Daily internet time: towards an evidence-based recommendation?

Berchtold, André; Akré, Christina; Barrense-Dias, Yara; Zimmermann, Grégoire; Surı́s, Joan-Carles

doi:10.1093/eurpub/cky054

Cited by 26 publications

(22 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Young survivors in our study prefered recreational sports including soccer for males, and gymnastics, swimming, and dancing for females, and these preferences are similar to those of other school children 27 . A study of screen time in healthy adolescent school children in Switzerland found higher median screen times of 122 minutes per day (compared to 82 minutes per day in our population), though screen time was assessed differently and focused on internet use 28 .…”

Section: Discussioncontrasting

confidence: 57%

Physical activity and screen time in children who survived cancer – A report from the Swiss Childhood Cancer Survivor Study

Schindera

Weiß

Hagenbuch

et al. 2019

Preprint

View full text Add to dashboard Cite

BackgroundPhysical activity (PA) can reduce the risk of chronic adverse health conditions in childhood cancer survivors. We examined physical activity and sedentary screen time behavior in a nationwide study in Switzerland.ProceduresThe Swiss Childhood Cancer Survivor Study sent questionnaires to parents of all Swiss resident ≥5 year-survivors diagnosed 1995–2010. We assessed physical activity including compulsory school sport, recreational sport, commuting to school, and time spent with screen media in those aged 5–15 years, and compared results to international recommendations.ResultsWe included 766 survivors with a median age at diagnosis of 2.8 (interquartile range 1.4–5.0) years and a median age at study of 12.5 (10.0–14.3) years. Median PA time was 7.3 (4.8–10.0) hours/week and median screen time 1.4 (0.8–2.0) hours/day. Compulsory school sport hours and walking or cycling to school contributed significantly to total PA. 55% of survivors met PA and 68% screen time recommendations. PA was lower for children living in regions of Switzerland speaking French or Italian compared to German, and for those who had a relapse or musculoskeletal/neurological conditions. Screen time was higher in males, and children with lower parental education and a migration background.ConclusionsPA and sedentary screen watching were associated with social factors and PA also with clinical risk factors. Structural preventions that afford active commuting to school and sufficient school sport are essential, as is counselling vulnerable survivor groups such as those with musculoskeletal and neurological problems, and those who have had a relapse.

show abstract

Section: Discussioncontrasting

confidence: 57%

Physical activity and screen time in children who survived cancer – A report from the Swiss Childhood Cancer Survivor Study

Schindera

Weiß

Hagenbuch

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…For example, online activities may be explored in order to screen for Internet or online game addiction [26]. However, this is an area where clear definitions of risk levels are still lacking [27].…”

Section: General Information (Table 1)mentioning

confidence: 99%

The ABC of Primary Care for University Students: a 3-Step Structured Approach at Geneva University Hospitals

Pernin

Dao

Cheval

et al. 2021

SN Compr. Clin. Med.

View full text Add to dashboard Cite

University and college students present specific health issues with vulnerabilities related to mental health and sexual health, risk-taking behaviors, and delayed access to primary care. A new student outpatient clinic was created in September 2016 at Geneva University Hospitals to respond to the health needs of this population. We present here the clinical management framework developed for a primary care consultation with students. A 3-step approach (ABC) was designed by expert consensus using different sources. A post-consultation satisfaction survey was conducted among students attending the clinic. The approach proposed 3 steps comprising general information, social evaluation, and preventive care. The importance of offering modern means of communication (online appointments, email exchanges with clinicians) was emphasized by experts. The question of cultural identity and connectedness was also addressed, especially for international students or those coming from a different Swiss region. In November 2018, a survey conducted among 128 patients out of 449 consultations showed that 94.5% agreed or totally agreed to recommend the consultation to fellow students, and 89% considered that care providers adequately addressed their specific student-related issues. A specific approach is needed in primary care for university/college students requiring particular competences across several domains. Our findings suggest that our approach is effective to cover the main health challenges faced by students. A comparison of the outcomes of this novel 3-step primary care consultation approach with non-structured approaches should be evaluated in future studies, including clinician’s satisfaction, elements of patient’s participation to governance, and medico-economic aspects.

show abstract

“…Exploring the influencing factors of adolescents’ Internet use behaviors is crucial for the development of targeted interventions. Previous studies have found that age [ 4 , 11 , 12 ], gender [ 4 , 11 , 13 ], academic pressure [ 4 , 14 , 15 ], and parental restrictions [ 6 , 16 ] are related to adolescents’ Internet use behaviors. However, social-cognitive factors of adolescents were not studied well, such as self-efficacy, outcome expectancy, and intention, et al; so far, most studies paid more attention to sociodemographic characteristics and social factors about family and peers [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Application of the health action process approach model for reducing excessive internet use behaviors among rural adolescents in China: a school-based intervention pilot study

et al. 2021

View full text Add to dashboard Cite

Objective There are few studies regarding Internet use behaviors of Chinese rural adolescents based on behavioral theory. The aim of this study is to examine the applicability and effectiveness of the health action process approach model (HAPA) in the intervention of excessive Internet use behaviors among rural adolescents in China. Methods Three hundred twenty-seven participants who met the excessive Internet use criteria were involved in this study. Four interventions based on the HAPA model were conducted during 2015–2017. The structural equation model (SEM) was applied to fit the HAPA model. Results The rate of average daily time spent online on weekends more than 4 h dropped from 57.2 to 39.1% (P < 0.001). The rate of daily game time more than 2 h decreased from 51.1 to 35.2% (P < 0.001). The result of SEM showed that both the applicability and effectiveness of the HAPA model were well in the intervention of excessive Internet use behaviors with good fitted indicators (χ2/df = 2.066, GFI = 0.889, CFI = 0.938, TLI = 0.928, IFI = 0.938, RMSEA = 0.057). The direct and indirect effects of the main pathways in the HAPA model were statistically significant (P < 0.05). The comparison analysis of HAPA model variables identified that outcome expectancy, intention, maintenance self-efficacy had been improved significantly after interventions. Conclusion The intervention measures based on the HAPA model can effectively reduce excessive Internet use behaviors of Chinese rural adolescents, mainly through strengthen outcome expectancy, intention, and maintenance self-efficacy.

show abstract

Daily internet time: towards an evidence-based recommendation?

Abstract: This study demonstrates the absence of justification for setting a limit to only 2 h of screen time per day. Significant effects on health seem to appear only beyond 4 h per day and there may be benefits for those who spend less than an hour and a half on internet.

Cited by 26 publications

References 27 publications

Physical activity and screen time in children who survived cancer – A report from the Swiss Childhood Cancer Survivor Study

Physical activity and screen time in children who survived cancer – A report from the Swiss Childhood Cancer Survivor Study

The ABC of Primary Care for University Students: a 3-Step Structured Approach at Geneva University Hospitals

Application of the health action process approach model for reducing excessive internet use behaviors among rural adolescents in China: a school-based intervention pilot study

Contact Info

Product

Resources

About