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29

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CONGRESS OF THE ESPU

MATERIAL AND METHODS

The process evaluation (Craig et al. IJNS 2012;50:585–92) provides a framework for the evalua-

tion. The effectiveness of the VS is compared with standard treatment in a randomized controlled

trial. Participants are 5–6 years old children, who are diagnosed to have daytime incontinence or

enuresis in their yearly check-up in child welfare clinic. One week voiding diary, NLUT-DES -ques-

tionnaire (Afshar et al. JU 2009;182;1939–44) and PedsQL™ 4.0 are used as outcome measures.

Intervention delivery is carried out by training public-health nurses with the help of detailed manual.

The evaluation of implementation process consists of interviews and questionnaires targeted to

public-health nurses and parents.

RESULTS

Child outcomes will examine the causality between the intervention and the desired effect. The

qualitative explorations with interviews and questionnaires delineate the successful of implementa-

tion and the feasibility of VS-manual. It also identifies causal mechanisms and contextual factors,

which influence on outcomes.

CONCLUSIONS

The study protocol measuring both process and patient outcomes helps us to further understand

the challenges of implementation. This knowledge is essential to support the future implementation

of intervention.