Evidence map›Paper›PMID 42410723›Full record

SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2026

Interventions to Reduce Screen Time in Preschool-Aged Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Meenushree Chandrasekaran, Qiyang Zhang, Natarajan Padmapriya, Ramkumar Aishworiya, Shang Chee Chong, Gayatri Kembhavi, Bryce McLeod, Keri McCrickerd, Jason Chow, Anna Fogel

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Interventions to Reduce Screen Time in Preschool-Aged Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
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.

Meenushree ChandrasekaranInstitute for Human Development and Potential (IHDP), Agency for Science, Technology and Research (A*STAR), Singapore.ORCID https://orcid.org/0009-0001-8629-4016
Qiyang ZhangCentre for Holistic Initiatives for Learning and Development, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID https://orcid.org/0000-0001-7474-2435
Natarajan PadmapriyaSaw Swee Hock School of Public Health, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ramkumar AishworiyaCentre for Holistic Initiatives for Learning and Development, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID https://orcid.org/0000-0002-5749-1248
Shang Chee ChongCentre for Holistic Initiatives for Learning and Development, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID https://orcid.org/0000-0002-7155-9691
Gayatri KembhaviCentre for Holistic Initiatives for Learning and Development, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Bryce McLeodCentre for Holistic Initiatives for Learning and Development, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID https://orcid.org/0000-0002-0996-0492
Keri McCrickerdInstitute for Human Development and Potential (IHDP), Agency for Science, Technology and Research (A*STAR), Singapore.
Jason ChowDepartment of Special Education, Peabody College, Vanderbilt University, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-2878-7410
Anna FogelInstitute for Human Development and Potential (IHDP), Agency for Science, Technology and Research (A*STAR), Singapore.ORCID https://orcid.org/0000-0002-1877-0981

Funding

Centre for Holistic Initiatives for Learning and Development
6 · The paper itself

Abstract

backgroundThe impact of interventions aimed at reducing screen use in preschool-aged children is unclear. This systematic review and meta-analysis aimed to evaluate interventions to reduce screen time among preschool-aged children and examine the characteristics of effective interventions.

methodsElectronic databases were searched for randomized controlled trials evaluating screen time interventions for children aged 0-5 years. Studies were assessed on achievement of predefined screen time reduction objectives. Narrative synthesis summarized these outcomes in relation to intervention characteristics, followed by a meta-analysis of the pooled effect sizes and moderator influences.

resultsSixty-five studies met the inclusion criteria and 43 had sufficient data to support meta-analyses. The majority of the interventions targeted children aged 2-5 years (77%) focusing on caregiver-child pairs (57%). Interventions were delivered across various settings including preschools (29%), healthcare (12%), or online (20%). The majority of the interventions met their screen time reduction objectives (62%). Characteristics most prevalent among the interventions that met screen time reduction objectives included delivery within the healthcare setting, delivery by research teams, and with caregivers as sole recipients. The meta-regression suggested that the interventions to reduce screen time were associated with a small but statistically significant effect (g = 0.16, 95% CI [0.01, 0.31], p = 0.036). Interventions targeting children aged 0-2 years had a higher proportion of successful studies, whereas meta-analysis indicated that interventions for 2- to 5-year-olds produced larger effect sizes (B = 0.31, p = 0.038).

conclusionInterventions to reduce screen time in preschool-aged children show larger effects in slightly older preschoolers.

Indexed as

Screen TimeChild, PreschoolHumansInfantRandomized Controlled Trials as Topicchildrenmeta‐analysisscreen reductionscreen timesystematic review

Identifiers

PMID42410723
PMCPMC13460936

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.