ESPU Congress 2018 - Abstract Book

222 29 th CONGRESS OF THE ESPU 10:40–10:50 S1-7 (LO) A NEW METHOD OF GROUP TOILET TRAINING IN DAYCARE CENTERS Tinne VAN AGGELPOEL  1 , Stefan DE WACHTER  1 , Hedwig NEELS  2 and Alexandra VERMANDEL  1 1) University Hospital Antwerp, Urology, Edegem, BELGIUM - 2) Antwerp University, Faculty of Medicine and Health Sciences, Wilrijk, BELGIUM BACKGROUND AND AIMS In Western society there is a distinct shift to a progressively later initiation of toilet training (TT) and an increasing age of acquiring full bladder control. There is a need to reform TT to decrease the disadvantages of postponing TT. This study is the first to investigate prospectively the efficacy of intensive group toilet training in children in daycare centers. MATERIAL AND METHODS A clustered RCT was established in twelve daycare centers. We included 24 diaper-dependent children, aged 18 to 30 months. Clusters of participants (per daycare center) were randomly dis- tributed to an intervention- and a control group (IG1 and CG respectively). IG1 was subjected to an intensive TT group session lasting 2-hours during 2 consecutive days. Parents received a leaflet containing practical tips on how to continue TT. In CG parents were encouraged to start TT in their own manner. Evolution of the TT process was monitored during the following 6 weeks. Statistical analysis was performed using 'SPSS 24'. RESULTS Completion of toilet training was achieved in 93 % (14/15) and 44 % (4/9) of the children in IG1 and CG respectively. The average training duration was 2.07 weeks and 4.33 weeks in IG1 and CG respectively. Duration of TT was significantly different between both groups (p=.023) and was significantly correlated to the different groups (p=0,004). 41,2 % of the variance in training duration between both groups can be attributed to starting age, number of siblings and if parents had already started TT. The average starting age in IG1 was 26,12 months and 25 months in CG. The starting age was not significantly associated with the training duration. CONCLUSIONS Group TT can already be initiated in daycare centers through means of an adequate method of TT and will shorten the training duration. Large scale study is required to validate these results. These significant findings are clinically relevant for parents, caregivers and educators.