liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Predictors of time to complete toileting for children with spina bifida
Curtin University, Perth, Western Australia.
Curtin University, Perth, Western Australia.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Adult Habilitation.
Linköping University, Department of Medical and Health Sciences, Rehabilitation Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Curtin University, Perth, Western Australia.
2013 (English)In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 60, no 5, 343-349 p.Article in journal (Refereed) Published
Abstract [en]


Previous research has shown that children with spina bifida use clean intermittent catheterisation for urination, a rather complex procedure that increases the time taken to completion. However, no studies have analysed the factors impacting on the time taken to complete the urination that could inform occupational therapy practice. Therefore, the aim was to identify the variables that predict extended time children with spina bifida take to complete urination.


Fifty children, aged 5–18 years old with spina bifida using clean intermittent catheterisation, were observed while toileting and responding to a set of assessments tools, among them the Canadian Occupational Performance Measure. A logistic regression was used to identify which variables were independently associated with an extended toileting time.


Children with spina bifida do take long time to urinate. More than half of this study's participants required more than five minutes completing urination, but not all required extended times. Ambulant, independent girls were more likely to perform toileting in less than six minutes compared with other children with spina bifida. However, age, IQ, maintained focus on the task, Canadian Occupational Performance Measure, time processing abilities and self-reported ratings of independence appeared to be of no relevance, to predict extended toileting times.


To minimise occupational disruption caused by extended toileting times, occupational therapists should utilise the relevant predictors: gender, independence and ambulation when they prioritise children for relevant interventions.


Place, publisher, year, edition, pages
Wiley-Blackwell, 2013. Vol. 60, no 5, 343-349 p.
Keyword [en]
children, MMC, myelomeningocele, occupational disruption, spina bifida, toileting
National Category
Occupational Therapy
URN: urn:nbn:se:liu:diva-103765DOI: 10.1111/1440-1630.12052ISI: 000325157200006PubMedID: 24089986OAI: diva2:691159
Available from: 2014-01-27 Created: 2014-01-27 Last updated: 2015-10-23Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Donlau, MarieFalkmer, Torbjörn
By organisation
Department of Clinical and Experimental MedicineFaculty of Health SciencesDepartment of Adult HabilitationRehabilitation MedicinePain and Rehabilitation Center
In the same journal
Australian Occupational Therapy Journal
Occupational Therapy

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 101 hits
ReferencesLink to record
Permanent link

Direct link