or sensory actions? BJU International, 98(3), 503–507.  https://doi.org/10.1111/j.1464-410x.2006.06258.x PubMedCrossRefGoogle Scholar
  33. Foxx, R. M., & Azrin, N. H. (1973). Dry pants: A rapid method of toilet training children. Behaviour Research and Therapy, 11(4), 435–442.  https://doi.org/10.1016/0005-7967(73)90102-2PubMedCrossRefGoogle Scholar
  34. Franco, I., von Gontard, A. V., & Gennaro, M. D. (2013). Evaluation and treatment of nonmonosymptomatic nocturnal enuresis: A standardization document from the International Children’s Continence Society. Journal of Pediatric Urology, 9(2), 234–243.  https://doi.org/10.1016/j.jpurol.2012.10.026 PubMedCrossRefGoogle Scholar
  35. Gariepy, C. E. (2004). Developmental disorders of the enteric nervous system: Genetic and molecular bases. Journal of Pediatric Gastroenterology and Nutrition, 39(1), 5–11.PubMedCrossRefGoogle Scholar
  36. Gorrindo, P., Williams, K. C., Lee, E. B., Walker, L. S., McGrew, S. G., & Levitt, P. (2012). Gastrointestinal dysfunction in autism: Parental report, clinical evaluation, and associated factors. Autism Research, 5(2), 101–108.PubMedPubMedCentralCrossRefGoogle Scholar
  37. Green, C. L., Walker, T. M., Hoover-Dempsey, K. V., & Sandler, H. M. (2007). Parents’ motivations for involvement in children’s education: An empirical test of a theoretical model of parental involvement. Journal of Educational Psychology, 99(3), 532–544.  https://doi.org/10.1037/0022-0663.99.3.532 CrossRefGoogle Scholar
  38. Gross, D., & Fogg, L. (2001). Clinical trials in the 21st century: The case for participant-centered research. Research in Nursing & Health, 24(6), 530–539.  https://doi.org/10.1002/nur.10010 CrossRefGoogle Scholar
  39. Guerra, L., Leonard, M., & Castagnetti, M. (2014). Best practice in the assessment of bladder function in infants. Therapeutic Advances in Urology, 6(4), 148–164.PubMedPubMedCentralCrossRefGoogle Scholar
  40. Hagopian, L. P., Fisher, W., Piazza, C. C., & Wierzbicki, J. J. (1993). A water-prompting procedure for the treatment of urinary incontinence. Journal of Applied Behavior Analysis, 26, 473–474.PubMedPubMedCentralCrossRefGoogle Scholar
  41. Hamid, C. H., Holland, A. J. A., & Martin, H. C. O. (2007). Long-term outcome of anorectal malformations: The patient perspective. Pediatric Surgery International, 23(2), 97–102.PubMedCrossRefGoogle Scholar
  42. Hanney, N. M., Jostad, C. M., LeBlanc, L. A., Carr, J. E., Castile, A. J. (2012). Intensive behavioral treatment of urinary incontinence of children with autism spectrum disorders: An archival analysis of procedures and outcomes from an outpatient clinic. Focus on Autism and Other Developmental Disabilities.  https://doi.org/10.1177/1088357612457987
  43. Heilenkötter, K., Bachmann, C., Janhsen, E., Stauber, T., Lax, H., Petermann, F., & Bachmann, H. (2006). Prospective evaluation of inpatient and outpatient bladder training in children with functional urinary incontinence. Urology, 67(1), 176–180.  https://doi.org/10.1016/j.urology.2005.07.032 PubMedCrossRefGoogle Scholar
  44. Herndon, C. A., & Joseph, D. B. (2006). Urinary incontinence. Pediatric Clinics of North America, 53(3), 363–377.  https://doi.org/10.1016/j.pcl.2006.02.006 PubMedCrossRefGoogle Scholar
  45. Hicks, J., Carson, C., & Malone, P. (2007). Is there an association between functional bladder outlet obstruction and Down’s syndrome? Journal of Pediatric Urology, 3(5), 369–374.  https://doi.org/10.1016/j.jpurol.2007.02.003 PubMedCrossRefGoogle Scholar
  46. Hodges, S. J., Richards, K. A., Gorbachinsky, I., & Krane, L. S. (2014). The association of age of toilet training and dysfunctional voiding. Research and Reports in Urology, 6, 127–130.PubMedPubMedCentralGoogle Scholar
  47. Hoebeke, P., Bower, W., Combs, A., Jong, T. D., & Yang, S. (2010). Diagnostic evaluation of children with daytime incontinence. The Journal of Urology, 183(2), 699–703.  https://doi.org/10.1016/j.juro.2009.10.038 PubMedCrossRefGoogle Scholar
  48. Hyams, J. S., Di Lorenzo, C., Miguel, S., Shulman, R. J., Annamaria, S., & van Tilburg, M. (2016). Childhood functional gastrointestinal disorders: Child/adolescent. Gastroenterology, 150(6), 1456–68.e2.CrossRefGoogle Scholar
  49. Issenman, R. M., Filmer, R. B., & Gorski, P. A. (1999). A review of bowel and bladder control development in children: How gastrointestinal and urologic conditions relate to problems in toilet training. Pediatrics, 103(Supplement 3), 1346–1352.PubMedGoogle Scholar
  50. Jansson, U., Hanson, M., Sillen, U., & Hellstrom, A. (2005). Voiding pattern and acquisition of bladder control from birth to age 6 years—a longitudinal study. The Journal of Urology, 174(1), 289–293.  https://doi.org/10.1097/01.ju.0000161216.45653.e3 PubMedCrossRefGoogle Scholar
  51. Joinson, C., Heron, J., Butler, R., von Gontard, A. V., Butler, U., Emond, A., & Golding, J. (2007). A United Kingdom population-based study of intellectual capacities in children with and without soiling, daytime wetting, and bed-wetting. Pediatrics, 120(2).  https://doi.org/10.1542/peds.2006-2891
  52. Joinson, C., Heron, J., von Gontard, A. V., Butler, U., Emond, A., & Golding, J. (2009). A prospective study of age at initiation of toilet training and subsequent daytime bladder control in school-age children. Journal of Developmental and Behavioral Pediatrics, 30, 385–393.PubMedCrossRefGoogle Scholar
  53. Joinson, C., Sullivan, S., von Gontard, A. V., & Heron, J. (2016). Stressful events in early childhood and developmental trajectories of bedwetting at school age. Journal of Pediatric Psychology, 41(9), 1002–1010.  https://doi.org/10.1093/jpepsy/jsw025 PubMedPubMedCentralCrossRefGoogle Scholar
  54. Jones, T. L., & Prinz, R. J. (2005). Potential roles of parental self-efficacy in parent and child adjustment: A review. Clinical Psychology Review, 25(3), 341–363.  https://doi.org/10.1016/j.cpr.2004.12.004 PubMedCrossRefGoogle Scholar
  55. Kaerts, N., Van Hal, G., Vermandel, A., & Wyndaele, J.-J. (2012). Readiness signs used to define the proper moment to start toilet training: A review of the literature. Neurourology and Urodynamics, 31(4), 437–440.  https://doi.org/10.1002/nau.21211 PubMedCrossRefGoogle Scholar
  56. Keen, D., Brannigan, K. L., & Cuskelly, M. (2007). Toilet training for children with autism: The effects of video modeling. Journal of Developmental and Physical Disabilities, 19(4), 291–303.CrossRefGoogle Scholar
  57. Kelley, T. (2005). A fast track to toilet training for those at the crawling stage. The New York Times. Retrieved from http://www.nytimes.com/2005/10/09/nyregion/a-fast-track-to-toilet-training-for-those-at-the-crawling-stage.html
  58. Kiddoo, D. A. (2012). Toilet training children: When to start and how to train. Canadian Medical Association Journal, 184(5), 511–511.PubMedPubMedCentralCrossRefGoogle Scholar
  59. Kırcaali-İftar, G., Ülke-Kürkçüoğlu, B., Çetin, Ö., & Ünlü, E. (2009). Intensive daytime toilet training of two children with autism: Implementing and monitoring systematically guarantees success! International Journal of Early Childhood Special Education, 1(2), 117–126.Google Scholar
  60. Klassen, T. P., Kiddoo, D., Lang, M. E., Friesen, C., Russell, K., Spooner, C., & Vandermeer, B. (2006). The effectiveness of different methods of toilet training for bowel and bladder control. Rockville, MD: Agency for Healthcare Research and Quality, US Department of Health and Human Services.Google Scholar
  61. Kroeger, K., & Sorensen, R. (2010). A parent training model for toilet training children with autism. Journal of Intellectual Disability Research, 54(6), 556–567.  https://doi.org/10.1111/j.1365-2788.2010.01286.x PubMedCrossRefGoogle Scholar
  62. Kroeger, K. A., & Sorensen-Burnworth, R. (2009). Toilet training individuals with autism and other developmental disabilities: A critical review. Research in Autism Spectrum Disorder, 3, 607–618.CrossRefGoogle Scholar
  63. Laecke, E. V., Golinveaux, L., Goossens, L., Raes, A., Hoebeke, P., & Walle, J. V. (2001). Voiding disorders in severely mentally and motor disabled children. The Journal of Urology, 166, 2404–2406.  https://doi.org/10.1097/00005392-200112000-00108 PubMedCrossRefGoogle Scholar
  64. Laecke, E. V., Raes, A., Walle, J. V., & Hoebeke, P. (2009). Adequate fluid intake, urinary incontinence, and physical and/or intellectual disability. The Journal of Urology, 182(4), 2079–2084.  https://doi.org/10.1016/j.juro.2009.05.125 PubMedCrossRefGoogle Scholar
  65. Lazarus, J. (2009). Intravesical oxybutynin in the pediatric neurogenic bladder. Nature Reviews Urology, 6(12), 671–674.  https://doi.org/10.1038/nrurol.2009.214 PubMedCrossRefGoogle Scholar
  66. LeBlanc, L. A., Carr, J. E., Crossett, S. E., Bennett, C. M., & Detweiler, D. D. (2005). Intensive outpatient behavioral treatment of primary urinary incontinence of children with autism. Focus on Autism and Other Developmental Disabilities, 20(2), 98–105.  https://doi.org/10.1177/10883576050200020601 CrossRefGoogle Scholar
  67. Lott, J. D., & Kroeger, K. A. (2004). Self-help skills in persons with mental retardation. In J. L. Matson, R. B. Laud, & M. L. Matson (Eds.), Behavior modification for persons with developmental disabilities: Treatment and supports (Vol. II). New York: National Association for the Dually Diagnosed.Google Scholar
  68. Luiselli, J. K. (1994). Toilet training children with sensory impairments in a residential school setting. Behavioral Interventions, 9, 105–114.CrossRefGoogle Scholar
  69. Luiselli, J. K. (1997). Teaching toilet skills in a public school setting to a child with pervasive developmental disorder. Journal of Behavior Therapy and Experimental Psychiatry, 28, 163–168.PubMedCrossRefGoogle Scholar
  70. Matson, J. L., Dempsey, T., & Fodstad, J. C. (2010). The profile of toileting issues (POTI). Baton Rouge, LA: Disability Consultants, LLC.Google Scholar
  71. Matson, J. L., Horovitz, M., & Sipes, M. (2011). Characteristics of individuals with toileting problems and intellectual disability using the profile of toileting issues (POTI). Journal of Mental Health Research in Intellectual Disabilities, 4(1), 53–63.CrossRefGoogle Scholar
  72. Matson, J. L., & LoVullo, S. V. (2009). Encopresis, soiling and constipation in children and adults with developmental disability. Research in Developmental Disabilities, 30(4), 799–807.PubMedCrossRefGoogle Scholar
  73. Matson, J. L., Neal, D., Hess, J. A., & Kozlowski, A. M. (2011). Assessment of toileting difficulties in adults with intellectual disabilities: An examination using the profile of toileting issues (POTI). Research in Developmental Disabilities, 32(1), 176–179.PubMedCrossRefGoogle Scholar
  74. Matson, J. L., & Ollendick, T. H. (1977). Issues in toilet training normal children. Behavior Therapy, 8(4), 549–553.  https://doi.org/10.1016/S0005-7894(77)80184-6CrossRefGoogle Scholar
  75. McElhanon, B. O., McCracken, C., Karpen, S., & Sharp, W. G. (2014). Gastrointestinal symptoms in autism spectrum disorder: A meta-analysis. Pediatrics, 133(5), 872–883.PubMedCrossRefGoogle Scholar
  76. McLay, L., Carnett, A., van der Meer, L., & Lang, R. (2015). Using a video modeling-based intervention package to toilet train two children with autism. Journal of Developmental and Physical Disabilities, 27(4), 431–451.CrossRefGoogle Scholar
  77. Mellon, M. W., Natchev, B. E., Katusic, S. K., Colligan, R. C., Weaver, A. L., Voigt, R. G., & Barbaresi, W. J. (2013). Incidence of enuresis and encopresis among children with attention-deficit/hyperactivity disorder in a population-based birth cohort. Academic Pediatrics, 13(4), 322–327.  https://doi.org/10.1016/j.acap.2013.02.008 PubMedCrossRefGoogle Scholar
  78. Mercer, E. S., Broecker, B., Smith, E. A., Kirsch, A. J., Scherz, H. C., Massad, A., & C. (2004). Urological manifestations of Down syndrome. The Journal of Urology, 171(3), 1250–1253.PubMedCrossRefGoogle Scholar
  79. Miura, F., Watanabe, T., Watanabe, K., Takemoto, K., & Fukushi, K. (2016). Comparative assessment of primary and secondary infection risks in a norovirus outbreak using a household model simulation. Journal of Environmental Sciences, 50, 13–20.CrossRefGoogle Scholar
  80. Murphy, K. P., Boutin, S. A., & Ide, K. R. (2012). Cerebral palsy, neurogenic bladder, and outcomes of lifetime care. Developmental Medicine and Child Neurology, 54(10), 945–950.PubMedCrossRefGoogle Scholar
  81. Nevéus, T. (2009). Diagnosis and management of nocturnal enuresis. Current Opinion in Pediatrics, 21(2), 199–202.  https://doi.org/10.1097/mop.0b013e3283229b12 PubMedCrossRefGoogle Scholar
  82. Neveus, T., Eggert, P., Evans, J., Macedo, A., Rittig, S., Tekgül, S., … Robson, L. (2010). Evaluation of and treatment for monosymptomatic enuresis: A standardization document from the International Children’s Continence Society. The Journal of Urology, 183(2), 441–447.  https://doi.org/10.1016/j.juro.2009.10.043 PubMedCrossRefGoogle Scholar
  83. Nevéus, T., von Gontard, A., Hoebeke, P., Hjälmås, K., Bauer, S., Bower, W., … Djurhuus, J. C. (2006). The standardization of terminology of lower urinary tract function in children and adolescents: Report from the standardisation committee of the International Children’s Continence Society. The Journal of Urology, 176(1), 314–324.  https://doi.org/10.1016/s0022-5347(06)00305-3 PubMedCrossRefGoogle Scholar
  84. Palechka, G., & McDonald, R. (2010). A comparison of the acquisition of play skills using instructor-created video models and commercially available videos. Education and Treatment of Children, 33(3), 457–474.CrossRefGoogle Scholar
  85. Pashankar, D. S., & Bishop, W. P. (2001). Efficacy and optimal dose of daily polyethylene glycol 3350 for treatment of constipation and encopresis in children. The Journal of Pediatrics, 139(3), 428–432.  https://doi.org/10.1067/mpd.2001.117002 PubMedCrossRefGoogle Scholar
  86. Patterson, M. C. (2016). Management and prognosis of cerebral palsy. In T.W. Post, C. Bridgemohan & C. Armsby (Eds.), UptoDate. Available from https://www.uptodate.com/contents/management-and-prognosis-of-cerebral-palsy?source=search_result&search=cerebral%20palsy%20treatment&selectedTitle=1~150
  87. Pijpers, M., Mej, B., Benninga, M. A., & Berger, M. Y. (2010). Functional constipation in children: A systematic review on prognosis and predictive factors. Journal of Pediatric Gastroenterology and Nutrition, 50(3), 256–268.PubMedCrossRefGoogle Scholar
  88. Polaha, J., Warzak, W. J., & Dittmer-McMahon, K. (2002). Toilet training in primary care: Current practice and recommendations from behavioral pediatrics. Journal of Developmental & Behavioral Pediatrics, 23(6), 424–429.CrossRefGoogle Scholar
  89. Post, A. R., & Kirkpatrick, M. D. (2004). Toilet training for a young boy with pervasive developmental disorder. Behavioral Interventions, 19, 45–50.CrossRefGoogle Scholar
  90. Powers, M. K., Brown, E. T., Hogan, R. M., Martin, A. D., Ortenberg, J., & Roth, C. C. (2015). Trends in toilet training and voiding habits among children with Down Syndrome. The Journal of Urology, 194(3), 783–787.  https://doi.org/10.1016/j.juro.2015.03.114 PubMedCrossRefGoogle Scholar
  91. Rasouly, H. M., & Lu, W. (2013). Lower urinary tract development and disease. Wiley interdisciplinary reviews. Systems Biology and Medicine, 5(3), 307–342.PubMedPubMedCentralGoogle Scholar
  92. Ritblatt, S. N., Obegi, A. D., Hammons, B. S., Ganger, T. A., & Ganger, B. C. (2003). Parents’ and child care professionals’ toilet training attitudes and practices: A comparative analysis. Journal of Research in Childhood Education, 17(2), 133–146.CrossRefGoogle Scholar
  93. Rome Foundation, Inc. (2016). Rome foundation. Retrieved from Rome Foundation: http://romecriteria.org/
  94. Rosenberg, N. E., Schwartz, I. S., & Davis, C. A. (2010). Evaluating the utility of commercial videotapes for teaching hand washing to children with autism. Education and Treatment of Children, 33, 443–455.CrossRefGoogle Scholar
  95. Saloviita, T. (2000). Generalized effects of dry bed training on day-time incontinence. Behavioral Interventions, 15(1), 79–81.CrossRefGoogle Scholar
  96. Schmitt, B. D. (2004). Toilet training problems: Underachievers, refusers, and stool holders. Contemporary Pediatrics-Montvale, 21(4), 71–77.Google Scholar
  97. Schonwald, A., Sherritt, L., Stadtler, A., & Bridgemohan, C. (2004). Factors associated with difficult toilet training. Pediatrics, 113(6), 1753–1757.PubMedCrossRefGoogle Scholar
  98. Schulman, S. L. (2004). Voiding dysfunction in children. Urologic Clinics of North America, 31(3), 481–490.  https://doi.org/10.1016/j.ucl.2004.04.019 PubMedCrossRefGoogle Scholar
  99. Schulman, S. L., Quinn, C. K., Plachter, N., & Kodman-Jones, C. (1999). Comprehensive management of dysfunctional voiding. Pediatrics, 103(3), 1353–1358.  https://doi.org/10.1542/peds.103.3.e31 CrossRefGoogle Scholar
  100. Schum, T. R., Kolb, T. M., McAuliffe, T. L., Simms, M. D., Underhill, R. L., & Lewis, M. (2002). Sequential acquisition of toilet-training skills: A descriptive study of gender and age differences in normal children. Pediatrics, 109(3), e48–e48.  https://doi.org/10.1542/peds.109.3.e48 PubMedCrossRefGoogle Scholar
  101. Schum, T. R., McAuliffe, T. L., Simms, M. D., Walter, J. A., Lewis, M., & Pupp, R. (2001). Factors associated with toilet training in the 1990s. Ambulatory Pediatrics, 1(2), 79–86.PubMedCrossRefGoogle Scholar
  102. Simon, J. L., & Thompson, R. H. (2006). The effects of undergarment type on the urinary continence of toddlers. Journal of Applied Behavior Analysis, 39, 362–368.CrossRefGoogle Scholar
  103. Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: (Vineland II), survey interview form/caregiver rating form. Livonia, MN: Pearson Assessments.Google Scholar
  104. Spock, B. (1946). The common sense book of baby and child care. New York: Duell, Sloan and Pearce.Google Scholar
  105. Springford, L., Connor, M. J., Jones, K., Kapetanakis, V. V., & Giuliani, S. (2016). Prevalence of active long-term problems in patients with anorectal malformations: A systematic review. Diseases of the Colon and Rectum, 59(6), 570–580.CrossRefGoogle Scholar
  106. Stadtler, A. C., Gorski, P. A., & Brazelton, T. B. (1999). Toilet training methods, clinical interventionstraining methods, clinical interventions, and recommendations. Pediatrics, 103(Supplement 3), 1359–1361.PubMedGoogle Scholar
  107. Stone, J., Carson, A., & Sharpe, M. (2005). Functional symptoms and signs in neurology: Assessment and diagnosis. Journal of Neurology, Neurosurgery & Psychiatry, 76, i2–12.CrossRefGoogle Scholar
  108. Tarbox, R. S. E., Williams, W. L., & Friman, P. C. (2004). Extended diaper wearing: Effects on continence in and out of the diaper. Journal of Applied Behavior Analysis, 37, 97–100.PubMedPubMedCentralCrossRefGoogle Scholar
  109. Taylor, S., Cipani, E., & Clardy, A. (1994). A stimulus control technique for improving the efficacy of an established toilet training program. Journal of Behavior Therapy and Experimental Psychiatry, 25, 155–160.PubMedCrossRefGoogle Scholar
  110. Thom, M., Campigotto, M., Vemulakonda, V., Coplen, D., & Austin, P. F. (2012). Management of lower urinary tract dysfunction: A stepwise approach. Journal of Pediatric Urology, 8(1), 20–24.  https://doi.org/10.1016/j.jpurol.2011.01.004 PubMedCrossRefGoogle Scholar
  111. van Oorsouw, W. M., Duker, P. C., Melein, L., & Averink, M. (2009). Long-term effectiveness of the response restriction method for establishing diurnal bladder control. Research in Developmental Disabilities: A Multidisciplinary Journal, 30(6), 1388–1393.CrossRefGoogle Scholar
  112. Vermandel, A., Van Kampen, M., Van Gorp, C., & Wyndaele, J. J. (2008). How to toilet train healthy children? A review of the literature. Neurourology and Urodynamics, 27(3), 162–166.  https://doi.org/10.1002/nau.20490 PubMedCrossRefGoogle Scholar
  113. Verpoorten, C., & Buyse, G. M. (2008). The neurogenic bladder: Medical treatment. Pediatric Nephrology, 23(5), 717–725.PubMedCrossRefGoogle Scholar
  114. von Gontard, A. (2013). Urinary incontinence in children with special needs. Nature Reviews Urology, 10(11), 667–674.CrossRefGoogle Scholar
  115. von Gontard, A., de Jong, T. P. V. M., Angie, R., Anka, N.-L., Badawi, J. K., & Linda, C. (2016). Do we manage incontinence in children and adults with special needs adequately? ICI-RS 2014. Neurourology and Urodynamics, 35(2), 304–306.CrossRefGoogle Scholar
  116. von Gontard, A. V., Mauer-Mucke, K., Pluck, J., Berner, W., & Lehmkuhl, G. (1999). Clinical behavioral problems in day- and night-wetting children. Pediatric Nephrology, 13(8), 662–667.  https://doi.org/10.1007/s004670050677 CrossRefGoogle Scholar
  117. Wiener, J. S., Scales, M. T., Hampton, J., King, L. R., Surwit, R., & Edwards, C. L. (2000). Long-term efficacy of simple behavioral therapy for daytime wetting in children. The Journal of Urology, 786–790.  https://doi.org/10.1097/00005392-200009010-00048
  118. Wolraich, M., & American Academy of Pediatrics. (2016). American academy of pediatrics guide to toilet training. Bantam.Google Scholar
  119. Wolraich, M. L. (Ed.). (2016). Guide to toilet training (2nd ed.). New York: Bantam Books.Google Scholar
  120. Wraige, E. (2002). Investigation of daytime wetting: When is spinal cord imaging indicated? Archives of Disease in Childhood, 87(2), 151–155.  https://doi.org/10.1136/adc.87.2.151 PubMedPubMedCentralCrossRefGoogle Scholar
  121. Wu, H.-Y. (2010). Achieving urinary continence in children. Nature Reviews Urology, 7(7), 371–377.PubMedCrossRefGoogle Scholar
  122. Wu, W.-H., Chuang, J.-H., Ting, Y.-C., Lee, S.-Y., & Hsieh, C.-S. (2002). Developmental anomalies and disabilities associated with hypospadias. The Journal of Urology, 168(1), 229–232.PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Pamela McPherson
    • 1
  • Claire O. Burns
    • 2
  • Mark J. Garcia
    • 3
  • Vinay S. Kothapalli
    • 4
  • Shawn E. McNeil
    • 4
  • Timothy Thompson
    • 5
  1. 1.Northwest Louisiana Human Services DistrictShreveportUSA
  2. 2.Department of PsychologyLouisiana State UniversityBaton RougeUSA
  3. 3.Northwest Resource CenterBossier CityUSA
  4. 4.Louisiana State University Health Sciences CenterShreveportUSA
  5. 5.Department of School PsychologyUniversity of Southern MississippiHattiesburgUSA

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