TY - JOUR
T1 - Effects of parental education on screen time, sleep disturbances, and psychosocial adaptation among Asian preschoolers
T2 - A randomized controlled study
AU - Lin, Yen Miao
AU - Kuo, Shu Yu
AU - Chang, Yu Kai
AU - Lin, Pi Chu
AU - Lin, Yen Kuang
AU - Lee, Pi Hsia
AU - Lin, Pu Hung
AU - Chen, Su Ru
N1 - Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Purpose: A recent increase in screen time during early childhood has adversely affected the sleep and psychosocial health of children; however, limited information is available regarding effective interventions to reduce the screen time among them. This study aimed to investigate the effect of a parental educational program on screen use, sleep quality, and psychosocial adaptation among preschoolers. Design and methods: A clustered randomized controlled study with a parallel-group design was conducted. Preschoolers with a screen time of ≥2 h/day and their parents were recruited. In total, 14 kindergartens containing 129 parent–child dyads were randomly allocated to either the experimental group (receiving parental education, N = 63 dyads) or the control group (daily activities, N = 66 dyads). Data were collected before and after the intervention. A screen time questionnaire, the Children's Sleep Habits Questionnaire, and the Pediatric Symptom checklist-17 were provided to the participants. A linear mixed-model analysis was performed to examine the efficacy of the intervention. Results: After the intervention, the screen time of children in the experimental group was significantly reduced (effect size: 0.83, p <.001), and they presented improved sleep quality (effect size: 0.57, p =.01) and attention score (effect size: 0.77, p =.02) for psychosocial adaptation. Conclusions: Parental education is an effective intervention for reducing screen time and improving sleep quality and attention among preschoolers. Practice implications: Healthcare professionals should consider implementing parental educational programs to reduce screen time, and thus improve the sleep quality and psychosocial health of preschoolers.
AB - Purpose: A recent increase in screen time during early childhood has adversely affected the sleep and psychosocial health of children; however, limited information is available regarding effective interventions to reduce the screen time among them. This study aimed to investigate the effect of a parental educational program on screen use, sleep quality, and psychosocial adaptation among preschoolers. Design and methods: A clustered randomized controlled study with a parallel-group design was conducted. Preschoolers with a screen time of ≥2 h/day and their parents were recruited. In total, 14 kindergartens containing 129 parent–child dyads were randomly allocated to either the experimental group (receiving parental education, N = 63 dyads) or the control group (daily activities, N = 66 dyads). Data were collected before and after the intervention. A screen time questionnaire, the Children's Sleep Habits Questionnaire, and the Pediatric Symptom checklist-17 were provided to the participants. A linear mixed-model analysis was performed to examine the efficacy of the intervention. Results: After the intervention, the screen time of children in the experimental group was significantly reduced (effect size: 0.83, p <.001), and they presented improved sleep quality (effect size: 0.57, p =.01) and attention score (effect size: 0.77, p =.02) for psychosocial adaptation. Conclusions: Parental education is an effective intervention for reducing screen time and improving sleep quality and attention among preschoolers. Practice implications: Healthcare professionals should consider implementing parental educational programs to reduce screen time, and thus improve the sleep quality and psychosocial health of preschoolers.
KW - Children
KW - Parental education
KW - Psychosocial adaptation
KW - Screen time
KW - Sleep quality
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U2 - 10.1016/j.pedn.2020.07.003
DO - 10.1016/j.pedn.2020.07.003
M3 - Article
C2 - 32703680
AN - SCOPUS:85088125983
SN - 0882-5963
VL - 56
SP - e27-e34
JO - Journal of Pediatric Nursing
JF - Journal of Pediatric Nursing
ER -