The Effect of Primary Care Interventions on Children's Media Viewing Habits and Exposure to Violence

Study Overview
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Brief Summary
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The American Academy of Pediatrics recommends that parents receive anticipatory guidance about violence prevention as part of the routine well child visit. Educational resources are needed to help physicians routinely provide these important anticipatory guidance messages. In this study, consecutive parents will be exposed to routine anticipatory guidance messages before the well child visit with the physician. After the clinic visit, parents will be invited to participate in a research study to determine if they plan any changes at home. The key research question of this study is: Can a brief multimedia program (i.e. Play Nicely program) and/or the AAP Connected Kids brochure, entitled, Pulling the Plug on TV Violence, help parents develop plans to decreases their children's exposure to violence in the media (e.g. less media time, no TV in the bedroom)?

Official Title
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The Effect of Primary Care Interventions on Children's Media Viewing Habits and Exposure to Violence

Conditions
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Violence

Intervention / Treatment
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* Behavioral: AAP Handout entitled, Pulling the Plug on Violence.
* Behavioral: Play Nicely Program
* Other: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants included English and Spanish speaking caregivers of 2-12 year old children presenting to the pediatric primary care clinic for a well-child visit. Exclusion Criteria: Parents who could not speak either English or Spanish.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Control<br>Parents in control group experienced a routine primary care visit. | Other: Control Group<br>* Standard care in primary care clinic.<br>|
| Experimental: Handout intervention<br>Caregivers assigned to the hand-out group were instructed to read the AAP hand-out Pulling the Plug On TV Violence. This 2 page hand-out emphasizes the negative effect that television has on children's behavior and makes recommendations about limiting media. The RA did not supervise the reading of the handout. | Behavioral: AAP Handout entitled, Pulling the Plug on Violence.<br>* This handout is two pages and is part of the Connected Kids Program, American Academy of Pediatrics<br>|
| Experimental: Multimedia intervention<br>Caregivers assigned to the multimedia group were instructed to watch Recommendation 3: Decrease Exposure to Violence from the Play Nicely program, a 5 minute video in English and Spanish that teaches caregivers about the negative impact of violent media and instructs parents about the importance of limiting media. The intervention was presented to the parents on a mobile laptop computer. | Behavioral: Play Nicely Program<br>* Multimedia program available at www.playnicely.org.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in media viewing habits | At the 2 week follow up phone call, parents were asked: Since your clinic visit, have you made any changes related to your child's media viewing habits such as TV, movies, or computer games? | Baseline and 2-4 weeks | 
| Changes in exposure to violence. | At the 2 week follow up phone call, parents were asked: Since your clinic visit, have you made any changes related to decreasing your child's exposure to violence, either violence in the media or violence at home? | Baseline and 2-4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Violence prevention, Media, Primary care, Parenting