A pilot investigation of an iOS-based app for toilet training children with autism spectrum disorder
| Autor: | Katherine Zanibbi, Lynne Levato, Dianne M. Finkelstein, Stephen A. McAleavey, Rachel Aiello, Daniel W. Mruzek, Erin McDonnell, Eric Butter, Patricia Corbett-Dick, Alyssa M York, Jonathan W Wilkins, Cora Taylor, Rebekah Travis, Tristram Smith, Courtney A. Aponte, Whitney A. Loring |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Parents 030506 rehabilitation medicine.medical_specialty Autism Spectrum Disorder Pilot Projects Urinary incontinence law.invention 03 medical and health sciences Randomized controlled trial Enuresis law Intervention (counseling) Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Child Toilet 05 social sciences Toilet Training Retention rate medicine.disease Mobile Applications Autism spectrum disorder Child Preschool Physical therapy Feasibility Studies Autism Female medicine.symptom 0305 other medical science Psychology Reinforcement Psychology Wireless Technology 050104 developmental & child psychology |
| Zdroj: | Autism. 23:359-370 |
| ISSN: | 1461-7005 1362-3613 |
| DOI: | 10.1177/1362361317741741 |
| Popis: | We developed an iOS-based app with a transmitter/disposable sensor and corresponding manualized intervention for children with autism spectrum disorder. The app signaled the onset of urination, time-stamped accidents for analysis, reminded parents to reinforce intervals of continence, provided a visual outlet for parents to communicate reinforcement, and afforded opportunity for timely feedback from clinicians. We compared this intervention with an intervention that uses standard behavioral treatment in a pilot randomized controlled trial of 33 children with autism spectrum disorder aged 3–6 years with urinary incontinence. Parents in both groups received initial training and four booster consultations over 3 months. Results support the feasibility of parent-mediated toilet training studies (e.g., 84% retention rate, 92% fidelity of parent-implemented intervention). Parents used the app and related technology with few difficulties or malfunctions. There were no statistically significant group differences for rate of urine accidents, toilet usage, or satisfaction at close of intervention or 3-month follow-up; however, the alarm group trended toward greater rate of skill acquisition with significantly less day-to-day intervention. Further development of alarm and related technology and future comparative studies with a greater number of participants are warranted. |
| Databáze: | OpenAIRE |
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