Schemmer Juliane, Martin David, Krafft Hanno, Maurer Tobias, Emgenbroich Anke, Monks Sean, Schwarz Silke
Institute for Integrative Medicine, Chair of Medical Theory, Integrative and Anthroposophic Medicine, Department of Human Medicine, Faculty of Health, University of Witten/Herdecke, Herdecke, Germany.
Interprofessional Graduate School Integrative Medicine and Health, Health Department, University of Witten/Herdecke, Witten, Germany.
Front Pediatr. 2025 May 2;13:1382428. doi: 10.3389/fped.2025.1382428. eCollection 2025.
Children's current screen time is well above current recommendations and is associated with many health consequences in the first years of life.
The complex intervention study "Screen free till 3" introduced parent education to a regular examination of 6-month-old children in outpatient pediatric practices. Pediatric practices were cluster-randomized in a 2:1 ratio (intervention group:control group). 2,581 pediatric practices received the intervention materials by cold call and participated by self-selection. The study includes a process evaluation that examines the implementation process. In this article, four different quantitative methods of the process evaluation are evaluated according to the RE-AIM scheme.
33.4% of pediatric practices confirmed their participation in the study. 10,391 parents took part in the pre-interventional app-based parent survey. 151 interested institutions contacted the research team by email. The majority (84.1%) asked to take part in the study. 518 pediatric practices took part in a telephone survey, of which 87.2% said that they are supported by the intervention materials and 91.6% would recommend the project to others.
The RE-AIM analysis shows a high reach of parents via the app. The high adoption by pediatric practices and other institutions characterizes the relevance of the topic as well as the innovation of the study materials. After one and a half years, the intervention is firmly integrated into the structures of pediatric practices in Germany.
https://drks.de/search/en/trial/DRKS00032258, DRKS00032258.
儿童目前的屏幕使用时间远高于当前建议水平，且与生命最初几年的许多健康后果相关。
“3岁前无屏幕”这一复杂干预研究在门诊儿科诊所对6个月大儿童的常规检查中引入了家长教育。儿科诊所按2:1的比例进行整群随机分组（干预组：对照组）。2581家儿科诊所通过电话联系收到了干预材料，并通过自我选择参与。该研究包括一个过程评估，用以检查实施过程。在本文中，根据RE-AIM方案对过程评估的四种不同定量方法进行了评估。
33.4%的儿科诊所确认参与了该研究。10391名家长参与了干预前基于应用程序的家长调查。151家感兴趣的机构通过电子邮件联系了研究团队。大多数（84.1%）表示希望参与该研究。518家儿科诊所参与了电话调查，其中87.2%表示他们得到了干预材料的支持，91.6%会向他人推荐该项目。
RE-AIM分析表明通过该应用程序能够广泛触及家长。儿科诊所和其他机构的高参与度体现了该主题的相关性以及研究材料的创新性。经过一年半的时间，该干预措施已稳固融入德国儿科诊所的结构中。
