Evidence map›Paper›PMID 41850862›Full record

ArticleChild: care, health and development2026

Attitudes, Norms, and Control: What Is Shaping Fijian Children's Physical Activity and Screen Time Behaviours?

Sarah T Ryan, Anthony D Okely, Rebecca M Stanley, Gade Waqa, Melanie Randle

Abstract read
In one paragraph

Article in Child: care, health and development, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Burden of childhood obesity in Pacific Islands Countries and Territories.The Lancet regional health. Western Pacific · 2026
    Review
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

5 authors.

Sarah T RyanEarly Start, University of Wollongong, Wollongong, Australia.ORCID https://orcid.org/0000-0001-7574-1936
Anthony D OkelyEarly Start, University of Wollongong, Wollongong, Australia.ORCID https://orcid.org/0000-0002-1626-8170
Rebecca M StanleySchool of Health and Society, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, Australia.
Gade WaqaC-POND, College of Medicine, Nursing and Health Sciences, Fiji National University, Suva, Fiji.
Melanie RandleSchool of Business, Faculty of Business and Law, University of Wollongong, Wollongong, Australia.

Funding

National Health and Medical Research Council GNT 1176858
6 · The paper itself

Abstract

backgroundOnly half the children in Fiji meet both physical activity (PA) and screen time (ST) recommendations. Understanding factors associated with meeting these recommendations is important to inform the development of policies and programmes to encourage healthy behaviours. This study aimed to examine the association between Fijian caregivers' and children's attitudes, subjective norms and perceived behavioural control and their or their child's adherence to physical activity and screen time guidelines.

methodsWe investigated Fijian caregivers and children aged 5-17 years attitudes, subjective norms and perceived behavioural control towards meeting PA and ST guidelines through an online survey. The survey explored these factors and their associations with meeting the Asia-Pacific Integrated 24-h Activity Guidelines for Children and Adolescents.

resultsA total of 1015 caregivers and 699 of their children completed the survey. Caregivers (OR = 1.4, CI 1.003-1.862) and children 5-8 years (OR = 16.5, CI 1.227-222.665) who believed being active would make them happier were more likely to meet PA recommendations compared to those not meeting PA recommendations. Caregivers who set ST restrictions (OR = 1.5, CI 1.252-1.816) and believed ST rules helped their child meet recommendations (OR = 1.3, CI 1.052-1.505) were more likely to have children who met ST recommendations versus not meet ST recommendations. Children aged 5-8 and older children/adolescents aged 9-17 who had easy access to screens were less likely to meet ST recommendations (OR = 0.5, CI 0.224-0.984) and (OR = 0.5, CI 0.324-0.802), respectively, compared to those who did meet ST recommendations. Children aged 5-8 years who believed it was important to follow the guidance of religious leaders were more likely to meet ST recommendations (OR = 5.4, CI 2.423-12.002) compared to those who did not meet the ST recommendation.

conclusionCommunicating through trusted community figures (such as teachers and religious leaders for younger children and ministries for caregivers) is recommended for future initiatives to increase adherence to guidelines among children and adolescents in Fiji. These initiatives should also emphasise the link between PA and both happiness and academic performance, while exploring ways to support caregivers in enforcing ST restrictions.

Indexed as

Child BehaviorExerciseScreen TimeAdolescentCaregiversChildChild, PreschoolFemaleFijiHealth BehaviorHumansMaleSurveys and Questionnaires

Identifiers

PMID41850862
PMCPMC12999357

What OpenQuestion holds

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LicenceCC BY
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.