Alberta Children's Hospital, University of Calgary, Canada.
Clin Child Psychol Psychiatry. 2020 Jul;25(3):662-671. doi: 10.1177/1359104520904104. Epub 2020 Feb 25.
New technologies, such as smartphones, have altered our behaviours and cultural structures more dramatically than televisions of our past. The array of today's electronic devices have pulled our eyes closer to the screens and our focus further into the boxes behind those screens. Screens may serve us; simultaneously, they are increasingly giving rise to health and social challenges that researchers are only beginning to understand. There is a growing dis-ease among parents and health care providers (HCPs) about how screens are affecting youth. As the push for increased screen time continues in both educational and workplace settings, HCPs are not only tasked with helping parents and youth cope, but they must find ways to manage the impact of increased personal and professional screen time on their own wellbeing. This article considers the impact of increased screen time on two groups: youth and the HCPs supporting them. Furthermore, the authors explore the impact of screen use on clinical interactions, and patient care, suggesting a process for addressing screen use and provide specific tools including a reflective query for HCPs to better evaluate the impact of their own screen usage, 'the Coaching Stance' and TGROW, a questioning approach derived from coaching theory.
新技术，如智能手机，已经比我们过去的电视更戏剧性地改变了我们的行为和文化结构。如今的一系列电子设备将我们的眼睛拉近屏幕，将我们的注意力进一步集中在屏幕后面的框中。屏幕可能对我们有用；与此同时，它们越来越多地引发了健康和社会挑战，研究人员才刚刚开始了解这些挑战。家长和医疗保健提供者（HCP）越来越担心屏幕对年轻人的影响。随着在教育和工作场所中对增加屏幕时间的需求不断增加，HCP 的任务不仅是帮助家长和年轻人应对，而且还必须找到管理个人和专业屏幕时间增加对自身健康的影响的方法。本文考虑了增加屏幕时间对两组人群的影响：年轻人和支持他们的 HCP。此外，作者还探讨了屏幕使用对临床互动和患者护理的影响，提出了一种解决屏幕使用问题的方法，并提供了一些具体的工具，包括 HCP 更好地评估自己屏幕使用影响的反思查询、“教练立场”和 TGROW，这是一种源自教练理论的提问方法。
