Evidence map›Paper›PMID 41801197›Full record

ArticleJAMA network open2026

Smartphone Use During School Hours and Association With Cognitive Control in Youths Aged 11 to 18 Years.

Eva H Telzer, Kaitlyn Burnell

Abstract read
In one paragraph

Article in JAMA network open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

2 authors.

Eva H TelzerDepartment of Psychology and Neuroscience, University of North Carolina, Chapel Hill.
Kaitlyn BurnellDepartment of Psychology and Neuroscience, University of North Carolina, Chapel Hill.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Smartphones are a pervasive feature of adolescents' daily lives, raising concern about how smartphones are used in contexts such as school that require sustained attention and self-regulation. Objectives: To describe youths' smartphone use during each hour of the school day and examine whether smartphone use during school is associated with poorer cognitive control, a key developmental process underlying academic success. Design, Setting, and Participants: This cross-sectional study of youths aged 11 to 18 years from the Southeastern US objectively assessed smartphone use every hour for 14 consecutive days between April 8, 2021, and February 2, 2022 (cohort 1), and February 1, 2023, and December 11, 2024 (cohort 2), providing thousands of data points to capture actual engagement. Main Outcomes and Measures: The iPhone iOS (Apple) screen time report captured smartphone use at every hour. Cognitive control was measured in the older cohort using a go/no-go task, with the signal detection metric d' quantifying inhibitory control. Results: A total of 79 participants (mean [SD] age, 15.10 [2.04] years; 41 [51.9%] female) participated in the study. Youths were using their smartphones during every hour of the school day, spending a total of 2.22 hours of the school day on their smartphones. Youths aged 15 to 18 years spent more time on their smartphones during school hours than those aged 11 to 14 years (mean [SD], 23.28 [18.34] vs 11.57 [16.83] min/h; F1,76 = 28.82, P < .001, η2 = 0.28). Youths spent a mean (SD) of 40.14 (39.56) minutes on social media and 13.85 (25.22) minutes on entertainment apps during school hours. Youths checked their smartphones a mean (SD) of 64.46 (32.83) times during school hours. More frequent smartphone checking was associated with lower d' values (F1,28 = 4.8, P = .04, η2 = 0.15), indicating poorer cognitive control. Conclusions and Relevance: This cross-sectional study found that youths use smartphones approximately one-third of the school day; this use was associated with reduced cognitive control. These findings highlight the need for school-level policies and digital literacy programs that address not only overall screen time but also habitual smartphone-checking behaviors that fragment attention.

Indexed as

CognitionSchoolsScreen TimeSmartphoneStudentsAdolescentChildCross-Sectional StudiesFemaleHumansMale

Identifiers

PMID41801197
PMCPMC12973097

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.