Causes and Consequences of Preschooler's Digital Media Use: The Role of Sleep, Physical Activity, Sedentary Behavior and Social Emotional Health

NIH RePORTER · HD · R01 · $635,906 · view on reporter.nih.gov ↗

Abstract

Excessive screen time for children ages 3-5 years is linked with poor sleep, inactivity, and behavior problems. The WHO recommends children under 5 get <1 hour of screen time per day, but few children meet this guideline. This is partly attributable to the rapid growth of digital media technology (i.e., smartphones, tablets), which make screen time more available across multiple contexts. Unfortunately, our understanding of the unique ways children and families use digital media lags behind the rapid adoption of this technology. Therefore, we need updated paradigms to understand how the content, timing, and context of digital media use impacts health. There are three key limitations of existing digital media use research (1) an exclusive focus on use duration (2) reliance on subjective measures and (3) a failure to account for the fact that digital media use effects people differently depending on context (i.e., heterogeneity). The proposed project will overcome these limitations by using passive mobile sensing to objectively measure digital media timing, content and duration. We will use ecological momentary assessment (EMA) and accelerometry to measure screen time context. This data will be used to understand the unique ways screen habits unfold and ultimately influence children’s sleep, activity, and social/emotional functioning. The proposed study is a multiyear observational cohort of preschoolers (age 3-5) designed to uncover the mechanisms underlying children’s digital media use. We will use passive mobile sensing, accelerometry and ecological momentary assessment (EMA) to collect intensive longitudinal data on children’s digital media use, sleep, physical activity, sedentary behavior, and behavior problems. By collecting this intensive longitudinal data, we can uncover micro-temporal dynamics - defined as: bi-directional effects that unfold over a short amount of time (i.e., minutes, hours). Within these micro-temporal dynamics, we aim to identify systems of

Key facts

NIH application ID
11324514
Project number
5R01HD112311-03
Recipient
UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
Principal Investigator
Bridget R. Armstrong
Activity code
R01
Funding institute
HD
Fiscal year
2026
Award amount
$635,906
Award type
5
Project period
2024-06-11T00:00:00 → 2029-03-31T00:00:00