The Effect of Primary Care Interventions on Children's Media Viewing Habits and Exposure to Violence

NCT01490320 | Completed

• 1 other identifier: IRB# 100401
• Study Type: interventional
• Target: 336
• Locations: 1 country
• Sites: 1

Brief Summary

The American Academy of Pediatrics recommends that parents receive anticipatory guidance about violence prevention as part of the routine well child visit. Educational resources are needed to help physicians routinely provide these important anticipatory guidance messages. In this study, consecutive parents will be exposed to routine anticipatory guidance messages before the well child visit with the physician. After the clinic visit, parents will be invited to participate in a research study to determine if they plan any changes at home. The key research question of this study is: Can a brief multimedia program (i.e. Play Nicely program) and/or the AAP Connected Kids brochure, entitled, "Pulling the Plug on TV Violence", help parents develop plans to decreases their children's exposure to violence in the media (e.g. less media time, no TV in the bedroom)?

Conditions

Violence

Keywords

Violence prevention; Media; Primary care; Parenting

Outcome Measures

Primary Outcomes (2)

• Changes in media viewing habits

  At the 2 week follow up phone call, parents were asked: "Since your clinic visit, have you made any changes related to your child's media viewing habits such as TV, movies, or computer games?"

  Baseline and 2-4 weeks

• Changes in exposure to violence.

  At the 2 week follow up phone call, parents were asked: "Since your clinic visit, have you made any changes related to decreasing your child's exposure to violence, either violence in the media or violence at home?"

  Baseline and 2-4 weeks

Study Arms (3)

Control

PLACEBO COMPARATOR

Parents in control group experienced a routine primary care visit.

Other: Control Group

Handout intervention

EXPERIMENTAL

Caregivers assigned to the hand-out group were instructed to read the AAP hand-out "Pulling the Plug On TV Violence." This 2 page hand-out emphasizes the negative effect that television has on children's behavior and makes recommendations about limiting media. The RA did not supervise the reading of the handout.

Behavioral: AAP Handout entitled, Pulling the Plug on Violence.

Multimedia intervention

EXPERIMENTAL

Caregivers assigned to the multimedia group were instructed to watch "Recommendation 3: Decrease Exposure to Violence" from the Play Nicely program, a 5 minute video in English and Spanish that teaches caregivers about the negative impact of violent media and instructs parents about the importance of limiting media. The intervention was presented to the parents on a mobile laptop computer.

Behavioral: Play Nicely Program

Interventions

AAP Handout entitled, Pulling the Plug on Violence. BEHAVIORAL

This handout is two pages and is part of the Connected Kids Program, American Academy of Pediatrics

Handout intervention

Play Nicely Program BEHAVIORAL

Multimedia program available at www.playnicely.org.

Multimedia intervention

Control Group OTHER

Standard care in primary care clinic.

Control

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants included English and Spanish speaking caregivers of 2-12 year old children presenting to the pediatric primary care clinic for a well-child visit.

You may not qualify if:

• Parents who could not speak either English or Spanish.

Sponsors & Collaborators

• Vanderbilt University: lead

Study Sites (1)

Vanderbilt University Pediatric Primary Care Clinic

Nashville, Tennessee, 27232, United States

Location

Related Publications (2)

• Scholer SJ, Hudnut-Beumler J, Dietrich MS. The effect of physician--parent discussions and a brief intervention on caregivers' plan to discipline: is it time for a new approach? Clin Pediatr (Phila). 2011 Aug;50(8):712-9. doi: 10.1177/0009922811400730. Epub 2011 Mar 10.

  PMID: 21393318 BACKGROUND

• Scholer SJ, Hudnut-Beumler J, Dietrich MS. A brief primary care intervention helps parents develop plans to discipline. Pediatrics. 2010 Feb;125(2):e242-9. doi: 10.1542/peds.2009-0874. Epub 2010 Jan 18.

  PMID: 20083523 BACKGROUND

Related Links

• Access Play Nicely Multimedia Program
• AAP Connected Kids Program

MeSH Terms

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Seth J Scholer, MD, MPH

  Vanderbilt University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Pediatrics

Study Record Dates

• First Submitted: December 7, 2011
• First Posted: December 12, 2011
• Study Start: June 1, 2010
• Primary Completion: September 1, 2010
• Study Completion: September 1, 2010
• Last Updated: December 12, 2011

Record last verified: 2011-12

Locations

US (1)