The Effect of Primary Care Interventions on Children's Media Viewing Habits and Exposure to Violence
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Vanderbilt University
- Enrollment
- 336
- Locations
- 1
- Primary Endpoint
- Changes in media viewing habits
Study Overview
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)?
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •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.
Exclusion Criteria
- •Parents who could not speak either English or Spanish.
Arms & Interventions
Handout intervention
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.
Intervention: AAP Handout entitled, Pulling the Plug on Violence. (Behavioral)
Control
Parents in control group experienced a routine primary care visit.
Intervention: Control Group (Other)
Multimedia intervention
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.
Intervention: Play Nicely Program (Behavioral)
Outcomes
Primary Outcomes
Changes in media viewing habits
Time Frame: Baseline and 2-4 weeks
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?"
Changes in exposure to violence.
Time Frame: Baseline and 2-4 weeks
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?"
Secondary Outcomes
No secondary outcomes reported
Investigators
Seth Scholer
Associate Professor of Pediatrics
Vanderbilt University