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CompletedNCT05428085Updated Apr 28, 2023

Digital Media Usage With Impulsivity and Attention Deficit in Children

An observational study in Attention-Deficit-Disordered Children, sponsored by Taipei Medical University Shuang Ho Hospital. Completed at 1 site in Taiwan. Open to participants aged 20 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-04-28.

Sponsored by Taipei Medical University Shuang Ho Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
30
Ages
20 Years to 75 Years
Sex
All
01

Study summary

To explore the relationship between children's digital media usage and attention, activity, parenting pressure; to explore the relationship between family basic data factors and screen usage.

Read the detailed description

Background: Digital products are inseparable from life. Parents may feel that teaching materials are educational because of their high availability.Meaning, busy work, helping to share care or short respite, etc., and providing digital products for children, it is very important to understand children's behavior, usage habits, and the relationship between parents.According to the American Academy of Pediatrics, parents should limit their exposure to most types of screen time until the child is 2 years old , and children 2-5 years old should be less than one hour per day, and it is recommended to watch high Quality program content, accompanied by adults. The standards for screen time in various countries generally follow this policy.However, many studies have found that most children spend far more screen time than recommended guidelines. Research in Canada and the United States indicates that children aged three to five spend more than two hours a day on average. According to a tracking study, children aged three to five were surveyed on their In terms of screen use, it was found that compared with children who watched less than half an hour, children who used more than two hours a day had more significant implicit and explicit behavioral problems, namely withdrawal, nervousness, anxiety, irritability and attention deficit, and restless behavior.

Objective: To explore the relationship between children's digital media usage and attention, activity, parenting pressure; to explore the relationship between family basic data factors and screen usage.

Methods: Individual caregivers were interviewed through paper or electronic questionnaires to assess children's and families' digital media usage habits, children's activity levels, and parental stress. The following assessment tools were used. Including digital media use survey at home (refer to Surveillance of digital-Media habits in earLy childhood Questionnaire, SMALLQ™), Chinese version of parental child activity scale (Werry-Weiss Peters Activity Scale Chinese version, WWPAS), parental stress scale brief Form (Parenting Stress Index: Short form, PSI/SF)

02

Conditions studied

  • Attention-Deficit-Disordered Children
03

In context

Attention Deficit Disorder with Hyperactivity

1,514 studies on the registry are indexed under Attention Deficit Disorder with Hyperactivity; 255 are open to participants now.

This study's enrollment of 30 is below the median of 127 across 267 observational studies indexed under Attention Deficit Disorder with Hyperactivity.

Browse Attention Deficit Disorder with Hyperactivity studies →

Lead sponsor

Taipei Medical University Shuang Ho Hospital is the lead sponsor of 100 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 75 Years
Sexes eligible
All
Sampling method
Probability sample

Study population

Children who spent screen time more than two hours a day had more significant implicit and explicit behavioral problems, namely withdrawal, nervousness, anxiety, irritability and attention deficit, and restless behavior.

Inclusion criteria

  • Caregivers whose children are currently receiving early treatment and who can cooperate with the questionnaire;
  • The child's family has the habit of using digital media devices;
  • The child's main complaints include inattention and impulsivity;
  • The child's age is 3 to 6 years old.

Exclusion criteria

Exclusion Criteria:

  • The child has other specific diagnosed diseases, such as autism group, sensory disorder, known genetic and genetic diseases, etc.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
30 participants (actual)
Patient registry
No

Groups and cohorts

  • Caregivers whose children are currently receiving early treatment

    Individual caregivers were interviewed through paper questionnaires to assess children's and families' digital media usage habits, children's activity levels, and parental stress. Pearson's Chi-Square test and liner regression was used for analysis.

06

What researchers measure

Primary outcomes

  1. Surveillance of digital-Media habits in earLy childhood Questionnaire, SMALLQ™

    An survey used to estimate the weekday \& weekend parent-reported on-screen \& off-screen media habits of preschoolers, among other things. The information including three segments: (i) digital media use, parent concern, knowledge and practice of guidelines, outside of school on weekday and weekend; (ii) non-digital media habits: indoor and outdoor play, day time naps, non-screen reading, and drawing; (iii) parent educational attainment and household income, additional child information: height, weight, wearing spectacles or not, and night-time sleep.

    Time frame: Baseline at first evaluate time

Secondary outcomes

  1. Werry-Weiss Peters Activity Scale Chinese version, WWPAS

    It is a 27 items inventory completed by parents, aimed at evaluating the child's activity level in a family context, in various situations of daily life (e.g., during meals, watching television, while playing, in activities abroad). The total result is obtained by adding directly the scores of all the items and represents a general measure of the child's activity level. Parents rated the frequency of their child's behaviors as occurring "none," "some," or "much of the time" . However, interparent interrater reliability was reported to be good (Barkley, 1988). No information regarding the test-retest reliability or internal consistency was located (Barkley, 1988).

    Time frame: Baseline at first evaluate time

  2. Parental stress scale brief Form

    The scale assessing parents' feelings about their parenting role, exploring both positive aspects (e.g. emotional benefits, personal development) and negative aspects of parenthood (e.g. demands on resources, feelings of stress). It contains various measures of stress, emotion and role satisfaction, including perceived stress, work/family stress, loneliness, anxiety, guilt, marital satisfaction/commitment, job satisfaction, and social support. The PSI has 36 items with a 5-point Likert scale, with response options ranging from "strongly agree" to "strongly disagree." Responses on the measure are summed to create a total stress (TS) composite, which provides an indication of the amount of stress adults are experiencing due to their role as a parent (Abidin 1995). Internal consistency reliability was high for TS (α = .90).

    Time frame: Baseline at first evaluate time

07

Study locations

1 site
  • Taipei Medical University Shuang Ho Hospital
    New Taipei City, Taiwan
08

References and documents

Publications

  • Chia, M., Tay, L. Y., & Chua, T. B. K. (2019). The development of an online surveillance of digital media use in early childhood questionnaire-SMALLQ™-for Singapore.
  • Huang Y, Yan Q, Tong L. Reliability and validity of an observation-based parent-child interaction rating scale for Chinese children aged 0-6 years. Psychol Assess. 2022 May;34(5):e45-e54. doi: 10.1037/pas0001121. Epub 2022 Mar 24. PubMed 35324253 ↗
  • Werry-Weiss-Peters Activity Scale, W. W. P. Center for Research in Neuropsychology and Cognitive Behavioral Intervention.
  • Abidin, R. R. (1995). Parenting Stress Index (PSI) manual . Odessa, FL: Psychological Assessment Resources.
  • Tamana SK, Ezeugwu V, Chikuma J, Lefebvre DL, Azad MB, Moraes TJ, Subbarao P, Becker AB, Turvey SE, Sears MR, Dick BD, Carson V, Rasmussen C; CHILD study Investigators; Pei J, Mandhane PJ. Screen-time is associated with inattention problems in preschoolers: Results from the CHILD birth cohort study. PLoS One. 2019 Apr 17;14(4):e0213995. doi: 10.1371/journal.pone.0213995. eCollection 2019. PubMed 30995220 ↗
  • Poitras VJ, Gray CE, Janssen X, Aubert S, Carson V, Faulkner G, Goldfield GS, Reilly JJ, Sampson M, Tremblay MS. Systematic review of the relationships between sedentary behaviour and health indicators in the early years (0-4 years). BMC Public Health. 2017 Nov 20;17(Suppl 5):868. doi: 10.1186/s12889-017-4849-8. PubMed 29219092 ↗
  • Beal JA. Screen Time and Toddlers: New Evidence on Potentially Negative Effects. MCN Am J Matern Child Nurs. 2020 Jul/Aug;45(4):241. doi: 10.1097/NMC.0000000000000632. No abstract available. PubMed 32604184 ↗
  • Radesky JS, Christakis DA. Increased Screen Time: Implications for Early Childhood Development and Behavior. Pediatr Clin North Am. 2016 Oct;63(5):827-39. doi: 10.1016/j.pcl.2016.06.006. PubMed 27565361 ↗
  • Madigan S, Browne D, Racine N, Mori C, Tough S. Association Between Screen Time and Children's Performance on a Developmental Screening Test. JAMA Pediatr. 2019 Mar 1;173(3):244-250. doi: 10.1001/jamapediatrics.2018.5056. Erratum In: JAMA Pediatr. 2019 May 1;173(5):501-502. doi: 10.1001/jamapediatrics.2019.0515. PubMed 30688984 ↗
  • Kids & Tech: Tips for Parents in the Digital Age. HealthyChildren.org. (n.d.). https://www.healthychildren.org/English/family-life/Media/Pages/Tips-for-Parents-Digital-Age.aspx.
  • American Academy of Pediatrics Healthy Children. Org. (2016). How to develop a family media plan [Website]. https://www.healthychildren.org/English/family-life/Media/Pages/How-to-Make-a-Family-Media-Use-Plan.aspx
  • Australian Government Department of Health and Ageing (DoHA) (2011). Get Up and Grow: Healthy Eating and Physical Activity for Early Childhood-Family Book. Retrieved 20 February 2022, from www.health.gov.au/internet/publications/publishing.nsf/Content/gug-family-toc.
  • Xie G, Deng Q, Cao J, Chang Q. Digital screen time and its effect on preschoolers' behavior in China: results from a cross-sectional study. Ital J Pediatr. 2020 Jan 23;46(1):9. doi: 10.1186/s13052-020-0776-x. PubMed 31973770 ↗
  • Reid Chassiakos YL, Radesky J, Christakis D, Moreno MA, Cross C; COUNCIL ON COMMUNICATIONS AND MEDIA. Children and Adolescents and Digital Media. Pediatrics. 2016 Nov;138(5):e20162593. doi: 10.1542/peds.2016-2593. PubMed 27940795 ↗
  • Vandewater EA, Rideout VJ, Wartella EA, Huang X, Lee JH, Shim MS. Digital childhood: electronic media and technology use among infants, toddlers, and preschoolers. Pediatrics. 2007 May;119(5):e1006-15. doi: 10.1542/peds.2006-1804. PubMed 17473074 ↗
  • Rideout, V. (2011). Zero to eight: Children's media use in America. Common Sense Media.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05428085
Lead sponsor
Taipei Medical University Shuang Ho Hospital
Responsible party
Hsinchieh Lee (Taipei Medical University Shuang Ho Hospital, Taipei Medical University Shuang Ho Hospital) — Principal investigator
First posted
Jun 22, 2022
Start date
Jun 22, 2022
Primary completion
Nov 30, 2022
Completion
Nov 30, 2022
Last update
Apr 28, 2023

Study contacts

Hsinchieh Lee, master
principal investigator · Taipei Medical University Shuang Ho Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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