Effectiveness of interventions in reducing screen time: A Systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i9.18023

Keywords:

Screen time; Video games; Television; Computer; Cell phone; Adolescent.

Abstract

This is a systematic review of clinical trials, carried out from July to August/2020 in four databases. The selection of articles took place in two phases by two researchers independently and in pairs. The risk of bias was assessed by Cochrane guidelines in Review Manager version 5.5. Thus, the study aimed to evaluate the effectiveness of interventions in reducing screen time in adolescents. Thus, four articles that met the eligibility criteria for inclusion and analysis were included. With regard to screen types, the following were addressed in the studies: television, video game, computer and cell phone. Interventions that involved physical activity were more effective, however, meditation had more beneficial effects on secondary outcomes such as decreased smartphone addiction and stress levels, as well as improved self-control and stress coping strategies. Therefore, the interventions used in the studies were partially effective since, after the intervention period, the adolescents again showed an increase in exposure time.

Author Biographies

Allan Dantas do Santos, Universidade Federal de Sergipe

Department of Nursing

Diego Moura Tanajura, Universidade Federal de Sergipe

Department of Education and Health

Andreia Freire de Menezes, Universidade Federal de Sergipe

Department of Nursing

References

Aadahl, M., et al. (2013). Recent temporal trends in sleep duration, domain-specific sedentary behaviour and physical activity. Scand J Public Health. 41(7), 706–11.

Associação Brasileira para o estudo da Obesidade e da Síndrome Metabólica, ABESO (2019). From: https://abeso.org.br/telas-no-escuro-antes-de-dormir-prejudicam-o-tempo-e-qualidade-do-sono/.

Almeida-Brasil, C. C. et al. (2017). Qualidade de vida e características associadas: aplicação do WHOQOL-BREF no contexto da Atenção Primária à Saúde. Rev Ciência & Saúde Coletiva. 22 (5), 1705-1716.

Andrade, S. et al. (2015). School-based intervention on healthy behaviour among Ecuadorian adolescents: effect of a cluster-randomized controlled trial on screen-time. BMC Public Health. 15:942.

An, R., & Yang, Y. (2016). Diabetes diagnosis and screen-based sedentary behavior among US adults. Am J Lifestyle Med.

Araujo, L. et al. (2018). Patterns of physical activity and screen time among Brazilian children. J Phys Act Health.15(6), 457–61.

Bilgrami, Z., et al. (2017). Health implications of new-age technologies: A systematic review. Minerva Pediatrica. 69(4), 348–67.

Carrel, A. L., et al. (2005). Improvement of fitness, body composition, and insulin sensitivity in overweight children in a school-based exercise program: a randomized, controlled study. Arch Pediatr Adolesc Med. 159, 963-8.

Cichocki, M.., et al (2017). Atividade Física e Modulação Cardiovascular. Rev Bras Med Esporte. 23(1).

Choi, E. H., et al. (2020). The Eject of Mind Subtraction Meditation Intervention on Smartphone Addiction and the Psychological Wellbeing among Adolescents. Int. Journal. Environ. Rev. Public Health. 3217- 3263.

Florêncio Júnior, P. G., Paiano, R. & Costa, A. S (2020). Isolamento social: consequências físicas e mentais da inatividade física em crianças e adolescentes. Rev. Bras Ativ Fis Saúde. doi: 10.12820/rbafs.25e0115

Ford, E. S., Caspersen, C. J. (2012). Sedentary behaviour and cardiovascular disease: a review of prospective studies. Int J Epidemiol. 41(5), 1338–53.

Friedrich RR, Polet JP, Schuch I, Wagner MB (2014). Effect of intervention programs in schools to reduce screen time: a meta-analysis. Jornal de Pediatria. 90(3), 232−241. doi:10.1016/j.jped.2014.01.003

Hale, L., & Guan, S. (2015). Screen time and sleep among school-aged children and adolescents: a systematic literature review. Sleep Med Rev.

Hammersley, M. L., Jones, R. A. & Okely, A. D. (2016). Parent-Focused Childhood and Adolescent Overweight and Obesity eHealth Interventions: A Systematic Review and Meta-Analysis. Journal Med Internet Res.

Hamer, M., & Stamatakis, E. (2014). Prospective study of sedentary behavior, risk of depression, and cognitive impairment. Med Sci Sports Exerc. 46(4), 718–23.

InformaSuS, Ufscar 2020. Disponivel em: https://www.informasus.ufscar.br/pandemia-e-o-tempo-de-tela-por-criancas-e-adolescentes/.

Knebel, M. T. G. et al. (2020). Mediating role of screen media use on adolescents' total sleep time: A cluster-randomized controlled trial for physical activity and sedentary behaviour. Child Care Health Dev. 46, 381–3389.

Levine, G. N. et al. (2017). Meditation and cardiovascular risk reduction: A scientific statement from the American heart association. J Am Heart Assoc, 6(10).

Lima, T. R. et al. (2020). Fatores associados à presença isolada e simultânea de excesso de peso e obesidade abdominal em adolescentes. Rev Paulista de Pediatria.

Liu, M., Wu, L. & Yao, S. (2016). Dose-response association of screen time-based sedentary behaviour in children and adolescents and depression: a meta-analysis of observational studies. Br J Sports Med. 50(20), 1252–8.

Mitchell JA, Rodriguez D, Schmitz KH, Audrain-McGovern J (2013). Greater screen time is associated with adolescent obesity: a longitudinal study of the BMI distribution from ages 14 to 18. Obesity (Silver Spring). 21(3), 572–5.

Neto, J. M. S. et al. (2021). Prática de atividade física, tempo de tela, estado nutricional e sono em adolescentes do nosdeste brasileiro.

Perichart-Perera, O. (2008). A program to improve some cardiovascular risk factors in Mexican school age children. Salud Publica Mex. 50, 218-26.

Pitanga, F. J. G., Beck, C. C. & Pitanga, C. P. S. (2020). Physical Activity And Reducing Sedentary Behavior During The Coronavirus Pandemic. Arq Bras Cardiol.

Regional Center for studies on the development of the information society (2019). Ictkidsonlinebrazilsurvey, 3-4.

Roever, L. Guia Prático de Revisão Sistemática e Metanálise. Thieme Revinter.

Sá, C. S. C. et al. (2021). COVID-19 social isolation in Brazil: effects on the physical activity routine of families with children. Rev Paul Pediatria.

Schmidt, M. E. et al. (2012). Systematic Review of Effective Strategies for Reducing Screen Time Among Young Children. Jornal Pediatric Obesity. (20), 1338–1354. doi:10.1038/oby.2011.348.

Silva, A. O. et al. (2017). Tempo de tela, percepção da qualidade do sono e episódios de parassonia em adolescentes. Revista Bras. Med Esporte. 23(5), 375-379.

Staiano, A. E. et al. (2017). Twelve weeks of dance exergaming in overweight and obese adolescente girls: Transfer effects on physical activity, screen time, and self-efficacy. Journal of Sport and Health Science 6, 4–10.

Teychenne, M., Costigan, S. A., & Parker, K. (2015). The association between sedentary behaviour and risk of anxiety: a systematic review. BMC Public Health. 15-513.

Tremblay, M. S. et al. (2011). Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act. 8 (98). doi: https://doi.org/10.1186/1479-5868-8-98

Wahi, G. et al. (2011). Effectiveness of Interventions Aimed at Reducing Screen Time in Children. Revista Arch Pediatr Adolesc Med. 165(11), 979-986. doi:10.1001/archpediatrics.2011.122

Wang, G. et al (2020). Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet. 395(10228), 945-7. doi:/10.1016/S0140-6736(20)30547-X

World Health Organization (WHO) (2020). Coronavirus disease (COVID-19) pandemic, from https://www.who.int/emergencies/diseases/novel-coronavirus-2020.

Published

24/07/2021

How to Cite

MENDONÇA, R. G. de .; VASCONCELOS , G. M. T.; SANTOS, A. D. do; TANAJURA, D. M.; MENEZES, A. F. de. Effectiveness of interventions in reducing screen time: A Systematic review. Research, Society and Development, [S. l.], v. 10, n. 9, p. e22410918023, 2021. DOI: 10.33448/rsd-v10i9.18023. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18023. Acesso em: 18 apr. 2024.

Issue

Section

Review Article