Adolescent Behavior
Conditions
Keywords
Screen Media Use
Brief summary
Investigators will conduct a pilot randomized controlled trial assessing the efficacy and feasibility of the newly developed Family Media Check-In (FMC).
Detailed description
The clinical trial portion of this study will enroll 150 families (child age 11-17, and at least one parent/guardian). Stratified randomization will be used to assign families to the intervention (FMC) or control (delayed FMC) condition. Families assigned to the intervention condition will be asked to complete the FMC within 2 weeks of randomization and will be sent a second survey one week after completion. Participants in the control condition will complete a condition-specific subset of these questions three weeks after baseline. Participants in both conditions will complete a follow-up survey two months after their second survey. The primary outcomes will be measured at the first follow-up period and will be related to screen media planning and decision making. Two-month follow-up surveys will explore intervention impact on screen media practices. Prior to the clinical trial portion of the study, the study team conducted interviews/focus groups, participatory design sessions, and usability testing sessions with a diverse group of families to refine the concept for the intervention and to iteratively develop the intervention itself. Changes in the behavioral targets and components of the intervention and outcomes for the evaluation (relative to the original grant proposal) were driven by family-expressed needs and priorities.
Interventions
BEHAVIORALFamily Media Check-In (FMC)
An interactive, web-based tool to support within-family media use planning will be developed and shared with families.
Sponsors
Seattle Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
11 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Children between the ages of 11 and 17 * Parent/guardian of a child between the ages of 11 and 17 * English speaking
Exclusion criteria
* Parent/guardian or child does not want to participate (i.e., dyads only) * Non-English speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Decision Satisfaction | Baseline, 3 weeks post-baseline | Perceived Effective Decision Scale: a 4-item measure that assesses parent and teen satisfaction with their family media plan. Responses are measured on a 5-point Likert scale, with higher scores indicating a stronger perception of decision effectiveness. |
| Decision Uncertainty | Baseline, 3 weeks post-baseline | Decision Uncertainty Scale: a 3-item scale adapted for the intervention and nature of decision designed to measure parent and teen perceptions of uncertainty when making decisions. The items evaluate factors contributing to uncertainty, including difficulty, lack of clarity, and indecision. Responses are recorded on a 5-point Likert scale. Higher scores indicate greater levels of perceived uncertainty, with the third item reverse-scored. |
| Change in Family Media Planning and Plan Engagement | Baseline, 3 weeks post-baseline | Family Media Planning and Engagement Scale. This scale includes two components, each with 3 items: elements included in plan and engagement with plan. Higher scores indicate more screen media-related elements included in plan and greater teen engagement with plan. |
| Teen Involvement in Plan | Baseline, 3 weeks post-baseline | This single-item assesses the degree of involvement teens perceive they had in creating the plan. Response options range from full individual control to full parent parental control, with options capturing varying levels of shared-decision making |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Screen Media Conflict | Baseline, 3 weeks post-baseline | 3 items from the 2003 PEW Research Center Survey about how often parents and teens have argued in the past 2 weeks about three dimensions of teen screen media use. |
| Screen-Related Parenting Style | Baseline, 3 weeks post-baseline | Perceived Parental Media Mediation Scale: a 15-item measure adapted for the main types of digital media use addressed in the intervention that assess teen perceptions of restrictive and active parental mediation. Responses are recorded on a 5-point Likert scale; responses to items are added together to create a total score, with higher scores indicating a greater perception of parental media mediation. |
| Acceptability of FMC | 1 week post-intervention / 3 weeks post-baseline | Acceptability of Intervention Measure: a 4 item 4 point Likert scale with higher score indicating a higher level of acceptability |
Countries
United States
Contacts
CONTACTEmily Kroshus, ScD MPH
Outcome results
None listed