Evidence map›Paper›PMID 41960324›Full record

ArticleResearch square2026

School's Out, Rules Out: Changes in parent rules and routines over summer from the What's UP (Undermining Prevention) with Summer Observational Cohort Study.

Emily Eglitis, Sarah Burkart, Christopher Pfledderer, Elizabeth L Adams, R Glenn Weaver, Bridget Armstrong, Keith Brazendale, Xuanxuan Zhu, Alexander McLain, Gabrielle Turner-McGrievy and 8 more

Abstract readPreprint
In one paragraph

Article in Research square, 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

18 authors.

Emily EglitisAlliance for Research in Exercise, Nutrition and Activity (ARENA), Adelaide University, Adelaide, SA, Australia.
Sarah BurkartArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Christopher PfleddererUTHealth Houston, School of Public Health, Austin TX, USA.
Elizabeth L AdamsArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
R Glenn WeaverArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Bridget ArmstrongArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Keith BrazendaleDepartment of Health Sciences, University of Central Florida, Orlando, FL, USA.
Xuanxuan ZhuArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Alexander McLainArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Gabrielle Turner-McGrievyArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Russell PateArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Andrew KaczynskiArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Amanda FairchildCollege of Arts and Sciences, University of South Carolina, Columbia, SC, USA.
Brian E SaelensSeattle Children's Research Institute.
Hannah ParkerArnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Amy L YarochCenter for Nutrition & Health Impact, Omaha, NE, USA.
Carol MaherAlliance for Research in Exercise, Nutrition and Activity (ARENA), Adelaide University, Adelaide, SA, Australia.
Michael BeetsArnold School of Public Health, University of South Carolina, Columbia, SC, USA.

Funding

What's UP (Undermining Prevention) with Summer? Etiology of Accelerated Weight Gain during Summer vs. School YearR01DK116665 · NIDDK · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI MICHAEL W BEETS · 2018 to 2026
$5.8M
NIDDK NIH HHS R01 DK116665
6 · The paper itself

Abstract

Background: Children engage in less healthful behaviors during the summer compared to the school year, when they are exposed to a highly structured school environment. It is unclear whether changes in children's health behaviors may also be explained by parents relaxing rules/routines in summer (e.g., related to sleep, screens, diet). If so, this represents potentially modifiable drivers of children meeting health behavior guidelines. The purpose of this study was to determine if parents have different rules/routines in summer compared to the school year. Methods: This study used data from the What's UP with Summer three-year, longitudinal observational cohort study (2021-2023) that followed elementary-aged children from 17 elementary schools in the southeastern United States. Parents of 1,084 children (age range 5-14 years, 48% girls) completed surveys during school (April/May) and summer (July) each year, yielding six total timepoints. Survey items assessed parental rules related to dietary behaviors (6 questions), screen-use (weekdays and weekends, 3 questions each), and sleep (weekdays and weekends, 3 questions each). Lower scores reflected fewer rules/routines that supported these health behaviors. Mixed-effects models examined changes in parenting rules from school year to summer controlling for socioeconomic status (poverty-income ratio, parent education), child age and sex. Results: Compared to the school year, parent rules in summer decreased for weekday screen-use ( Conclusions: Parents reported fewer rules for screen use and sleep during summer compared to the school year, and overall rules/routines declined as children grew older. The gap between summer and school sleep rules also widened with age. These findings suggest that the structure of school year routines help support parents in maintaining rules and routines that shape children's health behaviors.

Identifiers

PMID41960324
PMCPMC13060462

What OpenQuestion holds

Textmetadata
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.