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Childhood Screen Time

A review of the detriments of increasing childhood screen time

Nicholas Geisen

on 6 February 2014

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Transcript of Childhood Screen Time

Childhood Screen Time
Excess Screen Time In Youth
The American Academy of Pediatrics recommends less than 2 hours of screen time a day for children over the age of 2, and zero screen time for children under age 2 yrs.
Mental Health
Cardiovascular Risk and Obesity
Physical Activity
Addressing this growing problem
Nursing Implications
"In many western countries, children now spend one-quarter of their waking lives in front of screens of some sort - televisions, computer monitors, cinema screens or video game consoles."
Health Teaching
Problem Statement: A major risk factor for children having excess screen time is a lack of parental education regarding the detriments of screen time, as well as a lack of knowledge about effective methods to regulate their children’s screen time.
Clinical Nurse provides education to an overweight child who watches 6+ hours of TV daily and his parents about the importance of making rules to decrease screen time that are agreed upon between the child and his parents.
The public health nurse works with the hospital’s director of nursing to implement a teaching program for RN’s that will help them to identify children at risk for developing health detriments related to excess screen time, and subsequently educated the children and their parents on how to reverse this problem.
The school nurse will attend parent-teacher conferences and speak with parents about the importance of limiting their children’s screen time to avoid the many health detriments of excess screen time.
-Olds, Ridley, & Dollman, 2006
Social Marketing
Problem Statement: Social marketing is involved in all of the various aspects of screen use that children are exposed to daily, and should be used in a more positive manner to encourage children to spend less time in front of screens.
The school nurse will give a child’s parents a brochure about the American Academy of Pediatrics’ guidelines for screen use in children. She points out some useful information within the brochure to initiate learning and discussion.
The nurse who works for the American Academy of Pediatrics creates an online advertisement that reaches out to adolescents that struggle with obesity, mental health problems, and other detriments of excess screen time, giving them a website link to assist them in beginning to make changes in their lives.
The Public health nurse creates a twitter account designed to allow the high school students to share activities with their peers to decrease screen time, creating a community effort to decrease screen use.

Problem Statement: Excess screen time in children is a fairly new issue and continues to evolve with technological advances, this calls for continued systematic collection, analysis, and interpretation of data to keep public health interventions up to date with this evolving problem.
The public health nurse follows up on a recommendation from a Pediatric RN by contacting the parents of a child with depression to work with them in establishing affective screen use regulation in their household.
The pediatric nurse works with the board of directors in the hospital to establish a policy requiring RNs to ask patients and their parents the average screen use on weekdays and weekends and document accordingly. This data can be used to analyze trends and percentages of patients with screen time problems.
The school nurse surveys the students to identify children exceeding the daily screen time recommendations, and subsequently puts an intervention of parental education to work. The following semester nurse evaluates the effectiveness of the intervention through a second survey.
Class Activity:
Educating Parents

Please divide Up into 3 groups
Parenting Style
Unquestioned mandates
Rules and Regulations with expectation of rigid adherence
"Do it because I say so"
Parenting Style
Exert little to no control over children's actions
consider themselves resources and not role models
Rare punishment
lax, inconsistent discipline
if there are rules the underlying reason is explained and children are consulted in formulation process
Parenting Style
Combined Authoritarian and Permissive Styles
Emphasize reasons for rules and negatively reinforce deviations
Control firm and consistent, but paired with encouragement, understanding and security
Realistic standards & Reasonable Expectations
(Case Finding at Individual Level)
If there are any questions I would be happy to address them at this time.
Legal regulations bring about an ethical dilemma.
Collaborating roles
What demographic population should be targeted?
Parental Role in Decreasing Childhood Screen Time
Home Environment Changes

Reduce the Number of Screens in the Household

NO Screens in the Bedroom!
Earlier Bedtimes and Screen Curfews
Advocate for and enable peer-led interventions
Adolescent Screen Time and Rules to Limit Screen Time in the Home




Nursing Implications:

"Mass-Media Explosion"
Correlation between increased screen time and negative mental health indicators.

Indicators: little interest in being social, little appetite, loneliness, crying easily, difficulties sleeping, and feelings of hopelessness.
Avenues Through Which Mental Health Issues Arise
sleep disturbances
developmental issues
social disruption
Disruption In Social Lives
There is a need for appropriate treatment.
Level of Fitness
Screen Time
Get Active

60 Minutes

Physical Fitness
Dance Dance Revolution
Keeps children active during screen time
Doubled energy expenditure
Not a perfect alternative
Association between TV viewing, computer use and overweight, determinants and competing activities of screen time in 4- to 13-year-old children




Nursing Implications:

Screen Time on the Rise?
Obesity on the Rise!
Full transcript