Evidence map›Paper›PMID 29544506›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2018

INSIGHT responsive parenting intervention reduces infant's screen time and television exposure.

Elizabeth L Adams, Michele E Marini, Jennifer Stokes, Leann L Birch, Ian M Paul, Jennifer S Savage

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01167270 (The Intervention Nurses Start Infants Growing on Healthy Trajectories), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 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.

NCT01167270 nacompletednot on this map

The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) Study

TypeinterventionalSponsorIan M. Paul, MDRan2012 to 2023Enrolled316ConditionsInfant, ObesityArmsChild Safety Insights, Parenting Insights
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Interventions to Reduce Screen Time in Preschool-Aged Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Identifying effective intervention strategies to reduce children's screen time: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2021
    Pooled it
  3. 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 · 2021
    Pooled it
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  16. A Review of Registered Randomized Controlled Trials for the Prevention of Obesity in Infancy.International journal of environmental research and public health · 2021
    Review
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  19. Article
  20. The relationship between smartphone overuse and sleep in younger children: a prospective cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elizabeth L AdamsCenter for Childhood Obesity Research, Penn State University, 129 Noll Laboratory, University Park, PA, 16802, USA.
Michele E MariniCenter for Childhood Obesity Research, Penn State University, 129 Noll Laboratory, University Park, PA, 16802, USA.
Jennifer StokesPediatrics and Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Leann L BirchDepartment of Foods and Nutrition, University of Georgia, Athens, GA, USA.
Ian M PaulPediatrics and Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Jennifer S SavageCenter for Childhood Obesity Research, Penn State University, 129 Noll Laboratory, University Park, PA, 16802, USA. jfs195@psu.edu.

Funding

Preventing Obesity through Intervention during InfancyR01DK088244 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI PAUL, IAN M, WILLIAMS, JENNIFER SAVAGE · 2011 to 2022
$7.0M
National Institute of Food and Agriculture 2011-67001-30117NIDDK NIH HHS R01 DK088244NIDDK NIH HHS R01DK088244
6 · The paper itself

Abstract

backgroundSedentary behaviors, including screen time, in childhood have been associated with an increased risk for overweight. Beginning in infancy, we sought to reduce screen time and television exposure and increase time spent in interactive play as one component of a responsive parenting (RP) intervention designed for obesity prevention.

methodsThe Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) study is a randomized trial comparing a RP intervention with a safety control intervention. Primiparous mother-newborn dyads (N = 279) were randomized after childbirth. Research nurses delivered intervention content at infant ages 3, 16, 28, and 40 weeks and research center visits at 1 and 2 years. As one component of INSIGHT, developmentally appropriate messages on minimizing screen time, reducing television exposure in the home, and promoting parent-child engagement through interactive play were delivered. Mothers self-reported their infant's screen time at ages 44 weeks, 1, 1.5, 2 and 2.5 years; interactive play was reported at 8 and 20 weeks and 2 years.

resultsMore RP than control parents reported their infants met the American Academy of Pediatrics' no screen time recommendation at 44 weeks (53.0% vs. 30.2%) and at 1 year on weekdays (42.5% vs. 27.6%) and weekends (45.5% vs. 26.8%), but not after age 1 year. RP mothers and RP children had less daily screen time than controls at each time point (p ≤ 0.01). Fewer RP than control group mothers reported the television was ever on during infant meals (p < 0.05). The frequency of tummy time and floor play did not differ by study group; approximately 95% of infants spent time in restrictive devices (i.e. swing) at 8 and 20 weeks. At 2 years of age, there were no study group differences for time children spent in interactive play.

conclusionFrom infancy to early childhood, the INSIGHT RP intervention reduced screen time and television exposure, but did not increase the frequency or amount of interactive play.

trial registrationclinicaltrials.gov NCT01167270 . Registered on 21 July 2010.

Indexed as

ExerciseMother-Child RelationsParentingPlay and PlaythingsScreen TimeTelevisionAdultChild, PreschoolFemaleHealth PromotionHumansInfantMaleMothersOverweightPediatric ObesityInfancyMedia use in childrenObesity preventionPhysical activityTummy time

Identifiers

PMID29544506
PMCPMC5855973

What OpenQuestion holds

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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.