Young Children and Screens: Parents' Perspectives and Child Health Nurses' Approaches in a Digital Age

NCT07168057 | Not Yet Recruiting

• 1 other identifier: Karolinska Inst 2025-03424-01
• Study Type: observational
• Target: 320
• Locations: 1 country
• Sites: 1

Brief Summary

The overall aim of the research project is to investigate screen habits among children (0-5 years) and their parents including nurses' perspective, and further parents' and nurses' experiences of using web-based healthcare advisory services within Swedish child health care (CHC). The main research questions are: What is the correlation between children's and their parents' screen use? How does screen use differ among families with various socioeconomic backgrounds? How well does the modified SCREEN-Q instrument measure screen use in Swedish conditions? How do parents perceive their own and their children's screen use and their parental role? What are parents' views on available advice and recommendations regarding children's screen use? How do parents use and experience web-based advisory services within health care and Swedish child health care (CHC)? How do CHC nurses address screen media-related issues within CHC? What are CHC nurses' experiences with web-based advisory services? Participants will:

• Complete a survey on screen habits and digital health service use (N ≈ 300)
• Contribute to validation of a modified SCREEN-Q instrument
• Take part in interviews (parents) and focus groups (child health nurses)

Conditions

Primary Health Care Providers; Early Childhood Behavior; Child Health Services; Parenting Practices; Caregivers; Nursing Practice

Keywords

digital advisory services; child healthcare; nurses; parents; screen use

Outcome Measures

Primary Outcomes (2)

• Parents' screen use

  Parents are asked about following in SCREEN-Q (modified): Primary place of work or study, Time spent on screen-based work tasks at home on weekdays and weekends, Time spent on screen-based leisure activities on weekdays and weekends, Types of screen-based leisure activities,

  Day 1

• Child's screen use

  Parents are asked about following in SCREEN-Q (modified): Child's Access to Screens, Child's Use of Screen Devices, Child's Ownership of Screen Devices, Time Spent on Screen-Based Activities, Screen Media Habits at Home, Rules for Screen Use, Screen Use During the Day, Multitasking and Social Context of Screen Use, Parental Perceptions of Child's Screen Use, Age When Child Received Own Devices

  Day 1

Other Outcomes (8)

• Demographic background factors: quantitative study about screens

  Day 1

• Themes identified through semi-structured interviews on parental reasoning and attitudes about screen use

  Day 1

• Themes identified through interviews on parental perceptions of screen-related guidance and recommendations

  Day 1

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population for the cross-sectional (qualitative part of the project) consists of: -Parents or primary caregivers of children aged 0-5 years who are enrolled in Child Health Services in Sweden. Participants will be recruited from child health service units located in at least three different regions, including both urban and rural areas, to ensure diversity in geographic and socioeconomic backgrounds. Later part of the project includes parents for the same population for qulitative studies. Nurses working in these regions will also be included in the qualitative part of the study to provide professional perspectives on screen use and digital health services.

You may qualify if:

• Parents whose child/children is/are registered in the Swedish Child Health Care center(s) that participate in the study and that have at least one child at age 0-5 yrs.
• Child health nurses working in the Swedish Child Health Care center(s) that participate in the study

You may not qualify if:

• Parent not having children registered in the participating health care centers at age 0-5 yrs.
• Child health nurses not working at the participating child health centers.

Sponsors & Collaborators

• Karolinska Institutet: lead

Study Sites (1)

Karolinska Institutet

Stockholm, Sweden

Location

Related Publications (4)

• 3. Cohen J. Statistical Power Analysis. Current Directions in Psychological Science. 1992;1(3):98-101.

  BACKGROUND

• Klakk H, Wester CT, Olesen LG, Rasmussen MG, Kristensen PL, Pedersen J, Grontved A. The development of a questionnaire to assess leisure time screen-based media use and its proximal correlates in children (SCREENS-Q). BMC Public Health. 2020 May 12;20(1):664. doi: 10.1186/s12889-020-08810-6.

  PMID: 32397984 BACKGROUND

• 1. World Health Organization. (2025). World report on social determinants of health equity. WHO. https://www.who.int/teams/social-determinants-of-health/equity-and-health/world-report-on-social-determinants-of-health-equity

  BACKGROUND

• Mekhail KT, Blom L, Rydstrom LL. Young children's screen habits and first-time parents' reflections on screen use in socioeconomically disadvantaged Swedish settings: a mixed methods study. BMC Public Health. 2024 Jul 29;24(1):2027. doi: 10.1186/s12889-024-19557-9.

  PMID: 39075392 BACKGROUND

MeSH Terms

Conditions

Child Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Lise-Lott Rydström, RN., PhD

  Karolinska Institutet

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Kirsi Tiitinen Mekhail, RN., PhD

CONTACT

+46702196383; kirsi.tiitinen.mekhail@ki.se

Lise-Lott Rydström, RN., PD

CONTACT

+46704839578; lise-lott.rydstrom@ki.se

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Pricipal Investigator

Study Record Dates

• First Submitted: August 25, 2025
• First Posted: September 11, 2025
• Study Start: February 1, 2026
• Primary Completion (Estimated): December 31, 2029
• Study Completion (Estimated): December 31, 2030
• Last Updated: September 11, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)