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Arousal training for children suffering from nocturnal enuresis: a 2-year follow-up
van Londen A, van Londen-Barentsen MW, van Son M, Mulder GA
Behaviour Research and Therapy 1993 Jul;31(6):613-615
clinical trial
3/10 [Eligibility criteria: No; Random allocation: No; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Arousal Training is a fast, simple, and effective form of bibliotherapy for nocturnal enuresis with non-clinical children between 6 and 12 years of age. The parents act as therapists. They reward the operant behavior-pattern following the urine alarm. The success rate is 98% (n = 41), which is significantly high when compared to the control conditions (79%, n = 86). There was a response rate of 100% and no drop-out from therapy. All parents (n = 127) completed and returned the record. The results of a follow-up of this bibliotherapy (n = 113) 2 years later are presented. The success rate of Arousal Training was still significantly higher (92% continent) when compared to the urine device with specific instructions (77%) and urine alarm only (72%). Arousal Training is the treatment of choice for non-clinical enuretic children between 6 and 12 years of age.
With permission from Excerpta Medica Inc.

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