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Bowel and bladder f...
Bowel and bladder function in infant toilet training (BABITT) - protocol for a randomized, two-armed intervention study
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- Nilsson, Terese, 1982- (author)
- Uppsala universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Family medicine and Center for Clinical Research Dalarna - Uppsala University, Region Dalarna County, Falun, Sweden,Centrum för klinisk forskning Dalarna,Örebro Univ, Dept Med & Hlth Sci, Örebro, Sweden
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- Leijon, Anna, 1982- (author)
- Uppsala universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Family medicine and Center for Clinical Research Dalarna - Uppsala University, Region Dalarna County, Falun, Sweden,Centrum för klinisk forskning Dalarna,Örebro Univ, Dept Med & Hlth Sci, Örebro, Sweden
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- Sillén, Ulla, 1946 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences,Department of Pediatric Surgery, Pediatric Uronephrologic Centre, Queen Silvia Children's Hospital, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci,Dept Pediat Surg, Queen Silvia Childrens Hosp,Pediat Uronephrol Ctr, Gothenburg, Sweden.
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- Hellström, Anna-Lena, 1946 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Institute of Health and Care Sciences, University of Gothenburg, Göteborg, Sweden,Univ Gothenburg, Inst Hlth & Care Sci, Gothenburg, Sweden.
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- Hedin Skogman, Barbro, 1967- (author)
- Uppsala universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Pediatrics and Center for Clinical Research Dalarna - Uppsala University, Region Dalarna County, Falun, Sweden,Centrum för klinisk forskning Dalarna,Örebro Univ, Dept Med & Hlth Sci, Örebro, Sweden
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(creator_code:org_t)
- 2022-05-19
- 2022
- English.
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In: BMC Pediatrics. - : Springer Science and Business Media LLC. - 1471-2431. ; 22:1
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Abstract
Subject headings
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- Background: In the last decades, the average age for toilet training has increased in the western world. It is suggested that the postponed initiation of toilet training is a contributing factor to problems related to bowel and bladder control. Functional gastrointestinal and urinary tract disorders are prevalent in childhood, causing suffering in affected children and for their families, and consuming healthcare resources. To evaluate whether assisted infant toilet training can prevent functional gastrointestinal and urinary tract disorders in young children, we are conducting a randomized intervention study with a 4-year follow-up. Methods: This randomized two-armed intervention study will include 268 Swedish infants recruited at six child healthcare centers in Region Dalarna located in the central part of Sweden. The intervention entails parents being instructed and practicing assisted infant toilet training with their child. Children are randomized to start assisted infant toilet training at 0-2 months or at 9-11 months of age. The primary objective is to determine the efficacy of assisted infant toilet training initiated at 0-2 months on the prevalence of functional gastrointestinal disorders (defined as infant colic, infant dyschezia and/or functional constipation) up to the age of 9 months. Secondary objectives are to evaluate whether assisted toilet training initiated during the first year of life reduce the prevalence of functional gastrointestinal disorders (defined as functional constipation, gastrointestinal symptoms and/or stool toileting refusal) and urinary tract disorders (defined as bladder dysfunction and/or urinary tract infections) up to the age of 4 years. Furthermore, infant-to-mother attachment, parental stress, the toilet training process and overall parental experiences will be evaluated/explored. Discussion: This protocol article presents the rationale and design of a randomized two-armed intervention study that will determine the efficacy of assisted infant toilet training on functional gastrointestinal disorders up to the age of 9 months. Furthermore, the study will evaluate whether assisted infant toilet training during the first year of life can prevent functional gastrointestinal and urinary tract disorders in children up to 4 years of age. If effective, assisted infant toilet training could be recommended in child healthcare settings and new evidence-based guidelines on infant toilet training could be implemented.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Assisted infant toilet training
- Children
- Infant colic
- Infant
- dyschezia
- Functional constipation
- Bladder dysfunction
- Stool toileting
- refusal
- Child health care
- Infant-to-mother attachment
- Parental stress
- urinary-tract-infection
- childhood constipation
- follow-up
- children
- incontinence
- mothers
- adults
- birth
- life
- age
- Pediatrics
- Assisted infant toilet training
Publication and Content Type
- ref (subject category)
- art (subject category)
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