Toilet training interventions for children with autism spectrum disorder: A systematic review

Simon, Megan, Wilkes-Gillan, Sarah, Ryan Chen, Yu-Wei, Cordier, Reinie, Cantrill, Alycia, Parsons, Lauren and Phua, Jia Jun (2022) Toilet training interventions for children with autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders, 99. p. 102049. ISSN 1750-9467

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Children on the autism spectrum can often reach independence in toileting at a later age than nonautistic children, which impacts their health outcomes, independence and social participation. This study aimed to systematically review evidence-based toilet training interventions for children on the autism spectrum, and assess the quality of existing evidence.

Guided by the PRISMA statement, a search of scholarly databases was conducted and the study characteristics, methodological quality and intervention components of included studies were examined.

This systematic review identified 26 studies that evaluated toilet training interventions for children on the autism spectrum. Results identified that while Azrin and Foxx’s (1971) Rapid Toilet Training approach is most widely researched for children on the autism spectrum, investigating the effects of current toilet training approaches is limited by small sample sizes, low-level study designs and variable methods of reporting outcomes.

Greater consideration of parent-child communication, children’s developmental and toileting skill level may facilitate development of toileting approaches that better meet the needs of children on the autism spectrum and their families.

Item Type: Article
Additional Information: Funding information: This systematic review was conducted as part of the first author’s honor’s thesis at The University of Sydney. The first author received a $500 AUD reimbursement for expenses from the Faculty of Medicine and Health and $6000 AUD from The Douglas and Lola Douglas Scholarship (Occupational Therapy) as a part of the integrated honors program. The scholarship was awarded for exhibiting outstanding performance in the undergraduate honors degree of Occupational Therapy.
Uncontrolled Keywords: Autism spectrum disorder, Autistic disorder, Children, Toilet training, Systematic review
Subjects: B700 Nursing
L500 Social Work
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Rachel Branson
Date Deposited: 31 Oct 2022 15:37
Last Modified: 18 Apr 2024 03:30

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