The Effects of a Decision-Protocol Informed Toilet Training Intervention for Preschoolers with Disabilities


We describe a decision protocol for choosing among potentially efficacious toilet training interventions and tested its effects with 3 preschool participants with disabilities. We utilized a decision protocol (Keohane and Greer 2005) to determine whether to initially implement interval or rapid training interventions as well as to determine whether adequate progress was being made with a particular toilet training intervention. We utilized the decision protocol to individualize toilet training procedure and evaluated its effects in a delayed multiple baseline design. Results indicated that the toileting skills of all participants improved with increased numbers of target voids on the toilet and decreased numbers of accidents as a result of individualized training procedures.

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Correspondence to Daniel M. Fienup.

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Ethical Approval

The school’s Institutional Review Board deemed this research as exempt educational research. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and 1964 Helsinki declaration and its later amendments or comparable ethical standard.

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Each participant’s parent consented to the dissemination of data collected during regular educational activities.

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All three authors claim no conflict of interest.

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Frank, M.R., Kim, J.Y. & Fienup, D.M. The Effects of a Decision-Protocol Informed Toilet Training Intervention for Preschoolers with Disabilities. J Dev Phys Disabil 32, 477–488 (2020).

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  • Preschoolers with disabilities
  • Decision protocol
  • Interval toilet training
  • Rapid toilet training
  • Toilet training