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Cited by 734Child Development and Digital TechnologyChild and Adolescent Psychosocial and Emotional DevelopmentPhysical Activity and Health

The DOI matches its Crossref record; 53 of the 55 references it cites were found in a registry or an index.

Association Between Screen Time and Children’s Performance on a Developmental Screening Test

Open access
Madigan, Sheri, Browne, Dillon, Racine, Nicole, Mori, Camille, Tough, Suzanne·2019·JAMA Pediatrics
DOI 10.1001/jamapediatrics.2018.5056PMC PMC6439882
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Abstract

Importance: Excessive screen time is associated with delays in development; however, it is unclear if greater screen time predicts lower performance scores on developmental screening tests or if children with poor developmental performance receive added screen time as a way to modulate challenging behavior. Objective: To assess the directional association between screen time and child development in a population of mothers and children. Design, Setting, and Participants: This longitudinal cohort study used a 3-wave, cross-lagged panel model in 2441 mothers and children in Calgary, Alberta, Canada, drawn from the All Our Families study. Data were available when children were aged 24, 36, and 60 months. Data were collected between October 20, 2011, and October 6, 2016. Statistical analyses were conducted from July 31 to November 15, 2018. Exposures: Media. Main Outcomes and Measures: At age 24, 36, and 60 months, children's screen-time behavior (total hours per week) and developmental outcomes (Ages and Stages Questionnaire, Third Edition) were assessed via maternal report. Results: Of the 2441 children included in the analysis, 1227 (50.2%) were boys. A random-intercepts, cross-lagged panel model revealed that higher levels of screen time at 24 and 36 months were significantly associated with poorer performance on developmental screening tests at 36 months (β, -0.06; 95% CI, -0.10 to -0.01) and 60 months (β, -0.08; 95% CI, -0.13 to -0.02), respectively. These within-person (time-varying) associations statistically controlled for between-person (stable) differences. Conclusions and Relevance: The results of this study support the directional association between screen time and child development. Recommendations include encouraging family media plans, as well as managing screen time, to offset the potential consequences of excess use.

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Research works printed but not linked: 5

  1. Squires, 2003, ASQ-3 Users’ Guide
  2. NLSCY, 1995, Overview of Survey Instruments for 1994-1995
  3. Muthén, 2012, Mplus Statistical Modeling Software: Release 7.0
  4. Masten, 1985, Risk, Vulnerability, and Protective Factors in Developmental Psychopathology: Advances in Clinical Child Psychology, 1
  5. American Academy of Pediatrics. American Academy of Pediatrics announces new recommendations for children’s media use. http://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/American-Academy-of-Pediatrics-Announces-New-Recommendations-for-Childrens-Media-Use.aspx. Published October 21, 2016. Accessed August 30, 2018.

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Metadata

Authors
Madigan, S., Browne, D., Racine, N., Mori, C., & Tough, S.
Affiliations
  • University of Calgary (CA)
  • University of Waterloo (CA)
  • Alberta Children's Hospital Research Institute (CA)
Corresponding author
Madigan, Sheri
ORCID
Venue
JAMA Pediatrics
Publisher
American Medical Association (AMA)
Published
2019-03-01
Volume
173
Issue
3
Pages
244
ISSN
  • 1072-4710 (ISSN-L)
  • 2168-6203
DOI
10.1001/jamapediatrics.2018.5056
PMC
PMC6439882
OpenAlex
W2911956244
Cited by
734
References
55
Citations by year
2026: 130 · 2025: 99 · 2024: 116 · 2023: 134 · 2022: 84 · 2021: 84 · 2020: 53 · 2019: 33
FWCI
171.46
Type
journal article
Language
en
Open access
Locations
  • Archives of Pediatrics and Adolescent Medicine (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Alberta Children's Hospital Foundation
Topics
  • Social Sciences › Education › Child Development and Digital Technology
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Keywords
screen time, child development, developmental screening, Ages and Stages Questionnaire, toddlers, preschool children, developmental delay, maternal report
MeSH terms
Screen Time, Child Behavior, Child Development, Child, Preschool, Follow-Up Studies, Humans, Infant, Parent-Child Relations, Prospective Studies, Surveys and Questionnaires, Parenting, Sedentary Behavior

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