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Featured Pearl of the Quarter!|
PROS Pearls: · A little more than half of parent/legal guardian respondents
who cared for children ages 2-11 years (59%) indicated that
they used multiple mediation strategies while the remaining
41% indicated using a single approach, including restrictive
(restricting content or time of viewing) for 23.4%, instructive
(parent/guardian explaining media to the child as they watch
together) for 11.2%, and unlimited (allowing the child to decide
the period of time to engage in media activities) for 6.9%.
· Televisions were in the bedrooms of 36% of the children. The likelihood of having a television in the child's bedroom was twice as high if the child was aged 6 to 11 vs 2 to 5 years (odds ratio, 2.24; 95% confidence interval, 1.86-2.71). Moreover, parents who reported a television in their child's bedroom indicated increased exposure to media (mean of 3.6 (SD 2) hours vs 2.5 (SD 1.7) hours;P<.001). · Logistic regression models indicated that restrictive and instructive approaches had positive associations with increased awareness about negative media effects, whereas a decreased awareness existed for those who used an unlimited approach. Allowing unlimited media use occurred more often when parents permitted a television in the child's bedroom. Conversely, the absence of a television in the child's bedroom was associated with a restrictive strategy. Latino and African American ethnicities were associated with allowing unlimited media use more than was white ethnicity. · The findings suggest that when providers discuss media use, they need to identify parental media concerns, share information about potential negative media effects, and encourage active media mediation approaches, such as restriction and instruction, with parents of children aged 2 to 11 years. |
These were among the findings from the AAP's practice-based research network - Pediatric Research in Office Settings (PROS) and its first large-scale intervention study, which examined the effectiveness of an office-based intervention where practitioners used brief, easy-to-use patient education tools to promote positive child health and development. Overall, 203 practitioners participated in data collection, distributed throughout 125 practices and 27 states, Canada, and Puerto Rico. Patients were eligible for inclusion in the study if they 1) were between 2-11 years old; 2) were accompanied by a primary caregiver for a well child visit; 3) had a working telephone where they could be reached for the next 6-12 months; and 4) had parents who were able to complete the surveys in English or Spanish. Data were collected on 4,890 patients between August 2002 and December 2005. Funding was provided by Grant RO1 HD42260 from the National Institute of Child Health and Human Development/Agency for Health Care Policy and Research. Additional funding was provided by the Robert Wood Johnson Foundation and the AAP's Friends of Children.
The citation for this second manuscript is as follows:
Barkin S, Ip E, Richardson I, Klinepeter S, Finch S, Krcmar M. Parental Media Mediation Styles for Children Aged 2 to 11 Years. Archives of Pediatrics & Adolescent Medicine 2006; 160: 395-401.
Manuscript writing continues.
| Core support for the PROS network is provided by a grant from the Health Resources and Services Administration Maternal and Child Health Bureau |  |
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