Impact of Exposure to Television and Electronic Devices on Attention and Language in Children

Study Overview
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Brief Summary
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The objective is to examine association between TV exposure ,mobile device use and other electronic devices on attention and language development in children.

Detailed Description
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During the last few years, the time spent in front of various screens including:TV Sets, vedio games, smart phones &computers has dramatically increased Television remains the predominant type of screen based activity among children. Some studies showed that this trend has astrong negative influence on language development of children. On the other hand.,other studies showed that infant directed informal computer use can be beneficial for language development in children. Some studies proved that language development and vocabulary growth in young children are directly related to the amount of time parents spend speaking to them & also reported that on examining language perception learning &language production learning human human interactions had a strong influence on child's language development. In spite of that, some parents believe that media content is educative for their children as increase their knowledge, other parents admitted to limiting their children's screen time to avoid conflict & social isolation or distract children as they encourage parent children education to reinforce their relationship with their children. Other researches proved that young children who spend more time on touch screen devices were more likely to have emotional problems . In this study the investigators will discuss the positive and negative effects of screen exposure on attention and langage development of children.

Official Title
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Impact of Exposure to Television and Electronic Devices on Attention and Language in Children

Conditions
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Language Development

Intervention / Treatment
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* Behavioral: the effect on language development & attention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children aged from 2-6 years collected from clinics of phoniatrics. A questionnaire will be given to their mothers inquiring about the age of child at first exposure to TV or electronic devices . the time of exposure to TV or electronic devices /day duration of viewing TV or electronic devices from first exposure until participation of this study. Exclusion Criteria: IQ test less than 80 (any mental disabilities ) Hearing impairement . physical or motor. history of active language intervention before study.

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 6 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| 1<br>those who exposed early to TV (before 1 year age)with long time of exposure/day (6hours\day or more) | Behavioral: the effect on language development & attention<br>* Tv & other electronic devices effects onn children's language development & attention<br>|
| 2<br>those who exposed later to TV (after 2 years of age) with short time of exposure/day.(2 hours \day or less) | Behavioral: the effect on language development & attention<br>* Tv & other electronic devices effects onn children's language development & attention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Impact of exposure to television & electronic devices on attention in children. | -Assessment of attention by Application of Gilliam 1995 for ADHD (numerical) (continous number) (>131 above high )-(130-131 high )-(111-130 above average )- (90-110 average)-(80-89 below average)-(70-79 low)-(<69 very low) | baseline | 
| Exposure to television & electronic devices | -Assess time of exposure by asking parents about Age of onset of screen exposure( in years)& duration of screen exposure( by hours). | baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Impact of exposure to television& electronic devices on language development in children | 1-Assessment of receptive language in children Application of Arabic language test (prepared by Nahla Abdelaziz Refaey 2004)(numerical)(continous number) (higher value 100 and lower value 0 , higher value is better outcome) 2-Assessment of expressive language development in children Application of Arabic language test (prepared by Nahla Abdelaziz Refaey 2004)(numerical)(continous number) (higher value 100 and lower value 0 , higher value is better outcome) 3-Semantics score in language development in children Application of Arabic language test (prepared by Nahla Abdelaziz Refaey 2004)(numerical)(continous number) (higher value 100 and lower value 0 , higher value is better outcome) | baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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exposure to TV & electronics on language development