Projects per year
Abstract
Objective: To examine whether a range of common strategies used by parents to overcome bedwetting in 7½-year-old children (including lifting, restricting drinks before bedtime, regular daytime toilet trips, rewards, showing displeasure and using protection pants) are effective in reducing the risk of bedwetting at 9½ years.
Design: Prospective cohort study.
Setting: General community.
Participants: The starting sample included 1,258 children (66.7% boys and 33.2% girls) who were still bedwetting at 7½ years.
Outcome measure: Risk of bedwetting at 9½ years.
Results: Using propensity score based methods we found that two of the parental strategies used at 7½ years were associated with an increased risk of bedwetting at 9½ years, after adjusting the model for child and family variables and other parental strategies: lifting (risk difference= 0.106 [95% CI= 0.009–0.202] i.e. there is an 10.6% (0.9% to 20.2%) increase in risk of bedwetting at 9½ years among children whose parents used lifting compared with children whose parents did not use this strategy) and restricting drinks before bedtime (0.123 [0.021–0.226]). The effect of using the other parental strategies was in either direction (an increase or decrease in the risk of bedwetting at 9½ years) e.g. showing displeasure (-0.052 [-0.214 to 0.110). When we re-analysed the data using multivariable regression analysis, the results were mostly consistent with the propensity score-based methods.
Conclusion: These findings provide evidence that common strategies used to overcome bedwetting in 7½ year olds are not effective in reducing the risk of bedwetting at 9½ years. Parents should be encouraged to seek professional advice for their child’s bedwetting rather than persisting with strategies that may be ineffective.
Design: Prospective cohort study.
Setting: General community.
Participants: The starting sample included 1,258 children (66.7% boys and 33.2% girls) who were still bedwetting at 7½ years.
Outcome measure: Risk of bedwetting at 9½ years.
Results: Using propensity score based methods we found that two of the parental strategies used at 7½ years were associated with an increased risk of bedwetting at 9½ years, after adjusting the model for child and family variables and other parental strategies: lifting (risk difference= 0.106 [95% CI= 0.009–0.202] i.e. there is an 10.6% (0.9% to 20.2%) increase in risk of bedwetting at 9½ years among children whose parents used lifting compared with children whose parents did not use this strategy) and restricting drinks before bedtime (0.123 [0.021–0.226]). The effect of using the other parental strategies was in either direction (an increase or decrease in the risk of bedwetting at 9½ years) e.g. showing displeasure (-0.052 [-0.214 to 0.110). When we re-analysed the data using multivariable regression analysis, the results were mostly consistent with the propensity score-based methods.
Conclusion: These findings provide evidence that common strategies used to overcome bedwetting in 7½ year olds are not effective in reducing the risk of bedwetting at 9½ years. Parents should be encouraged to seek professional advice for their child’s bedwetting rather than persisting with strategies that may be ineffective.
Original language | English |
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Article number | e016749 |
Number of pages | 9 |
Journal | BMJ Open |
Volume | 7 |
Issue number | 7 |
Early online date | 13 Jul 2017 |
DOIs | |
Publication status | Published - Jul 2017 |
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Dive into the research topics of 'Examining the effectiveness of parental strategies to overcome bedwetting: an observational cohort study'. Together they form a unique fingerprint.Projects
- 1 Finished
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Increasing understanding of risk factors and outcomes associated with incontinence in childhood and adolescence
Cramer, H. A., Emond, A. M., Heron, J. E., Horwood, J., Tilling, K. M., Wright, A. & Joinson, C. J.
1/05/14 → 28/02/17
Project: Research
Profiles
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Professor Carol J Joinson
- Bristol Medical School (PHS) - Professor of Developmental Psychology
- Bristol Population Health Science Institute
- Centre for Academic Mental Health
Person: Academic , Member