Effects of parental education on screen time, sleep disturbances, and psychosocial adaptation among Asian preschoolers: A randomized controlled study

Yen Miao Lin, Shu Yu Kuo, Yu Kai Chang, Pi Chu Lin, Yen Kuang Lin, Pi Hsia Lee, Pu Hung Lin, Su Ru Chen

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
JournalJournal of Pediatric Nursing
DOIs
Publication statusAccepted/In press - 2020

Keywords

  • Children
  • Parental education
  • Psychosocial adaptation
  • Screen time
  • Sleep quality

ASJC Scopus subject areas

  • Pediatrics

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