Independent toileting is a serious functional life skill. Therefore, gaining of this skill is often late in
children with autism. Aim: This study aimed to evaluate the effectiveness of the motivational based
toilet training program on the elimination control of children with autism. Design: A quasi-
experimental research design (one group pre/posttest) was used in this study. Setting: This study
was conducted at both children's Psychiatric Outpatient Clinic at El-Fayoum and El-Menia
University Hospitals, Egypt. Sample: A purposive sample that was consisted of 64 mothers and
their children at the previously mentioned settings. Tools: Three tools were used pre/ post toilet
training program. A structured interview questionnaire to assess mothers' knowledge, observational
checklist to evaluate mother reported practice regarding toilet training of their children with autism
and fear assessment questionnaire to assess fear of children during toilet. Results: The study noted
that, the mean age of studied children was 5.24±1.53 years and less than two third (62.5%) of them
were males and 51.6% were first ranked. A highly significant difference between children urine
accident, urine in toilet, bowel movement accident and bowel movement in toilet at pre and post
program with p value <0.01**. Also, highly significant difference in change routine by using toilet
out of home and improve toileting communication problem at pre and post program with p value
<0.01**. Conclusion: the current study concluded that application of motivational based toilet
training program had significantly positive effect on the elimination control of children with autism.
Recommendations: the study recommended that, frequent maternal training about toilet training of
their children with autism based on their actual need assessment.