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      How parents perceive screen viewing in their 5–6 year old child within the context of their own screen viewing time: a mixed-methods study

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          Abstract

          Background

          Few studies have examined parental perceptions of their child’s screen-viewing (SV) within the context of parental SV time. This study qualitatively examined parents’ perceptions of their 5–6-year-old child’s SV within the context of their own quantitatively measured SV.

          Methods

          A mixed-methods design employed semi-structured telephone interviews, demographic and SV questionnaires, objectively-measured physical activity and sedentary time. Deductive content analysis was used to explore parents’ perceptions of, and concerns about, their child’s SV, and management of their child’s SV. Comparisons were made between parent-child dyads reporting low (<2-h per day) versus high SV time.

          Results

          Fifty-three parents were interviewed (94.3% mothers), with 52 interviews analysed. Fifteen parent-child dyads (28.8%) exceeded the 2-h SV threshold on both weekdays and weekend days; 5 parent-child dyads (9.6%) did not exceed this threshold. The remaining 32 dyads reported a combination of parent or child exceeding/not exceeding the SV threshold on either weekdays or weekend days. Three main themes distinguished the 15 parent-child dyads exceeding the SV threshold from the 5 dyads that did not: 1) parents’ personal SV-related views and behaviours; 2) the family SV environment; and 3) setting SV rules and limits. Parents in the dyads not exceeding the SV threshold prioritized and engaged with their children in non-SV behaviours for relaxation, set limits around their own and their child’s SV-related behaviours, and described an environment supportive of physical activity. Parents in the dyads exceeding the SV threshold were more likely to prioritise SV as a shared family activity, and described a less structured SV environment with minimal rule setting, influenced their child’s need for relaxation time.

          Conclusions

          The majority of parents in this study who exceeded the SV threshold expressed minimal concern and a relaxed approach to managing SV for themselves and their child(ren), suggesting a need to raise awareness amongst these parents about the time they spend engaging in SV. Parents may understand their SV-related parenting practices more clearly if they are encouraged to examine their own SV behaviours. Designing interventions aimed to create environments that are less supportive of SV, with more structured approaches to SV parenting strategies are warranted.

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          Most cited references18

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          Objectively measured sedentary time, physical activity, and metabolic risk: the Australian Diabetes, Obesity and Lifestyle Study (AusDiab).

          We examined the associations of objectively measured sedentary time and physical activity with continuous indexes of metabolic risk in Australian adults without known diabetes. An accelerometer was used to derive the percentage of monitoring time spent sedentary and in light-intensity and moderate-to-vigorous-intensity activity, as well as mean activity intensity, in 169 Australian Diabetes, Obesity and Lifestyle Study (AusDiab) participants (mean age 53.4 years). Associations with waist circumference, triglycerides, HDL cholesterol, resting blood pressure, fasting plasma glucose, and a clustered metabolic risk score were examined. Independent of time spent in moderate-to-vigorous-intensity activity, there were significant associations of sedentary time, light-intensity time, and mean activity intensity with waist circumference and clustered metabolic risk. Independent of waist circumference, moderate-to-vigorous-intensity activity time was significantly beneficially associated with triglycerides. These findings highlight the importance of decreasing sedentary time, as well as increasing time spent in physical activity, for metabolic health.
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            Systematic review of correlates of screen-viewing among young children.

            The aims of this review were to: (I) synthesise current research on the correlates of screen-viewing among young children (< or = 7 years old); and (II) identify gaps in the study of these correlates. 71 English-language studies published between 1980 and February 2009 were extracted from computerized literature searches and bibliographies of primary studies. Variables positively associated with screen-viewing were age, ethnicity, family TV viewing, family factors (maternal depressive symptoms and parental body mass) and media access. Variables negatively associated were socioeconomic indicators, parental rules and safety. Mother's age, mother's employment and presence of a TV set in a child's bedroom were found to be unclearly associated with screen-viewing behaviour. Gender, marital status, father's age and number of TVs were not associated with screen-viewing behaviour. Few modifiable variables for future research implications were identified. Findings suggest that research on correlates of screen-viewing among young children is limited. However, there are some clear correlates on which future interventions could be tailored (age, ethnicity, some socioeconomic indicators, family TV viewing, some family factors, parental rules and safety). Subsequent research is needed both to further test some of the correlates and to review the correlates for strength of associations. Copyright 2010 Elsevier Inc. All rights reserved.
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              Estimates of young children's time with television: a methodological comparison of parent reports with time-lapse video home observation.

              Accurate information on behavior of young children at home is crucial to the study of child development. The present study compared parent diaries of 5-year-old children's time spent with television to concurrent automated time-lapse video observations. In addition, a number of control groups were employed to assess the effects of observational equipment in the homes. The sample consisted of 334 mostly white middle-class families, of whom 106 had observational equipment installed. Results indicated no systematic subject selection of families who were willing to have observational equipment as compared to the controls. In addition, there were no differences in reported viewing behavior between the observed families and controls. Of 3 types of parent estimates of 5-year-old TV viewing, concurrent diaries correlated best with video observation (r = .84) and produced a very small absolute mean time error. Direct parent estimates of typical time spent viewing produced smaller correlations and large overestimates as compared with diaries.
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                Author and article information

                Contributors
                j.thompson.1@bham.ac.uk
                simon.sebire@bristol.ac.uk
                jo.kesten@bristol.ac.uk
                jez.zahra@bristol.ac.uk
                mark.edwards@bristol.ac.uk
                emma.solomon@bristol.ac.uk
                +44(0)117 954 6603 , russ.jago@bristol.ac.uk
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                1 June 2017
                1 June 2017
                2017
                : 17
                : 471
                Affiliations
                [1 ]ISNI 0000 0004 1936 7486, GRID grid.6572.6, School of Sport, Exercise & Rehabilitation Sciences, , University of Birmingham, ; Edgbaston, Birmingham, B15 2TT UK
                [2 ]ISNI 0000 0004 1936 7603, GRID grid.5337.2, Centre for Exercise, Nutrition & Health Sciences, School for Policy Studies, , University of Bristol, ; 8 Priory Road, Bristol, BS8 1TZ UK
                [3 ]ISNI 0000 0004 0380 7336, GRID grid.410421.2, The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West), , University Hospitals Bristol NHS Foundation Trust, ; Bristol, UK
                [4 ]ISNI 0000 0004 1936 7603, GRID grid.5337.2, NIHR Health Protection Research Unit on Evaluation of Interventions, , University of Bristol, ; Bristol, UK
                [5 ]ISNI 0000 0004 1936 7603, GRID grid.5337.2, School of Social and Community Medicine, , University of Bristol, ; Oakfield House Oakfield Grove, Bristol, BS8 2BN UK
                Author information
                http://orcid.org/0000-0002-3394-0176
                Article
                4394
                10.1186/s12889-017-4394-5
                5452384
                28569195
                2dbf8833-8085-457f-a38d-6a3d0d2720b0
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 23 August 2016
                : 8 May 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100000274, British Heart Foundation;
                Award ID: PG/11/51/2898
                Award ID: SP 14/4/31123
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2017

                Public health
                screen-viewing,children,parents,mixed-methods,qualitative
                Public health
                screen-viewing, children, parents, mixed-methods, qualitative

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