Toilet training in daycare centers in Flanders, Belgium

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• 作者：Nore Kaerts (1)
  Guido Van Hal (2)
  Alexandra Vermandel (1) (3)
  Jean-Jacques Wyndaele (1) (3) (4)
  
• 关键词：Toilet training ; Child daycare centers ; Child ; preschool ; Child rearing ; Health
• 刊名：European Journal of Pediatrics
• 出版年：2012
• 出版时间：June 2012
• 年：2012
• 卷：171
• 期：6
• 页码：955-961
• 全文大小：157KB
• 参考文献：1. American Academy of Pediatrics (1999) Toilet training guidelines. Pediatrics 103(6):1362-368
  2. Bakker E, van Gool JD, van Sprundel M, van der Auwera C, Wyndaele JJ (2002) Results of a questionnaire evaluating the effects of different methods of toilet training on achieving bladder control. BJU Int 90:456-61 CrossRef
  3. Bakker E, van Gool J, van Sprundel M, van der Auwera JC, Wyndaele JJ (2004) Risk factors for recurrent urinary tract infection in 4,332 Belgian schoolchildren aged between 10 and 14?years. Eur J Pediatr 163:234-38 CrossRef
  4. Bakker E, Van Gool J, Wyndaele JJ (2001) Results of a questionnaire evaluating different aspects of personal and familial situation, and the methods of potty-training in two groups of children with a different outcome of bladder control. Scand J Urol Nephrol 35:370-76 CrossRef
  5. Bakker E, Wyndaele JJ (2000) Changes in the toilet training of children during the last 60?years: the cause of an increase in lower urinary tract dysfunction? BJU Int 86:248-52 CrossRef
  6. Barcelona European Council (2002) Presidency conclusions (online) http://www.consilium.europa.eu/uedocs/cms_data/docs/pressdata/en/ec/71025.pdf. Accessed 01-011
  7. Barone JG, Jasutkar N, Schnieder D (2009) Later toilet training is associated with urge incontinence in children. J Pediatr Urol 20:458-61 CrossRef
  8. Berk LB, Friman PC (1990) Epidemiologic aspects of toilet training. Clin Pediatr 29(5):278-82 CrossRef
  9. Blackburn P (2006) Childcare services in the EU—what future? (online) http://www.eurofound.europa.eu/emcc/content/source/eu06015a.htm?p1=ef_publication&p2=null. Accessed 01-011
  10. Blum NJ, Taubman B, Nemeth N (2003) Relationship between age at initiation of toilet training and duration of training: a prospective study. Pediatrics 111:810-14 CrossRef
  11. Blum NJ, Taubman B, Nemeth N (2004) Why is toilet training occurring at older ages? A study of factors associated with later training. J Pediatr 145:107-11 CrossRef
  12. Brazelton TB, Christophersen ER, Frauman AC, Gorski A, Poole JM, Stadtler AC, Wright CL (1999) Instruction, timeliness and medical influences affecting toilet training. Pediatrics 103(6):1353-358
  13. Choby BA, George S (2008) Toilet training. Am Fam Physician 78(9):1059-064
  14. Community Paediatrics Committee, CPS (2000) Toilet learning: anticipatory guidance with a child-oriented approach. J Paediatr Child Health 5(6):333-35
  15. Connell-Carrick K (2006) Trends in popular parenting books and the need for parental critical thinking. Child Welf 85(5):819-36
  16. Foxx RM, Azrin NH (1973) Dry pants: a rapid method of toilet training children. Behav Res Ther 11:435-42 CrossRef
  17. Hadler SC, Mcfarland L (1986) Hepatitis in day care centers: epidemiology and prevention. Rev Infect Dis 8(4):548-57 CrossRef
  18. Hellstrom AL (2000) Influence of potty training habits on dysfunctional bladder in children. Lancet 356:1787 CrossRef
  19. Horn IB, Brenner R, Rao M, Cheng TL (2006) Beliefs about the appropriate age for initiating toilet training: are there racial and socioeconomic differences. J Pediatr 149(2):165-68 CrossRef
  20. Horstmanshoff BE, Regterschot GJK, Nieuwenhuis EES, Benninga MA, Verwijs W, Waelkens JJJ (2003) Zindelijkheid voor urine bij 1- jarige kinderen in de regio Eindhoven en de Kempen, in 1996 en in 1966. Ned Tijdschr Geneeskd 147(1):27-1
  21. Jansson UB, Hanson M, Hanson E, Hellstrom AL, Sillen U (2000) Voiding pattern in healthy children 0 to 3?years old: a longitudinal study. J Urol 164(6):2050-054 CrossRef
  22. Kaerts N, van Hal G, Vermandel A, Wyndaele JJ (2011) Readiness signs used to define the proper moment to start toilet training: a review of the literature. Neurourol Urodyn (in press)
  23. Kind En Gezin (2009) Het kind in Vlaanderen (online) http://www.kindengezin.be/Images/KIV%202009_tcm149-71761.pdf. Accessed 01-011
  24. Kind En Gezin (2009) Jaarverslag 2009, (online), http://www.kindengezin.be/Images/JV%202009%20Kind%20en%20Gezin_tcm149-71762.pdf. Accessed 01-011
  25. Kind En Gezin (2009) Jaarverslag kinderopvang 2009 (online) http://www.kindengezin.be/Images/Jaarverslag2009_tcm149-72634.pdf. Accessed 01-2011
  26. Lemp GF, Woodward WE, Pickering LK, Sullivan PS, Dupont HL (1984) The relationship of staff to the incidence of diarrhea in day-care centers. Am J Epidemiol 120(5):750-58
  27. Monsen RB (2001) The child in the community: nursing makes a difference. Giving children control and toilet training. J Pediatr Nurs 16(5):375-76 CrossRef
  28. Mota DM, Barros AJD (2008) Toilet training: situation at 2?years of age in a birth cohort. J Pediatr 84(5):455-62 CrossRef
  29. Mota DM, Barros AJD (2008) Toilet training: methods, parental expectations and associated dysfunctions. J Pediatr 84(1):9-7 CrossRef
  30. Osterholm MT, Reves RR, Murph JR, Pickering LK (1992) Infectious diseases and child day care. Pediatr Infect Dis J 11(8):S31–S41
  31. Pickering LK, Barlett AV, Woodward WE (1986) Acute infectious diarrhea among children in day care: epidemiology and control. Rev Infect Dis 8(4):539-47 CrossRef
  32. Plantenga J, Siegel M (2004) Position paper, ‘childcare in a changing world-(online) http://www.childcareinachangingworld.nl/downloads/position_paper_part1.pdf. Accessed 01-011
  33. Polaha J, Warzak WJ, Dittmer-Mcmahon K (2002) Toilet training in primary care: current practice and recommendations from behavioral pediatrics. J Dev Behav Pediatr 23(6):424-29 CrossRef
  34. Rogers J (2002) Toilet training: lessons to be learnt from the past? Nurs Times 98(43):56-7
  35. Schum TR, Kolb TM, Mcauliffe TL, Simms MD, Underhill RL, Lewis M (2002) Sequential acquisition of toilet-training skills: a descriptive study of gender and age differences in normal children. Pediatrics 109(3):1- CrossRef
  36. Schum TR, Mcauliffe TL, Simms MD, Walter JA, Lewis M, Pupp R (2001) Factors associated with toilet training in the 1990’s. Ambul Pediatr 1(2):79-6 CrossRef
  37. Schuster MA, Duan N, Regalado M, Klein DJ (2000) Anticipatory guidance: what information do parents receive? What information do they want? Arch Pediatr Adolesc Med 154:1191-198
  38. Sullivan P, Woodward WE, Pickering LK, Dupont HL (1984) Longitudinal study of occurrence of diarrheal disease in day care centers. Am J Public Health 74(9):987-91 CrossRef
  39. Taubman B (1997) Toilet training and toileting refusal for stool only: a prospective study. Pediatrics 99(1):54-8 CrossRef
  40. Thompson SC (1994) Infectious diarrhea in children: controlling transmission in the child care setting. J Paediatr Child Health 30(3):210-19 CrossRef
  41. Vandenbroeck M (2009) In verzekerde bewaring: Honderdvijftig jaar kinderen, ouders en kinderopvang. SWP, Amsterdam, p 375
  42. Vermandel A, Kaerts N, van Nunen K, Wyndaele JJ, van Hal G (2011) Bevraging van kleuterleidsters over zindelijkheid. Tijdschr voor Geneeskunde 67(2):69-4
  43. Vermandel A, van Kampen M, de Wachter S, Weyler J, Wyndaele JJ (2009) The efficacy of a wetting alarm diaper for toilet training of young healthy children in a day-care center: a randomized control trial. Neurourol Urodyn 28:305-08 CrossRef
  44. Vermandel A, van Kampen M, van Gorp C, Wyndaele JJ (2008) How to toilet train healthy children? A review of the literature. Neurourol Urodyn 27:162-66 CrossRef
  45. Vermandel A, Weyler J, Wyndaele JJ (2008) Toilet training of healthy young toddlers: a randomized trial between a daytime wetting alarm and timed potty training. J Dev Behav Pediatr 29(3):191-96 CrossRef
  46. Vernon AA, Schable C, Francis D (1982) A large outbreak of hepatitis A in a day-care center: association with non-toilet-trained children and persistence of IgM antibody to hepatitis A virus. Am J Epidemiol 115(3):325-31
  47. Wu HY (2010) Achieving urinary continence in children. Nat Rev Urol 7:371-77 CrossRef
  
• 作者单位：Nore Kaerts (1)
  Guido Van Hal (2)
  Alexandra Vermandel (1) (3)
  Jean-Jacques Wyndaele (1) (3) (4)
  
  1. Department of Urology, Faculty of Medicine, University of Antwerp, Antwerp, Belgium
  2. Department of Epidemiology, Faculty of Medicine, University of Antwerp, Antwerp, Belgium
  3. Urology, Antwerp University Hospital, Antwerp, Belgium
  4. Urology—UZA, 10 Wilrijkstraat, 2650, Edegem, Belgium
  

文摘

Several changes have occurred in the toilet training (TT) process in recent decades. There has been an increase in the use of daycare as both parents now often work outside the home. Most children attend daycare centers during the period TT usually takes place, and daytime training has shifted from home to daycare. This study is the first to evaluate the way TT is done in daycare centers. A questionnaire was sent to 1,500 daycare centers, of which 429 replied (response rate of 28.6%). The results show that half of the childcare workers base the decision to start TT on readiness signs. The combination of age and readiness signs is used by 44.5%. The majority of the respondents spent more than 1?h per day on TT (81.8%); 79.8% considered that daycare and parents should play an equal role in TT. However, more than a third of the respondents thought that parents pass the responsibility for TT on to daycare and that not enough attention was paid to TT in the home. Most respondents stated that daycare centers had the facilities and means to be able to give the children proper TT (88.5%). Other research indicated that the outcome of TT is not that good overall and that there is room for improvement in the methods used. More research is needed on the role division and on the interaction between daycare and parents and their combined influence on the process and outcome of TT.