FIELD OF THE INVENTION
[001] The present invention relates to the field of medical science, and more particularly, the present invention relates to the effectiveness of home-based toilet training on the knowledge and practice of mothers.

BACKGROUND FOR THE INVENTION:
[002] The following discussion of the background of the invention is intended to facilitate an understanding of the present invention. However, it should be appreciated that the discussion is not an acknowledgment or admission that any of the material referred to was published, known, or part of the common general knowledge in any jurisdiction as of the priority date of the application. The details provided herein the background if belongs to any publication is taken only as a reference for describing the problems, in general terminologies or principles or both of science and technology in the associated prior art.
[003] Toilet training is one of the most important phenomena during childhood. At the age of three children must train enough to control the bowel and bladder. They should acquire to adapt not only to delight their loved ones additionally also to preserve self-integrity. Therefore, it’s the moral responsibility of caregivers to train their childrenin toilet training.The objectives of the study were to compare the post-test knowledge and practice of mothers in the control group and experimental group.
[004] Toilet training ought to begin throughout routine well-child visits as a result of their development is so quicker throughout this year and before the child’s readiness. Toilet training is the mastery in accomplishment essential for urinating and defecating in a socially acceptable time and manner. In several cultures, parents regard the action of independent toileting as a big accomplishment and a step towards self-sufficiency. Bladder and intestine performance is regulated by advanced muscles and by physiological, psychological, social, and cultural factors. Parents are typically curious to grasp when to start toilet training and how long time period the process ought to take neuromuscular development of the bowel and bladder is present at eighteen months of age. Cultural factors play a key role in what age is acceptable for being toilet trained ranging. In the modern United States, most children may master their bowel before their bladder, boys start and end later than girls, and it distinctively takes more time to learn to remain dry throughout the night. Children are always curious to know what parents are doing they easily imitate their actions.
[005] Parents should train their childrenin cleanliness, taxation, and control taxation accomplishment. Parents should be providedwith information about toilet training strategies, which they can deal with their children. Parents should use calm voices and easy language during toilet training and explain about that what is to be done in the bathroom. 9 Child should be assessed for the readiness of toilet training in these aspects;-awareness about the body functions, communication with caregivers, and control of the sphincter.10 The technique in which the caregivers give training to their children is more important in the toilet training process. There are mainly five signs which show the readiness of a child for toilet training: Bladder readiness, Bowel readiness, cognitive and motor readiness, and mental readiness. The main responsibility of parents is to know the signals of readiness for toilet training in their child. By toilet, training child becomes extroverted, generative, and selfless. This process needsconsistency, forbearance, and self-realization of the child the regarding toilet training
[006] In light of the foregoing, there is a need for the effectiveness of home-based toilet training on the knowledge and practice of mothersthat overcomes problems prevalent in the prior art.

OBJECTS OF THE INVENTION:
[007] Some of the objects of the present disclosure, which at least one embodiment herein satisfies, are as follows.
[008] The principal object of the present invention is to overcome the disadvantages of the prior art by providing the effectiveness of home-based toilet training on the knowledge and practice of mothers.
[009] The object of the present invention is to provide the effectiveness of home-based toilet training on the knowledge and practice of mothers, wherein the purpose of the study is to train the mothers in recognizing their child’s desire to control urination and bowel movements.
[010] Another object of the present invention is to provide the effectiveness of home-based toilet training on the knowledge and practice of mothers, wherein the study determines the effectiveness of home-based toilet training on knowledge and practice among mothers in the control group.
[011] Yet another object of the present invention is to provide the effectiveness of home-based toilet training on the knowledge and practice of mothers, wherein the study determines the effectiveness of home-based toilet training on knowledge and practice among mothers in the experimental group.
[012] Yet another object of the present invention is to provide the effectiveness of home-based toilet training on the knowledge and practice of mothers, wherein the study compares the post-test knowledge and practice of mothers in the control group and experimental group.
[013] Other objects and advantages of the present disclosure will be more apparent from the following description, which is not intended to limit the scope of the present disclosure.

SUMMARY OF THE INVENTION:
[014] The present invention relates to the effectiveness of home-based toilet training on the knowledge and practice of mothers.The study was conducted at a selected Village, Doiwala Block, Dehradun, Uttarakhand. One hundred and thirty-nine participants were selected based on inclusion criteria conveniently and assigned randomly to the control and experimental group. Data were collected by administering a structured knowledge questionnaire and self-reported practice checklist.Findings suggest that the mean post-test knowledge score (15.03±1.926) of the experimental group was higher than the control group (12.48±2.40). The independent test was applied to find the difference between the two means. The difference was found 6.906 which was significant at the level of p<0.05.There was no difference in the mean post-test practice score of the experimental group and the control group. Conclusion: Based on the findings of the study it was concluded that home-based toilet training was effective in improving the knowledge of mothers.
[015] The present study would help the nurses to understand the level of knowledge and practice of mothers regarding home-based toilet training.
[016] Practice for the readiness of the child was done on the basis of the mother’s verbal response. Data related to practice was collected by self-reported by the respondents and not measured or observed by the investigator.
[017] Intervention inhome-based toilet training was effective in improving the knowledge and practice of mothers, such teaching programs can be carried out in hospitals as well as communitiesto continue to improve the knowledge and practice of mothers.

BRIEF DESCRIPTION OF TABLES:
[018] Reference will be made to embodiments of the invention, examples of which may be illustrated in accompanying Table. These tables are intended to be illustrative, not limiting. Although the invention is generally described in the context of these embodiments, it should be understood that it is not intended to limit the scope of the invention to these particular embodiments.
[019] Table No. 1.1 shows the frequency and percentage distributions of characteristics of mothersin accordance with the present invention.

[020] Table No. 1.2 shows the frequency and percentage distribution of the study participantsin accordance with the present invention.

[021] Table No.2 shows the effectiveness of home-based toilet training knowledge and practice scores of the control group.

[022] Table No.3 shows the Effectiveness of home-based toilet training knowledge and practice scores of experimental groups.

[023] Table No. 4 shows a comparison of post-test knowledge and practice of the experimental and control groups.

DETAILED DESCRIPTION OF TABLES:
[024] While the present invention is described herein by way of example using embodiments and illustrative tables, those skilled in the art will recognize that the invention is not limited to the embodiments of table or tables described and are not intended to represent the scale of the various components. Further, some components that may form a part of the invention may not be illustrated in certain figures, for ease of illustration, and such omissions do not limit the embodiments outlined in any way. It should be understood that the drawings and the detailed description thereto are not intended to limit the invention to the particular form disclosed, but on the contrary, the invention is to cover all modifications, equivalents, and alternatives falling within the scope of the present invention as defined by the appended claim.
[025] As used throughout this description, the word "may" is used in a permissive sense (i.e. meaning having the potential to), rather than the mandatory sense, (i.e. meaning must). Further, the words "a" or "an" mean "at least one” and the word “plurality” means “one or more” unless otherwise mentioned. Furthermore, the terminology and phraseology used herein are solely used for descriptive purposes and should not be construed as limiting in scope. Language such as "including," "comprising," "having," "containing," or "involving," and variations thereof, is intended to be broad and encompass the subject matter listed thereafter, equivalents, and additional subject matter not recited, and is not intended to exclude other additives, components, integers, or steps. Likewise, the term "comprising" is considered synonymous with the terms "including" or "containing" for applicable legal purposes. Any discussion of documents, acts, materials, devices, articles, and the like are included in the specification solely for the purpose of providing a context for the present invention. It is not suggested or represented that any or all these matters form part of the prior art base or were common general knowledge in the field relevant to the present invention.
[026] In this disclosure, whenever a composition or an element or a group of elements is preceded with the transitional phrase “comprising”, it is understood that we also contemplate the same composition, element, or group of elements with transitional phrases “consisting of”, “consisting”, “selected from the group of consisting of, “including”, or “is” preceding the recitation of the composition, element or group of elements and vice versa.
[027] The present invention is described hereinafter by various embodiments with reference to the accompanying drawing, wherein reference numerals used in the accompanying drawing correspond to the like elements throughout the description. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiment set forth herein. Rather, the embodiment is provided so that this disclosure will be thorough and complete and will fully convey the scope of the invention to those skilled in the art. In the following detailed description, numeric values and ranges are provided for various aspects of the implementations described. These values and ranges are to be treated as examples only and are not intended to limit the scope of the claims. In addition, several materials are identified as suitable for various facets of the implementations. These materials are to be treated as exemplary and are not intended to limit the scope of the invention.
[028] The present invention relates to the effectiveness of home-based toilet training on the knowledge and practice of mothers.
[029] Two group pretest-posttest design with a quantitative approach was selected to carry out the study. The study population was mothers of children (02 – 03 years) in the selected village of Doiwala block, Dehradun, Uttarakhand. The sample size for the study was 139 mothers (69 in the control group and 70 in the experimental group). The participants were assigned randomly to the control and experimental group. A structured knowledge questionnaire and self-reported practice checklist were used to collect the data. Ethical Clearance was done before collecting data Informed consent was taken from the study participants before collecting the data. The data were analyzed by using descriptive
[030] Table No. 1.1 showed that majority (87%) of participants in control group and (70%) in experimental group were in 26-35 years of age. More than half (52%) of the participants in control group and (68 %) in experimental group had secondary level of education. In both groups majority (96%) of participants were homemaker. Most of participants (78%) in control group and (84%) in experimental group were from nuclear family. Most of participants had (61%) in control group and (60%) in experimental group were having child with 2.5-3 years. In control group (51%) were having male in experimental group (51%) were having female child.
[031] Table No.1.2- Showed that Majority (69%) of children did not start toilet training in control group, and (54%) in experimental group. Maximum participants (94%) using diaper for child at home in control group and maximum (84%) participants didn’t use diaper for child in experimental group. Majority of (75%) participants had no previous knowledge regarding toilet training in control group and in experimental group (64%) participants had knowledge regarding toilet training. Maximum participants (74%) started initiation of preschool of their child in control group and maximum (88%) participants didn’t started initiation of preschool of their child in experimental group. Most (84%) participants in control group and in experimental group most of the (86%) participant’s child didn’t do bed wetting. Majority of participant in control group (85%) and in experimental (97%) had Indian toilet in their home. Majority (91%) of participants had tap water facility in their toilet and (93%) in experimental group. Majority (70%) of participants had sink facility in their toilet in control group and (73%) in experimental group were not having sink facility. Data revealed that there was no significant difference between experimental and control group in terms of education (p=.86), occupation (p= 1.000), type of family(p= 1.000), age of children(p=0.57),sex of children (p= .09),started toilet training (p=.43),using diaper (p= 1.000),knowledge of toilet training (p= 1.000),initiation of preschool (p= .42), still bedwetting (p=.65),type of toilet (p= .24),had tap water facility (p= .37),had sink in toilet (p= .38). Hence it can be interpreted that the study participants in experimental and control group were homogenous except mother’s age and number of children.
[032] Table No.2 showed that the mean pretest knowledge of the mother was (10.55±2.32) and the posttest mean was (12.48±2.40) in the control group. Similarly, the mean of the pretest practice score of the control group was (9.26±2.19) and the posttest practice mean was (9.61±1.80) in the control group. Paired ‘t-test was computed to find the difference and the calculated ‘t’ value in knowledge was 7.854 and practice was 2.275 which was greater than the table value at p<0.05.
[033] Table No.3 showed that the mean pre-test knowledge of mothers was (10.84±2.23) and the mean post-test was (15.03±1.92) in the experimental group. Similarly, the mean of the pre-test practice score of mothers was (8.21±1.47) and the mean post-test practice score was (9.59±1.24). Paired’ test was performed to find the difference and the calculated ‘t’ value in knowledge was 13.05 and practice was 7.176 which was greater than the table value at p<0.05.
[034] Table No 4 showed that the mean post-test knowledge score of the control group was 12.48±2.40 and in the experimental group was 15.03±1.92 and the calculated ‘t’ value was 6.906 which was higher than the table value at p<0.05.
[035] The mean post-test practice score of the control group was 9.61±1.80 and in the experimental group was 9.59±1.24 and the calculated value was 0.87. This revealed that there is no difference between the mean post-test practice score in the control group and the experimental group.
[036] The mean post-test practice level of the control group was 9.61±1.80 and in the experimental group 9.59±1.24 which was statistically significant with a t-valueof 0.87 at a p-valueof 0.38. This revealed that there is no difference between the mean post-test practice level of the control group and the experimental group. It is supported by an evidence-based practice project report which was conducted by On Anong T (2013) to get the impact of the parental education intervention on parental information, which showed that the mean on the pre-testwas 14.92(SD=4.07), and the mean on the post-test was 24.50 (SD=2.38). A statistically significant increase in parental information occurred after participants got the parental education intervention. The mean self-efficacy before an intervention was 39.53(SD=5.20), and the mean self-efficacy after the intervention was 44.53 (SD=3.62). A statically significant increase in participants reported self-efficacy (M=39.53, SD=5.20) and post-intervention self-efficacy (M=44.53), SD=3.62).
[037] The mean post-test knowledge score of the control group was 12.48±2.40 and in the experimental group was 15.03±1.92 and the calculated value was 6.906 which was higher than the table value at p<0.05.
[038] The disclosure has been described with reference to the accompanying embodiments herein and the various features and advantageous details thereof are explained with reference to the non-limiting embodiments in the following description. Descriptions of well-known components and processing techniques are omitted so as to not unnecessarily obscure the embodiments herein.
[039] The foregoing description of the specific embodiments so fully revealed the general nature of the embodiments herein that others can, by applying current knowledge, readily modify and/or adapt for various applications such specific embodiments without departing from the generic concept, and, therefore, such adaptations and modifications should and are intended to be comprehended within the meaning and range of equivalents of the disclosed embodiments. It is to be understood that the phraseology or terminology employed herein is for the purpose of description and not of limitation. Therefore, while the embodiments herein have been described in terms of preferred embodiments, those skilled in the art will recognize that the embodiments herein can be practiced with modification within the scope of the embodiments as described herein.

We Claim:

1) An effectiveness of home-based toilet training on the knowledge and practice of mothers; wherein one hundred and thirty-nine participants were selected based on inclusion criteria conveniently and assigned randomly to the control and experimental group;
wherein Based on the findings of the study it was concluded that home-based toilet training was effective in improving the knowledge of mothers.
2) The home-based toilet training as claimed in claim 1, wherein findings suggest that the mean post-test knowledge score (15.03±1.926) of the experimental group was higher than the control group (12.48±2.40).
3) The home-based toilet training as claimed in claim 1, wherein the independent test was applied to find the difference between the two means.
4) The home-based toilet training as claimed in claim 1, wherein the difference was found at 6.906 which was significant at the level of p <0.05.
5) The home-based toilet training as claimed in claim 1, wherein there was no difference in the mean post-test practice score of the experimental group and the control group.