Empowering Mothers of Children With Nocturnal Enuresis to Improve Knowledge, Practices, and Quality of Life

NCT07753304 | Completed DMC

• 1 other identifier: 05-10-2024
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to evaluate the effect of the empowerment program on the knowledge, practices, and quality of life of mothers of children with nocturnal enuresis in a two-arm randomized controlled trial.

Conditions

Nocturnal Enuresis in Children

Keywords

Nocturnal Enuresis; Empowerment; Mothers; Nocturnal Enuresis; Knowledge; Practices; Quality of Life.

Outcome Measures

Primary Outcomes (2)

• Maternal self-reported practices regarding nocturnal enuresis

  Maternal practices will be assessed using the Mothers' Self-Reported Practices Checklist regarding nocturnal enuresis. Higher scores indicate better implementation of recommended caregiving practices for managing nocturnal enuresis.

  Baseline (T0), 4 weeks after intervention (T1), and 3 months after intervention (T2)

• Maternal knowledge regarding nocturnal enuresis

  Maternal knowledge will be assessed using the Nocturnal Enuresis Structured Knowledge Questionnaire. Higher scores indicate greater knowledge regarding nocturnal enuresis, including its definition, causes, risk factors, complications, and management.

  Baseline (T0), 4 weeks after intervention (T1), and 3 months after intervention (T2)

Study Arms (2)

Empowerment Program

EXPERIMENTAL

Mothers assigned to this arm receive a structured empowerment program for managing children with nocturnal enuresis. The program consists of 30-minute small-group educational sessions (3-5 mothers per group) delivered in Arabic using lectures, discussions, and an educational booklet developed by the researchers. The program covers the definition, types, risk factors, diagnosis, complications, and evidence-based management of nocturnal enuresis, with the aim of improving maternal knowledge, caregiving practices, and quality of life. Participants are assessed at baseline (T0), 4 weeks (T1), and 3 months (T2).

Behavioral: Mother Empowerment Program for Nocturnal Enuresis

Usual Care (Waitlist Control)

NO INTERVENTION

Mothers assigned to this arm receive the routine care provided at the outpatient urinary incontinence clinic during the study period without the structured empowerment program. Participants complete the same outcome assessments at baseline (T0), 4 weeks (T1), and 3 months (T2). After completion of the T2 assessment, mothers in the waitlist control group receive the full empowerment program.

Interventions

Mother Empowerment Program for Nocturnal Enuresis BEHAVIORAL

The intervention is a structured nurse-led behavioral empowerment program designed for mothers of school-age children with nocturnal enuresis. The program is delivered in Arabic through 30-minute small-group sessions (3-5 mothers per group) using interactive teaching, discussion, and an educational booklet developed by the research team. The educational content includes the definition and types of nocturnal enuresis, causes and risk factors, diagnostic evaluation, complications, behavioral management strategies, fluid management, bladder training, reward systems, alarm therapy, medication adherence, hygiene measures, and family support strategies. Mothers receive the educational booklet at the completion of the sessions for continued home reference. The intervention aims to improve maternal knowledge, caregiving practices, and family quality of life. Participants are evaluated at baseline (T0), 4 weeks after the intervention (T1), and 3 months after the intervention

Also known as: Structured Educational Empowerment Program, Family Empowerment Program

Empowerment Program

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: mothers only.
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Able to communicate in Arabic. Willing to participate and provide written informed consent. Available to complete baseline, post-intervention (4 weeks), and 3-month follow-up assessments.

You may not qualify if:

• Mothers whose children have severe cognitive impairment or medical conditions preventing participation in the educational program.
• Mothers currently participating in another structured educational or behavioral intervention related to nocturnal enuresis.
• Mothers unwilling or unable to provide informed consent or complete study assessments.
• Mothers planning to relocate or unlikely to complete follow-up evaluations.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

faculty of nursing Cairo university

Cairo, Egypt

Location

Related Publications (4)

• Tsuji S, Kaneko K. Management of treatment-resistant nocturnal enuresis. Pediatr Int. 2023 Jan-Dec;65(1):e15573. doi: 10.1111/ped.15573.

  PMID: 37428825 BACKGROUND

• Kamperis K. Nocturnal enuresis in children: The role of arginine-vasopressin. Handb Clin Neurol. 2021;181:289-297. doi: 10.1016/B978-0-12-820683-6.00021-X.

  PMID: 34238464 BACKGROUND

• Cammisa I, Zona M, Ferrara P. Management of nocturnal enuresis in children. Minerva Pediatr (Torino). 2025 Aug;77(4):360-371. doi: 10.23736/S2724-5276.25.07812-7. Epub 2025 Feb 18.

  PMID: 39964278 BACKGROUND

• Guzman JA, Palmer LS. Nocturnal Enuresis. Pediatr Rev. 2024 Aug 1;45(8):479-481. doi: 10.1542/pir.2023-006166. No abstract available.

  PMID: 39085181 BACKGROUND

MeSH Terms

Conditions

Nocturnal Enuresis; Empowerment

Condition Hierarchy (Ancestors)

Enuresis; Urination Disorders; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Behavioral Symptoms; Behavior; Elimination Disorders; Mental Disorders; Social Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Model Details: This randomized controlled trial aims to evaluate the effectiveness of a structured educational empowerment program delivered to mothers of children diagnosed with nocturnal enuresis. Eligible participants will be randomly assigned to either the intervention group or the control group. Mothers in the intervention group will receive a comprehensive educational program that includes information about nocturnal enuresis, behavioral management techniques, lifestyle modifications, bladder training, fluid management, positive reinforcement strategies, and psychological support. Participants in the control group will receive routine care provided by the study setting. Outcomes will be measured before the intervention and after completion of the educational program using validated questionnaires assessing knowledge, caregiving practices, and quality of life.

Study Record Dates

• First Submitted: August 4, 2026
• First Posted: August 7, 2026
• Study Start: September 25, 2024
• Primary Completion: March 27, 2025
• Study Completion: June 29, 2025
• Last Updated: August 7, 2026

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)