The Family Level Assessment of Screen Use–Mobile Approach: Development of an Approach to Measure Children’s Mobile Device Use

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dc.citation.articleNumbere40452en_US
dc.citation.issueNumber10en_US
dc.citation.journalTitleJMIR Formative Researchen_US
dc.citation.volumeNumber6en_US
dc.contributor.authorPerez, Orianaen_US
dc.contributor.authorVadathya, Anil Kumaren_US
dc.contributor.authorBeltran, Aliciaen_US
dc.contributor.authorBarnett, R. Matthewen_US
dc.contributor.authorHindera, Oliviaen_US
dc.contributor.authorGarza, Tatyanaen_US
dc.contributor.authorMusaad, Salma M.en_US
dc.contributor.authorBaranowski, Tomen_US
dc.contributor.authorHughes, Sheryl O.en_US
dc.contributor.authorMendoza, Jason A.en_US
dc.contributor.authorSabharwal, Ashutoshen_US
dc.contributor.authorVeeraraghavan, Ashoken_US
dc.contributor.authorO'Connor, Teresia M.en_US
dc.date.accessioned2023-01-27T14:47:17Zen_US
dc.date.available2023-01-27T14:47:17Zen_US
dc.date.issued2022en_US
dc.description.abstractBackground: There is a strong association between increased mobile device use and worse dietary habits, worse sleep outcomes, and poor academic performance in children. Self-report or parent-proxy report of children’s screen time has been the most common method of measuring screen time, which may be imprecise or biased. Objective: The objective of this study was to assess the feasibility of measuring the screen time of children on mobile devices using the Family Level Assessment of Screen Use (FLASH)–mobile approach, an innovative method that leverages the existing features of the Android platform. Methods: This pilot study consisted of 2 laboratory-based observational feasibility studies and 2 home-based feasibility studies in the United States. A total of 48 parent-child dyads consisting of a parent and child aged 6 to 11 years participated in the pilot study. The children had to have their own or shared Android device. The laboratory-based studies included a standardized series of tasks while using the mobile device or watching television, which were video recorded. Video recordings were coded by staff for a gold standard comparison. The home-based studies instructed the parent-child dyads to use their mobile device as they typically use it over 3 days. Parents received a copy of the use logs at the end of the study and completed an exit interview in which they were asked to review their logs and share their perceptions and suggestions for the improvement of the FLASH-mobile approach. Results: The final version of the FLASH-mobile approach resulted in user identification compliance rates of >90% for smartphones and >80% for tablets. For laboratory-based studies, a mean agreement of 73.6% (SD 16.15%) was achieved compared with the gold standard (human coding of video recordings) in capturing the target child’s mobile use. Qualitative feedback from parents and children revealed that parents found the FLASH-mobile approach useful for tracking how much time their child spends using the mobile device as well as tracking the apps they used. Some parents revealed concerns over privacy and provided suggestions for improving the FLASH-mobile approach. Conclusions: The FLASH-mobile approach offers an important new research approach to measure children’s use of mobile devices more accurately across several days, even when the child shares the device with other family members. With additional enhancement and validation studies, this approach can significantly advance the measurement of mobile device use among young children.en_US
dc.identifier.citationPerez, Oriana, Vadathya, Anil Kumar, Beltran, Alicia, et al.. "The Family Level Assessment of Screen Use–Mobile Approach: Development of an Approach to Measure Children’s Mobile Device Use." <i>JMIR Formative Research,</i> 6, no. 10 (2022) JMIR: https://doi.org/10.2196/40452.en_US
dc.identifier.digitalFamilyLevelAssessmenten_US
dc.identifier.doihttps://doi.org/10.2196/40452en_US
dc.identifier.urihttps://hdl.handle.net/1911/114261en_US
dc.language.isoengen_US
dc.publisherJMIRen_US
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.titleThe Family Level Assessment of Screen Use–Mobile Approach: Development of an Approach to Measure Children’s Mobile Device Useen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
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