Enuresis, Lower Urinary Tract Dysfunction and Teachers’ Perceptions: A School-based Survey

Thergaonkar, Ranjeet; Thergaonkar, Neerja; Swain, Santosh Kumar

doi:10.1007/s13312-020-1818-6

Cited by 2 publications

(6 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Existing studies have shown that school systems do not promote LUT health, and teachers and school nurses need improved education regarding LUTD and first‐line treatment options 7–22 . Ko et al surveyed elementary school teachers about their understanding of LUT health, activities that promote LUT health, and classroom rules around toileting.…”

Section: Discussionmentioning

confidence: 99%

“…Existing studies have shown that school systems do not promote LUT health, and teachers and school nurses need improved education regarding LUTD and first-line treatment options. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] Ko et al surveyed elementary school teachers about their understanding of LUT health, activities that promote LUT health, and classroom rules around toileting. The overwhelming majority of respondent teachers (82%) never had any professional development regarding bathroom regulations, had toileting rules that did not promote LUT health (76%), and encouraged students to hold their urine (88%).…”

Section: Researchmentioning

confidence: 99%

“…8 Theragaonkar et al found that in India, 60% of teachers did not interpret frequent bathroom requests as an indication of a medical condition, and many teachers found requests to use the bathroom an "intense" stressor. 18 Veloso et al showed that 77.3% of Brazilian students surveyed received complaints from their teachers for missing class to use the bathroom frequently. 22 Other studies have shown a lack of accommodations for students with LUTD, frequent absenteeism and decreased school performance.…”

Section: Researchmentioning

confidence: 99%

See 2 more Smart Citations

Parental perception of paediatric lower urinary tract dysfunction during the COVID‐19 shutdown

Leroy,

Hutchison,

Kern

2023

Int J of Uro Nursing

View full text Add to dashboard Cite

We aimed to investigate how staying at home and stress from the pandemic shutdown impacts lower urinary tract symptoms in paediatric patients. The COVID‐19 pandemic shut down most of the world in March 2020. In the state of Virginia, a mandatory Stay‐at‐Home order was issued requiring students to participate in school from home. Paediatric patients often have difficulty complying with standard urotherapy while at school, with timed voiding being particularly hard to maintain. To our knowledge, only one other study investigated lower urinary tract dysfunction (LUTD) in children during the COVID‐19 shutdown. This study compared lower urinary tract symptoms (LUTS) in paediatric patients seen in their bladder dysfunction clinic for their initial 6 months of treatment during the shutdown to patients treated before the shutdown. Of the studies available that examine how the school environment effects lower urinary tract symptoms, all show a lack of education among teachers and school nurses, classroom rules that oppose adherence to standard urotherapy, and facilities that are often inadequate and unhygienic. Stress is known to have a bidirectional effect on LUTD, so we also investigated the effect of parental stress from the shutdown on LUTD. Parents of patients followed in our bladder dysfunction clinic were given a survey to evaluate the use of a timed voiding regimen, improvement in LUTS and perceived parental stress during the COVID shut down of 2020. Spearman's rank correlation coefficient (rho) was calculated to measure the correlation of the survey responses. We received 42 responses from 202 surveys administered (20.8%). Only 21.4% of respondents maintained timed voiding while at home, despite 78.6% indicating improved bathroom access. A small number (4.8%) indicated total resolution of voiding symptoms. Half of the respondents (50%) indicated some degree of improvement in LUTS, though almost the entire remaining population saw no change in their symptoms (42.9%). Only a very small number indicated slightly worse LUTS (7.1%) and none indicated that symptoms were much worse. There was no correlation between dysfunctional voiding scoring system (DVSS) scores and improvement in bathroom access. There was a moderate correlation between perceived parental stress and their child's DVSS score, Rho = 0.54 p = 0.0002. Additionally, DVSS scores were weakly, negatively correlated with improvement in LUTS, Rho = −0.3 p = 0.047. Despite the majority of parents perceiving increased access to bathrooms during the Stay‐at‐Home order, a minority of patients were maintained on timed voiding regimens while at home. About half of parents still indicated some degree of improvement in their child's LUTS. There was a correlation between parental stress and their child's dysfunctional voiding score. This survey highlights that the relationship between timed voiding, bathroom access, and severity of LUTS is complex and compliance with timed voiding remains a challenge to adhere to.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Researchmentioning

confidence: 99%

Section: Researchmentioning

confidence: 99%

See 1 more Smart Citation

Parental perception of paediatric lower urinary tract dysfunction during the COVID‐19 shutdown

Leroy,

Hutchison,

Kern

2023

Int J of Uro Nursing

View full text Add to dashboard Cite

show abstract

“…Hindi‐VSSDES was administered during the same visit. A subset of these children ( N = 35) was also administered Thergaonkar's scale (TS) simultaneously (for convergent validity hypothesis testing) 14 . TS is a Hindi version of the “Dysfunctional voiding and Incontinence Scoring System scale” (Supporting Information: Table 2).…”

Section: Methodsmentioning

confidence: 99%

“…A subset of these children (N = 35) was also administered Thergaonkar's scale (TS) simultaneously (for convergent validity hypothesis testing). 14 TS is a Hindi version of the "Dysfunctional voiding and Incontinence Scoring System scale" (Supporting Information: Table 2). 15 It was the only scale available in Hindi for BBD in children, although it was not validated and it is less comprehensive for bowel symptoms.…”

Section: Phase-2: Patient Recruitment and Questionnaire Administrationmentioning

confidence: 99%

Vancouver Symptom Score for Dysfunctional Elimination Syndrome: Hindi translation and validation

Madaan

Chhapola

Tiwari

2023

Neurourology and Urodynamics

View full text Add to dashboard Cite

Background: Bladder and bowel dysfunction (BBD) is a common problem in school-aged children and is evaluated using questionnaires. Among available questionnaires, "Vancouver Symptom Score for Dysfunctional Elimination Syndrome" (VSSDES) is considered superior in validity and reliability. We translated VSSDES into Hindi and performed validity and reliability testing of Hindi-VSSDES in children aged 4-16 years with lower urinary tract dysfunction (LUTD).Methods: In this cross-sectional study, we followed Consensus-based Standards for the selection of health Measurement Instruments recommendation to develop Hindi-VSSDES. Forward-translation-harmonization-backtranslation-expert committee review-prefinal version sequence of translation was followed by cognitive debriefing. One hundred and sixteen children with symptoms suggestive of LUTD and 106 healthy controls were recruited. Construct validity of Hindi-VSSDES was assessed via structural validity (factor analysis) and hypotheses testing. In addition, test-retest reliability and internal-consistency reliability were assessed. Results: Hindi-VSSDES had acceptable face validity. Factor analysis identified four factors representing three domains. All a priori hypotheses were met. The questionnaire displayed excellent convergent validity and discriminative ability (area under receiver operating characteristic curve 0.83). The cutoff scores for screening and diagnosis were 7 and 11, respectively. Scores were comparable whether children self-filled the questionnaire or parents were proxy. Scores in girls were significantly higher. It had an excellent test-retest reliability (intraclass correlation coefficient = 0.96) and Cronbach's ɑ was 0.62. The smallest detectable change was 4.1 points. Median time to complete the questionnaire was 7 min and majority (91%) rated it as easy.Conclusions: Hindi-VSSDES is the first validated and reliable Hindi questionnaire for children with BBD. Clinimetric properties of responsiveness and interpretability are yet to be tested.

show abstract

Enuresis, Lower Urinary Tract Dysfunction and Teachers’ Perceptions: A School-based Survey

Cited by 2 publications

References 17 publications

Parental perception of paediatric lower urinary tract dysfunction during the COVID‐19 shutdown

Parental perception of paediatric lower urinary tract dysfunction during the COVID‐19 shutdown

Vancouver Symptom Score for Dysfunctional Elimination Syndrome: Hindi translation and validation

Contact Info

Product

Resources

About