Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Reading and Literacy Discovery Center, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Pediatr Res. 2020 Jun;87(7):1211-1218. doi: 10.1038/s41390-020-0765-1. Epub 2020 Feb 12.
Screen-based media use is prevalent in children and is associated with health risks. American Academy of Pediatrics (AAP) recommendations involve access to screens, frequency, content, and co-viewing. The aim of this study was to test the ScreenQ, a composite measure of screen-based media use.
ScreenQ is a 15-item parent report measure reflecting AAP recommendations. Range is 0-26, higher scores reflecting greater non-adherence. With no "gold standard" available, four validated measures of skills and parenting practices cited as influenced by overuse were applied as the external criteria, including expressive language, speed of processing, emergent literacy, and cognitive stimulation at home. Psychometric analyses involved Rasch methods and Spearman's ρ correlations.
Sixty-nine families were administered ScreenQ. Child age ranged from 36 to 63 months old (52 ± 8; 35 girls). Mean ScreenQ score was 9.6 (±5.0; 1-22). Psychometric properties were strong (r = 0.74). ScreenQ scores were negatively correlated with CTOPP-2 (Comprehensive Test of Phonological Processing, Second Edition) (r = -0.57), EVT-2 (Expressive Vocabulary Test, Second Edition) (r = -0.45), GRTR (Get Ready to Read!) (r = -0.30) and StimQ-P (r = -0.42) scores (all p ≤ 0.01).
ScreenQ shows potential as a composite measure of screen-based media use in young children in the context of AAP recommendations. ScreenQ scores were correlated with lower executive, language and literacy skills, and less stimulating home cognitive environment.
儿童普遍使用屏幕媒体，这与健康风险有关。美国儿科学会 (AAP) 的建议涉及屏幕使用的获取途径、频率、内容和共同观看。本研究的目的是测试 ScreenQ，这是一种反映 AAP 建议的屏幕媒体使用综合衡量指标。
ScreenQ 是一份 15 项家长报告式衡量指标，反映了 AAP 的建议。范围为 0-26，得分越高表示非依从性越大。由于没有可用的“金标准”，因此应用了四项经过验证的技能和育儿实践衡量指标，这些指标被认为受到过度使用的影响，包括表达性语言、处理速度、新兴读写能力和家庭认知刺激。心理测量分析涉及 Rasch 方法和 Spearman 的 ρ 相关。
共有 69 个家庭接受了 ScreenQ 测试。儿童年龄在 36 至 63 个月之间（52 ± 8；35 名女孩）。平均 ScreenQ 得分为 9.6（±5.0；1-22）。心理测量特性很强（r=0.74）。ScreenQ 得分与 CTOPP-2（语音处理综合测试，第二版）（r=-0.57）、EVT-2（表达性词汇测试，第二版）（r=-0.45）、GRTR（准备阅读！）（r=-0.30）和 StimQ-P（r=-0.42）得分呈负相关（均 p≤0.01）。
ScreenQ 作为 AAP 建议背景下幼儿屏幕媒体使用的综合衡量指标具有潜力。ScreenQ 得分与较低的执行、语言和读写能力以及较少的家庭认知刺激环境相关。
