A Cluster Randomized Controlled Trial of a Primary Care Provider-Delivered Social Media Counseling Intervention
Open accessAbstract
Purpose Evidence and clinical policy support that providers screen and counsel for media use for youth, but most pediatricians lack this training. The purpose of this study was to test a primary care provider (PCP)-delivered intervention to promote safe social media use among youth.Methods We enrolled pediatric PCP practices for this clinical trial to test a social media counseling intervention (SMCI) between 2011 and 2013. Youth were recruited during clinic visits; follow-up interviews were conducted at 6 months. Outcomes included media behaviors and caregiver communication. Multivariate regression models examined associations between social media counseling and PCP counseling score. Multivariate logistic regression evaluated four social media behavior outcomes.Results A total of 120 practices enrolled; PCPs in the SMCI were more likely to provide social media counseling (B = 1.43, 95% confidence interval [CI]: 1.1-1.7). Youth whose PCP received the SMCI were twice as likely to report a decrease in online "friending" of strangers (adjusted odds ratio = 2.23, 95% CI 1.17-4.25) and were more likely to report communication with their caregivers about their social media use (adjusted odds ratio = 1.2; 95% CI: 1.1-1.4) compared to youth whose PCPs were in the active control group.Discussion Youth whose PCP had received social media counseling training reported a higher receipt of counseling about social media and improved safety behaviors.
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Pediatrician encouragement can foster increased adolescent-reported communication and potential for gaming co-play with caregivers.
“Previous research suggests that pediatrician encouragement can foster increased adolescent-reported communication as well as the potential for gaming co-play with caregivers [85].”
From Health Benefits of Video Games in Adolescents and Young Adults (2026) · cites this paper as [85]
The Exploratory outcomes section reports that adolescents whose providers received social media counseling training were more likely to report communicating with caregivers about media use than those in the control group. The paper does not report gaming co-play with caregivers or assess whether counseling could encourage it. (LLM, conf=0.88)
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“Previous research suggests that pediatrician encouragement can foster increased adoles-cent-reported communication as well as the potential for gaming co-play with caregivers [85].”
Self-citation
- Authors
- Moreno, M. A., Klein, J. D., Kaseeska, K., Gorzkowski, J., Harris, D., Davis, J., Gotlieb, E., & Wasserman, R.
- Affiliations
- University of Wisconsin–Madison (US)
- American Academy of Pediatrics (US)
- University of Vermont (US)
- Corresponding author
- Moreno, Megan A.
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2023-11
- Volume
- 73
- Issue
- 5
- Pages
- 924-930
- ISSN
- 1054-139X (ISSN-L)
- PMC
- PMC10592061
- OpenAlex
- W4385780109
- Cited by
- 9
- References
- 33
- Citations by year
- 2026: 1 · 2025: 7 · 2023: 1
- FWCI
- 3.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Adolescent Health (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Academy of Pediatrics
- National Institutes of Health (5R01CA140576)
- Flight Attendant Medical Research Institute
- U.S. Department of Health and Human Services (UA6MC15585)
- Association of Academic Physiatrists
- Government of South Australia
- Health Resources and Services Administration
- Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Social Sciences › Education › Child Development and Digital Technology
- Social Sciences › Health › Social Media in Health Education
- Keywords
- social media use, youth, primary care providers, pediatricians, online safety, caregiver communication, provider training, adolescent health
- MeSH terms
- Pediatricians, Adolescent, Child, Counseling, Humans, Primary Health Care, Health Behavior, Social Media
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