CD-ROM to Improve Parent Management of Child Bedwetting

描述（由申请人提供）： 本项目将为儿童（6至11岁）及其父母开发和测试一个互动的CD-ROM尿床干预方案。该计划将为父母和儿童（在单独的发展适当的模块）提供有关尿床问题的心理教育和一套工具，以帮助他们实施和贯彻个性化的，多成分的行为干预计划。虽然遗尿症是一个身体问题，最佳的管理是通过学习为基础的行为治疗。多成分行为干预措施的长期治疗成功率最高，复发率最低，并且不会使儿童面临与药物治疗相关的重大风险。有许多令人信服的理由来治疗遗尿儿童，包括预防情绪和社会创伤，成功治疗后心理社会功能改善的证据，以及预防可能使儿童面临虐待风险的父母和家庭压力。医学专家明确推荐行为干预作为基于历史和当前结果证据的治疗选择。以高度吸引人的多媒体形式呈现该计划将促进父母和儿童的动机和兴趣，这是与治疗不依从性相关的主要因素。这个家庭干预计划是针对医学上不复杂的原发性夜间遗尿症的儿童，占诊断为遗尿症的儿童的85- 90%。

DESCRIPTION (provided by applicant): This project will develop and test an interactive CD-ROM bedwetting intervention program for children (ages 6 to11) and their parents. The program will provide parents and children (in separate developmentally appropriate modules) with psycho-education about the problem of bedwetting and a suite of tools to help them implement and follow through with a personalized, multi-component behavioral intervention program. While enuresis is a physical problem, optimal management is through learning-based behavioral treatment. Multi-component behavioral interventions offer the highest rates of long-term treatment success, lowest rates of relapse, and do not expose children to the significant risks associated with pharmacological treatment. There are many compelling arguments for treating enuretic children, including the prevention of emotional and social trauma, evidence of improvement in psycho-social functioning following successful treatment, and prevention of parent and family stress that can place children at risk for abuse. Medical experts clearly recommend behavioral intervention as the treatment choice based on historical and current outcome evidence. Presentation of the program in a highly engaging multimedia format will facilitate parent and children's motivation and interest, which are the primary factors associated with treatment nonadherence. This family intervention program is intended for children with medically uncomplicated primary nocturnal enuresis, which make up between 85-90 percent of children diagnosed with enuresis.