RCTJournal of developmental and behavioral pediatrics : JDBP2018

Parenting to Reduce Child Screen Time: A Feasibility Pilot Study.

Wesley Sanders, Justin Parent, Rex Forehand

PMID 28937450

WHAT IT FOUND

Diary screen time did not change, but parents in the workshop group reported larger changes in screen-time controls and appraised screen time than waitlist parents.

This was a feasibility pilot, so it did not test whether the workshop worked.

Key findings

01The intervention group had larger within-group effect-size changes than the waitlist group for technology-specific parenting (.76 vs .52) and parent-appraised average daily screen time (.51 vs .26).

02Daily diary screen time did not change from pre- to post-treatment for either group.

03The workshop was delivered with high fidelity: all 33 components were covered, and 98.8% were rated as covered well.

STILL TO COME

How it was doneWhat they found

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What it does not show

This was a feasibility pilot with only 39 randomized families, so it used effect sizes and did not have enough sample to conduct rigorous statistical tests or examine moderators such as child age. Dropout differed by group: 17 of 20 intervention parents and 15 of 19 waitlist parents completed the six-week post-assessment. The program developer delivered the intervention, so the high fidelity and outcomes may not generalize to other therapists or staff. The two screen-time measures were collected in different weeks, which limits conclusions about why diary and appraised screen time differed. Daily diaries were burdensome: a substantial minority failed to provide data across 30% of the days of data collection. Waitlist parents changed on technology-specific parenting and parent-appraised screen time without receiving the workshop. Repeated assessment or time may have influenced results. The sample was mostly mothers, mostly Caucasian, relatively well educated, and married; children were mostly male and averaged approximately 9 years of age, so results may not apply to other families. The paper notes the one-session workshop is likely most effective for parents with mild to moderate screen-time issues, and future work needs families with severe problems.

Declared interests

The supplied metadata indicates NIH extramural and non-U.S. government research support. The article text does not report author conflicts or whether the sponsor designed the study.

The easy way to misread this

Do not read the medium effect sizes or 95% satisfaction as proof the workshop reduced child screen time. The study was a feasibility pilot, diary screen time did not change, and the waitlist group also changed on parent-appraised screen time without receiving the workshop.

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The study

Participants
39 randomized families (17 intervention and 15 waitlist completed post-assessment)
Certainty of evidence
Moderate

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    Wesley Sanders, Justin Parent, Rex Forehand Parenting to Reduce Child Screen Time: A Feasibility Pilot Study. Journal of developmental and behavioral pediatrics : JDBP. 2018.

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