Toilet Training and Adults With Learning Disabilities

Toileting Assessment and Toilet Training for Adults With Learning Disabilities With Incontinence

Incontinence is common in adults with learning disabilities (LDs). Behavioural toilet training in conjunction with toilet alarms is recommended for people with LDs, but there is a paucity of research, thus evidence-based practise, on behavioural toilet training for adults with LDs. The aim of this study is to assess the toileting needs and issues of 30 adults with LDs with incontinence, and determine whether a 12-week individualised positive behavioural support training intervention, with the use of toilet alarms, promotes continence.

Adults with learning disabilities with incontinence are being invited to participate in a 12-week personalised, positive toilet training plan, following assessment of their toileting needs. Primary outcome measures will be: number of incidences of incontinence, and number of instances of successful voiding in a toilet. Toilet alarms will be used to encourage prompted voiding in a toilet.

Inclusion Criteria:

- Adults with learning disabilities with incontince across all levels of learning disabilities (mild to profound)

Exclusion Criteria:

• Cannot sit on a toilet for up to 3 minutes