The value of social-cognitive theory to reducing preschool TV viewing: A pilot randomized trial

Frederick J. Zimmerman; Selena E. Ortiz; Dimitri A. Christakis; Dana Elkun

doi:10.1016/j.ypmed.2012.02.004

The value of social-cognitive theory to reducing preschool TV viewing: A pilot randomized trial

Frederick J. Zimmerman
, Selena E. Ortiz
, Dimitri A. Christakis
, Dana Elkun

Health Policy and Administration

Research output: Contribution to journal › Article › peer-review

29 Scopus citations

Abstract

Objective: To (a) reduce the total amount of television viewing to which preschool children are exposed; and (b) shift the balance of exposure away from commercial television toward educational content. Method: Randomized controlled clinical trial. Data collected in 2007; analyzed 2008-2011. Participants were 67 English-speaking families in Seattle with a preschool-aged child exposed to more than 90. min of television viewing on average per day. A case manager for each group used in-person conferences, monthly newsletters, and e-mail contact to motivate behavior change around child television viewing (intervention) or child safety (control). Results: Compared to those in the control group, families randomized to the intervention group experienced a significant reduction by 37. minutes/day in total viewing time (95% CI: 5.6-68.7), including a marginally significant reduction by 29. minutes/day in viewing of commercial content (95% CI: -. 4.6-63). Compared to those in the control group, those in the intervention group experienced a positive change in outcome expectations. There were no significant changes in self-efficacy or volitional control. An advance in stage-of-change was marginally significant. Conclusions: Targeting commercial TV viewing may prove a successful behavioral intervention to achieve public health goals in this population.

Original language	English (US)
Pages (from-to)	212-218
Number of pages	7
Journal	Preventive Medicine
Volume	54
Issue number	3-4
DOIs	https://doi.org/10.1016/j.ypmed.2012.02.004
State	Published - Mar 2012

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

All Science Journal Classification (ASJC) codes

Epidemiology
Public Health, Environmental and Occupational Health

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10.1016/j.ypmed.2012.02.004

Cite this

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title = "The value of social-cognitive theory to reducing preschool TV viewing: A pilot randomized trial",

abstract = "Objective: To (a) reduce the total amount of television viewing to which preschool children are exposed; and (b) shift the balance of exposure away from commercial television toward educational content. Method: Randomized controlled clinical trial. Data collected in 2007; analyzed 2008-2011. Participants were 67 English-speaking families in Seattle with a preschool-aged child exposed to more than 90. min of television viewing on average per day. A case manager for each group used in-person conferences, monthly newsletters, and e-mail contact to motivate behavior change around child television viewing (intervention) or child safety (control). Results: Compared to those in the control group, families randomized to the intervention group experienced a significant reduction by 37. minutes/day in total viewing time (95\% CI: 5.6-68.7), including a marginally significant reduction by 29. minutes/day in viewing of commercial content (95\% CI: -. 4.6-63). Compared to those in the control group, those in the intervention group experienced a positive change in outcome expectations. There were no significant changes in self-efficacy or volitional control. An advance in stage-of-change was marginally significant. Conclusions: Targeting commercial TV viewing may prove a successful behavioral intervention to achieve public health goals in this population.",

author = "Zimmerman, \{Frederick J.\} and Ortiz, \{Selena E.\} and Christakis, \{Dimitri A.\} and Dana Elkun",

note = "Funding Information: This research was supported by a grant from Children's Hospital and Regional Medical Center (CHRMC) , Seattle, WA. Other than providing the funding, CHRMC had no role in the study design, collection or analysis of data, or write-up. Dr. Zimmerman was the principal investigator on the project and warrants that he had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. ",

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doi = "10.1016/j.ypmed.2012.02.004",

language = "English (US)",

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AU - Zimmerman, Frederick J.

AU - Ortiz, Selena E.

AU - Christakis, Dimitri A.

AU - Elkun, Dana

N1 - Funding Information: This research was supported by a grant from Children's Hospital and Regional Medical Center (CHRMC) , Seattle, WA. Other than providing the funding, CHRMC had no role in the study design, collection or analysis of data, or write-up. Dr. Zimmerman was the principal investigator on the project and warrants that he had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

PY - 2012/3

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N2 - Objective: To (a) reduce the total amount of television viewing to which preschool children are exposed; and (b) shift the balance of exposure away from commercial television toward educational content. Method: Randomized controlled clinical trial. Data collected in 2007; analyzed 2008-2011. Participants were 67 English-speaking families in Seattle with a preschool-aged child exposed to more than 90. min of television viewing on average per day. A case manager for each group used in-person conferences, monthly newsletters, and e-mail contact to motivate behavior change around child television viewing (intervention) or child safety (control). Results: Compared to those in the control group, families randomized to the intervention group experienced a significant reduction by 37. minutes/day in total viewing time (95% CI: 5.6-68.7), including a marginally significant reduction by 29. minutes/day in viewing of commercial content (95% CI: -. 4.6-63). Compared to those in the control group, those in the intervention group experienced a positive change in outcome expectations. There were no significant changes in self-efficacy or volitional control. An advance in stage-of-change was marginally significant. Conclusions: Targeting commercial TV viewing may prove a successful behavioral intervention to achieve public health goals in this population.

AB - Objective: To (a) reduce the total amount of television viewing to which preschool children are exposed; and (b) shift the balance of exposure away from commercial television toward educational content. Method: Randomized controlled clinical trial. Data collected in 2007; analyzed 2008-2011. Participants were 67 English-speaking families in Seattle with a preschool-aged child exposed to more than 90. min of television viewing on average per day. A case manager for each group used in-person conferences, monthly newsletters, and e-mail contact to motivate behavior change around child television viewing (intervention) or child safety (control). Results: Compared to those in the control group, families randomized to the intervention group experienced a significant reduction by 37. minutes/day in total viewing time (95% CI: 5.6-68.7), including a marginally significant reduction by 29. minutes/day in viewing of commercial content (95% CI: -. 4.6-63). Compared to those in the control group, those in the intervention group experienced a positive change in outcome expectations. There were no significant changes in self-efficacy or volitional control. An advance in stage-of-change was marginally significant. Conclusions: Targeting commercial TV viewing may prove a successful behavioral intervention to achieve public health goals in this population.

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The value of social-cognitive theory to reducing preschool TV viewing: A pilot randomized trial

Abstract

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