1
|
Beynon A, Hendry D, Lund Rasmussen C, Rohl AL, Eynon R, Thomas G, Stearne S, Campbell A, Harris C, Zabatiero J, Straker L. Measurement Method Options to Investigate Digital Screen Technology Use by Children and Adolescents: A Narrative Review. CHILDREN (BASEL, SWITZERLAND) 2024; 11:754. [PMID: 39062204 PMCID: PMC11275073 DOI: 10.3390/children11070754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2024] [Revised: 06/17/2024] [Accepted: 06/18/2024] [Indexed: 07/28/2024]
Abstract
The role and potential impact of digital screen technology in the lives of children is heavily debated. Current evidence is limited by the weakness of measures typically used to characterise screen use, predominantly proxy- or self-reports with known inaccuracy and bias. However, robust and detailed evidence is needed to provide practical trustworthy guidance to families and professionals working with families. The purpose of this paper is to support researchers to select measurement method(s) that will provide robust and detailed evidence. The paper outlines the challenges in measuring contemporary screen use by children, using a child-technology interaction model to organise considerations. A range of different methods used to measure digital screen technology use in children and adolescents (i.e., questionnaires, diaries, electronically prompted sampling, direct observation, fixed room cameras, wearable/portable cameras, audio recorders, screen-device onboard logging, remote digital trace logging and proximity logging) are described along with examples of their use and constructs typically measured as well as a summary of the advantages and disadvantages of each method. A checklist and worked examples are provided to support researchers determining the best methods or combination of methods for a research project.
Collapse
Affiliation(s)
- Amber Beynon
- ARC Centre of Excellence for the Digital Child, Australia; (A.B.); (D.H.); (C.L.R.); (A.L.R.); (G.T.); (S.S.); (A.C.); (C.H.); (J.Z.)
- School of Allied Health, Curtin University, Perth, WA 6845, Australia
| | - Danica Hendry
- ARC Centre of Excellence for the Digital Child, Australia; (A.B.); (D.H.); (C.L.R.); (A.L.R.); (G.T.); (S.S.); (A.C.); (C.H.); (J.Z.)
- School of Allied Health, Curtin University, Perth, WA 6845, Australia
| | - Charlotte Lund Rasmussen
- ARC Centre of Excellence for the Digital Child, Australia; (A.B.); (D.H.); (C.L.R.); (A.L.R.); (G.T.); (S.S.); (A.C.); (C.H.); (J.Z.)
- School of Allied Health, Curtin University, Perth, WA 6845, Australia
| | - Andrew L. Rohl
- ARC Centre of Excellence for the Digital Child, Australia; (A.B.); (D.H.); (C.L.R.); (A.L.R.); (G.T.); (S.S.); (A.C.); (C.H.); (J.Z.)
- Curtin Institute for Data Science and School of Electrical Engineering, Computing and Mathematical Sciences, Curtin University, Perth, WA 6845, Australia
| | - Rebecca Eynon
- Oxford Internet Institute, University of Oxford, Oxford OX1 2JD, UK;
| | - George Thomas
- ARC Centre of Excellence for the Digital Child, Australia; (A.B.); (D.H.); (C.L.R.); (A.L.R.); (G.T.); (S.S.); (A.C.); (C.H.); (J.Z.)
- Health and Wellbeing Centre for Research Innovation, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD 4006, Australia
| | - Sarah Stearne
- ARC Centre of Excellence for the Digital Child, Australia; (A.B.); (D.H.); (C.L.R.); (A.L.R.); (G.T.); (S.S.); (A.C.); (C.H.); (J.Z.)
- School of Allied Health, Curtin University, Perth, WA 6845, Australia
| | - Amity Campbell
- ARC Centre of Excellence for the Digital Child, Australia; (A.B.); (D.H.); (C.L.R.); (A.L.R.); (G.T.); (S.S.); (A.C.); (C.H.); (J.Z.)
- School of Allied Health, Curtin University, Perth, WA 6845, Australia
| | - Courtenay Harris
- ARC Centre of Excellence for the Digital Child, Australia; (A.B.); (D.H.); (C.L.R.); (A.L.R.); (G.T.); (S.S.); (A.C.); (C.H.); (J.Z.)
- School of Allied Health, Curtin University, Perth, WA 6845, Australia
| | - Juliana Zabatiero
- ARC Centre of Excellence for the Digital Child, Australia; (A.B.); (D.H.); (C.L.R.); (A.L.R.); (G.T.); (S.S.); (A.C.); (C.H.); (J.Z.)
- School of Allied Health, Curtin University, Perth, WA 6845, Australia
| | - Leon Straker
- ARC Centre of Excellence for the Digital Child, Australia; (A.B.); (D.H.); (C.L.R.); (A.L.R.); (G.T.); (S.S.); (A.C.); (C.H.); (J.Z.)
- School of Allied Health, Curtin University, Perth, WA 6845, Australia
| |
Collapse
|
2
|
Perez O, Garza T, Hindera O, Beltran A, Musaad SM, Dibbs T, Singh A, Chug S, Sisson A, Kumar Vadathya A, Baranowski T, O'Connor TM. Validated assessment tools for screen media use: A systematic review. PLoS One 2023; 18:e0283714. [PMID: 37053175 PMCID: PMC10101444 DOI: 10.1371/journal.pone.0283714] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 03/15/2023] [Indexed: 04/14/2023] Open
Abstract
OBJECTIVE Accurate measurement of adult and child screen media use are needed to robustly assess its impact on health outcomes. Our objective was to systematically review screen media use measurement tools that have been validated against an objective "gold standard" tool. METHODS The search strategy was initially conducted in Medline Ovid and translated to Embase, Web of Science, PsychInfo and Cochrane. A modified natural language search was conducted in Google Scholar and IEEE. The initial search was conducted in March 2021, and an updated search was conducted in June 2022. Additional studies were included from the references. Studies had to describe the validation of a tool to measure screen media use on participants of any age against a 'gold standard' or comparable objective measure. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) was used to assess the criterion validity. Four authors reviewed the titles in two rounds and extracted data. RESULTS Twenty-nine articles were included in the review. Studies measured TV, computer, mobile device and social media site screen media use through: self or parent report, direct or video observation, computer and mobile device use tracking programs, and through other novel devices such as wearable devices and cameras. Correlations of self or parent report of screen media with the gold standard were lower than correlations of technology-based measures, and video observation with the gold standard. The COSMIN criterion validity ratings ranged from poor to excellent; most of the studies received a global score of fair or poor. CONCLUSIONS Technology based validated tools that more directly measure screen use are emerging that have been validated against a gold standard for measuring screen use. However, practical, objective measures of diverse types of screen media use that have been tested on diverse populations are needed to better understand the impact of screen media use on the development and physical and mental health of children and adults.
Collapse
Affiliation(s)
- Oriana Perez
- USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas, United States of America
| | - Tatyana Garza
- USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas, United States of America
| | - Olivia Hindera
- Baylor College of Medicine, Houston, Texas, United States of America
| | - Alicia Beltran
- USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas, United States of America
| | - Salma M Musaad
- USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas, United States of America
| | - Tracey Dibbs
- Rice University, Houston, Texas, United States of America
| | - Anu Singh
- Rice University, Houston, Texas, United States of America
| | - Shria Chug
- Rice University, Houston, Texas, United States of America
| | - Amy Sisson
- The Texas Medical Center Library, Houston, Texas, United States of America
| | - Anil Kumar Vadathya
- Rice University, Electrical & Computer Engineering, Houston, Texas, United States of America
| | - Tom Baranowski
- USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas, United States of America
| | - Teresia M O'Connor
- USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas, United States of America
| |
Collapse
|
3
|
Vadathya AK, Musaad S, Beltran A, Perez O, Meister L, Baranowski T, Hughes SO, Mendoza JA, Sabharwal A, Veeraraghavan A, O'Connor T. An Objective System for Quantitative Assessment of Television Viewing Among Children (Family Level Assessment of Screen Use in the Home-Television): System Development Study. JMIR Pediatr Parent 2022; 5:e33569. [PMID: 35323113 PMCID: PMC8990369 DOI: 10.2196/33569] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 01/11/2022] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Television viewing among children is associated with developmental and health outcomes, yet measurement techniques for television viewing are prone to errors, biases, or both. OBJECTIVE This study aims to develop a system to objectively and passively measure children's television viewing time. METHODS The Family Level Assessment of Screen Use in the Home-Television (FLASH-TV) system includes three sequential algorithms applied to video data collected in front of a television screen: face detection, face verification, and gaze estimation. A total of 21 families of diverse race and ethnicity were enrolled in 1 of 4 design studies to train the algorithms and provide proof of concept testing for the integrated FLASH-TV system. Video data were collected from each family in a laboratory mimicking a living room or in the child's home. Staff coded the video data for the target child as the gold standard. The accuracy, sensitivity, specificity, positive predictive value, and negative predictive value were calculated for each algorithm, as compared with the gold standard. Prevalence and biased adjusted κ scores and an intraclass correlation using a generalized linear mixed model compared FLASH-TV's estimation of television viewing duration to the gold standard. RESULTS FLASH-TV demonstrated high sensitivity for detecting faces (95.5%-97.9%) and performed well on face verification when the child's gaze was on the television. Each of the metrics for estimating the child's gaze on the screen was moderate to good (range: 55.1% negative predictive value to 91.2% specificity). When combining the 3 sequential steps, FLASH-TV estimation of the child's screen viewing was overall good, with an intraclass correlation for an overall time watching television of 0.725 across conditions. CONCLUSIONS FLASH-TV offers a critical step forward in improving the assessment of children's television viewing.
Collapse
Affiliation(s)
- Anil Kumar Vadathya
- Department of Electrical & Computer Engineering, Rice University, Houston, TX, United States
| | - Salma Musaad
- Agricultural Research Service, US Department of Agriculture, Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, United States
| | - Alicia Beltran
- Agricultural Research Service, US Department of Agriculture, Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, United States
| | - Oriana Perez
- Agricultural Research Service, US Department of Agriculture, Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, United States
| | - Leo Meister
- Department of Electrical & Computer Engineering, Rice University, Houston, TX, United States
| | - Tom Baranowski
- Agricultural Research Service, US Department of Agriculture, Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, United States
| | - Sheryl O Hughes
- Agricultural Research Service, US Department of Agriculture, Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, United States
| | - Jason A Mendoza
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States.,General Pediatrics, Department of Pediatrics, University of Washington, Seattle, WA, United States
| | - Ashutosh Sabharwal
- Department of Electrical & Computer Engineering, Rice University, Houston, TX, United States
| | - Ashok Veeraraghavan
- Department of Electrical & Computer Engineering, Rice University, Houston, TX, United States
| | - Teresia O'Connor
- Agricultural Research Service, US Department of Agriculture, Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, United States
| |
Collapse
|
4
|
Phillips SM, Summerbell C, Hobbs M, Hesketh KR, Saxena S, Muir C, Hillier-Brown FC. A systematic review of the validity, reliability, and feasibility of measurement tools used to assess the physical activity and sedentary behaviour of pre-school aged children. Int J Behav Nutr Phys Act 2021; 18:141. [PMID: 34732219 PMCID: PMC8567581 DOI: 10.1186/s12966-021-01132-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 05/01/2021] [Indexed: 11/15/2022] Open
Abstract
Physical activity (PA) and sedentary behaviour (SB) of pre-school aged children are associated with important health and developmental outcomes. Accurate measurement of these behaviours in young children is critical for research and practice in this area. The aim of this review was to examine the validity, reliability, and feasibility of measurement tools used to assess PA and SB of pre-school aged children.Searches of electronic databases, and manual searching, were conducted to identify articles that examined the measurement properties (validity, reliability or feasibility) of measurement tools used to examine PA and/or SB of pre-school aged children (3-7 years old). Following screening, data were extracted and risk of bias assessment completed on all included articles.A total of 69 articles, describing 75 individual studies were included. Studies assessed measurement tools for PA (n = 27), SB (n = 5), and both PA and SB (n = 43). Outcome measures of PA and SB differed between studies (e.g. moderate to vigorous activity, step count, posture allocation). Most studies examined the measurement properties of one measurement tool only (n = 65). Measurement tools examined included: calorimetry, direct observation, combined heart rate and accelerometry, heart rate monitors, accelerometers, pedometers, and proxy report (parent, carer or teacher reported) measures (questionnaires or diaries). Studies most frequently assessed the validity (criterion and convergent) (n = 65), face and content validity (n = 2), test-retest reliability (n = 10) and intra-instrument reliability (n = 1) of the measurement tools. Feasibility data was abstracted from 41 studies.Multiple measurement tools used to measure PA and SB in pre-school aged children showed some degree of validity, reliability and feasibility, but often for different purposes. Accelerometers, including the Actigraph (in particular GT3X versions), Actical, ActivPAL and Fitbit (Flex and Zip), and proxy reported measurement tools used in combination may be useful for a range of outcome measures, to measure intensity alongside contextual information.
Collapse
Affiliation(s)
- Sophie M. Phillips
- Department of Sport and Exercise Sciences, Durham University, Durham City, UK
- The Centre for Translational Research in Public Health (Fuse), Newcastle upon Tyne, UK
| | - Carolyn Summerbell
- Department of Sport and Exercise Sciences, Durham University, Durham City, UK
- The Centre for Translational Research in Public Health (Fuse), Newcastle upon Tyne, UK
| | - Matthew Hobbs
- School of Health Sciences, University of Canterbury, Christchurch, New Zealand
| | - Kathryn R. Hesketh
- Population Policy & Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK
| | - Sonia Saxena
- Faculty of Medicine, School of Public Health, Imperial College London, London, UK
| | - Cassey Muir
- The Centre for Translational Research in Public Health (Fuse), Newcastle upon Tyne, UK
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Frances C. Hillier-Brown
- The Centre for Translational Research in Public Health (Fuse), Newcastle upon Tyne, UK
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
- Human Nutrition Research Centre , Newcastle University , Newcastle upon Tyne, UK
- Newcastle University Centre of Research Excellence in Healthier Lives Newcastle University , Newcastle upon Tyne, UK
| |
Collapse
|
5
|
Byrne R, Terranova CO, Trost SG. Measurement of screen time among young children aged 0-6 years: A systematic review. Obes Rev 2021; 22:e13260. [PMID: 33960616 PMCID: PMC8365769 DOI: 10.1111/obr.13260] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 03/24/2021] [Accepted: 03/30/2021] [Indexed: 12/16/2022]
Abstract
The impact of screen-based devices on children's health and development cannot be properly understood without valid and reliable tools that measure screen time within the evolving digital landscape. This review aimed to summarize characteristics of measurement tools used to assess screen time in young children; evaluate reporting of psychometric properties; and examine time trends related to measurement and reporting of screen time. A systematic review of articles published in English across three databases from January 2009 to April 2020 was undertaken using PROSPERO protocol (registration: CRD42019132599) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Included articles measured screen time as outcome, exposure, or confounder in children 0-6 years. The search identified 35,868 records, 1035 full-text articles were screened for eligibility, and 622 met inclusion criteria. Most measures (60%) consisted of one to three items and assessed duration of screen time on a usual day. Few measures assessed content (11%) or coviewing (7%). Only 40% of articles provided a citation for the measure, and only 69 (11%) reported psychometric properties-reliability n = 58, validity n = 19, reliability and validity n = 8. Between 2009 and 2019, the number of published articles increased from 28 to 71. From 2015, there was a notable increase in the proportion of articles published each year that assessed exposure to mobile devices in addition to television. The increasing number of published articles reflects increasing interest in screen time exposure among young children. Measures of screen time have generally evolved to reflect children's contemporary digital landscape; however, the psychometric properties of measurement tools are rarely reported. There is a need for improved measures and reporting to capture the complexity of children's screen time exposures.
Collapse
Affiliation(s)
- Rebecca Byrne
- School of Exercise and Nutrition Sciences, Faculty of Health, Centre for Children's Health Research (CCHR)Queensland University of Technology (QUT)South BrisbaneQueenslandAustralia
| | - Caroline O. Terranova
- School of Exercise and Nutrition Sciences, Faculty of Health, Centre for Children's Health Research (CCHR)Queensland University of Technology (QUT)South BrisbaneQueenslandAustralia
| | - Stewart G. Trost
- School of Exercise and Nutrition Sciences, Faculty of Health, Centre for Children's Health Research (CCHR)Queensland University of Technology (QUT)South BrisbaneQueenslandAustralia
| |
Collapse
|
6
|
Model of goal directed behavior for limiting Latino preschoolers' television viewing: validity and reliability. BMC Public Health 2020; 20:185. [PMID: 32024491 PMCID: PMC7003399 DOI: 10.1186/s12889-020-8268-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 01/24/2020] [Indexed: 12/02/2022] Open
Abstract
Background Accurately measuring parents’ attitudes and beliefs regarding limiting their children’s TV viewing is important to inform the design and evaluation of effective interventions. This manuscript assesses the internal consistency reliability, test-retest reliability, convergent validity, and construct validity of the Model of Goal Directed Behavior (MGDB) scales among parents of Latino preschoolers to characterize Latino parents’ attitudes and beliefs toward limiting their preschoolers’ TV viewing. Method Participants included parents of Latino preschoolers in the United States, 3–5 years old (n = 186). Parents completed a socio-demographic survey and the 105-item MGDB questionnaire (Attitudes, Perceived Positive/Negative Behavioral Control, Subjective Norms, Positive and Negative Anticipated Emotions, Habits, Self-Efficacy, Desires, and Intentions surrounding their child’s TV viewing) which was used to measure internal consistency reliability and construct validity. A subsample of participants completed the questionnaire twice to measure test-retest reliability. Further, parents completed a 7-day TV viewing diary for their preschooler, and a TV parenting practices questionnaire as measures of convergent validity. Results Internal consistency reliability was generally acceptable for the MGDB scales (Cronbach’s alphas> 0.7), except for the Desires scale, which was revealed to have two factors and the Attitudes and Perceived Behavioral Control scales. Test-retest reliability over 2 months had negligible to moderate correlations (r’s = 0.28 to 0.61). Two structural equation models were conducted. One yielded acceptable model fit (x2 (97) = 113.65, p = .119) and the other had questionable model fit (x2 (97) = 125.39; p = .028). Testing convergent validity, only two MGDB scales (Habits and Self-Efficacy) were positively correlated with the TV parenting practices questionnaire (r’s = 0.33 to 0.51), and none were meaningfully correlated with preschoolers’ mean daily TV viewing. Conclusions Initial reliability and validity for some of the MGDB scales appear acceptable among parents of Latino preschoolers. Refinement of the instrument and testing among larger samples is necessary to fully evaluate psychometric properties. This instrument may be useful for characterizing Latino parents’ attitudes and beliefs toward limiting their preschoolers’ TV viewing and informing future TV reduction interventions. Trial registration Clinical Trials NCT01216306 Registered October 6, 2010.
Collapse
|
7
|
Lindsay AC, Arruda CAM, De Andrade GP, Machado MMT, Greaney ML. Parenting practices that may encourage and discourage physical activity in preschool-age children of Brazilian immigrant families: A qualitative study. PLoS One 2019; 14:e0214143. [PMID: 30893366 PMCID: PMC6426301 DOI: 10.1371/journal.pone.0214143] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Accepted: 02/25/2019] [Indexed: 11/29/2022] Open
Abstract
Brazilians are a rapidly increasing Latino immigrant group in the United States (US), yet little research has examined factors influencing physical activity (PA) levels and behaviors of children growing up in Brazilian immigrant families. This information is needed to develop culturally sensitive interventions tailored to this population. Therefore, this qualitative study explored PA parenting practices used by Brazilian immigrant mothers living in the US. Thirty-seven Brazilian immigrant mothers with at least one child between the ages of 2 and 5 years participated in 1of 7 focus group discussions. Thematic analysis identified seven parenting practices that mothers employ that may encourage or facilitate physical activity their preschool-aged children's PA including: 1) modeling PA; 2) engaging and being physically active with child; 3) providing logistic support; 4) encouraging, praising, and offering motivational support; 5) watching, supervising, and teaching children how to engage in PA; 6) monitoring and setting limits to child's screen time; and 7) prompting child to be physically active. In addition, analysis identified four parenting practices that may discourage or inhibit children's PA including: 1) modeling of sedentary behaviors; 2) having rules and restrictions due to safety- and weather-related concerns; 3) limiting child's outdoor time due to parental time constraints; and 4) restricting child's outdoor and play time as punishment. Furthermore, analyses demonstrated that social contextual factors (e.g., income, housing, neighborhood safety, etc.) influence mothers' PA parenting practices and consequently, their children's PA. This is the first qualitative study, to our knowledge, to explore PA parenting practices of Brazilian-born immigrant mothers living in the US. Future research should further explore PA parenting practices of Brazilian immigrant parents including quantifying PA parenting practices that encourage and discourage PA, as well as examining the influence of fathers' PA parenting practices on young children's PA.
Collapse
Affiliation(s)
- Ana Cristina Lindsay
- Department of Exercise and Health Sciences, University of Massachusetts, Boston, MA, United States of America
| | | | | | | | - Mary L. Greaney
- Health Studies & Department of Kinesiology, University of Rhode Island, Kingston, RI, United States America
| |
Collapse
|
8
|
Thompson DA, Schmiege SJ, Johnson SL, Vandewater EA, Boles RE, Zambrana RE, Lev J, Tschann JM. Screen-Related Parenting Practices in Low-Income Mexican American Families. Acad Pediatr 2018; 18:820-827. [PMID: 29777781 PMCID: PMC6211555 DOI: 10.1016/j.acap.2018.05.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Revised: 04/30/2018] [Accepted: 05/08/2018] [Indexed: 11/22/2022]
Abstract
OBJECTIVES To (1) examine whether the Information-Motivation-Behavioral Skills Model predicts maternal screen-related parenting practices and (2) evaluate the relationship of American Academy of Pediatrics (AAP)-recommended parenting practices with child television (TV) use behaviors. METHODS In this cross-sectional study, 312 Spanish-speaking and/or English-speaking female primary caregivers of Mexican descent with a child 3 to 5 years of age were recruited from safety-net pediatric clinics. Participants completed a phone interview and screen media diary. Measures included maternal screen-related beliefs, self-efficacy, parenting practices (time restriction, TV in the child's bedroom, allowing viewing while eating meals and while eating snacks), and child viewing behaviors (amount of TV viewing, frequency of eating while viewing). Two path analytic models were estimated. RESULTS Positive general beliefs about TV viewing and positive functional beliefs were negatively associated with maternal self-efficacy to restrict TV time (β = -0.14, P < .05; β = -0.27, P < .001). Greater self-efficacy to restrict time was associated with more maternal restriction of time (β = 0.29, P < .001). Greater positive functional beliefs were associated with less self-efficacy to restrict TV viewing with snacks (odds ratio = 0.56; 95% confidence interval, 0.38-0.81). High self-efficacy to restrict viewing with snacks was associated with less allowing of viewing while snacking (β = -0.16, P < .01). Time restriction, TV in the child's bedroom, and allowing viewing while snacking were associated with child TV viewing behaviors. CONCLUSIONS Providers should consider maternal beliefs, including beliefs regarding the functional use of screens, and self-efficacy to engage in AAP-recommended parenting practices, when counseling on screen use in this population.
Collapse
Affiliation(s)
- Darcy A Thompson
- Department of Pediatrics, University of Colorado School of Medicine, Aurora.
| | - Sarah J Schmiege
- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado, Aurora
| | - Susan L Johnson
- Department of Pediatrics, University of Colorado School of Medicine, Aurora
| | - Elizabeth A Vandewater
- Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health-Austin Regional Campus
| | - Richard E Boles
- Department of Pediatrics, University of Colorado School of Medicine, Aurora
| | - Ruth E Zambrana
- Department of Women's Studies, University of Maryland, College Park
| | - Jerusha Lev
- Department of Pediatrics, Denver Health, Denver, Colo
| | - Jeanne M Tschann
- Department of Psychiatry, University of California at San Francisco
| |
Collapse
|
9
|
Mendoza JA, Baranowski T, Jaramillo S, Fesinmeyer MD, Haaland W, Thompson D, Nicklas TA. Fit 5 Kids TV Reduction Program for Latino Preschoolers: A Cluster Randomized Controlled Trial. Am J Prev Med 2016; 50:584-592. [PMID: 26572093 PMCID: PMC5108181 DOI: 10.1016/j.amepre.2015.09.017] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Revised: 09/09/2015] [Accepted: 09/17/2015] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Reducing Latino preschoolers' TV viewing is needed to reduce their risk of obesity and other chronic diseases. This study's objective was to evaluate the Fit 5 Kids (F5K) TV reduction program's impact on Latino preschooler's TV viewing. STUDY DESIGN Cluster RCT with randomization at the center level and N=160 participants. SETTING/PARTICIPANTS Latino children aged 3-5 years and their parents were recruited from six Head Start centers in Houston TX in 2010-2012 with analyses in 2013-2014. INTERVENTION F5K was culturally adapted for Latino preschoolers and the overall goal was to reduce TV viewing. Study staff taught F5K over 7-8 weeks during the regular Head Start day directly to intervention students. Control schools provided the usual Head Start curriculum, which did not specifically cover TV viewing. MAIN OUTCOME MEASURES Individual-level outcomes were measured prior to (Time 1) and immediately following (Time 2) the intervention. The primary outcome, TV viewing (minutes/day), was measured by validated 7-day TV diaries (parent-reported). Sedentary time was measured by accelerometers. RESULTS Per the adjusted repeated measures linear mixed effects model for TV viewing (minutes/day), intervention children decreased from 76.2 (9.9) at Time 1 to 52.1 (10.0) at Time 2, whereas control children remained about the same from 84.2 (10.5) at Time 1 to 85.4 (10.5) at Time 2. The relative difference from Time 1 to Time 2 was -25.3 (95% CI= -45.2, -5.4) minutes for intervention versus control children (N=160, p=0.01). In a similar adjusted model, there was a relative decrease in sedentary time (minutes/day) from Time 1 to Time 2 favoring the intervention children (-9.5, 95% CI= -23.0, 4.1), although not significant at p<0.05. CONCLUSIONS F5K reduced Latino preschoolers' TV viewing by >25 minutes daily. These findings have implications for prevention of obesity, related disorders, and health equity. TRIAL REGISTRATION This study is registered at www.clinicaltrials.gov NCT01216306.
Collapse
Affiliation(s)
- Jason A Mendoza
- General Pediatrics, Department of Pediatrics, University of Washington School of Medicine, and Nutritional Sciences Program, University of Washington School of Public Health, Seattle, Washington; Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington; Health Disparities Research Center, Fred Hutchinson Cancer Research Center, Seattle, Washington.
| | - Tom Baranowski
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas
| | - Sandra Jaramillo
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas
| | - Megan D Fesinmeyer
- Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Wren Haaland
- Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington
| | - Debbe Thompson
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas
| | - Theresa A Nicklas
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas
| |
Collapse
|
10
|
Engel SG, Crosby RD, Thomas G, Bond D, Lavender JM, Mason T, Steffen KJ, Green DD, Wonderlich SA. Ecological Momentary Assessment in Eating Disorder and Obesity Research: a Review of the Recent Literature. Curr Psychiatry Rep 2016; 18:37. [PMID: 26893235 DOI: 10.1007/s11920-016-0672-7] [Citation(s) in RCA: 107] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Our current understanding of the etiology and maintenance of eating disorders and obesity continues to be far from complete. Similarly, our understanding of determinants of both successful and unsuccessful weight loss surgery is also quite limited. While a number of research methodologies have been applied to these areas, one methodology that has recently seen a rise in popularity is the use of ecological momentary assessment (EMA). EMA allows one to study a variety of variables of interest in the natural environment. The study of eating disorders, obesity, and bariatric surgery has all been conducted using EMA recently. The current study is a review of these areas and summarizes the recent literature (past 3 years) in eating disorders, obesity, and bariatric surgery using EMA methodology.
Collapse
Affiliation(s)
- Scott G Engel
- Neuropsychiatric Research Institute, Fargo, ND, USA. .,University of North Dakota School of Medicine, University of North Dakota, Grand Forks, ND, USA.
| | - Ross D Crosby
- Neuropsychiatric Research Institute, Fargo, ND, USA.,University of North Dakota School of Medicine, University of North Dakota, Grand Forks, ND, USA
| | - Graham Thomas
- Department of Psychiatry and Human Behavior, Brown Alpert Medical School/The Miriam Hospital, Weight Control and Diabetes Research Center, Brown University, Providence, RI, USA
| | - Dale Bond
- Department of Psychiatry and Human Behavior, Brown Alpert Medical School/The Miriam Hospital, Weight Control and Diabetes Research Center, Brown University, Providence, RI, USA
| | | | - Tyler Mason
- Neuropsychiatric Research Institute, Fargo, ND, USA
| | - Kristine J Steffen
- Neuropsychiatric Research Institute, Fargo, ND, USA.,School of Pharmacy/Pharmaceutical Sciences, North Dakota State University, Fargo, ND, USA
| | - Dan D Green
- Neuropsychiatric Research Institute, Fargo, ND, USA
| | - Stephen A Wonderlich
- Neuropsychiatric Research Institute, Fargo, ND, USA.,University of North Dakota School of Medicine, University of North Dakota, Grand Forks, ND, USA
| |
Collapse
|
11
|
Layne CS, Parker NH, Soltero EG, Rosales Chavez J, O'Connor DP, Gallagher MR, Lee RE. Are physical activity studies in Hispanics meeting reporting guidelines for continuous monitoring technology? A systematic review. BMC Public Health 2015; 15:917. [PMID: 26384488 PMCID: PMC4575489 DOI: 10.1186/s12889-015-2266-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2015] [Accepted: 09/14/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Continuous monitoring technologies such as accelerometers and pedometers are the gold standard for physical activity (PA) measurement. However, inconsistencies in use, analysis, and reporting limit the understanding of dose-response relationships involving PA and the ability to make comparisons across studies and population subgroups. These issues are particularly detrimental to the study of PA across different ethnicities with different PA habits. This systematic review examined the inclusion of published guidelines involving data collection, processing, and reporting among articles using accelerometers or pedometers in Hispanic or Latino populations. METHODS English (PubMed; EbscoHost) and Spanish (SCIELO; Biblioteca Virtual en Salud) articles published between 2000 and 2013 using accelerometers or pedometers to measure PA among Hispanics or Latinos were identified through systematic literature searches. Of the 253 abstracts which were initially reviewed, 57 met eligibility criteria (44 accelerometer, 13 pedometer). Articles were coded and reviewed to evaluate compliance with recommended guidelines (N = 20), and the percentage of accelerometer and pedometer articles following each guideline were computed and reported. RESULTS On average, 57.1 % of accelerometer and 62.2 % of pedometer articles reported each recommended guideline for data collection. Device manufacturer and model were reported most frequently, and provision of instructions for device wear in Spanish was reported least frequently. On average, 29.6 % of accelerometer articles reported each guideline for data processing. Definitions of an acceptable day for inclusion in analyses were reported most frequently, and definitions of an acceptable hour for inclusion in analyses were reported least frequently. On average, 18.8 % of accelerometer and 85.7 % of pedometer articles included each guideline for data reporting. Accelerometer articles most frequently included average number of valid days and least frequently included percentage of wear time. DISCUSSION Inclusion of standard collection and reporting procedures in studies using continuous monitoring devices in Hispanic or Latino population is generally low. CONCLUSIONS Lack of reporting consistency in continuous monitoring studies limits researchers' ability to compare studies or draw meaningful conclusions concerning amounts, quality, and benefits of PA among Hispanic or Latino populations. Reporting data collection, computation, and decision-making standards should be required. Improved interpretability would allow practitioners and researchers to apply scientific findings to promote PA.
Collapse
Affiliation(s)
- Charles S Layne
- Texas Obesity Research Center, Department of Health and Human Performance, University of Houston, Garrison Gymnasium Room 104, 3855 Holman Street, Houston, TX, 77204-6015, USA.
| | - Nathan H Parker
- Texas Obesity Research Center, Department of Health and Human Performance, University of Houston, Garrison Gymnasium Room 104, 3855 Holman Street, Houston, TX, 77204-6015, USA.
| | - Erica G Soltero
- Texas Obesity Research Center, Department of Health and Human Performance, University of Houston, Garrison Gymnasium Room 104, 3855 Holman Street, Houston, TX, 77204-6015, USA.
| | - José Rosales Chavez
- School of Human Evolution and Social Change, Arizona State University, 900 S. Cady Mall, Tempe, AZ, 85287, USA.
| | - Daniel P O'Connor
- Texas Obesity Research Center, Department of Health and Human Performance, University of Houston, Garrison Gymnasium Room 104, 3855 Holman Street, Houston, TX, 77204-6015, USA.
| | - Martina R Gallagher
- School of Nursing, University of Texas Health Science Center, 6901 Bertner, Houston, TX, 77030, USA.
| | - Rebecca E Lee
- Center for Health Promotion and Disease Prevention, College of Nursing and Health Innovation, Arizona State University, 500 N. 3rd Street, Phoenix, AZ, 85004, USA.
| |
Collapse
|
12
|
Anzman-Frasca S, Boulos R, Hofer T, Folta SC, Koomas A, Nelson ME, Sacheck JM, Economos CD. Validation of the Out-of-School-Time Snacks, Beverages, and Physical Activity Questionnaire. Child Obes 2015; 11:439-48. [PMID: 26176191 PMCID: PMC8104022 DOI: 10.1089/chi.2014.0142] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND Recent research has highlighted the potential for out-of-school-time (OST) environments to impact children's energy balance. Expanding upon this evidence requires validated measures to assess nutrition and physical activity (PA) environments across large samples of OST programs. The aim of this study was to assess the criterion validity of the Out-of-School-Time Snacks, Beverages, and Physical Activity Questionnaire (OST-SBPA), an online questionnaire designed to measure OST nutrition and PA environments by program leaders' reports. METHODS The study consisted of two samples of OST programs (total n=65). Objective data across program meetings were compared to program leaders' reports of usual snack, beverage, and PA offerings. All 65 programs provided snack and beverage data; PA data were available from 31 programs. Validity was assessed using percent agreement, Cohen's kappa, and Spearman's correlations. RESULTS All OST-SBPA items demonstrated agreement above 60% when dichotomized (e.g., none/some versus most/all of the time for frequency items). Most OST-SBPA items were significantly correlated with objective data, including how often fresh and processed fruits and vegetables, salty snacks, sweet snacks, protein snacks, milk, juice, and sweetened beverages were offered and four PA measures (r=0.43-0.78; p<0.01), whereas one item, the frequency that water was offered, was not (r=0.13; p=0.37). The water item demonstrated validity once water from water fountains was recoded and not considered a program-provided beverage. CONCLUSIONS These findings fill a gap in the literature through the validation of a brief questionnaire that can be used to assess OST nutrition and PA environments. The current results support the use of the OST-SBPA in studies aiming to assess and impact these environments.
Collapse
Affiliation(s)
- Stephanie Anzman-Frasca
- 1 ChildObesity180, Tufts University , Boston, MA
- 2 Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University , Boston, MA
| | - Rebecca Boulos
- 1 ChildObesity180, Tufts University , Boston, MA
- 2 Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University , Boston, MA
| | - Teresa Hofer
- 1 ChildObesity180, Tufts University , Boston, MA
| | - Sara C Folta
- 2 Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University , Boston, MA
- 3 Jonathan M. Tisch College of Citizenship and Public Service, Tufts University , Medford, MA
| | | | - Miriam E Nelson
- 1 ChildObesity180, Tufts University , Boston, MA
- 2 Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University , Boston, MA
- 3 Jonathan M. Tisch College of Citizenship and Public Service, Tufts University , Medford, MA
| | - Jennifer M Sacheck
- 2 Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University , Boston, MA
- 3 Jonathan M. Tisch College of Citizenship and Public Service, Tufts University , Medford, MA
| | - Christina D Economos
- 1 ChildObesity180, Tufts University , Boston, MA
- 2 Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University , Boston, MA
- 3 Jonathan M. Tisch College of Citizenship and Public Service, Tufts University , Medford, MA
| |
Collapse
|
13
|
Abstract
BACKGROUND Physical activity is associated with long-term benefits for health and tracks from early childhood into later adolescence. Limited information exists about factors influencing physical activity among Latino preschoolers. We aimed to identify correlates of objectively measured light-to-vigorous-intensity physical activity as a proportion of wear time (% PA) in Latino 3-5 year olds. METHODS Latino preschoolers (n = 96) were recruited from Head Start centers in Houston, TX, USA, from 2009 to 2010. Sociodemographics, anthropometrics, acculturation, neighborhood disorder, and TV viewing were measured. Actigraph GT1M accelerometers measured physical activity. Block linear regression was used with % PA as the dependent variable. RESULTS Children achieved 285.7 ± 58.0 min/day of PA. In the final adjusted-model, child age, parental education and neighborhood disorder were positively associated with % PA (beta = 0.33, p = .002; beta = 0.25, p = .038; beta = 0.22, p = .039, respectively). TV viewing was inversely associated with % PA (beta=-0.23, p = .027). CONCLUSION The majority of Latino preschoolers in our study exceeded US national and international guidelines of physical activity duration. Future interventions to sustain physical activity should focus on the influence of age, socioeconomic status, neighborhood disorder, and TV viewing on Latino preschoolers' attainment of physical activity.
Collapse
|
14
|
Peck T, Scharf RJ, Conaway MR, DeBoer MD. Viewing as little as 1 hour of TV daily is associated with higher change in BMI between kindergarten and first grade. Obesity (Silver Spring) 2015; 23:1680-6. [PMID: 26179163 DOI: 10.1002/oby.21132] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Revised: 04/13/2015] [Accepted: 04/14/2015] [Indexed: 11/09/2022]
Abstract
OBJECTIVE Evaluate associations between TV viewing and weight status in children from kindergarten to first grade. METHODS Linear and logistic regression was used to evaluate associations of TV-viewing time on BMI-z-score cross-sectionally at kindergarten and first grade and longitudinally in between, among a nationally representative sample of 14,645 children from the Early Childhood Longitudinal Study-Kindergarten Cohort 2011. All analyses were adjusted for sex, race/ethnicity, parental education, and household income. RESULTS Weekday TV-viewing time was correlated with BMI-z-score (P < 0.01) at kindergarten and first grade and with change in BMI-z-score in between (P < 0.05). Compared with children watching <1 h of TV daily, children watching ≥1 h in kindergarten and first grade had a greater odds of overweight (1.50-1.60) and obesity (1.58-1.73). Children watching 1-<2 h and ≥2 h daily had higher BMI-z-scores (P < 0.0001) and less favorable changes in BMI-z-score between time points (P < 0.05). Children who were not overweight or obese in kindergarten and watched ≥1 h of TV had a greater odds of becoming overweight (1.39) and obese (1.86) between evaluations. CONCLUSIONS Children watching as little as 1-<2 h of TV daily were more likely to become overweight and obese over time. Physicians should encourage families to restrict TV-viewing time to reduce weight gain.
Collapse
Affiliation(s)
- Travis Peck
- Division of Pediatric Endocrinology, University of Virginia, Charlottesville, Virginia, USA
- Department of Pediatrics, University of Virginia, Charlottesville, Virginia, USA
| | - Rebecca J Scharf
- Department of Pediatrics, University of Virginia, Charlottesville, Virginia, USA
- Division of Developmental Pediatrics, University of Virginia, Charlottesville, Virginia, USA
| | - Mark R Conaway
- Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia, USA
| | - Mark D DeBoer
- Division of Pediatric Endocrinology, University of Virginia, Charlottesville, Virginia, USA
- Department of Pediatrics, University of Virginia, Charlottesville, Virginia, USA
| |
Collapse
|
15
|
Innella N, Breitenstein S, Hamilton R, Reed M, McNaughton DB. Determinants of Obesity in the Hispanic Preschool Population: An Integrative Review. Public Health Nurs 2015; 33:189-99. [DOI: 10.1111/phn.12215] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Nancy Innella
- College of Nursing; Rush University; Chicago Illinois
| | | | | | - Monique Reed
- College of Nursing; Rush University; Chicago Illinois
| | | |
Collapse
|