Parents: stop worrying about which toilet training method to use - where urinary accidents in children are concerned, it doesn't matter. This clearly-stated message, published today in Clinical Pediatrics by physician researchers from the University of Medicine and Dentistry of New Jersey (UMDNJ)-Robert Wood Johnson Medical School and The Bristol-Myers Squibb Children's Hospital at Robert Wood Johnson University Hospital, emphasizes that the method of training chosen by parents is not the cause of urinary accidents in children.
"Toilet training is an important milestone for children, the success of which often has been viewed according to the method of training used - a hotly debated topic in child development since the 1930s," said Joseph G. Barone, MD, professor of surgery and pediatric urologist at UMDNJ-Robert Wood Johnson Medical School and surgeon-in-chief at The Bristol-Myers Squibb Children's Hospital at Robert Wood Johnson University Hospital. "Our study and prior research suggest that toilet training children early, between 24 and 32 months of age, is more important for reducing the risk of urinary concerns than the method parents choose for training."
According to Dr. Barone and his research team, there are two broad categories of training: parent-oriented, which was more common prior to 1960 and encourages early toilet training with firm parental direction, and child-oriented, which occurs when a child shows interest and willingness to be toilet trained. Both methods, according to the study, have dozens of modifications that may use rewards or the withdrawal of rewards in an attempt to be effective.