scholarly journals Protocol of a Randomized Control Trial to Reduce Screen-Time among children aged two to five years in Chandigarh, a North Indian Union Territory (Preprint)

2020 ◽  
Author(s):  
Nimran Kaur ◽  
Madhu Gupta ◽  
Prahbhjot Malhi ◽  
Sandeep Grover
Keyword(s):  
Digital Media ◽  
Behavioral Problems ◽  
Screen Time ◽  
Randomized Control Trial ◽  
Cognitive Theory ◽  
Primary Caregivers ◽  
Specific Information ◽  
Healthy Children ◽  
Randomized Control ◽  
Union Territory

BACKGROUND Excessive digital-screen exposure (more than equal to one hour per day) is associated with children's low growth and development. OBJECTIVE To develop and assess a multi-component intervention program's effectiveness to reduce excessive screen-time among children of age two to five years. METHODS A theory-based multi-component intervention known as Program to Lower Unwanted Media Screens (PLUMS) at the household level will be developed. It is based on the social cognitive theory for children and self-determination theory for caregivers. A randomized control trial will be conducted to assess this intervention's effectiveness among healthy children aged 2-5 (±3 months) years and their primary-caregivers having at least one digital-media gadget at home in zone three of Chandigarh (population of 2,73,035), after pretesting. A sample size of 428 children is estimated per arm. PLUMS includes disseminating specific information, education, communication in the form of videos and posters to the primary caregivers and conducting motivational interviewing as and when needed. Children will be suggested playful activities as alternatives to digital-media gadgets. The primary outcome is the mean change in the duration of screen-time and secondary outcomes are sleep duration and patterns, emotional-behavioral problems, and the level of physical activity of the children. Per protocol and intention to treat analysis will be done using IBM SPSS Statistics for Macintosh, Version 25.0. RESULTS The intervention package will be disseminated once a week for eight weeks to the participants via preferred means of communication of the caregivers. The end line assessment will be done post-intervention immediately and after the six months of follow-up. Institute's ethics committee, Postgraduate Institute of Medical Education and Research, Chandigarh, India, had approved this study. (INT/IEC/2019/000711). The Indian Council of Medical Research, New Delhi (3/1/3/Next-100/JRF-2015/HRD), and PGIMER, Chandigarh (71/2-Edu-16/92, Dated 08/01/2018) has funded this study. CONCLUSIONS A Program to Lower Unwanted Media Screens (PLUMS) might be effective in reducing the excessive screen time among children age two to five years in a North Indian Union Territory. CLINICALTRIAL The trial has been registered in Clinical Trial Registry India (CTRI/2017/09/009761) available on http://ctri.nic.in/Clinicaltrials/advsearch.php.

The efficacy of a wetting alarm diaper for toilet training of young healthy children in a day-care center: A randomized control trial

2008 ◽  
Vol 28 (4) ◽  
pp. 305-308 ◽  
Author(s):  
Alexandra Vermandel ◽  
Marijke Van Kampen ◽  
Stefan De Wachter ◽  
Joost Weyler ◽  
Jean-Jacques Wyndaele
Keyword(s):  
Day Care ◽  
Randomized Control Trial ◽  
Care Center ◽  
Toilet Training ◽  
Healthy Children ◽  
Day Care Center ◽  
Randomized Control

scholarly journals Headache, eyestrain, and musculoskeletal symptoms in relation to smartphone and tablet use in healthy adolescents

2020 ◽  
Vol 13 (2) ◽  
pp. 8-14 ◽  
Author(s):  
Helle K. Falkenberg ◽  
Tina R Johansen ◽  
Hanne-Mari Schiøtz Thorud
Keyword(s):  
Neck Pain ◽  
Digital Media ◽  
Musculoskeletal Pain ◽  
Screen Time ◽  
Significant Proportion ◽  
Good Health ◽  
Musculoskeletal Symptoms ◽  
Viewing Distance ◽  
Healthy Children ◽  
Normal Vision

Neck pain and headache are leading causes of years lived with disability globally, and the prevalence is gradually increasing from school age to early adulthood. These symptoms have been linked to the use of digital devices. However, there is little knowledge related to this topic in adolescents, who spend increasingly more time using digital media. The aim of the study was to investigate eyestrain, headache, and musculoskeletal symptoms in relation to the use of tablets and smartphones in healthy adolescents with normal vision. Fifty healthy adolescents aged 11 – 13 years (mean = 12.1 (SD = 0.53)) with normal vision and development participated. A vision examination was performed by an authorised optometrist and an interview questionnaire measuring eyestrain, headache, and musculoskeletal symptoms in relation to screen use was filled out. In addition, screen time, ergonomics, participation in sports, and outdoor time were obtained. Forty-nine (98%) of the 50 children used a smartphone and 17 (34%) used a tablet. Overall, 12% to 41% experienced symptoms of headache, neck pain, tiredness and/or tired eyes while using smartphones and tablets. Nine (18%) experienced at least one symptom often or always while using their device. Musculoskeletal pain and headache were significantly associated with vision and eyestrain. Tablet use was associated with increased symptom scores compared to smartphone use. Increased screen time and shorter viewing distance were associated with eyestrain, headache, and neck pain. Children with neck- shoulder- and back pain were significantly (2.1 hours) less physically active than children without these symptoms. Most adolescents with good health and vision had no symptoms while using smartphones and tablets. However, a significant proportion still experienced symptoms of headache, neck pain, tiredness and tired eyes, and these symptoms were associated. Symptoms increased with screen time, shorter viewing distance and reduced participation in sports. This suggests that even healthy children with good vision may develop vision symptoms and musculoskeletal pain. Awareness should be raised among parents, teachers, eye care- and health care personnel, of the importance of good visual ergonomics and physical activity to promote health in adolescents.

scholarly journals Video Intervention Therapy for primary caregivers in a child psychiatry unit: a randomized feasibility trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Fanny Leyton ◽  
Marcia Olhaberry ◽  
Javier Morán ◽  
Cecilia De la Cerda ◽  
María José León ◽  
...  
Keyword(s):  
Child Psychiatry ◽  
Randomized Control Trial ◽  
Primary Caregivers ◽  
Well Being ◽  
Feasibility Trial ◽  
Sufficient Evidence ◽  
Group Setting ◽  
Video Intervention ◽  
Link Type ◽  
Randomized Control

Abstract Background During child psychiatry hospitalization, working with the families or attachment figures is a challenge, most of the children who are admitted to these units come from multi-problem families, with limited research in this area. Video feedback (VF) interventions have proved to be a powerful resource to promote parental and child well-being in small children and has been used with parents with a psychiatric condition. Parental Reflective Functioning (PRF) is one of the parental abilities that can be improved with VF and could be especially important in coping with conflict and negative emotions in older children. The aim of this study is to implement Video Intervention Therapy (VIT) to enhance PRF in primary caregivers of inpatient psychiatric children. As there is no published research using VF with parents of children with severe psychopathology in a hospitalized context. This report, then, becomes a much needed pilot study providing evidence for a larger randomized control trial (RCT). Methods The study is a single-center, two-arm feasibility randomized control trial with a qualitative component. Block randomization was done to generate a 2:1 allocation, leaving more participants in the intervention group. The intervention comprises four modules; every module has both one video-recorded play session and one VIT session (in a group setting) per week. Evaluation of the caregivers included assessments of PRF and well-being, and child assessment included parent-ratings and clinician-ratings of symptomatology and general functioning. Results Thirty participants were randomized; eligibility and recruitment rate were 70.6% and 83.3%, respectively. The compliance-to-intervention rate was 85% in the VIT group and 90% in the control group. All participants completed entry evaluation and 90% at the 3-month follow-up. The intervention was acceptable to participants and feasible for therapists to deliver. Outcome data must be treated with caution due to the small numbers involved, yet indicate that the VIT may have a positive effect in improving parental and child mental health outcomes. Conclusions VIT for primary caregivers of child inpatient children was feasible to deliver and acceptable for participants, therapist, and the staff unit involved; there is sufficient evidence to undertake a full-scale effectiveness RCT. Trial registration ClinicalTrials.govNCT03374904. Registered on 14 December 2017

scholarly journals Digital Nudges for Screen Time Reduction: A Randomized Control Trial with Performance and Wellbeing Outcomes

2020 ◽  
Author(s):  
Laura Zimmermann ◽  
Michael Sobolev
Keyword(s):  
Screen Time ◽  
Randomized Control Trial ◽  
Well Being ◽  
Causal Effects ◽  
Subjective Well Being ◽  
Time Limits ◽  
Increase Productivity ◽  
Randomized Control ◽  
Time Reduction ◽  
Objectively Measured

Many people want to reduce their smartphone usage to increase productivity and well-being, but fail to accomplish this goal. We conduct a randomized control trial with a student population (N=112) over three weeks to test the effectiveness of two widely available digital nudges for screen time reduction. Along with a tracking-only control condition, a passive digital nudge (i.e., grayscale mode) was compared to an active digital nudge (i.e., time limits). The passive nudge led to an immediate, significant reduction of objectively measured screen time compared to the control condition. Conversely, the active nudge led to a smaller and gradual screen time reduction. Those in the control condition, who simply tracked their usage, did not lower their screen time. As opposed to the popular belief that reducing screen time is beneficial, we found no immediate causal effects of reducing screen time on subjective well-being and academic performance.

scholarly journals Video Intervention Therapy for Primary Caregivers in a Child Psychiatry Unit: A Randomized Feasibility Trial

2021 ◽  
Author(s):  
Fanny Leyton ◽  
Marcia Olhaberry ◽  
Javier Morán ◽  
Cecilia de la Cerda ◽  
María José León ◽  
...  
Keyword(s):  
Child Psychiatry ◽  
Randomized Control Trial ◽  
Primary Caregivers ◽  
Feasibility Trial ◽  
Sufficient Evidence ◽  
Control Group ◽  
Child Assessment ◽  
Group Setting ◽  
Video Intervention ◽  
Randomized Control

Abstract Background: During child psychiatry hospitalization, working with the families or attachment figures is a challenge, most of the children who are admitted to these units come from multi-problem families, with limited research in this area. Video Feedback (VF) intervention have proved to be a powerful resource to promote parental and child wellbeing in small children and has been used with parents with a psychiatric condition. Parental Reflective Functioning (PRF) is one of the parental abilities that can be improved with VF and could be especially important in coping with conflict and negative emotions in older children. The aim of this study is to implement Video Intervention Therapy (VIT) to enhance PRF in primary caregivers of inpatient psychiatric children. As there is no published research using VF with parents of children with severe psychopathology in a hospitalized context, this becomes a much needed pilot study providing evidence for a larger randomized control trial (RCT). Methods: The study is a single center, two-arm feasibility randomized control trial with a qualitative component. Block randomization was done to generate a 2:1 allocation, leaving more participants in the intervention group. The intervention comprises four modules; every module has both one video-recorded play session and one VIT session (in a group setting) per week. Evaluation of the caregivers included assessments of PRF and wellbeing, child assessment included parent-ratings and clinician-ratings of symptomatology and general functioning. Results: Thirty participants were randomized; eligibility and recruitment rate were 70.6% and 83.3% respectively. Compliance-to-intervention rate was 85% in the VIT group and 90% in the control group. All participants completed entry evaluation and 90% at 3 months follow-up. The intervention was acceptable to participants and feasible for therapists to deliver. Outcome data must be treated with caution due to the small numbers involved, yet indicate that the VIT may have a positive effect in improving parental and child mental health outcomes.Conclusions: VIT for primary caregivers of child inpatient children was feasible to deliver and acceptable for participants, therapist and the staff unit involved, there is sufficient evidence to undertake a full-scale effectiveness RCT.Trial registration: ClinicalTrials.gov, NCT03374904. Registered on 14 December 2017

scholarly journals Healthy Outcome for Teens (HOT project): Change in Social Cognitive Theory constructs in a randomized control trial

2011 ◽  
Vol 25 (S1) ◽  
Author(s):  
Henna Muzaffar ◽  
Darla Castelli ◽  
David Goss ◽  
Jane Scherer ◽  
Karen Chapman‐Novakofski
Keyword(s):  
Social Cognitive Theory ◽  
Randomized Control Trial ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Randomized Control

Comparing a Multimedia Digital Informed Consent Tool to Traditional Paper-based Methods Among GenEx Trial Participants: Randomized Control Trial (Preprint)

2020 ◽  
Author(s):  
Fuad Abujarad ◽  
Peter Peduzzi ◽  
Sophia Mun ◽  
Kristina Carlson ◽  
Siyuan Ma ◽  
...  
Keyword(s):  
Informed Consent ◽  
Randomized Control Trial ◽  
Cognitive Theory ◽  
Digital Health ◽  
Informed Consent Process ◽  
Ease Of Use ◽  
Consent Process ◽  
New Haven ◽  
Randomized Control ◽  
The Impact

BACKGROUND The traditional informed consent process rarely emphasizes research participants’ comprehension of medical information, leaving them vulnerable to unknown risks and consequences associated with procedures or studies. OBJECTIVE This paper explores how we evaluated the feasibility of a digital health tool called ‘VIC’ for advancing the informed consent process and compared the results to traditional paper-based methods of informed consent. METHODS By utilizing Digital Health and virtual coaching, we developed the ‘Virtual multimedia interactive Informed Consent’ (VIC) tool that uses multimedia and other interactive digital features to improve the current informed consent process. Development of the tool was based on the user-centered design (UCD) process and on Mayer’s cognitive theory of multimedia learning. In a randomized control trial, we compared VIC’s feasibility against standard paper consent to understand the impact of interactive digital consent. Participants were recruited from the Winchester Chest Clinic (WCC) at Yale New Haven Hospital in New haven, CT, as well as from the community using fliers. The trial was coordinator-assisted, and participants were randomized to complete the informed consent process using VIC on the iPad or with traditional paper consent. The study was conducted at WCC and the outcomes were self-assessed through coordinator-administrated questionnaires. RESULTS Overall 50 participants were recruited in the study (VIC: n=25; Paper: n=25). Participant comprehension was high in both groups. VIC participants reported higher satisfaction, higher perceived ease of use, higher ability to complete the consent independently, and a shorter perceived time for completing the consent process. CONCLUSIONS The use of dynamic, interactive audiovisual elements in VIC may improve participants satisfaction and facilitate the informed consent process. We believe that using VIC in an ongoing, real-world study rather than a hypothetical study improved the reliability of our findings which demonstrate VIC’s potential to improve research participant’s comprehension as well as the overall process of the informed consent. CLINICALTRIAL ClinicalTrials.gov NCT02537886; https://clinicaltrials.gov/ct2/show/NCT02537886.

A randomized control trial of supplementary prenatal care: Implications for family practice

2005 ◽  
Author(s):  
Suzanne Tough ◽  
D. Johnston ◽  
J. Siever ◽  
G. Jorgenson ◽  
L. Slocombe ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Family Practice ◽  
Randomized Control Trial ◽  
Randomized Control
Sign in / Sign up

Export Citation Format

Share Document