IMPLEMENTATION OF THE SMART ABA METHOD ON TOILET TRAINING SKILLS IN CHILDREN WITH AUTISM SPECTRUM DISORDER

Rudy Sutadi(1), Agita Tunjungsari(2), Alfred Pakpahan(3), Arneliza Arneliza(4), Kuncono Teguh Yunanto(5),
(1) Universitas Persada Indonesia  Indonesia
(2) Universitas Persada Indonesia  Indonesia
(3) Universitas Persada Indonesia  Indonesia
(4) Universitas Persada Indonesia  Indonesia
(5) Universitas Persada Indonesia  Indonesia

Corresponding Author
Copyright (c) 2024 Rudy Sutadi, Agita Tunjungsari, Alfred Pakpahan, Arneliza Arneliza, Kuncono Teguh Yunanto

DOI : https://doi.org/10.24036/rapun.v15i2.131862

Full Text:    Language : en

Abstract


Independent toilet skills are basic skills that must be mastered by every child, including children with autism spectrum (ASD). This skill begins with toilet training. However, toilet training for ASD children is a challenge in itself. Children with ASD have developmental disorders that impact many aspects of their lives, including toilet training skills. This study aims to determine the effectiveness of the Smart ABA (Smart Applied Behavior Analysis) Method on the toilet training ability of ASD children. Smart ABA is a development of Applied Behavior Analysis (ABA). This study uses an experimental method with a single research subject design and data analysis using visual graphs. The subjects of this study are two children with ASD, a boy aged 5 years and 7 years. The parents of the subjects were included in this study. The Smart ABA therapists who trained the subjects in this study have fulfilled their competencies as Smart ABA therapists. The most important finding of this study was the success of both subjects in daytime toilet training within 43 to 67 days.  These findings show the effectiveness of the Smart ABA method in achieving independence in toilet skills for ASD children. The results of this study will provide an in-depth understanding for parents of children with ASD, therapists, professionals, and doctors in the management of toilet training. The results of this study make an important scientific contribution to independent toilet skills in children with ASD. The stages of self-toilet skills using Smart ABA are discussed.

Keywords


Autism, toilet training, Smart ABA Applied Behavior Analysis, Smart ABA, Single Subject Research.

References


Anwar, A., Sutadi, R., & Miranda, C. (2022). Development of Discrete Trial Training (DTT) Procedure in Smart Applied Behavior Analysis (Smart ABA) for Autism. Journal of Psychology and Behavior Studies, 2(1), 63–44. https://doi.org/10.32996/jpbs.2022.2.1.7

Appah, J., Senoo-Dogbey, V. E., Armah, D., Wuaku, D. A., & Ohene, L. A. (2024). A qualitative enquiry into the challenging roles of caregivers caring for children with Autism Spectrum Disorders in Ghana. Journal of Pediatric Nursing, 76, 23–29. https://doi.org/https://doi.org/10.1016/j.pedn.2024.01.029

Azrin, N. H., & Foxx, R. M. (1971). A Rapid Method Of Toilet Training The Institutionalized Retarded. Journal Of Applied Behavior Analysis, 2(2).

Bacotti, J. K., Perez, B. C., & Vollmer, T. R. (2023). Reflections and Critical Directions for Toilet Training in Applied Behavior Analysis. Perspectives on Behavior Science, 46(3), 447–458. https://doi.org/10.1007/s40614-023-00384-z

Bante, A., Girma, M., Ahmed, M., & Aschalew, Z. (2023). Heliyon Diaper dermatitis and associated factors among 1 – 24 months children visiting public health facilities of Arba Minch town, Gamo zone, southern Ethiopia. Heliyon, 9(10), e20785. https://doi.org/10.1016/j.heliyon.2023.e20785

Bethin, K. E., Kanapka, L. G., Laffel, L. M., Majidi, S., Chaytor, N. S., MacLeish, S., Adams, R., & Foster, N. C. (2019). Autism spectrum disorder in children with Type 1 diabetes. Diabetic Medicine, 36(10), 1282–1286. https://doi.org/10.1111/dme.14069

Blum, N. J., Taubman, B., & Nicole, N. (2004). Why Is Toilet Training Occuring at Older Ages? A Study of Factors Associated with Later Training. The Journal of Pediatrics, 107–111. https://doi.org/10.1016/j.jpeds.2004.02.022

Bommangoudar, J. S. (2018). Management of Autistic Patients in Dental Office: A Clinical Update. International Journal of Clinical Pediatric Dentistry, 11(3), 219–227. https://doi.org/10.5005/jp-journals-10005-1515

Cagliani, R. R., Kathryn, S., & Emily, S. (2021). Classroom Based Intensive Toilet Training for Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 51(12), 4436–4446. https://doi.org/10.1007/s10803-021-04883-3

Carvalho, T. A., Vasconcelos, M. M. de A., Guimarães, I. C. de O., Dutra, M. F., Lima, E. M., Bastos Netto, J. M., de Bessa Junior, J., Simões e Silva, A. C., & de Carvalho Mrad, F. C. (2022). Relationship between toilet training process and primary nocturnal enuresis in children and adolescents – A systematic review. Journal of Pediatric Urology, 18(5), 554–562. https://doi.org/https://doi.org/10.1016/j.jpurol.2022.07.033

Dalrymple, N. J., & Ruble, L. A. (1992). Toilet Training and Behaviors of People with Autism: Parent Views. Journal of Autism and Developmental Disorders, 22(2).

Du, G., Guo, Y., & Xu, W. (2024). The effectiveness of applied behavior analysis program training on enhancing autistic children’ s emotional-social skills. BMC Psychology.

Geist, B. K., & Bammer-Zimmer, R. (2023). Effects of Early Toilet Training and Elimination Communication With Respect to Diaper Types. Clinical Pediatrics, 62(8), 901–907. https://doi.org/10.1177/00099228221145268

Greer, B. D. (2016). A Componentanalysis Oftoilet-Training Procedures Recommended for Young Children. Journal Of Applied Behavior Analysis, 2004. https://doi.org/10.1002/jaba.275

Gubbiotti, M., Rosadi, S., Giommoni, V., Balzarro, M., Giannantoni, A., & Rubilotta, E. (2022). 22 - Toilet training in children and adolescent with autism spectrum disorder: A novel and successful protocol. Continence, 2, 100063. https://doi.org/https://doi.org/10.1016/j.cont.2022.100063

Hodges, H., Fealko, C., & Soares, N. (2019). Autism spectrum disorder: definition, epidemiology, causes, and clinical evaluation. 8. https://doi.org/10.21037/tp.2019.09.09

Indra, P. R. C. (2021). Single Subject Research (teori dan implementasinya: suatu pengantar). In Journal of Chemical Information and Modeling (Vol. 53, Issue 9).

Islamiyah, I., Anhusadar, L., Keperawatan, S., Mandala, U., & Kendari, W. (2022). Hubungan Penggunaan Disposable Diapers Keberhasilan Toilet Training pada Anak Toddler dengan. Jurnal Pendidikan Anak Usia Dini, 3, 11–18. https://doi.org/10.37985/murhum.v3i2.122

Jariwala-Parikh, K., Barnard, M., Holmes, E. R., West-Strum, D., Bentley, J. P., Banahan, B., & Khanna, R. (2019). Autism Prevalence in the Medicaid Program and Healthcare Utilization and Costs Among Adult Enrollees Diagnosed with Autism. Administration and Policy in Mental Health and Mental Health Services Research, 46(6), 768–776. https://doi.org/10.1007/s10488-019-00960-z

Jones, E. J. H., Gliga, T., Bedford, R., Charman, T., & Johnson, M. H. (2014). Developmental pathways to autism: A review of prospective studies of infants at risk. Neuroscience and Biobehavioral Reviews, 39, 1–33. https://doi.org/10.1016/j.neubiorev.2013.12.001

Khair, S., & Hasanah, O. (2021). Gambaran Kesiapan Toilet Training Pada Anak Usia Toddler. Jurnal Ilmu Keperawatan, 9(2), 72-85.

Lovaas, O. I., Freitas, L., Nelson, K., & Whalen, C. (1967). The establishment of imitation and its use for the development of complex behavior in schizophrenic children. Behaviour Research and Therapy, 5(3), 171–181. https://doi.org/10.1016/0005-7967(67)90032-0

Mako, P. (2021). Trends in Analytical Chemistry Environmental problems and health risks with disposable baby diapers: Monitoring of toxic compounds by application of analytical techniques and need of education. Trends In Analytical Chemistry, 143. https://doi.org/10.1016/j.trac.2021.116408

Merrill, L. (2015). Prevention, Treatment and Parent Education for Diaper Dermatitis. Nursing for Women’s Health, 19(4), 324–337. https://doi.org/https://doi.org/10.1111/1751-486X.12218

Opoku, M. P., Mohamed, A., Safi, M., Belbase, S., Mughairbi, F. Al, Xie, Q., & Shatheli, M. Al. (2024). Mothers’ evaluations of fathers’ contributions to raising children with autism spectrum disorder in the United Arab Emirates. BMC psychology, 12(1), 253.

Perez, B. C., Bacotti, J. K., Peters, K. P., & Vollmer, T. R. (2020). An extension of commonly used toilet-training procedures to children with autism spectrum disorder. Journal Of Behavior Analysis, 53(4), 2360-2375. https://doi.org/10.1002/jaba.727

Pickles, A., McCauley, J. B., Pepa, L. A., Huerta, M., & Lord, C. (2020). The adult outcome of children referred for autism: typology and prediction from childhood. Journal of Child Psychology and Psychiatry and Allied Disciplines, 61(7), 760–767. https://doi.org/10.1111/jcpp.13180

Rapin, I., & Tuchman, R. F. (2008). Autism: Definition, Screening, Diagnosis. Pediatric Clinics of NA, 55(5), 1129–1146. https://doi.org/10.1016/j.pcl.2008.07.005

Richards, S. B. (2018). Single subject research: Applications in educational settings. Cengage Learning.

Safi, M. F., Alshamsi, M., & Opoku, M. P. (2022). Parenting children with autism spectrum disorder in the United Arab Emirates: Exploring perceptions towards using the picture exchange communication system to enhance the development of children with autism spectrum disorder. BMC psychology, 1–12.

Sivayokan, B., Sivayokan, S., Thirunavukarasu, K., & Sathiadas, G. (2023). The Characteristics of Autistic Children Attending a Neuro-Developmental Center in Northern Sri Lanka. Cureus, 15(3), 2–9. https://doi.org/10.7759/cureus.35970

Sun, X., Allison, C., Wei, L., Matthews, F. E., Auyeung, B., Wu, Y. Y., Griffiths, S., Zhang, J., Baron-Cohen, S., & Brayne, C. (2019). Autism prevalence in China is comparable to Western prevalence. Molecular Autism, 10(1). https://doi.org/10.1186/S13229-018-0246-0

Sutadi, R., Anwar, A., & Miranda, C. (2022). Effectiveness of Smart Applied Behavior Analysis Intervention in Teaching Non-Verbal Autism to Speak and Read. Journal of Psychology and Behavior Studies, 78–95. https://doi.org/10.32996/jpbs.2022.2.1.8

Tan, C., Frewer, V., Cox, G., Williams, K., & Ure, A. (2021). Prevalence and Age of Onset of Regression in Children with Autism Spectrum Disorder: A Systematic Review and Meta-analytical Update. Autism Research, 14(3), 582–598. https://doi.org/10.1002/aur.2463

Taubman, B., & Blum, N. J. (2008). Toilet Training (J. B. B. T.-E. of I. and E. C. D. (Second E. Benson (ed.); pp. 380–387). Elsevier. https://doi.org/https://doi.org/10.1016/B978-0-12-816512-6.00164-6

Van Laarhoven, T., Stekelenburg, J. J., Eussen, M. L. J. M., & Vroomen, J. (2020). Atypical visual-auditory predictive coding in autism spectrum disorder: Electrophysiological evidence from stimulus omissions. Autism, 24(7), 1849–1859. https://doi.org/10.1177/1362361320926061

Williams, Z. J., He, J. L., Cascio, C. J., & Woynaroski, T. G. (2021). Neuroscience and Biobehavioral Reviews Review article A review of decreased sound tolerance in autism: Definitions, phenomenology, and potential mechanisms. Neuroscience and Biobehavioral Reviews, 121(November 2020), 1–17. https://doi.org/10.1016/j.neubiorev.2020.11.030

Xu, P. C., Wang, Y. H., Meng, Q. J., Wen, Y. B., Yang, J., & Wang, X. Z. (2021). Delayed elimination communication on the prevalence of children ’ s bladder and bowel dysfunction. Scientific Reports, 1–8. https://doi.org/10.1038/s41598-021-91704-3


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Copyright (c) 2024 Rudy Sutadi, Agita Tunjungsari, Alfred Pakpahan, Arneliza Arneliza, Kuncono Teguh Yunanto

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