Tasmanian children are the winners with Wetaway
Catherine Hurst, Pat Walker
Family, Child and Youth Health Service (FCYHS), Tasmania, has provided services to children in the management of nocturnal enuresis since 1997. A quality improvement project, aimed at evaluating the statewide nocturnal enuresis program, was initially undertaken with a case study consisting of a cohort of children who attended the Wetaway program in Tasmania between February and July 2001. The study was completed in November 2002. The program reports a success rate of 85% for those children who completed the program. However, there still remains a significant drop-out rate for children, with 22% of children leaving the program, mainly during the bladder training stage of intervention. Nurses reported complex family issues and lack of parent or carer support for the child as reasons for children not continuing with the program. Relapse after completion of the program remains of concern with continued success at 1 month, 6 months and 12 months requiring further intervention and support. The evaluation of the project supported the importance of the continuation of a multi-modal approach to nocturnal enuresis, including fluid balance, bladder training and alarm management for children affected. Results also support early intervention, with children as young as 5 years experiencing positive outcomes in the management of nocturnal enuresis. Parents reported decreased family stress due to their child’s success on the Wetaway program.