Resolving Barriers to Continence for Children with Disabilities: Steps Toward Evidence-Based Practice

IF 2.1 Q2 PSYCHOLOGY, CLINICAL
Maeve G. Donnelly, Amanda M. Karsten
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引用次数: 0

Abstract

Behavior-analytic toilet training (BATT) methods to support urine continence have been reviewed and replicated in numerous studies. Despite empirical validations of BATT, children with disabilities may not experience successful toilet training nor access the associated health and social benefits of urinary continence. It is possible these outcomes are partially due to practical barriers that arise throughout urine training. In practice, barriers may interfere with toilet training to the extent that training is postponed or discontinued, resulting in long-term incontinence and other related problems. Examples of barriers include problem behavior, excessive urine retention, recurrent accidents, and excessive or insufficient independent self-initiations to toilet. Researchers have sometimes described strategies to address these types of barriers. However, practitioners may not be aware of these strategies because they are secondary to the purpose of an investigation and may only apply to a subset of participants. The purpose of this review article is to synthesize the collection of barrier solutions described in published research on urine training for children with developmental disabilities. Results may assist practitioners in modifying BATT according to an evidence-based practice framework until their clients overcome barriers to achieve urine continence.

为残疾儿童解决排便障碍:基于证据的实践步骤
行为分析式如厕训练(BATT)方法可帮助儿童保持小便通畅,该方法已在多项研究中得到验证和推广。尽管行为分析式如厕训练(BATT)得到了实证验证,但残疾儿童可能无法成功进行如厕训练,也无法享受到尿失禁带来的相关健康和社会益处。造成这些结果的部分原因可能是在整个排尿训练过程中出现的实际障碍。在实践中,障碍可能会干扰如厕训练,以至于训练推迟或中断,造成长期尿失禁和其他相关问题。障碍的例子包括问题行为、尿潴留过多、反复发生的尿意、过多或过少的自主如厕。研究人员有时会介绍解决这些障碍的策略。但是,从业人员可能并不了解这些策略,因为它们对调查目的而言是次要的,而且可能只适用于一部分参与者。本综述文章的目的是对已发表的有关发育障碍儿童尿液训练的研究中描述的障碍解决方法进行汇总。研究结果可帮助从业人员根据循证实践框架修改 BATT,直到他们的客户克服障碍,实现尿失禁。
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来源期刊
Behavior Analysis in Practice
Behavior Analysis in Practice PSYCHOLOGY, CLINICAL-
自引率
18.20%
发文量
94
期刊介绍: Behavior Analysis in Practice, an official journal of the Association for Behavior Analysis International, is a peer-reviewed translational publication designed to provide science-based, best-practice information relevant to service delivery in behavior analysis. The target audience includes front-line service workers and their supervisors, scientist-practitioners, and school personnel. The mission of Behavior Analysis in Practice is to promote empirically validated best practices in an accessible format that describes not only what works, but also the challenges of implementation in practical settings. Types of articles and topics published  include empirical reports describing the application and evaluation of behavior-analytic procedures and programs; discussion papers on professional and practice issues; technical articles on methods, data analysis, or instrumentation in the practice of behavior analysis; tutorials on terms, procedures, and theories relevant to best practices in behavior analysis; and critical reviews of books and products that are aimed at practitioners or consumers of behavior analysis.
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