Screen Exposure During Daily Routines and a Young Child’s Risk for Having Social-Emotional Delay

Raman, S. Pattabi; Guerrero-Duby, Sara F.; McCullough, Jennifer L. K.; Brown, Miraides; Ostrowski‐Delahanty, Sarah; Langkamp, Diane L.; Duby, John C.

doi:10.1177/0009922816684600

Cited by 70 publications

(26 citation statements)

References 12 publications

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“…Screen time was negatively associated with behavioral and emotional outcomes in 14 studies. Children with excessive screen time were related to social-emotional delay [ 100 , 106 ], hyperactivity-inattention [ 100 , 101 , 105 , 107 , 108 ], emotional symptoms [ 99 , 101 , 102 , 103 ], prosocial behavior [ 99 , 101 , 102 , 103 ], peer problems [ 99 , 101 , 102 , 103 ], and conduct problems [ 99 , 101 , 102 , 103 ]. The positive association between screen time and bullying including being a victim or being a bully was reported by three studies [ 23 , 109 , 110 ].…”

Section: Resultsmentioning

confidence: 99%

The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review

Cheng

Sha

et al. 2020

IJERPH

107

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Evidence suggests that excessive screen time in early childhood is related to children’s physical and mental health. This study aimed to review the relationships between screen media use and several health indicators in infants, toddlers, and preschoolers. A systematic search was conducted by two independent reviewers on PubMed, Web of Science, Embase, and Cochrane Library to identify the eligible studies, with an end date of 13 August 2019. Included studies (published in English) were peer-reviewed and met the determinate population (children aged 0–7 years with screen media exposure and related health outcomes). The AHRQ, NOS, and the Cochrane Handbook were used to evaluate the cross-sectional study, cohort study, and RCT, respectively. A meta-analysis and narrative syntheses were employed separately. Eighty studies (23 studies for meta-analysis) met the inclusion criteria for the systematic review. Strong evidence of the meta-analysis suggested that excessive screen time was associated with overweight/obesity and shorter sleep duration among toddlers and preschoolers. Excessive screen use was associated with various health indicators in physical, behavioral, and psychosocial aspects. Better-quality research on newer media devices, on various kinds of contents in young children, and on dose–response relationships between excessive screen use and health indicators are needed to update recommendations of screen use.

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Section: Resultsmentioning

confidence: 99%

The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review

Cheng

Sha

et al. 2020

IJERPH

107

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“…However, LSAC only assessed duration of media exposure, not other aspects of media use linked with child development, such as content quality, 14,27,29 use of media to calm child distress, 9 or use at meals or bedtime. 30 This study also used a composite measure of selfregulation, while other studies have examined constructs such as social-emotional development (including emotion regulation) 9,30 or executive functioning (including cognitive regulation). 14,29 Our results indicated that associations between self-regulation at 4 years and total media exposure, computer use, and electronic game use at 6 years were stronger among children of tertiary educated rather than high school educated caregivers.…”

mentioning

confidence: 99%

Early Childhood Media Exposure and Self-Regulation: Bidirectional Longitudinal Associations

Cliff

Howard

Radesky

et al. 2018

Academic Pediatrics

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“…Evidence from the included articles, combined with knowledge of the Scandinavian model of preventive care, highlights many opportunities. First steps include norming the latest versions of the ASQ and ASQ:SE and then evaluating their impact in home‐visit, primary care medical, and early learning/preschool settings.…”

Section: Discussionmentioning

confidence: 99%

Comparative use of the Ages and Stages Questionnaires in the USA and Scandinavia: a systematic review

Marks

Sjö

Wilson

2018

Develop Med Child Neuro

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Aim The aim of this systematic review was to investigate screening practices with the Ages and Stages Questionnaires (ASQ) and the Ages and Stages Questionnaires: Social‐Emotional (ASQ:SE) in the USA and Scandinavia and to identify practical lessons and research opportunities. Method The review was performed for ASQ‐ and ASQ:SE‐related studies in children from birth to 5 years. From nine databases and 1689 references (published from 1988–2018), 127 articles were included and categorized using Covidence online software. The Critical Appraisal Skills Programme Checklists were used before data synthesis. Results US studies primarily use the ASQ/ASQ:SE to detect delays in general and at‐risk populations in medical settings, which increases early detection, clinician‐referral, and intervention rates. Scandinavian studies commonly use the ASQ/ASQ:SE to monitor developmental–behavioural differences in intervention/exposure‐based cohorts. Pre‐visit screening yields completion/return rates of 83% to more than 90% and fosters same‐day interpretation. When referrals are indicated, systemwide care coordination or colocation with a developmental–behavioural specialist is beneficial. Interpretation Practical implementation lessons are reviewed. Research opportunities include investigating and measuring the ASQ/ASQ:SE's ‘overall’ sections. Danish, Norwegian, and Swedish translations are available but up‐to‐date norming and validation studies are needed throughout Scandinavia. Randomized controlled trials are needed to investigate outcomes in screened versus unscreened cohorts. What this paper adds General and at‐risk populations broadly benefited from periodic Ages and Stages Questionnaires (ASQ) and/or Ages and Stages Questionnaires: Social‐Emotional (ASQ:SE) screening. Pre‐visit ASQ and/or ASQ:SE screenining implementation systems work best. The ASQ and ASQ:SE ‘overall’ sections are not quantifiable and under‐researched.

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Screen Exposure During Daily Routines and a Young Child’s Risk for Having Social-Emotional Delay

Cited by 70 publications

References 12 publications

The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review

The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review

Early Childhood Media Exposure and Self-Regulation: Bidirectional Longitudinal Associations

Comparative use of the Ages and Stages Questionnaires in the USA and Scandinavia: a systematic review

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