Toilet training (TT) is important for every child, but there is no agreement on what is the best training method. We evaluated in a randomized way the comprehensive use of a daytime wetting alarm at home for 5 days in healthy children and compared it with timed potty training.
Thirty-nine children, between 20 and 36 months of age, were randomized to wetting alarm diaper training (WAD-T; n = 20) or timed potty training (TP-T; n = 19). Toilet behavior was observed by parents and independent observers before, at the end, and after 2 weeks of training. Late evaluation at 1 month was done by telephone.
The WAD-T group did significantly better than the TP-T group at the end training (p = .041), at 14 days (p = .027), and 1 month after training (p = .027). Independent bladder control was achieved in 88.9% of the WAD-T group.
The WAD-T method is a structured, child-friendly, highly effective option for TT young healthy children. It offers the parents clear guidelines, a limited time needed to complete TT, a high success rate, and minor emotional conflicts. Results must now be confirmed in a larger sample size.
From the Departments of *Urology and †Epidemiology, University Antwerp, and Department Healthcare Hogeschool Antwerpen.
Received October 2007; accepted January 2008.
Correspondence: Jean-Jacques Wyndaele, MD, PhD, University of Antwerp, Department of Urology, Wilrijkstraat 10, B-2650 Edegem, Belgium; e-mail: email@example.com.