Young Children and Screens: Parents' Perspectives and Child Health Nurses' Approaches in a Digital Age

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorKarolinska Institutet

About this trial

The overall aim of the research project is to investigate screen habits among children (0-5 years) and their parents including nurses' perspective, and further parents' and nurses' experiences of using web-based healthcare advisory services within Swedish child health care (CHC).

The main research questions are:

What is the correlation between children's and their parents' screen use?

How does screen use differ among families with various socioeconomic backgrounds?

How well does the modified SCREEN-Q instrument measure screen use in Swedish conditions?

How do parents perceive their own and their children's screen use and their parental role?

What are parents' views on available advice and recommendations regarding children's screen use?

How do parents use and experience web-based advisory services within health care and Swedish child health care (CHC)?

How do CHC nurses address screen media-related issues within CHC?

What are CHC nurses' experiences with web-based advisory services?

Participants will:

* Complete a survey on screen habits and digital health service use (N ≈ 300) * Contribute to validation of a modified SCREEN-Q instrument * Take part in interviews (parents) and focus groups (child health nurses)

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Parents whose child/children is/are registered in the Swedish Child Health Care center(s) that participate in the study and that have at least one child at age 0-5 yrs.

Child health nurses working in the Swedish Child Health Care center(s) that participate in the study

Disqualifiers

Parent not having children registered in the participating health care centers at age 0-5 yrs.

Child health nurses not working at the participating child health centers.

Trial population

The study population for the cross-sectional (qualitative part of the project) consists of: -Parents or primary caregivers of children aged 0-5 years who are enrolled in Child Health Services in Sweden. Participants will be recruited from child health service units located in at least three different regions, including both urban and rural areas, to ensure diversity in geographic and socioeconomic backgrounds. Later part of the project includes parents for the same population for qulitative studies. Nurses working in these regions will also be included in the qualitative part of the study to provide professional perspectives on screen use and digital health services.

Trial design

Design model

Other

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Parents' screen use

Parents are asked about following in SCREEN-Q (modified): Primary place of work or study, Time spent on screen-based work tasks at home on weekdays and weekends, Time spent on screen-based leisure activities on weekdays and weekends, Types of screen-based leisure activities,

Time frame
Day 1
2

Child's screen use

Parents are asked about following in SCREEN-Q (modified): Child's Access to Screens, Child's Use of Screen Devices, Child's Ownership of Screen Devices, Time Spent on Screen-Based Activities, Screen Media Habits at Home, Rules for Screen Use, Screen Use During the Day, Multitasking and Social Context of Screen Use, Parental Perceptions of Child's Screen Use, Age When Child Received Own Devices

Time frame
Day 1

Secondary outcomes

Other outcomes

1

Demographic background factors: quantitative study about screens

Parents are asked: Age, Gender, Number of children, Age of the child, Family situation, Educational background, Country of birth, Time living in Sweden, Employment status, Relationship to the child, Number of people in the household

Time frame
Day 1
2

Themes identified through semi-structured interviews on parental reasoning and attitudes about screen use

This outcome will be assessed using semi-structured interviews with parents. Interviews will be transcribed and analyzed using thematic analysis or content analyses. The analysis will explore parental motivations, beliefs, and contextual factors influencing screen use. Findings will be reported as descriptive thematic categories. Unit of Measure Emergent qualitative themes/categories

Time frame
Day 1
3

Themes identified through interviews on parental perceptions of screen-related guidance and recommendations

This outcome will be assessed through semi-structured interviews with parents, focusing on their perceptions of professional guidance and recommendations regarding children's screen use. Transcripts of audio-recorded interviews will be analyzed using thematic/content analysis to identify key themes such as clarity, usefulness, and trust in guidance received. Unit of Measure: Emergent qualitative themes/categories

Time frame
Day 1
4

Demographic background factors for qualitative interviews about digital advisory services

Demographic background factor are asked at the time of interview : Parents: Age, Gender, Number of children, Age of the child, Family situation, Educational background, Country of birth, Time living in Sweden, Employment status, Relationship to the child

Time frame
Day 1

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