Effects of Early Toilet Training and Elimination Communication With Respect to Diaper Types

Clin Pediatr (Phila). 2023 Sep;62(8):901-907. doi: 10.1177/00099228221145268. Epub 2023 Feb 28.


To investigate effects of diaper-free times, elimination communication (EC) and early toilet training, a web-based survey was conducted for caregivers. The more diaper-free times an infant experienced during day, the earlier it was toilet trained (P < .001), which was enhanced by the usage of cloth diapers. The amount of diaper-free times significantly reduced the caregiver's continuous sleep, the occurrence of rashes and balm usage (P < .001) and lead to a more regular defecation frequency. Cloth diaper usage had no effect on rashes or balm usage, but on diaper change rate (P < .001). We could show that, although not as effective as full-time EC, part-time EC is more effective if cloth diapers are used, provided they are changed frequently. Furthermore, EC causes a more regular defecation in infants between 1 and 2 years.

Keywords: diaper rashes; diaper types; elimination communication; infant care; toilet training.

MeSH terms

  • Communication
  • Diaper Rash* / etiology
  • Diaper Rash* / prevention & control
  • Exanthema*
  • Humans
  • Infant
  • Infant Care / methods
  • Toilet Training