Effects of screen time on the development of children under 9 years old: a systematic review

Importance: This systematic review could serve as a comprehensive synthesis that would benefit parents, educators, therapists, policymakers, and researchers in identifying the advantages and disadvantages of screen time (ST) on key developmental outcomes of children, specifically socio-emotional fun...

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Main Authors: Christopher Jeffrey B. Streegan, Juan Paolo A. Lugue, Paulin Grace Morato-Espino
Format: Article
Language:English
Published: Hygeia Press di Corridori Marinella 2022-03-01
Series:Journal of Pediatric and Neonatal Individualized Medicine
Subjects:
Online Access:https://jpnim.com/index.php/jpnim/article/view/1054
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author Christopher Jeffrey B. Streegan
Juan Paolo A. Lugue
Paulin Grace Morato-Espino
author_facet Christopher Jeffrey B. Streegan
Juan Paolo A. Lugue
Paulin Grace Morato-Espino
author_sort Christopher Jeffrey B. Streegan
collection DOAJ
description Importance: This systematic review could serve as a comprehensive synthesis that would benefit parents, educators, therapists, policymakers, and researchers in identifying the advantages and disadvantages of screen time (ST) on key developmental outcomes of children, specifically socio-emotional functions (SEF), executive functions (EF), cognition, language, and motor skills. Objectives: To comprehensively review the current state of literature to examine the association of the effects of ST on several developmental outcomes; to analyze the methodological quality of included studies to facilitate appraisal of evidence strength. Methods: A systematic search across EBSCO, ScienceDirect, PubMed Central, and Scopus was accomplished to identify both peer-reviewed and gray literature that reported on the association between ST and varying developmental outcomes. A chronological restriction (studies published between January 2000 and March 2020) was implemented. Inclusion criteria were studies that had participants from 0 to 9 years old, measured duration of ST, explored the effects of any of the aforementioned outcomes, and were observational studies by design (i.e., cross-sectional, cohort, case-control). Meta-analysis was not done due to clinical heterogeneity. Results: The narrative synthesis included 85 studies (from 16 countries) which had cross-sectional (n = 47), cohort (n = 36), and case-control (n = 2) designs. The majority of the studies had good (n = 16) to fair (n = 59) methodological quality. ST was generally associated with poorer SEF, EF, cognitive and motor development. Less than half of language studies supported the negative effect of ST. However, its positive effects were observed in certain conditions: (1) implementation of time limit on ST use, (2) parental co-viewing, and (3) exposure to educational content. Conclusion and relevance: The findings support the reduction of ST in children and further substantiate the American Academy of Pediatrics recommendations. The results also highlight the roles of parents and caregivers as it shows that digital media could be used as a tool to improve the development of children, given that certain conditions are met. Further research could be done on the positive effects of ST given the aforementioned conditions and the appropriate dosage of ST use.
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spelling doaj.art-a625b416cdd64da0ab7eaa86bc52296b2022-12-22T03:14:08ZengHygeia Press di Corridori MarinellaJournal of Pediatric and Neonatal Individualized Medicine2281-06922022-03-01111e110113e11011310.7363/1101131073Effects of screen time on the development of children under 9 years old: a systematic reviewChristopher Jeffrey B. Streegan0Juan Paolo A. Lugue1Paulin Grace Morato-Espino2Graduate School, University of Santo Tomas, Sampaloc, Manila, PhilippinesGraduate School, University of Santo Tomas, Sampaloc, Manila, PhilippinesCenter for Health Research and Movement Science, College of Rehabilitation Sciences, University of Santo Tomas, Manila, PhilippinesImportance: This systematic review could serve as a comprehensive synthesis that would benefit parents, educators, therapists, policymakers, and researchers in identifying the advantages and disadvantages of screen time (ST) on key developmental outcomes of children, specifically socio-emotional functions (SEF), executive functions (EF), cognition, language, and motor skills. Objectives: To comprehensively review the current state of literature to examine the association of the effects of ST on several developmental outcomes; to analyze the methodological quality of included studies to facilitate appraisal of evidence strength. Methods: A systematic search across EBSCO, ScienceDirect, PubMed Central, and Scopus was accomplished to identify both peer-reviewed and gray literature that reported on the association between ST and varying developmental outcomes. A chronological restriction (studies published between January 2000 and March 2020) was implemented. Inclusion criteria were studies that had participants from 0 to 9 years old, measured duration of ST, explored the effects of any of the aforementioned outcomes, and were observational studies by design (i.e., cross-sectional, cohort, case-control). Meta-analysis was not done due to clinical heterogeneity. Results: The narrative synthesis included 85 studies (from 16 countries) which had cross-sectional (n = 47), cohort (n = 36), and case-control (n = 2) designs. The majority of the studies had good (n = 16) to fair (n = 59) methodological quality. ST was generally associated with poorer SEF, EF, cognitive and motor development. Less than half of language studies supported the negative effect of ST. However, its positive effects were observed in certain conditions: (1) implementation of time limit on ST use, (2) parental co-viewing, and (3) exposure to educational content. Conclusion and relevance: The findings support the reduction of ST in children and further substantiate the American Academy of Pediatrics recommendations. The results also highlight the roles of parents and caregivers as it shows that digital media could be used as a tool to improve the development of children, given that certain conditions are met. Further research could be done on the positive effects of ST given the aforementioned conditions and the appropriate dosage of ST use.https://jpnim.com/index.php/jpnim/article/view/1054screen timedevelopmentchildrensocio-emotional functions executive functionscognitionlanguagemotor skills
spellingShingle Christopher Jeffrey B. Streegan
Juan Paolo A. Lugue
Paulin Grace Morato-Espino
Effects of screen time on the development of children under 9 years old: a systematic review
Journal of Pediatric and Neonatal Individualized Medicine
screen time
development
children
socio-emotional functions
executive functions
cognition
language
motor skills
title Effects of screen time on the development of children under 9 years old: a systematic review
title_full Effects of screen time on the development of children under 9 years old: a systematic review
title_fullStr Effects of screen time on the development of children under 9 years old: a systematic review
title_full_unstemmed Effects of screen time on the development of children under 9 years old: a systematic review
title_short Effects of screen time on the development of children under 9 years old: a systematic review
title_sort effects of screen time on the development of children under 9 years old a systematic review
topic screen time
development
children
socio-emotional functions
executive functions
cognition
language
motor skills
url https://jpnim.com/index.php/jpnim/article/view/1054
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AT juanpaoloalugue effectsofscreentimeonthedevelopmentofchildrenunder9yearsoldasystematicreview
AT paulingracemoratoespino effectsofscreentimeonthedevelopmentofchildrenunder9yearsoldasystematicreview