Evidence map›Paper›PMID 23420911›Full record

Trial reportPediatrics2013

Modifying media content for preschool children: a randomized controlled trial.

Dimitri A Christakis, Michelle M Garrison, Todd Herrenkohl, Kevin Haggerty, Frederick P Rivara, Chuan Zhou, Kimberly Liekweg

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Views of preschool-age children's screen time among mothers with low incomes.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2026
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  19. Contemporary screen time modalities and disruptive behavior disorders in children: a prospective cohort study.Journal of child psychology and psychiatry, and allied disciplines · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Dimitri A ChristakisCenter for Child Health, Behavior, and Development, Seattle Children’s Research Institute,Seattle, WA, USA. dimitri.christakis@seattlechildrens.org
Michelle M Garrison
Todd Herrenkohl
Kevin Haggerty
Frederick P Rivara
Chuan Zhou
Kimberly Liekweg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough previous studies have revealed that preschool-aged children imitate both aggression and prosocial behaviors on screen, there have been few population-based studies designed to reduce aggression in preschool-aged children by modifying what they watch.

methodsWe devised a media diet intervention wherein parents were assisted in substituting high quality prosocial and educational programming for aggression-laden programming without trying to reduce total screen time. We conducted a randomized controlled trial of 565 parents of preschool-aged children ages 3 to 5 years recruited from community pediatric practices. Outcomes were derived from the Social Competence and Behavior Evaluation at 6 and 12 months.

resultsAt 6 months, the overall mean Social Competence and Behavior Evaluation score was 2.11 points better (95% confidence interval [CI]: 0.78-3.44) in the intervention group as compared with the controls, and similar effects were observed for the externalizing subscale (0.68 [95% CI: 0.06-1.30]) and the social competence subscale (1.04 [95% CI: 0.34-1.74]). The effect for the internalizing subscale was in a positive direction but was not statistically significant (0.42 [95% CI: -0.14 to 0.99]). Although the effect sizes did not noticeably decay at 12 months, the effect on the externalizing subscale was no longer statistically significant (P = .05). In a stratified analysis of the effect on the overall scores, low-income boys appeared to derive the greatest benefit (6.48 [95% CI: 1.60-11.37]).

conclusionsAn intervention to reduce exposure to screen violence and increase exposure to prosocial programming can positively impact child behavior.

Indexed as

Social BehaviorAggressionChild BehaviorChild, PreschoolFemaleFollow-Up StudiesHumansMaleMass MediaProspective StudiesTelevision

Identifiers

PMID23420911
PMCPMC3581844

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.