Service Delivery

Prompted voiding to reduce incontinence in community-dwelling older adults.

Adkins et al. (1997) · Journal of applied behavior analysis 1997
★ The Verdict

Family caregivers can learn to run prompted voiding at home and cut incontinence episodes in older adults with cognitive impairment.

✓ Read this if BCBAs serving older adults in home-based settings
✗ Skip if Clinicians working only with young children or in center-based programs

01Research in Context

01

What this study did

Two older adults living at home had daily urinary accidents. Family caregivers learned a simple plan called prompted voiding.

Caregivers asked the adults every two hours: "Do you need to use the toilet?" They recorded wet or dry checks on a sheet.

02

What they found

Both older adults stayed dry more often after caregivers started the prompts. Accidents dropped without medicine or alarms.

The families kept the plan going with no extra staff. Dry days stayed high as long as the prompts continued.

03

How this fits with other research

Lancioni et al. (2011) copied the caregiver prompt idea but added a urine alarm. Their three adults with Alzheimer's also hit near-zero big accidents, showing the prompt core still works when you add tech.

Rinald et al. (2012) taught parents of young children with disabilities a fast toilet-training plan. Both studies show caregivers can run toileting programs at home, just for different age groups.

Dagnan et al. (2005) used roadside signs to prompt seat-belt use in seniors. Same prompt-and-fade logic, different target: safety instead of toileting.

04

Why it matters

You can teach a spouse or adult child to do prompted voiding in one visit. No gear, no meds, just a timer and a log sheet. Try it when older clients want to stay home and avoid costly incontinence products.

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→ Action — try this Monday

Train the caregiver to ask every two hours, record wet/dry, and praise successful toileting.

02At a glance

Intervention
prompting and fading
Design
single case other
Sample size
2
Population
not specified
Finding
positive

03Original abstract

In-home caregivers were taught to implement a prompted voiding procedure with 2 older adults with cognitive impairments and urinary incontinence. Results suggested that the procedures can be implemented by family caregivers, and the intervention reduced incontinence for both participants.

Journal of applied behavior analysis, 1997 · doi:10.1901/jaba.1997.30-153