Dataset Information

Examining the effectiveness of parental strategies to overcome bedwetting: an observational cohort study.

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 1258 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 to 0.202), ie, there is a 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 to 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), for example, 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.

SUBMITTER: Grzeda MT

PROVIDER: S-EPMC5541498 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Publications

Examining the effectiveness of parental strategies to overcome bedwetting: an observational cohort study.

Grzeda Mariusz T MT Heron Jon J Tilling Kate K Wright Anne A Joinson Carol C

BMJ open 20170713 7

<h4>Objective</h4>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.<h4>Design</h4>Prospective cohort study.<h4>Setting</h4>General community.<h4>Participants</h4>The starting sample included 1258 children (66.7% boys and 33.2% girls) w ...[more]

PMID: 28710225

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Dataset Information

Examining the effectiveness of parental strategies to overcome bedwetting: an observational cohort study.

Objective

Design

Setting

Participants

Outcome measure

Results

Conclusion

Publications

Examining the effectiveness of parental strategies to overcome bedwetting: an observational cohort study.

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