Online ISSN: 2325-7466
2006
Triannual
National Association of Special Education Teachers (NASET)
United States

Articles

Increasing Independent Toileting in Children with Autism Spectrum Disorder and Other Developmental Disabilities: A Systematic Review

  • Vicky G. Spencer, Ph.D, BCBA-D, LBA (Author) Shenandoah University image/svg+xml
    Vicky G. Spencer, Ph.D, BCBA-D, LBA, is a Professor in the Department of Psychology at Shenandoah University (SU) in Winchester, Virginia. She has over 25 years of experience as a university professor and researcher. Dr. Spencer’s areas of research include behavioral management strategies, cognitive learning strategies, and inclusive practices for all people.
  • Meghan Ello, M.S., BCBA, LBA (Author) Shenandoah University
    Meghan Ello, M.S., BCBA, LBA, is a recent 2019 Master’s graduate in Applied Behavior Analysis at Shenandoah University in Winchester, Virginia. She is currently employed as a BCBA at Continuum Behavioral Health in Northern, Virginia. She is passionate about working with both children and adults, as well as their families, to help facilitate a meaningful change utilizing evidence-based ABA interventions.
DOI
https://doi.org/10.64546/jaasep.476
Abstract
Being able to independently and correctly complete a toileting routine is an important developmental milestone for all children, but for children with Autism Spectrum Disorder (ASD), it may be an extremely difficult skill to acquire (Keen et al., 2007). The focus of this review was to examine the effectiveness of the current research on three common interventions including video modeling, the modified intensive toilet training method (MITTM), and parent-delivered toilet training for increasing in-toilet voiding in children with ASD. Nine single-subject design studies were identified from 2009 to 2019. The overall results of the toilet training intervention studies have shown the procedures reviewed to be effective in increasing in-toilet voiding. Future research should focus on replicating and expanding these interventions, but also combining these interventions to see if the effects would produce more positive results for children with ASD and toileting issues.
Keywords
Autism, Children, Daily Living Skills, Intervention, Modeling (Psychology), Parent Role
References

Ardic, A., & Cavkaytar, A. (2014). Effectiveness of the modified intensive toilet training method on teaching toilet skills to children with autism. Education & Training in Autism & Developmental Disabilities, 49(2), 263-276. https://doi.org/10.1901/jaba.1971.4-89

Azrin, N. H., & Foxx, R. M. (1971). A rapid method of toilet training the institutionalized retarded. Journal of Applied Behavior Analysis, 4, 89-99. https://doi.org/10.1901/jaba.1971.4-89 DOI: https://doi.org/10.1901/jaba.1971.4-89

Center for Disease Control (2018). Data and statistics on autism spectrum disorder. https://www.cdc.gov/ncbddd/autism/data.html

Cicero, F., & Pfadt, A. (2002). Investigation of a reinforcement-based toilet training procedure for children with autism. Research in Developmental Disabilities, 23(5), 319-331. https://doi.org/10.1016/s0891-4222(02)00136-1 DOI: https://doi.org/10.1016/S0891-4222(02)00136-1

Cocchiola, M. A., Martino, G. M., Dwyer. L. J., & Demezzo, K. (2012). Toilet training children with autism and developmental delays: An effective program for school settings. Behavior Analysis in Practice, 5, 60-64. https://doi.org/10.1007/BF03391824 DOI: https://doi.org/10.1007/BF03391824

Delano, M. (2007). Video modeling interventions for children with autism. Remedial and Special Education, 28, 33-42. https://doi.org/10.1177/07419325070280010401 DOI: https://doi.org/10.1177/07419325070280010401

Doan, D., & Toussaint, K, A. (2016). A parent-oriented approach to rapid toilet training. International Electronic Journal of Elementary Education, 9(2), 473-485. Retrieved from https://www.iejee.com/index.php/IEJEE/article/view/170

Duker, P. C., Averink, M., & Melein, L. (2001). Response restriction as a method to establish diurnal bladder control. American Journal on Mental Retardation, 106(3), 209-215. https://doi.org/10.1352/0895-8017(2001)106%3C0209:RRAAMT%3E2.0.CO;2 DOI: https://doi.org/10.1352/0895-8017(2001)106<0209:RRAAMT>2.0.CO;2

Drysdale, B., Lee, C., Anderson A., & Moore, D. (2014). Using video modeling incorporating animation to teach toileting to two children with autism spectrum disorder. Journal of Developmental and Physical Disabilities, 27(2), 149-165. https://doi.org/10.1007/s10882-014-9405-1 DOI: https://doi.org/10.1007/s10882-014-9405-1

Frank, M. R., Kim, J. Y., & Fienup, D. M. (2019). The effects of a decision-protocol informed toilet training intervention for preschoolers with disabilities. Journal of Developmental and Physical Disabilities. https://doi.org/10.1007/s10882-019-09703-2 DOI: https://doi.org/10.1007/s10882-019-09703-2

Greer, B. D., Neidert, P. L., & Dozier, C. L. (2016). A component analysis of toilet-training procedures recommended for young children. Journal of Applied Behavior Analysis, 49 (1), 69-84. https://doi.org/10.1002/jaba.275 DOI: https://doi.org/10.1002/jaba.275

Keen, D., Brannigan, K. L., & Cuskelly, M. (2007). Toilet training for children with autism: the effects of video modeling. Journal of Developmental and Physical Disabilities, 19(4), 291-303. https://doi.org/10.1007/s10882-007-9044-x DOI: https://doi.org/10.1007/s10882-007-9044-x

Kroeger, K., & Sorensen-Burnworth, R. (2009). Toilet training individuals with autism and other developmental disabilities: A critical review. Research in Autism Spectrum Disorders, 3, 607-618. https://doi.org/10.1016/j.rasd.2009.01.005 DOI: https://doi.org/10.1016/j.rasd.2009.01.005

Kroeger, K., & Sorensen, R. (2010). A parent training model for toilet training children with autism. Journal of Intellectual Disability Research, 54(6), 556-567. https://doi.org/10.1111/j.1365-2788.2010.01286.x DOI: https://doi.org/10.1111/j.1365-2788.2010.01286.x

Lee, C., Anderson, A., & Moore, D. (2013). Using video modeling to toilet train a child with autism. Journal of Developmental and Physical Disabilities, 26(2), 123-134. https://doi.org/10.1007/s10882-013-9348-y DOI: https://doi.org/10.1007/s10882-013-9348-y

Lott, J. D., & Kroeger, K. A. (2004). Self-help skills in persons with mental retardation. In J. L. Matson, R. B. Laud, & M. L. Matson (Eds.), Behavior modification for persons with developmental disabilities: Treatment and supports (Vol. 2). National Association for the Dually Diagnosed.

McLay, L., Carnett, A., van der Meer, L., & Lang, R. (2015). Using a video modeling-based intervention to toilet train two children with autism. Journal of Developmental and Physical Disabilities, 27(4), 431-451. https://doi.org/10.1007/s10882-015-9426-4 DOI: https://doi.org/10.1007/s10882-015-9426-4

Ohtake, Y., & Takahashi, A., & Watanabe, K. (2015). Using an animated cartoon hero in video instruction to improve bathroom-related skills of a student with Autism Spectrum Disorder. Education and Training in Autism and Developmental Disabilities, 50(3), 343– 355. Retrieved April 27, 2021, from http://www.jstor.org/stable/24827515

Rinald, K., & Mirenda, P. (2012). Effectiveness of a modified rapid toilet training workshop for parents of children with developmental disabilities. Research in Developmental Disabilities, 33(3), 933-943. https://doi.org/10.1016/j.ridd.2012.01.003 DOI: https://doi.org/10.1016/j.ridd.2012.01.003

Saddler, O. W., & Merkert, F. (1977). Evaluating the Foxx and Azrin toilet training procedure for retarded children in a day training center. Behavior Therapy, 8(3), 499-500. https://doi.org/10.1016/S0005-7894(77)80093-2 DOI: https://doi.org/10.1016/S0005-7894(77)80093-2

Smith, P. S. (1979). A comparison of different methods of toilet training the mentally handicapped. Behaviour Research and Therapy, 17(1), 33-43. https://doi.org/10.1016/0005-7967(79)90048-2 DOI: https://doi.org/10.1016/0005-7967(79)90048-2

U.S. Department of Education (2004). Building the legacy: IDEA 2004. http://idea.ed.gov/

There are 22 references in total.
How to Cite
Spencer, V. G., & Ello, M. (2021). Increasing Independent Toileting in Children with Autism Spectrum Disorder and Other Developmental Disabilities: A Systematic Review. Journal of the American Academy of Special Education Professionals, 16(3), 185-196. https://doi.org/10.64546/jaasep.476

Fall 2021

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  • Article Type Articles
  • Submitted August 15, 2021
  • Published October 15, 2021
  • Issue Fall 2021
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