A comparison of dry-bed training and standard urine-alarm conditioning treatment of childhood bedwetting. Multimedia versus written information for nocturnal enuresis education: a cluster randomized controlled trial. Dry-bed training for childhood bedwetting: a comparison of group with individually administered parent instruction. Dry bed training without a urine alarm: lack of effect of setting and therapist contact with child. Dry-bed training: rapid elimination of childhood enuresis. A comparison of two approaches to the treatment of nocturnal enuresis and the prediction of effectiveness using pre-treatment variables. A component analysis of dry-bed training for treatment for bedwetting. Functional enuresis: pharmacological versus behavioral treatment. The body-worn alarm in the treatment of childhood enuresis. Filmed versus live delivery of full-spectrum home training for primary enuresis: presenting the information is not enough.
nan This study evaluated the impact of child-focused information provision using a multimedia software package 'All About Nocturnal Enuresis' and written leaflets containing the same information for bedwetting children.
                A stratified cluster randomized controlled trial with data on 270 children collected longitudinally.
                Fifteen school nurse-led community enuresis clinics in Leicestershire, UK.
                The outcome measures were becoming and remaining dry and time to dry, non-attendance and dropout rates. The psychological measures completed by children were the impact of bedwetting and Coopersmith self-esteem scales. Parents completed the maternal tolerance scale.
                No significant intervention effect was found for any of the outcome measures recorded during treatment, at discharge or six-months post discharge.
                Multimedia educational programs and written leaflets are widely used to enable children to learn more about their health-related conditions. However, our result suggests that multimedia is no more effective than traditional materials at effecting health-related behavioural change. nan Three variations in the mode of delivery of Dry Bed Training as a treatment for nocturnal enuresis were investigated. Twenty-three children, ranging in age from 4 to 14, received dry bed training without the additional use of a urine alarm. Treatment variations included: (a) in-home training of parents and child, (b) office based training of parents and child, and (c) office based training of parents only. An additional 7 children served as a waiting list control during the first 8 weeks of the study. A wide variety of outcome measures showed improvement for the entire sample regardless of specific mode of delivery. Implications for the treatment of enuresis using dry bed training and a number of critical methodological issues are discussed. nan This study compared the effectiveness of the enuresis alarm alone with a brief version of Dry Bed Training in treating 74 enuretic children. Both procedures were equally effective, and in the total sample a better response to treatment was predicted by the child's report of being teased by siblings. Maternal anger was associated with a greater drop-out rate. nan Treatment of childhood enuresis requires a careful anamnesis, physical examination, urinalysis, and urine culture to determine if a subject is affected with functional or organic enuresis. Functional enuresis (FE) was present in the majority of our patients (168/204). These 168 subjects, aged from 6 to 11 years, were randomly divided into three therapy groups (pharmacological therapy, behavioral therapy, and behavioral therapy with the aid of a personal computer). Our study shows that behavioral therapy gave better results in FE than did pharmacological therapy. We point out the usefulness of combining bladder retention training and behavioral therapy to improve the general maturity and autonomous behavior of the child, and the resultant positive effects on his personality. Two studies examined the effectiveness of the body-worn alarm in out-patient treatment of childhood nocturnal enuresis. The first involved 40 children, previously untreated by conditioning methods, treated with either the body-worn alarm or the traditional pad and bell alarm. The second study compared the body-worn alarm with modified dry-bed training with 48 children previously resistant to treatment. Results of both studies indicated the body-worn alarm was as effective as other methods in terms of the proportion of children successfully treated and was superior with respect to rapidity of response and consumer appeal. Such findings indicate that the body-worn alarm could become the treatment of choice for nocturnal enuresis. nan