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The Effect of Primary Care Interventions on Children's Media Viewing Habits and Exposure to Violence
Authors:Jill Aragon Neely  Julia Hudnut-Beumler  Margaret White Webb  Antwon Chavis  Mary S. Dietrich  Len Bickman  Seth J. Scholer
Affiliation:1. Vanderbilt University School of Medicine, Nashville, Tenn;2. School of Nursing, School of Medicine (Biostatistics), Vanderbilt University, Nashville, Tenn;3. Center for Evaluation and Program Improvement, Peabody Administration Building, Vanderbilt University, Nashville, Tenn;4. Meharry College of Medicine, Nashville, Tenn;5. Department of Pediatrics, Vanderbilt University School of Medicine and the Monroe Carell Jr. Children''s Hospital at Vanderbilt, Nashville, Tenn
Abstract:ObjectiveTo determine if brief primary care interventions can affect children's media viewing habits and exposure to violence.MethodsEnglish- and Spanish-speaking parents of 2- to 12-year-old children presenting to a pediatric primary care clinic participated in a randomized controlled trial. There were 2 intervention groups; one group viewed 5 minutes from the Play Nicely program and another received a handout, "Pulling the Plug on TV Violence." There were 2 control groups; the primary control group received standard primary care, and the alternative control group viewed a program about obesity prevention. The outcome measure was parental report of changes in media viewing habits and changes in exposure to violence.ResultsA total of 312 of 443 parents who were randomized completed a 2-week follow-up survey. Compared with the primary control group, parents in the video intervention group were more likely to report a change in their children's media viewing habits (odds ratio [OR] 3.29; 95% confidence interval [CI] 1.66–6.51) and a change in their children's exposure to violence (OR 4.26; 95% CI 1.95–9.27). Compared with the primary control group, parents in the handout group were more likely to report a change in their children's media viewing habits (OR 4.35; 95% CI 2.20–8.60) and a change in their children's exposure to violence (OR 3.35; 95% CI 1.52–7.35).ConclusionsBrief primary care interventions can affect children's media viewing habits and children's exposure to violence. These results have implications for how to improve primary care services related to decreasing children's media exposure and violence prevention.
Keywords:aggression  child abuse  child behavior  counseling  education  intervention  parenting  pediatrics  prevention and control  primary care  violence
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