Explaining Screen-Time Behavior Among Preschoolers in Northern India Using Multi Theory Model: A Parental Cross-Sectional Survey

Community Health Equity Res Policy. 2022 Oct;43(1):95-104. doi: 10.1177/0272684X211006604. Epub 2021 Mar 25.

Abstract

Background: Screen-time (ST) is the time spent on digital media. The American Academy of Pediatrics recommends the daily ST of less than an hour for preschoolers. However, increased ST among preschoolers is becoming a public health concern.

Objective: This study assessed the multi-theory model (MTM)'s applicability in explaining the ST behavior change among preschoolers through parents.

Methods: A quota sample of 72 parents was drawn from Northern India. Data were analyzed using multiple regression.

Results: Behavioral confidence (p < 0.001) and changes in the physical environment (p < 0.001) significantly predicted the initiation of reducing ST. The sustenance of limiting ST was significantly predicted by the emotional transformation (p < 0.001), practice for change (p < 0.001), and changes in the social environment (p = 0.001).

Conclusions: The study highlights the usability of the MTM model in designing and testing interventions for parents to limit ST among their children.

Keywords: behavior interventions; early childhood; fourth generation theory; initiation; multi-theory model; screen time; sustenance.

MeSH terms

  • Child
  • Cross-Sectional Studies
  • Health Behavior
  • Humans
  • Internet*
  • Parents* / psychology
  • Social Environment
  • United States