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. (Researcher), Emond, A. M. (Researcher), Heron, J. E. (Researcher), Horwood, J. (Researcher), Tilling, K. M. (Researcher), Wright, A. (Collaborator) & Joinson, C. J. (Principal Investigator)
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