Abstract General Information

Title

THE USE OF TECHNOLOGICAL RESOURCES TO ENHANCE STANDARD UROTHERAPY AND BEHAVIORAL TREATMENT IN CHILDREN WITH LUTD.

Introduction and objective

The term lower urinary tract dysfunction (LUTD) refers to different clinical characteristics depending on the physiology and symptomatology involved. (Fuentes 2019; Austin 2016). Urotherapy is recommended by the International Children Continence Society (ICCS) as the first-line treatment for all types of LUTD in children and adolescents. Is an umbrella term for all non-cirurgical, non-pharmacological interventions for LUTD in children and adolescents (Nieuwhof-Leppink, 2020). Braga 2016, showed that children with Bladder and Bowel Dysfunction (BBD) retain educational information better through digital resources purchased with traditional methods. The aim of this study was to evaluate children's knowledge of proper urinary habits after receiving the information through a technological resource.

Method

In May 2023, 179 children diagnosed with LUTD, 106 girls and 73 boys, aged between 5 and 13 years (mean 8.61/girls; 8.64/boys) participated in an educational action using the video "De onde vem o xixi (3min16s)" from Xixi e cocô sem crise - YouTube. After watching the video they answered a quiz with 9 questions (6 with 3 answer options and 3 with true/false options). The instruction was to read the questions and write down the answer in 15 seconds on the card, after this time the answers would appear on a screen. Once the answer was written down, it was not possible to modify the card. At the end the card was collected by the physiotherapist The answers were classified as: right (R), wrong (R) and not answered or erased (NR).

Results

Regarding diagnosis, 66 children (33.87%) had BBD, 42 (23.46%) had overactive bladder, 41 (22.91%) had overactive bladder and dysfunctional voiding, 26 (14.43%) had dysfunctional voiding and 4 (2.23%) underactive bladder (Graph 1). The results show that 116 (64.80%) children had between 6 and 8 hits, 19 (10.61%) children had 9 hits, and only 3 (1.68%) had 2 hits. In our sample, no child scored zero. When the right answers were compared by gender (graph 2), the girls showed better performance in most questions, especially 16 (84.2%) girls who had 100% right answers.

Graph 1: Diagnosis.

Graph 2: Correct answers by gender

Conclusion

The knowledge of children about proper urinary habits was satisfactory. This leads us to believe that the use of technological resources can be an important tool to reinforce standard urotherapy, leading to greater engagement by the children and adolescents. Despite this good result, there is still the challenge of putting into practice everything that was learned, since adherence to urotherapy continues to be a major challenge to the entire multidisciplinary professionals involved in the treatment of these children.