{
  "abstract": "Objectives Assess feasibility of a toilet training intervention for caregivers of children with autism in western Kenya and to refine intervention materials/protocols.Methods Participants were recruited by convenience sampling from child development clinics at Moi Teaching and Referral Hospital in Eldoret, Kenya. Caregivers who met eligibility criteria (primary caregiver of a child with autism aged 2-7 years, spoke English or Swahili, child without urinary or fecal continence) were invited to participate. Participants completed a baseline interview, four training sessions (three in-person and one in-home), biweekly calls, and a post intervention interview. Trainers were also interviewed. Training sessions took place over one month and biweekly calls took place until six months post training.Results Three caregivers participated and completed all intervention components. The children included two males and one female with a mean age of 5.25 years. Caregivers found the materials to be easy to understand, trainings to be helpful and check-ins to be informative. Two of the three children achieved urinary continence and one achieved both urinary and fecal continence by pilot end. All participants reported their children could communicate their toileting needs by pilot end. Trainers found the workload to be manageable, materials easy to present and support from the study team accessible and educational.Conclusions A novel group-based caregiver intervention for toilet training children with autism was feasible in western Kenya. Both caregivers and trainers found the intervention accessible, educational, and helpful. Based on this, a larger study is ongoing to assess effectiveness.",
  "authors": [
    {
      "affiliations": [
        "Northwell Health, USA"
      ],
      "name": "Jasmine M Blake"
    },
    {
      "affiliations": [
        "Academic Model Providing Access to Healthcare (Ampath), Kenya"
      ],
      "name": "Anita Jerop"
    },
    {
      "affiliations": [
        "emwendwa@ampath.or.ke, Kenya"
      ],
      "name": "Emmanuel Wendwa"
    },
    {
      "affiliations": [
        "Developmental Disabilities Systems, Inc., USA"
      ],
      "name": "Laurel Stewart"
    },
    {
      "affiliations": [
        "Developmental Disabilities Systems, Inc., USA"
      ],
      "name": "Tonia Hassinger"
    },
    {
      "affiliations": [
        "Academic Model Providing Access to Healthcare (Ampath), Kenya",
        "Indiana University School of Medicine, USA"
      ],
      "name": "Megan S McHenry"
    }
  ],
  "title": "220 Tuimani-a pilot study of a toilet training intervention for children with autism in Western Kenya",
  "uid": "977aef36-9b23-5ef5-994f-f7445a2a45bb"
}