INSIGHT responsive parenting intervention reduces infant’s screen time and television exposure
Abstract Background Sedentary behaviors, including screen time, in childhood have been associated with an increased risk for overweight. Beginning in infancy, we sought to reduce screen time and television exposure and increase time spent in interactive play as one component of a responsive parentin...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2018-03-01
|
Series: | International Journal of Behavioral Nutrition and Physical Activity |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12966-018-0657-5 |
id |
doaj-05f4e3659bbb42e2a0a5075fd7c42c4b |
---|---|
record_format |
Article |
spelling |
doaj-05f4e3659bbb42e2a0a5075fd7c42c4b2020-11-24T23:07:41ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682018-03-011511910.1186/s12966-018-0657-5INSIGHT responsive parenting intervention reduces infant’s screen time and television exposureElizabeth L. Adams0Michele E. Marini1Jennifer Stokes2Leann L. Birch3Ian M. Paul4Jennifer S. Savage5Center for Childhood Obesity Research, Penn State UniversityCenter for Childhood Obesity Research, Penn State UniversityPediatrics and Public Health Sciences, Penn State College of MedicineDepartment of Foods and Nutrition, University of GeorgiaPediatrics and Public Health Sciences, Penn State College of MedicineCenter for Childhood Obesity Research, Penn State UniversityAbstract Background Sedentary behaviors, including screen time, in childhood have been associated with an increased risk for overweight. Beginning in infancy, we sought to reduce screen time and television exposure and increase time spent in interactive play as one component of a responsive parenting (RP) intervention designed for obesity prevention. Methods The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) study is a randomized trial comparing a RP intervention with a safety control intervention. Primiparous mother-newborn dyads (N = 279) were randomized after childbirth. Research nurses delivered intervention content at infant ages 3, 16, 28, and 40 weeks and research center visits at 1 and 2 years. As one component of INSIGHT, developmentally appropriate messages on minimizing screen time, reducing television exposure in the home, and promoting parent-child engagement through interactive play were delivered. Mothers self-reported their infant’s screen time at ages 44 weeks, 1, 1.5, 2 and 2.5 years; interactive play was reported at 8 and 20 weeks and 2 years. Results More RP than control parents reported their infants met the American Academy of Pediatrics’ no screen time recommendation at 44 weeks (53.0% vs. 30.2%) and at 1 year on weekdays (42.5% vs. 27.6%) and weekends (45.5% vs. 26.8%), but not after age 1 year. RP mothers and RP children had less daily screen time than controls at each time point (p ≤ 0.01). Fewer RP than control group mothers reported the television was ever on during infant meals (p < 0.05). The frequency of tummy time and floor play did not differ by study group; approximately 95% of infants spent time in restrictive devices (i.e. swing) at 8 and 20 weeks. At 2 years of age, there were no study group differences for time children spent in interactive play. Conclusion From infancy to early childhood, the INSIGHT RP intervention reduced screen time and television exposure, but did not increase the frequency or amount of interactive play. Trial registration clinicaltrials.gov NCT01167270. Registered on 21 July 2010.http://link.springer.com/article/10.1186/s12966-018-0657-5Obesity preventionMedia use in childrenInfancyTummy timePhysical activity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Elizabeth L. Adams Michele E. Marini Jennifer Stokes Leann L. Birch Ian M. Paul Jennifer S. Savage |
spellingShingle |
Elizabeth L. Adams Michele E. Marini Jennifer Stokes Leann L. Birch Ian M. Paul Jennifer S. Savage INSIGHT responsive parenting intervention reduces infant’s screen time and television exposure International Journal of Behavioral Nutrition and Physical Activity Obesity prevention Media use in children Infancy Tummy time Physical activity |
author_facet |
Elizabeth L. Adams Michele E. Marini Jennifer Stokes Leann L. Birch Ian M. Paul Jennifer S. Savage |
author_sort |
Elizabeth L. Adams |
title |
INSIGHT responsive parenting intervention reduces infant’s screen time and television exposure |
title_short |
INSIGHT responsive parenting intervention reduces infant’s screen time and television exposure |
title_full |
INSIGHT responsive parenting intervention reduces infant’s screen time and television exposure |
title_fullStr |
INSIGHT responsive parenting intervention reduces infant’s screen time and television exposure |
title_full_unstemmed |
INSIGHT responsive parenting intervention reduces infant’s screen time and television exposure |
title_sort |
insight responsive parenting intervention reduces infant’s screen time and television exposure |
publisher |
BMC |
series |
International Journal of Behavioral Nutrition and Physical Activity |
issn |
1479-5868 |
publishDate |
2018-03-01 |
description |
Abstract Background Sedentary behaviors, including screen time, in childhood have been associated with an increased risk for overweight. Beginning in infancy, we sought to reduce screen time and television exposure and increase time spent in interactive play as one component of a responsive parenting (RP) intervention designed for obesity prevention. Methods The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) study is a randomized trial comparing a RP intervention with a safety control intervention. Primiparous mother-newborn dyads (N = 279) were randomized after childbirth. Research nurses delivered intervention content at infant ages 3, 16, 28, and 40 weeks and research center visits at 1 and 2 years. As one component of INSIGHT, developmentally appropriate messages on minimizing screen time, reducing television exposure in the home, and promoting parent-child engagement through interactive play were delivered. Mothers self-reported their infant’s screen time at ages 44 weeks, 1, 1.5, 2 and 2.5 years; interactive play was reported at 8 and 20 weeks and 2 years. Results More RP than control parents reported their infants met the American Academy of Pediatrics’ no screen time recommendation at 44 weeks (53.0% vs. 30.2%) and at 1 year on weekdays (42.5% vs. 27.6%) and weekends (45.5% vs. 26.8%), but not after age 1 year. RP mothers and RP children had less daily screen time than controls at each time point (p ≤ 0.01). Fewer RP than control group mothers reported the television was ever on during infant meals (p < 0.05). The frequency of tummy time and floor play did not differ by study group; approximately 95% of infants spent time in restrictive devices (i.e. swing) at 8 and 20 weeks. At 2 years of age, there were no study group differences for time children spent in interactive play. Conclusion From infancy to early childhood, the INSIGHT RP intervention reduced screen time and television exposure, but did not increase the frequency or amount of interactive play. Trial registration clinicaltrials.gov NCT01167270. Registered on 21 July 2010. |
topic |
Obesity prevention Media use in children Infancy Tummy time Physical activity |
url |
http://link.springer.com/article/10.1186/s12966-018-0657-5 |
work_keys_str_mv |
AT elizabethladams insightresponsiveparentinginterventionreducesinfantsscreentimeandtelevisionexposure AT micheleemarini insightresponsiveparentinginterventionreducesinfantsscreentimeandtelevisionexposure AT jenniferstokes insightresponsiveparentinginterventionreducesinfantsscreentimeandtelevisionexposure AT leannlbirch insightresponsiveparentinginterventionreducesinfantsscreentimeandtelevisionexposure AT ianmpaul insightresponsiveparentinginterventionreducesinfantsscreentimeandtelevisionexposure AT jenniferssavage insightresponsiveparentinginterventionreducesinfantsscreentimeandtelevisionexposure |
_version_ |
1725617577655271424 |