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Parental perceptions, attitudes and knowledge on European preschool children’s total screen time : the ToyBox-study

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Abstract
BACKGROUND: Preschool children spend a significant proportion of their waking hours being sedentary. Parents play a critical role in developing and shaping their children's lifestyle behaviours, particularly in the early years of life. This study aims to assess parental perceptions, attitudes and knowledge of their preschool children's sedentary behaviours and the association with children's television (TV)/video/DVDs viewing and total screen time. METHODS: Data were obtained from a sample of 4836 children (3.5-5.5 years), participating in the multi-centre ToyBox-study at baseline (T0) and at 1-year follow-up (T1) periods. Data on children's sedentary behaviours were collected via a standardized proxy-administered primary caregiver's questionnaire. RESULTS: Regarding total screen time, 66.6% of the children at T0 and 71.8% at T1 in the control group exceeded the recommendations, whereas the proportion in the intervention group varied from 69.7% at T0 to 72.5% at T1. The odds of exceeding total screen time recommendations were significantly higher when parental perceptions towards limiting the total screen time were negative [(both T0 and T1 and in the intervention and control groups (P < 0.05)]. Similarly, the odds of exceeding TV/video/DVDs viewing recommendations were significantly higher (both T0 and T1 is observed in both groups) when parental knowledge of recommendation were absent. CONCLUSIONS: Preschool children whose caregivers stated rules limiting their sedentary screen time were less likely to spend a high amount of time watching TV/video/DVDs. Interventions to increase parental practices may be a promising approach to decrease total screen time of preschool children but studies are needed to confirm this.
Keywords
FAMILY-INVOLVED INTERVENTION, SEDENTARY BEHAVIOR, PREVENT OBESITY, EARLY-CHILDHOOD, ASSOCIATIONS, POSITION, INDEXES, TOOLS, CARE

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MLA
Miguel-Berges, María, et al. “Parental Perceptions, Attitudes and Knowledge on European Preschool Children’s Total Screen Time : The ToyBox-Study.” EUROPEAN JOURNAL OF PUBLIC HEALTH, vol. 30, no. 1, 2020, pp. 105–11, doi:10.1093/eurpub/ckz151.
APA
Miguel-Berges, M., Santaliestra-Pasias, A., Mouratidou, T., Flores-Barrantes, P., Androutsos, O., De Craemer, M., … Moreno, L. A. (2020). Parental perceptions, attitudes and knowledge on European preschool children’s total screen time : the ToyBox-study. EUROPEAN JOURNAL OF PUBLIC HEALTH, 30(1), 105–111. https://doi.org/10.1093/eurpub/ckz151
Chicago author-date
Miguel-Berges, María, Alba Santaliestra-Pasias, Theodora Mouratidou, Paloma Flores-Barrantes, Odysseas Androutsos, Marieke De Craemer, Sonya Galcheva, et al. 2020. “Parental Perceptions, Attitudes and Knowledge on European Preschool Children’s Total Screen Time : The ToyBox-Study.” EUROPEAN JOURNAL OF PUBLIC HEALTH 30 (1): 105–11. https://doi.org/10.1093/eurpub/ckz151.
Chicago author-date (all authors)
Miguel-Berges, María, Alba Santaliestra-Pasias, Theodora Mouratidou, Paloma Flores-Barrantes, Odysseas Androutsos, Marieke De Craemer, Sonya Galcheva, Berthold Koletzko, Zbigniew Kulaga, Yannis Manios, and Luis A Moreno. 2020. “Parental Perceptions, Attitudes and Knowledge on European Preschool Children’s Total Screen Time : The ToyBox-Study.” EUROPEAN JOURNAL OF PUBLIC HEALTH 30 (1): 105–111. doi:10.1093/eurpub/ckz151.
Vancouver
1.
Miguel-Berges M, Santaliestra-Pasias A, Mouratidou T, Flores-Barrantes P, Androutsos O, De Craemer M, et al. Parental perceptions, attitudes and knowledge on European preschool children’s total screen time : the ToyBox-study. EUROPEAN JOURNAL OF PUBLIC HEALTH. 2020;30(1):105–11.
IEEE
[1]
M. Miguel-Berges et al., “Parental perceptions, attitudes and knowledge on European preschool children’s total screen time : the ToyBox-study,” EUROPEAN JOURNAL OF PUBLIC HEALTH, vol. 30, no. 1, pp. 105–111, 2020.
@article{8649976,
  abstract     = {BACKGROUND: Preschool children spend a significant proportion of their waking hours being sedentary. Parents play a critical role in developing and shaping their children's lifestyle behaviours, particularly in the early years of life. This study aims to assess parental perceptions, attitudes and knowledge of their preschool children's sedentary behaviours and the association with children's television (TV)/video/DVDs viewing and total screen time.
METHODS: Data were obtained from a sample of 4836 children (3.5-5.5 years), participating in the multi-centre ToyBox-study at baseline (T0) and at 1-year follow-up (T1) periods. Data on children's sedentary behaviours were collected via a standardized proxy-administered primary caregiver's questionnaire.
RESULTS: Regarding total screen time, 66.6% of the children at T0 and 71.8% at T1 in the control group exceeded the recommendations, whereas the proportion in the intervention group varied from 69.7% at T0 to 72.5% at T1. The odds of exceeding total screen time recommendations were significantly higher when parental perceptions towards limiting the total screen time were negative [(both T0 and T1 and in the intervention and control groups (P < 0.05)]. Similarly, the odds of exceeding TV/video/DVDs viewing recommendations were significantly higher (both T0 and T1 is observed in both groups) when parental knowledge of recommendation were absent.
CONCLUSIONS: Preschool children whose caregivers stated rules limiting their sedentary screen time were less likely to spend a high amount of time watching TV/video/DVDs. Interventions to increase parental practices may be a promising approach to decrease total screen time of preschool children but studies are needed to confirm this.},
  author       = {Miguel-Berges, María and Santaliestra-Pasias, Alba and Mouratidou, Theodora and Flores-Barrantes, Paloma and Androutsos, Odysseas and De Craemer, Marieke and Galcheva, Sonya and Koletzko, Berthold and Kulaga, Zbigniew and Manios, Yannis and Moreno, Luis A},
  issn         = {1101-1262},
  journal      = {EUROPEAN JOURNAL OF PUBLIC HEALTH},
  keywords     = {FAMILY-INVOLVED INTERVENTION,SEDENTARY BEHAVIOR,PREVENT OBESITY,EARLY-CHILDHOOD,ASSOCIATIONS,POSITION,INDEXES,TOOLS,CARE},
  language     = {eng},
  number       = {1},
  pages        = {105--111},
  title        = {Parental perceptions, attitudes and knowledge on European preschool children’s total screen time : the ToyBox-study},
  url          = {http://dx.doi.org/10.1093/eurpub/ckz151},
  volume       = {30},
  year         = {2020},
}

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