title: Multimedia versus written information for nocturnal enuresis education: a cluster randomized controlled trial.
abstract: OBJECTIVE
  This study evaluated the impact of child-focused information provision using a multimedia software package 'All About Nocturnal Enuresis' and written leaflets containing the same information for bedwetting children.
  
  
  METHODS
  A stratified cluster randomized controlled trial with data on 270 children collected longitudinally.
  
  
  METHODS
  Fifteen school nurse-led community enuresis clinics in Leicestershire, UK.
  
  
  METHODS
  The outcome measures were becoming and remaining dry and time to dry, non-attendance and dropout rates. The psychological measures completed by children were the impact of bedwetting and Coopersmith self-esteem scales. Parents completed the maternal tolerance scale.
  
  
  RESULTS
  No significant intervention effect was found for any of the outcome measures recorded during treatment, at discharge or six-months post discharge.
  
  
  CONCLUSIONS
  Multimedia educational programs and written leaflets are widely used to enable children to learn more about their health-related conditions. However, our result suggests that multimedia is no more effective than traditional materials at effecting health-related behavioural change.
authors.affiliation: Section of Behavioural Sciences, Division of Psychiatry, University of Nottingham, Queen's Medical Centre, Nottingham NG9 1EU, UK. sr59@le.ac.uk
authors.forename: S A
authors.initials: SA
authors.lastname: Redsell
authors.forename: J
authors.initials: J
authors.lastname: Collier
authors.forename: P
authors.initials: P
authors.lastname: Garrud
authors.forename: J H C
authors.initials: JH
authors.lastname: Evans
authors.forename: C
authors.initials: C
authors.lastname: Cawood
mesh_terms: D000293:Adolescent; D000704:Analysis of Variance; D016251:CD-ROM; D002648:Child; D002675:Child, Preschool; D003194:Computer-Assisted Instruction / Q000379:methods; D004775:Enuresis / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D009034:Mother-Child Relations; D019212:Multimedia; D010174:Pamphlets; D010353:Patient Education as Topic / Q000379:methods*; D012649:Self Concept; D012959:Socioeconomic Factors; D012984:Software; D016896:Treatment Outcome; D016312:Treatment Refusal / Q000706:statistics & numerical data