Trial reportPediatrics2012
The impact of a healthy media use intervention on sleep in preschool children.
Trial report in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Effect of parent-focused interventions for screen use on developmental outcomes in young children: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2026Pooled it
- Effects of eHealth Interventions on 24-Hour Movement Behaviors Among Preschoolers: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2024Pooled it
- Electronic media use and sleep in children and adolescents in western countries: a systematic review.BMC public health · 2021Pooled it
- Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Associations of screen time, sedentary time and physical activity with sleep in under 5s: A systematic review and meta-analysis.Sleep medicine reviews · 2020Pooled it
- Trial
- Associations Between Screen Time, Sleep Quality, Diet Quality and Food Selectivity Among School-Aged Autistic Children.Journal of autism and developmental disorders · 2025Article
- The Digital Media-use Effects (d-MUsE) Model: A comprehensive framework for exploring/studying functional and dysfunctional effects on adolescent wellbeing.Journal of behavioral addictions · 2025Review
- Problematic Digital Technology Use Measures in Children Aged 0 to 6 Years: Scoping Review.JMIR mental health · 2025Article
- The impact of screen use on sleep health across the lifespan: A National Sleep Foundation consensus statement.Sleep health · 2024Review
- Impact of smart technology use on sleep quality in individuals with autism spectrum disorder: a mixed-methods investigation.Frontiers in psychiatry · 2024Article
- Substituting Book Reading for Screen Time Benefits Preschoolers' Sleep Health: Results from the Ulm SPATZ Health Study.Nature and science of sleep · 2024Article
- The relationship between screen time before bedtime and behaviors of preschoolers with autism spectrum disorder and the mediating effects of sleep.BMC psychiatry · 2023Article
- Article
- Screen time and preschool children: Promoting health and development in a digital world.Paediatrics & child health · 2023Review
- Sleep, screen time and behaviour problems in preschool children: an actigraphy study.European child & adolescent psychiatry · 2021Article
- Observational
- Better sleep, better life? How sleep quality influences children's life satisfaction.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- Assessment of Sleep Quality and its Relationship to Social Media Use Among Medical Students.Medical science educator · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
backgroundAlthough observational studies have consistently reported an association between media use and child sleep problems, it is unclear whether the relationship is causal or if an intervention targeting healthy media use can improve sleep in preschool-aged children.
methodsWe conducted a randomized controlled trial of a healthy media use intervention in families of children aged 3 to 5 years. The intervention encouraged families to replace violent or age-inappropriate media content with quality educational and prosocial content, through an initial home visit and follow-up telephone calls over 6 months. Sleep measures were derived from the Child Sleep Habits Questionnaire and were collected at 6, 12, and 18 months after baseline; repeated-measures regression analyses were used.
resultsAmong the 565 children analyzed, the most common sleep problem was delayed sleep-onset latency (38%). Children in the intervention group had significantly lower odds of "any sleep problem" at follow-up in the repeated-measures analysis (odds ratio = 0.36; 95% confidence interval: 0.16 to 0.83), with a trend toward a decrease in intervention effect over time (P = .07). Although there was no significant effect modification detected by baseline sleep or behavior problems, gender, or low-income status, there was a trend (P = .096) toward an increased effect among those with high levels of violence exposure at baseline.
conclusionsThe significant effects of a healthy media use intervention on child sleep problems in the context of a randomized controlled trial suggest that the previously reported relationship between media use and child sleep problems is indeed causal in nature.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.