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残疾青少年儿童的屏幕使用时间:一项系统综述与荟萃分析。

Screen Time Among and Youth Children With Disabilities: A Systematic Review and Meta-Analysis.

作者信息

Vanderloo Leigh M, Bourke Matthew, Taylor Leah G, Phillips Sophie M, Loh Aidan, Disimino Katerina, Bassett-Gunter Rebecca L, Koo Tyler, Thompson-Hill Molly, Tucker Patricia

机构信息

School of Occupational Therapy, University of Western Ontario, London, Canada.

ParticipACTION, Toronto, Canada.

出版信息

Child Care Health Dev. 2025 Jul;51(4):e70136. doi: 10.1111/cch.70136.

Abstract

OBJECTIVE

This paper aimed to review and synthesize screen time research among children and youth with disabilities.

METHODS

Seven online databases were searched, and a machine learning-assisted systematic review model was used to identify relevant studies. English and French papers reporting on screen time among children and youth with a disability were eligible. Extracted data were synthesized by participant age, followed by type of screen time reporting. Meta-analyses were conducted to estimate daily screen time and adherence to screen time guidelines using random effects meta-analysis.

RESULTS

Eighty-one studies were included. Screen time ranged from 0.5 to 7.27 h/day and varied widely based on disability type. Pooled average screen time was 3.70, 3.28 and 3.39 h/day for children and youth with ASD, ADHD and CP, respectively.

CONCLUSION

Screen use is prominent among children and youth with disabilities. Limiting screen time in this group is critical in preventing numerous related consequences of excessive, prolonged use.

POLICY IMPLICATIONS

Interventions targeting children and youth with disabilities are needed to decrease excessive screen time among this population and to inform future public health policy and setting-specific practice.

摘要

目的

本文旨在回顾和综合有关残疾儿童和青少年屏幕使用时间的研究。

方法

检索了七个在线数据库,并使用机器学习辅助的系统评价模型来识别相关研究。报告残疾儿童和青少年屏幕使用时间的英文和法文论文符合要求。提取的数据按参与者年龄进行综合,然后按屏幕使用时间报告类型进行综合。采用随机效应荟萃分析进行荟萃分析,以估计每日屏幕使用时间和对屏幕使用时间指南的遵守情况。

结果

纳入81项研究。屏幕使用时间为每天0.5至7.27小时,因残疾类型而异。患有自闭症谱系障碍(ASD)、注意力缺陷多动障碍(ADHD)和脑性瘫痪(CP)的儿童和青少年的合并平均屏幕使用时间分别为每天3.70、3.28和3.39小时。

结论

屏幕使用在残疾儿童和青少年中很突出。限制该群体的屏幕使用时间对于预防过度、长期使用带来的众多相关后果至关重要。

政策影响

需要针对残疾儿童和青少年的干预措施,以减少该人群的过度屏幕使用时间,并为未来的公共卫生政策和特定环境下的实践提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ceb/12264844/fad953c186e2/CCH-51-e70136-g002.jpg

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