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努力提供有条件的使用机会:父母用来调节其患有自闭症谱系障碍子女屏幕使用时间的策略。

Striving to provide conditional access: strategies parents use to mediate the screentime of their children with autism spectrum disorder.

作者信息

Ebrahim Faatima, Gretschel Pamela, Abbas Iesrafeel

机构信息

Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

出版信息

Front Child Adolesc Psychiatry. 2025 Aug 20;4:1540147. doi: 10.3389/frcha.2025.1540147. eCollection 2025.

Abstract

INTRODUCTION

There has been a growing presence of screentime, in the lives of children, with an escalation in use during the COVID-19 pandemic restrictions. Children with autism spectrum disorder show a particular preference for engagement in screentime. Gaining parental understandings of the steps they take to mediate excessive screentime can assist in developing interventions which mitigate the well documented negative impacts of screentime for children with autism spectrum disorder. This paper presents the findings of a study which explored parental perceptions of the screentime use and the strategies parents used to manage the screentime engagement of their children with autism spectrum disorder.

METHODS

A qualitative descriptive design, using semi-structured, in-depth interviews with seven purposively selected parents, was used to achieve the above objectives. Data was thematically analysed using an inductive approach.

RESULTS

One of the four themes generated during the study; Striving to provide conditional access to screentime details the varied mediation strategies parents used to manage their child's screentime under the two categories of Content monitoring and Setting limits.

DISCUSSION

The findings of this study, describing the various restrictive strategies parents use to manage the screentime use of their children, were comparable to prior studies. Findings that built on existing evidence, describe the strategies parents used i.e., distraction and preparing for the cessation of screentime, to manage screentime in a way that avoided negative behaviour in their child and parental stress linked to this behaviour. It is certain, that screentime will remain a predominant occupation for children with autism spectrum disorder therefore, early childhood interventionists need to consider how to optimize the nature of engagement of screentime.

摘要

引言

在儿童的生活中,屏幕使用时间越来越长,尤其是在新冠疫情限制措施实施期间,屏幕使用时间进一步增加。患有自闭症谱系障碍的儿童特别喜欢花时间在屏幕上。了解家长为调节过多屏幕使用时间所采取的措施,有助于制定干预措施,减轻屏幕使用时间对自闭症谱系障碍儿童造成的负面影响,已有大量文献记载这些负面影响。本文介绍了一项研究的结果,该研究探讨了家长对屏幕使用时间的看法,以及家长用来管理自闭症谱系障碍儿童屏幕使用时间的策略。

方法

采用定性描述性设计,对七名经过有目的挑选的家长进行半结构化深度访谈,以实现上述目标。采用归纳法对数据进行主题分析。

结果

该研究产生的四个主题之一是“努力提供有条件的屏幕使用时间”,详细介绍了家长在内容监控和设定限制这两类情况下,为管理孩子的屏幕使用时间所采用的各种调解策略。

讨论

本研究的结果描述了家长用来管理孩子屏幕使用时间的各种限制策略,与之前的研究结果类似。基于现有证据的研究结果描述了家长所采用的策略,即分散注意力和为停止屏幕使用时间做准备,以避免孩子出现负面行为以及避免与此行为相关的家长压力。可以肯定的是,屏幕使用时间仍将是自闭症谱系障碍儿童的主要活动,因此,幼儿干预专家需要考虑如何优化屏幕使用时间的参与性质。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ff/12405287/e5167e5324ae/frcha-04-1540147-g001.jpg

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