Deoki Angela, Knapp Vicki Madaus
Department of Behavioral Science, Daemen University, 4380 Main St., Amherst, NY 14226, USA.
The Summit Center, 150 Stahl Rd., Getzville, NY 14068, USA.
Healthcare (Basel). 2024 Nov 26;12(23):2374. doi: 10.3390/healthcare12232374.
Independence with the toilet is an important life skill. Individuals with Autism Spectrum Disorder (ASD) may present with several deficits that impair their ability to independently use the toilet and often individuals with ASD require more support than is provided in typical toilet training methods, including behavioral toilet training methods. This current study is a demonstration of the use of an intensive toilet training procedure with one eighteen-year-old adult male with ASD and below-average levels of adaptive functioning to successfully void in the toilet and reduce accidents. : A package of behavioral toilet training procedures was implemented for 11 weeks in a school setting. This package included intensive toilet training, a urine alarm, a toileting schedule, verbal praise, edible reinforcement, and dry pants checks. School staff were trained to implement this procedure with behavioral skills training (BST). : Intensive toilet training was effective in eliminating the number of accidents while increasing the number of successes, thus increasing his independence with toileting. : Increasing independence with toileting is an important life skill and can increase the likelihood that an individual would be accepted by an adult services placement.
独立使用厕所是一项重要的生活技能。自闭症谱系障碍（ASD）患者可能存在多种缺陷，这些缺陷会损害他们独立使用厕所的能力，而且ASD患者通常需要比典型如厕训练方法（包括行为如厕训练方法）所提供的更多支持。本研究展示了对一名18岁患有ASD且适应功能水平低于平均水平的成年男性使用强化如厕训练程序，以成功在厕所排尿并减少意外事故。：在学校环境中实施了一套行为如厕训练程序，为期11周。该套餐包括强化如厕训练、尿液报警器、如厕时间表、口头表扬、可食用强化物和检查裤子是否干爽。学校工作人员通过行为技能培训（BST）接受了实施该程序的培训。：强化如厕训练有效地减少了意外事故的数量，同时增加了成功的次数，从而提高了他在如厕方面的独立性。：提高如厕独立性是一项重要的生活技能，并且可以增加个人被成人服务机构接纳的可能性。
