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

Duygu Akçay (Department of Military Health, Ministry of National Defense, Ankara, Turkey) a
Nuray Barış (Department of Military Health, Ministry of National Defense, Ankara, Turkey) b

Journal of Public Mental Health

ISSN: 1746-5729

Article publication date: 11 October 2021

Issue publication date: 19 May 2022

405

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.

Keywords

Acknowledgements

Ethical approval given that the present study was a meta-analysis of published studies, ethical approval or patient consent was not required.Funding: This study wasn’t received funded.Conflict of interest: The authors declare that they have no conflict of interest.Author contribution: Both authors contributed equally to the study.

Citation

Akçay, D. and Barış, N. (2022), "Evaluating the effectiveness of interventions to reducing screen time in children: meta-analysis of randomized controlled trials", Journal of Public Mental Health, Vol. 21 No. 2, pp. 179-196. https://doi.org/10.1108/JPMH-03-2021-0039

Publisher

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Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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