Group Toilet Training of Healthy Children, in Daycare Centers (CRCT)

Not Applicable

Completed

• Conditions: Child, Preschool; Toilet Training
• Interventions: Other: Group toilet training in daycare; Other: Individual toilet training at home

• Registration Number: NCT04221776
• Lead Sponsor: University Hospital, Antwerp

Brief Summary

Evaluation of a new method of toilet training (TT), meaning TT in group in daycare centers, guided by a TT expert. Children are included based on signs of readiness for TT.

Detailed Description

A cluster randomized controlled trial (CRCT) was established in daycare centers. Clusters of participants (per daycare center) were randomly allocated to an Intervention group or a Control group.

Evolution of the TT process was monitored in the daycare center until the child was considered to be fully toilet trained (or 'clean') during the day (this means wearing undergarments, conscious of the need to void and initiating toilet behavior without reminder of the parents with a maximum of one leakage a day \[9\]).

Daycare workers evaluated the TT process of all participating children on a weekly basis. Parents were asked to fill in an online questionnaire when their child was completely toilet trained.

Study Timeline

• Study Start: 2017-11-23
• Primary Completion: 2018-10-30
• Study Completion: 2019-03-26
• Status Verified: 2020-01
• Study First Submitted: 2020-01-06
• Study First Submitted QC: 2020-01-06
• Study First Posted: 2020-01-09
• Last Update Submitted: 2020-01-16
• Last Update Posted: 2020-01-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 55

Inclusion Criteria

• knowledge of the Dutch language
• aged between 18 and 30 months
• not yet toilet trained during the day and night (diaper dependent)
• Parents of the children had to be motivated to participate in the study and willing to invest time and effort in continuing the TT at home
• Children met at least two of the following three signs of readiness: the child expresses a need to evacuate and shows awareness of the need to void or to have a bowel movement; the child insists on completing tasks without help and is proud of new skills; or the child can pull clothes up and down in a TT related context

Exclusion Criteria

• Children with urological, neurological, organical or behavior problems

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intensive toilet training group	Group toilet training in daycare	Intervention group was subjected to an intensive TT group session lasting 2-hours during 2 consecutive days in daycare centers.
Standard care toilet training group	Individual toilet training at home	Children participating in control group did not receive the intensive training, but parents got a leaflet and were encouraged to start TT their child at home, in their own manner.

Primary Outcome Measures

Name	Time	Method
Duration of toilet training	6 weeks	Number of weeks needed for the child to become fully toilet trained

Secondary Outcome Measures

Name	Time	Method
Effectiveness of toilet training	6 weeks	Number of children that acquire cleanliness at 6 weeks time

Trial Locations

Locations (1)

University Hospital Antwerp; 🇧🇪 Antwerp, Belgium