Digital Media Usage With Impulsivity and Attention Deficit in Children

Attention-Deficit-Disordered Children Clinical Trial

Official title:

The Relationship Between the Digital Media Usage With Impulsivity and Attention Deficit in Children With Early Intervention

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05428085
• Other study ID #: N202204077
• Status: Completed
• Start date: June 22, 2022
• Est. completion date: November 30, 2022

Study information

• Verified date: April 2023
• Source: Taipei Medical University Shuang Ho Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

To explore the relationship between children's digital media usage and attention, activity, parenting pressure; to explore the relationship between family basic data factors and screen usage.

Description:

Background: Digital products are inseparable from life. Parents may feel that teaching materials are educational because of their high availability.Meaning, busy work, helping to share care or short respite, etc., and providing digital products for children, it is very important to understand children's behavior, usage habits, and the relationship between parents.According to the American Academy of Pediatrics, parents should limit their exposure to most types of screen time until the child is 2 years old , and children 2-5 years old should be less than one hour per day, and it is recommended to watch high Quality program content, accompanied by adults. The standards for screen time in various countries generally follow this policy.However, many studies have found that most children spend far more screen time than recommended guidelines. Research in Canada and the United States indicates that children aged three to five spend more than two hours a day on average. According to a tracking study, children aged three to five were surveyed on their In terms of screen use, it was found that compared with children who watched less than half an hour, children who used more than two hours a day had more significant implicit and explicit behavioral problems, namely withdrawal, nervousness, anxiety, irritability and attention deficit, and restless behavior. Objective: To explore the relationship between children's digital media usage and attention, activity, parenting pressure; to explore the relationship between family basic data factors and screen usage. Methods: Individual caregivers were interviewed through paper or electronic questionnaires to assess children's and families' digital media usage habits, children's activity levels, and parental stress. The following assessment tools were used. Including digital media use survey at home (refer to Surveillance of digital-Media habits in earLy childhood Questionnaire, SMALLQ™), Chinese version of parental child activity scale (Werry-Weiss Peters Activity Scale Chinese version, WWPAS), parental stress scale brief Form (Parenting Stress Index: Short form, PSI/SF)

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: November 30, 2022
• Est. primary completion date: November 30, 2022
• Gender: All
• Age group: 20 Years to 75 Years

Eligibility

Inclusion Criteria:

• Caregivers whose children are currently receiving early treatment and who can cooperate with the questionnaire;
• The child's family has the habit of using digital media devices;
• The child's main complaints include inattention and impulsivity;
• The child's age is 3 to 6 years old.

Exclusion Criteria:

• The child has other specific diagnosed diseases, such as autism group, sensory disorder, known genetic and genetic diseases, etc.

Related Conditions & MeSH terms

• Attention Deficit Disorder with Hyperactivity
• Attention-Deficit-Disordered Children
• Impulsive Behavior

Locations

Country	Name	City	State
Taiwan	Taipei Medical University Shuang Ho Hospital	New Taipei City

Sponsors (1)

Lead Sponsor	Collaborator
Taipei Medical University Shuang Ho Hospital

Country where clinical trial is conducted

Taiwan, 

References & Publications (16)

Abidin, R. R. (1995). Parenting Stress Index (PSI) manual . Odessa, FL: Psychological Assessment Resources.

American Academy of Pediatrics Healthy Children. Org. (2016). How to develop a family media plan [Website]. https://www.healthychildren.org/English/family-life/Media/Pages/How-to-Make-a-Family-Media-Use-Plan.aspx

Australian Government Department of Health and Ageing (DoHA) (2011). Get Up and Grow: Healthy Eating and Physical Activity for Early Childhood-Family Book. Retrieved 20 February 2022, from www.health.gov.au/internet/publications/publishing.nsf/Content/gug-family-toc.

Beal JA. Screen Time and Toddlers: New Evidence on Potentially Negative Effects. MCN Am J Matern Child Nurs. 2020 Jul/Aug;45(4):241. doi: 10.1097/NMC.0000000000000632. No abstract available. — View Citation

Chia, M., Tay, L. Y., & Chua, T. B. K. (2019). The development of an online surveillance of digital media use in early childhood questionnaire-SMALLQ™-for Singapore.

Huang Y, Yan Q, Tong L. Reliability and validity of an observation-based parent-child interaction rating scale for Chinese children aged 0-6 years. Psychol Assess. 2022 May;34(5):e45-e54. doi: 10.1037/pas0001121. Epub 2022 Mar 24. — View Citation

Kids & Tech: Tips for Parents in the Digital Age. HealthyChildren.org. (n.d.). https://www.healthychildren.org/English/family-life/Media/Pages/Tips-for-Parents-Digital-Age.aspx.

Madigan S, Browne D, Racine N, Mori C, Tough S. Association Between Screen Time and Children's Performance on a Developmental Screening Test. JAMA Pediatr. 2019 Mar 1;173(3):244-250. doi: 10.1001/jamapediatrics.2018.5056. Erratum In: JAMA Pediatr. 2019 May 1;173(5):501-502. — View Citation

Poitras VJ, Gray CE, Janssen X, Aubert S, Carson V, Faulkner G, Goldfield GS, Reilly JJ, Sampson M, Tremblay MS. Systematic review of the relationships between sedentary behaviour and health indicators in the early years (0-4 years). BMC Public Health. 2017 Nov 20;17(Suppl 5):868. doi: 10.1186/s12889-017-4849-8. — View Citation

Radesky JS, Christakis DA. Increased Screen Time: Implications for Early Childhood Development and Behavior. Pediatr Clin North Am. 2016 Oct;63(5):827-39. doi: 10.1016/j.pcl.2016.06.006. — View Citation

Reid Chassiakos YL, Radesky J, Christakis D, Moreno MA, Cross C; COUNCIL ON COMMUNICATIONS AND MEDIA. Children and Adolescents and Digital Media. Pediatrics. 2016 Nov;138(5):e20162593. doi: 10.1542/peds.2016-2593. — View Citation

Rideout, V. (2011). Zero to eight: Children's media use in America. Common Sense Media.

Tamana SK, Ezeugwu V, Chikuma J, Lefebvre DL, Azad MB, Moraes TJ, Subbarao P, Becker AB, Turvey SE, Sears MR, Dick BD, Carson V, Rasmussen C; CHILD study Investigators; Pei J, Mandhane PJ. Screen-time is associated with inattention problems in preschoolers: Results from the CHILD birth cohort study. PLoS One. 2019 Apr 17;14(4):e0213995. doi: 10.1371/journal.pone.0213995. eCollection 2019. — View Citation

Vandewater EA, Rideout VJ, Wartella EA, Huang X, Lee JH, Shim MS. Digital childhood: electronic media and technology use among infants, toddlers, and preschoolers. Pediatrics. 2007 May;119(5):e1006-15. doi: 10.1542/peds.2006-1804. — View Citation

Werry-Weiss-Peters Activity Scale, W. W. P. Center for Research in Neuropsychology and Cognitive Behavioral Intervention.

Xie G, Deng Q, Cao J, Chang Q. Digital screen time and its effect on preschoolers' behavior in China: results from a cross-sectional study. Ital J Pediatr. 2020 Jan 23;46(1):9. doi: 10.1186/s13052-020-0776-x. — View Citation

* Note: There are 16 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Surveillance of digital-Media habits in earLy childhood Questionnaire, SMALLQ™	An survey used to estimate the weekday & weekend parent-reported on-screen & off-screen media habits of preschoolers, among other things. The information including three segments: (i) digital media use, parent concern, knowledge and practice of guidelines, outside of school on weekday and weekend; (ii) non-digital media habits: indoor and outdoor play, day time naps, non-screen reading, and drawing; (iii) parent educational attainment and household income, additional child information: height, weight, wearing spectacles or not, and night-time sleep.	Baseline at first evaluate time
Secondary	Werry-Weiss Peters Activity Scale Chinese version, WWPAS	It is a 27 items inventory completed by parents, aimed at evaluating the child's activity level in a family context, in various situations of daily life (e.g., during meals, watching television, while playing, in activities abroad). The total result is obtained by adding directly the scores of all the items and represents a general measure of the child's activity level. Parents rated the frequency of their child's behaviors as occurring "none," "some," or "much of the time" . However, interparent interrater reliability was reported to be good (Barkley, 1988). No information regarding the test-retest reliability or internal consistency was located (Barkley, 1988).	Baseline at first evaluate time
Secondary	Parental stress scale brief Form	The scale assessing parents' feelings about their parenting role, exploring both positive aspects (e.g. emotional benefits, personal development) and negative aspects of parenthood (e.g. demands on resources, feelings of stress). It contains various measures of stress, emotion and role satisfaction, including perceived stress, work/family stress, loneliness, anxiety, guilt, marital satisfaction/commitment, job satisfaction, and social support. The PSI has 36 items with a 5-point Likert scale, with response options ranging from "strongly agree" to "strongly disagree." Responses on the measure are summed to create a total stress (TS) composite, which provides an indication of the amount of stress adults are experiencing due to their role as a parent (Abidin 1995). Internal consistency reliability was high for TS (a = .90).	Baseline at first evaluate time