Toilet training in primary care: current practice and recommendations from behavioral pediatrics.
This article is the first to evaluate pediatricians' (1). current practices regarding recommendations for toilet training typically developing first-time learners and (2). opinions on an intensive procedure for rapid toilet training. Results of surveys obtained from 103 pediatricians indicate that physicians' recommendations lean toward a gradual, passive approach to toilet training with 72% endorsing "child interest" in the toilet as one of the top criteria children must exhibit before beginning training. Respondents had a somewhat unfavorable view of intensive toilet training for first-time learners with 29% endorsing the use of such a procedure, although in most cases without all of the components. It is recommended that some components of the intensive procedure could easily "fit" with physicians' current practices to increase toilet-training effectiveness within a shorter training interval. These recommendations, including compliance training as a part of teaching, increased fluid intake to promote toileting trials, and multiple training sits, are described.
Polaha
Jodi
J
Department of Pediatrics, Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, Nebraska 68198-5450, USA.
Warzak
William J
WJ
Dittmer-Mcmahon
Karen
K
D001524:Behavioral Medicine / Q000379:methods*; D002648:Child; D006801:Humans; D010290:Parents; D010349:Patient Compliance; D010372:Pediatrics / Q000379:methods*; D011320:Primary Health Care; D011795:Surveys and Questionnaires; D014039:Toilet Training