Evidence map›Paper›PMID 41435913›Full record

ArticleAcademic pediatrics2026

How School-Related Internet Use Shapes Teens' Learning, Communication, Academic Stress, Online Behavior: A Qualitative Study.

Libby Matile Milkovich, Jordan A Carlson, Keyna Chertoff, Kimberly A Randell

Abstract read
In one paragraph

Article in Academic pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Libby Matile MilkovichChildren's Mercy (LM Milkovich, JA Carlson, K Chertoff, and KA Randell), Kansas City, Mo; University of Missouri-Kansas City School of Medicine (LM Milkovich, JA Carlson, and KA Randell), Kansas City, Mo. Electronic address: emilkovich@cmh.edu.
Jordan A CarlsonChildren's Mercy (LM Milkovich, JA Carlson, K Chertoff, and KA Randell), Kansas City, Mo; University of Missouri-Kansas City School of Medicine (LM Milkovich, JA Carlson, and KA Randell), Kansas City, Mo.
Keyna ChertoffChildren's Mercy (LM Milkovich, JA Carlson, K Chertoff, and KA Randell), Kansas City, Mo.
Kimberly A RandellChildren's Mercy (LM Milkovich, JA Carlson, K Chertoff, and KA Randell), Kansas City, Mo; University of Missouri-Kansas City School of Medicine (LM Milkovich, JA Carlson, and KA Randell), Kansas City, Mo; University of Kansas School of Medicine (KA Randell), Kansas City, Mo.

Funding

Promoting Healthy Relationships among At-Risk Adolescents: A Feasibility Trial in the Emergency DepartmentK23HD098299 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI RANDELL, KIMBERLY ANNE · 2020 to 2024
$790k
NICHD NIH HHS K23 HD098299
6 · The paper itself

Abstract

objectiveWe aimed to describe teens' experiences around school-related internet use, focusing on both benefits and drawbacks within the Problematic Internet Use (PIU) Framework. The PIU Framework describes how risky, excessive, or impulsive internet use affects teens' well-being, including emotional, physical, and social health. We defined school-related internet use as all internet use for academic purposes, whether at school or outside of it.

methodsWe recruited 51 teens aged 13 to 18 years in a Midwest metropolitan area to participate in 1 of 9 virtual, semi-structured focus groups between August and December 2022. We analyzed focus group transcripts using thematic analysis and a hybrid inductive-deductive approach.

resultsMost teens identified as White non-Hispanic (61%), male sex (51%), and cisgender (90%), representing 33 schools. Four themes emerged regarding the function of teens' school-related internet use as follows: 1) School-related internet is commonly used for multiple academic purposes, at times replacing traditional teaching methods; 2) Easy access to technology increases modes of communication with peers but can impede opportunities for in-person interactions.; 3) School-related internet use can both alleviate and intensify academic stress; 4) School-related internet use can lead to impulsive internet behavior and overuse, which may result in impairment.

conclusionsTeens reported school-related internet use is ubiquitous and affects well-being. Clinicians can help teens and families understand these effects and devise strategies to minimize negative effects and optimize benefits. Future research should explore how individual, family, and school practices can support a school-related internet environment for teens to flourish.

Indexed as

Adolescent BehaviorCommunicationInternetInternet UseLearningSchoolsStress, PsychologicalAdolescentFemaleFocus GroupsHumansMaleQualitative Researchacademic productivitydigital mediaschoolsleep

Identifiers

PMID41435913
PMCPMC13182978

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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.