A Meta-analysis of Interventions That Target Children's Screen Time for Reduction

Maniccia, Dayna M.; Davison, Kirsten K.; Marshall, Simon; Manganello, Jennifer A.; Dennison, Barbara A.

doi:10.1542/peds.2010-2353

Cited by 121 publications

(143 citation statements)

References 89 publications

(118 reference statements)

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“…The size of effect is slightly smaller though broadly comparable to physical activity intervention effects shown across other age groups and settings (Heath et al, 2012). It is also similar to recent meta-analytic reviews assessing the effectiveness of interventions in young people designed to reduce their sedentary screen time (Biddle, O'Connell, & Braithwaite, 2011;Maniccia, Davison, Marshall, Manganello, & Dennison, 2011).…”

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confidence: 69%

The effectiveness of interventions to increase physical activity among young girls: A meta-analysis

Biddle

Braithwaite

Pearson

2014

Preventive Medicine

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Context. Pre-adolescent girls are an important target population for physical activity behaviour change as it may enhance tracking into the crucial period of adolescence. The quantification of intervention effectiveness for this age group of girls has not been previously reported.Evidence acquisition. Studies published in English up to and including August 2013 were located from computerised (MedLine, PsychInfo, Science Direct, Web of Science, EPPI centre databases, and Cochrane Library database) and manual searches. Intervention studies aimed at promoting physical activity, that included pre-adolescent girls aged 5-11 years, and a non-physical activity control/comparison group, were included.Evidence synthesis. A random-effects meta-analysis was conducted. The average treatment effect for pre-adolescent girls involved in physical activity interventions was significant but small (g = 0.314, p < .001). Moderator analyses showed larger effects for interventions that catered for girls-only and used educational and multicomponent strategies.Conclusions. Interventions to increase physical activity in pre-adolescent girls show small but significant effects, suggesting that behaviour change may be challenging, but results suggest some strategies that could be successful.

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Section: Insert Table 2 About Here Discussionsupporting

confidence: 69%

The effectiveness of interventions to increase physical activity among young girls: A meta-analysis

Biddle

Braithwaite

Pearson

2014

Preventive Medicine

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“…[4][5][6][7][8][9][10] Interventions aimed at reducing screen time have been a focus of childhood obesity prevention and treatment of the past decade and have yielded varying results. 11,12 A recent systematic review of 13 studies examining screen time interventions in children showed that, overall, there were no effects on screen time or BMI. 12 A subgroup analysis including the 2 studies performed with preschoolaged children did identify a reduction in screen time.…”

Section: Resultsmentioning

confidence: 99%

Office-Based Randomized Controlled Trial to Reduce Screen Time in Preschool Children

Birken¹,

Maguire

Mekky³

et al. 2012

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Interventions to reduce screen time in preschool-aged children are promising. WHAT THIS STUDY ADDS:A screen time intervention in 3-year-old children implemented in the primary care setting did not reduce screen time or BMI. abstract OBJECTIVE: To determine if an intervention for preschool-aged children in primary care is effective in reducing screen time, meals in front of the television, and BMI. METHODS:A randomized controlled trial was conducted at a primary care pediatric group practice in Toronto, Canada. Three-year-old children and their parents were randomly assigned to receive a short behavioral counseling intervention on strategies to decrease screen time. The primary outcome 1 year later was parent reported screen time. Secondary outcomes included television in the child' s bedroom, number of meals in front of the television, and BMI. RESULTS:In the intention-to-treat analysis at 1 year, there were no significant differences in mean total weekday minutes of screen time (60, interquartile range [IQR]: 35-120 vs 65, IQR: 35-120; P = .68) or mean total weekend day minutes of screen time (80, IQR: 45-130 vs 90, IQR: 60-120; P = .33) between the intervention and control group. Adjusting for baseline BMI, there was a reduction in the number of weekday meals in front of the television (1.6 6 1.0 vs 1.9 6 1.2; P = .03) but no differences in BMI or number of televisions in the bedroom.CONCLUSIONS: This pragmatic trial was not effective in reducing screen time or BMI but was effective in reducing meals in front of the screen. Short interventions focused solely on reducing screen time implemented in the primary care practice setting may not be effective in this age group.

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“…Thus, KnowledgePanel members could have been recruited by either the former random digit-dialing sampling or the current address-based sampling. AMES respondents were randomly selected from 3 separate KnowledgePanel population groups (parents of children aged #5, parents of children aged 6-11, and parents of adolescents aged [12][13][14][15][16][17]. The survey response rate was 40% for all parents; 79.8% of eligible parents gave consent for their adolescent to participate, and 98.9% of those adolescents completed the survey.…”

Section: Methodsmentioning

confidence: 99%

“…5,16 What is not fully understood, however, is whether the role parental television time plays in child TVV varies across youth of different ages and how its influence compares with other household correlates of youth TVV such as television access, parental coviewing, and parental rules. 17 The American Academy of Pediatrics' recommendations to limit screen time are more than a decade old, but there has been limited success in reducing children' s TVV. 17 Understanding modifiable factors that contribute to TVV among youth is essential because excessive time spent viewing television is associated with unfavorable health and social outcomes in children and adolescents, including obesity, [18][19][20] poor sleep, 21 physical inactivity, 22 and poor academic achievement.…”

mentioning

confidence: 99%

“…17 The American Academy of Pediatrics' recommendations to limit screen time are more than a decade old, but there has been limited success in reducing children' s TVV. 17 Understanding modifiable factors that contribute to TVV among youth is essential because excessive time spent viewing television is associated with unfavorable health and social outcomes in children and adolescents, including obesity, [18][19][20] poor sleep, 21 physical inactivity, 22 and poor academic achievement. 23 In the current study, we examined the effect of parental TVV on child TVV compared with household and bedroom television access, parental rules, and demographic variables in national parent samples.…”

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confidence: 99%

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The Relationship Between Parents’ and Children’s Television Viewing

2013

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OBJECTIVE: To examine the effect of parental television viewing on children’s television viewing compared with traditional predictors such as household television access, parental rules, and demographic characteristics of the child, parent, and household. METHODS: An online survey using national samples of 1550 parents with children in 3 age groups (children ≤5 years, children aged 6–11 years, and adolescents aged 12–17 years), weighted to be representative of US parents with children in each age group. Adolescents (n = 629) of participating parents were also surveyed. RESULTS: Parent television time is associated with child television time and had a stronger relationship to child time than access to television in the home or the child’s bedroom, as well as parental rules about television viewing and coviewing. This pattern persisted across all age groups of children. CONCLUSIONS: Educating parents about the relationship between their own and their child’s viewing may be a useful strategy for interventions that aim to reduce children’s excessive television viewing. Additionally, health professionals can engage parents in a discussion about how family television time is associated with increased television time for children.

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A Meta-analysis of Interventions That Target Children's Screen Time for Reduction

Cited by 121 publications

References 89 publications

The effectiveness of interventions to increase physical activity among young girls: A meta-analysis

The effectiveness of interventions to increase physical activity among young girls: A meta-analysis

Office-Based Randomized Controlled Trial to Reduce Screen Time in Preschool Children

The Relationship Between Parents’ and Children’s Television Viewing

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