Evidence map›Paper›PMID 39439363›Full record

Trial reportDevelopmental science2025

Screen Time, Nature, and Development: Baseline of the Randomized Controlled Study "Screen-free till 3".

Silke Schwarz, Hanno Krafft, Tobias Maurer, Silke Lange, Juliane Schemmer, Thomas Fischbach, Anke Emgenbroich, Sean Monks, Michael Hubmann, David Martin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Developmental science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Silke SchwarzFaculty of Health, Department of Human Medicine, Witten/Herdecke University, Witten, Germany.
Hanno KrafftFaculty of Health, Department of Human Medicine, Witten/Herdecke University, Witten, Germany.ORCID https://orcid.org/0000-0002-8199-8874
Tobias MaurerFaculty of Health, Department of Human Medicine, Witten/Herdecke University, Witten, Germany.
Silke LangeFaculty of Health, Department of Human Medicine, Witten/Herdecke University, Witten, Germany.
Juliane SchemmerFaculty of Health, Department of Human Medicine, Witten/Herdecke University, Witten, Germany.
Thomas FischbachProfessional Association of Pediatricians and Adolescent Doctors (BVKJ), Cologne, Germany.
Anke EmgenbroichBVKJ-Service GmbH, Cologne, Germany.
Sean MonksMonks Ärzte-im-Netz GmbH, Hamburg, Germany.
Michael HubmannProfessional Association of Pediatricians and Adolescent Doctors (BVKJ), Cologne, Germany.
David MartinFaculty of Health, Department of Human Medicine, Witten/Herdecke University, Witten, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the first years of life, increased screen media use is presumably associated with health consequences and developmental impairments. "Screen-free till 3" is a prospective Germany-wide randomized intervention study, started in May 2022 with a duration of 3 years. In the intervention group, 2581 pediatric practices received stickers, which were systematically placed in the screening booklet of all children, along with advice to parents to keep children free from screens until the age of 3. A volunteer sample of 17,436 parents received an invitation to take part in the preinterventional questionnaire. The outcomes were parents' internet use (CIUS test), parental screen time in the presence of children, time of screen media in the background, and children's development. Four thousand twenty-one parents answered the questionnaire. 16.7% of mothers and 31.0% of fathers reached the CIUS score of an internet-related disorder. Parents whose children use screen media at an early age had significantly higher CIUS values on average (M = 4.07) than the parents of children who do not yet have any screen time (p < 0.001). Combined developmental characteristics show a negative correlation with parental screen time (p < 0.001). Time spent in nature was positively associated with development (p < 0.001). The evaluation of the survey shows that screen media is to a large extent used on a daily basis. The study confirms the assumption that high screen media use by parents is linked to higher screen media use by children and also has a negative impact on child development. Trial Registration: Number: RKS00032258; https://drks.de/search/en/trial/DRKS00032258.

Indexed as

Child DevelopmentScreen TimeAdultChild, PreschoolFemaleGermanyHumansInfantInternetMaleParentsProspective StudiesSurveys and QuestionnaireschildrenCIUSdevelopmentparentsrandomized intervention studyscreen media

Identifiers

PMID39439363
PMCPMC11618238

What OpenQuestion holds

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Registered trials

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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.