Radboud University Nijmegen, Behavioral Science Institute, Department of Special Education, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands.
Res Dev Disabil. 2009 Nov-Dec;30(6):1388-93. doi: 10.1016/j.ridd.2009.06.006. Epub 2009 Jul 29.
The long-term effectiveness of the response restriction method for establishing diurnal bladder control was assessed with 48 participants with intellectual disabilities. Intervals of assessment ranged from 28 to 66 months across the individuals following initial baseline. Difference scores in terms of the mean number of toileting accidents per hour were related to participants' stereotypic behaviour and their housing conditions, as these were hypothesized to differentially influence the maintenance of diurnal bladder control. It was found that (a) across all participants there was a statistically significant decrease of the mean number of toileting accidents during follow-up as compared to initial baseline (b) stereotypic behaviour failed to be related to maintenance of bladder control, and (c) housing condition was significantly related to the above dependent variable, in that those living in a residential facility were more likely to wear a diaper again as compared to those living with their family. Implications for the clinical practice are discussed.
48 名智障人士参与了这项研究，评估了反应限制法建立日间膀胱控制的长期效果。在最初的基线之后，每个人的评估间隔时间从 28 到 66 个月不等。每小时如厕事故次数的差异分数与参与者的刻板行为和居住条件有关，因为这些因素被假设会对日间膀胱控制的维持产生不同的影响。结果发现：（a）与初始基线相比，所有参与者在随访期间平均如厕事故次数都有统计学意义上的显著减少；（b）刻板行为与膀胱控制的维持无关；（c）居住条件与上述因变量显著相关，即居住在住宿设施中的人比与家人住在一起的人更有可能再次使用尿布。讨论了对临床实践的影响。
