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Prevention of relapse in full-spectrum home training for primary enuresis: a components analysis
Houts AC, Peterson JK, Whelan JP
Behavior Therapy 1986 Sep;17(4):462-469
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; 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*

Forty-five primary enuretic children were randomly assigned to three treatment groups comprised of sequentially combined components of Full Spectrum Home Training: bell-and-pad treatment, retention control training, and overlearning. Eleven children served as wait-list controls and showed no spontaneous remission. The group that received all three components reached success criterion (14 consecutive dry nights) faster than the group that received the first component alone. In addition, relapse at 3-month follow-up was significantly less for the group that received all three components compared to groups that received either the first or the first two in combination. Retreatment of relapsers was successful in 22% of re-treated cases. It is suggested that overlearning be routinely incorporated into bell-and-pad treatments to prevent relapse.

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