Evaluating the effectiveness of interventions to reducing screen time in children: meta-analysis of randomized controlled trials

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Public Mental Health Pub Date : 2021-10-11 DOI:10.1108/jpmh-03-2021-0039
D. Akçay, Nuray Barış
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Abstract

Purpose The purpose of this paper is to evaluate the impact of interventions focused on reducing screen time in children. Design/methodology/approach Studies that aim to investigate the effects of interventions aimed at reducing the time spent in front of the screen (i.e. screen time). A Random-effects model was used to calculate the pooled standard mean differences. The outcome was to evaluate the screen time in children in the 0–18 age range. A subgroup analysis was performed to reveal the extent to which the overall effect size varied by subgroups (participant age, duration of intervention and follow). Findings For the outcome, the meta-analysis included 21 studies, and the standard difference in mean change in screen time in the intervention group compared with the control group was −0.16 (95% confidence interval [CI], −0.21 to −0.12) (p < 0.001). The effect size was found to be higher in long-term (=7 months) interventions and follow-ups (p < 0.05). Originality/value Subgroup analysis showed that a significant effect of screen time reduction was observed in studies in which the duration of intervention and follow-up was =7 months. As the evidence base grows, future researchers can contribute to these findings by conducting a more comprehensive analysis of effect modifiers and optimizing interventions to reduce screen time.
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评估减少儿童屏幕时间的干预措施的有效性:随机对照试验的荟萃分析
目的本研究的目的是评估减少儿童屏幕时间的干预措施的影响。设计/方法/方法旨在调查旨在减少在屏幕前花费时间(即屏幕时间)的干预措施的效果的研究。采用随机效应模型计算合并标准均值差。结果是评估0-18岁儿童的屏幕时间。进行亚组分析以揭示亚组(参与者年龄、干预持续时间和随访)的总体效应大小变化程度。结果:meta分析包括21项研究,干预组与对照组相比,屏幕时间平均变化的标准差异为- 0.16(95%可信区间[CI], - 0.21至- 0.12)(p < 0.001)。长期(=7个月)干预和随访的效应量更高(p < 0.05)。独创性/价值亚组分析显示,在干预和随访时间为7个月的研究中,减少屏幕时间有显著的效果。随着证据基础的增加,未来的研究人员可以通过更全面地分析效果调节剂和优化干预措施来减少屏幕时间,从而为这些发现做出贡献。
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来源期刊
Journal of Public Mental Health
Journal of Public Mental Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.40
自引率
7.10%
发文量
32
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