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Parental Factors Associated with Smartphone Overuse in Preschoolers: A Systematic Review and Meta-Analysis

유아의 스마트폰 과다사용과 관련한 부모요인 규명: 체계적 고찰 및 메타분석

  • Lee, Gumhee (College of Nursing, Seoul National University) ;
  • Kim, Sungjae (College of Nursing.The Research Institute of Nursing Science, Seoul National University) ;
  • Yu, Heajin (College of Nursing, Seoul National University)
  • Received : 2019.09.04
  • Accepted : 2020.05.04
  • Published : 2020.06.30

Abstract

Purpose: This study aimed to identify parental factors associated with smartphone overuse in preschoolers. Methods: A systematic review was conducted according to PRISMA guidelines. Relevant studies published in peer-reviewed journals from 2009 to June 2019 were identified through systematic search in 10 electronic databases (PubMed, CINAHL, Cochrane Central, EMBASE, Web of Science, NDSL, KISS, KMbase, KoreaMed, and RISS). Standardized effect sizes were calculated to quantify the associations of parental factors with smartphone overuse in preschoolers using meta-analysis. Results: A total of 30 cross-sectional studies involving 7,943 participants met the inclusion criteria. The following were negatively correlated with smartphone overuse in preschoolers: mother's parenting self-efficacy (r=-.35), mother-child attachment (r=-.28), mother's positive parenting behavior (r=-.28), mother's positive parenting attitude (r=-.25), and father's parenting involvement (r=-.15). Further, maternal factors such as smartphone addiction tendency (r=.41), parenting stress (r=.40), negative parenting behavior (r=.35), negative parenting attitude (r=.14), smartphone usage time (r=.26), employment status (r=.18), and age (r=.12) were positively correlated with smartphone overuse in preschoolers. Conclusion: Several parental factors influence smartphone overuse in preschoolers. These findings emphasize the need to assess and enhance the parental factors identified in this study to prevent smartphone overuse in preschoolers. Accordingly, we recommend the development of preventive interventions to strengthen parent-related protective factors and mitigate risk factors.

Keywords

References

  1. Korea Internet and Security Agency (KISA). 2018 Internet usage survey summary report [Internet]. Seoul: KISA; c2018 [cited 2019 Aug 3]. Available from: https://bit.ly/2WsSfpE.
  2. Lee SK, Lee HK, Hong HK. A study on smart device usage and game immersion tendency. Korean Journal of Early Childhood Education. 2014;34(3):239-262. https://doi.org/10.18023/kjece.2014.34.3.012
  3. Moon KI, Lee WJ. Effects of parent-child attachment, parental involvement in child-rearing and instruction for children's effective use of smart devices on young children's smart-device overuse behavior. Family and Environment Research. 2016;54(6):611-620. https://doi.org/10.6115/fer.2016.048
  4. Lee MJ, Park SH. Factors associated with smartphone overdependency in preschool children. Child Health Nursing Research. 2018;24(4):383-392. https://doi.org/10.4094/chnr.2018.24.4.383
  5. Hong YJ, Park YA, Ahn S, Yi SH, Lee K. The effect of mothers' negative parenting attitudes on infants' and toddlers' playfulness: With a focus on infants' and toddlers' overindulgence in smart devices. Korean Journal of Child Care and Education Policy. 2017;11(2):87-113. https://doi.org/10.5718/kcep.2017.11.2.87
  6. Erikson EH. Childhood and society. 2nd ed. New York: Norton; 1963. p. 1-445.
  7. Ministry of Health and Welfare (MOHW). Infant and child care act 2(1) [Internet]. Sejong: MOHW; c2008 [cited 2020 May 1]. Available from: https://bit.ly/3f3IK8O.
  8. Bentley GF, Turner KM, Jago R. Mothers' views of their preschool child's screen-viewing behaviour: A qualitative study. BMC Public Health. 2016;16:718. https://doi.org/10.1186/s12889-016-3440-z
  9. Jang JJ, Jeong I. Related factors of smartphone addiction among preschool children. The Journal of Korean Society for School & Community Health Education. 2015;16(1):65-81.
  10. Hwang JA, Kim SJ. The analysis of research trend about utilization of electronic media in early childhood education - based on smart device-. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(5):470-477. https://doi.org/10.5762/KAIS.2016.17.5.470
  11. Jago R, Zahra J, Edwards MJ, Kesten JM, Solomon-Moore E, Thompson JL, et al. Managing the screen-viewing behaviours of children aged 5-6 years: A qualitative analysis of parental strategies. BMJ Open. 2016;6(3):e010355. https://doi.org/10.1136/bmjopen-2015-010355
  12. Howie EK, Coenen P, Campbell AC, Ranelli S, Straker LM. Head, trunk and arm posture amplitude and variation, muscle activity, sedentariness and physical activity of 3 to 5 yearold children during tablet computer use compared to television watching and toy play. Applied Ergonomics. 2017;65:41-50. https://doi.org/10.1016/j.apergo.2017.05.011
  13. Lee KS, Jung SJ, Kim MS. The influence of infants' (1-3 years) visual media overindulgence on their general, emotional and social development. The Korean Journal of Developmental Psychology. 2015;28(1):117-132.
  14. Chang HY, Lee JW, Shin YM, Park EJ, Yoo HJ. Media and smart device exposure of infants and toddlers: A systematic review. Korean Journal of Infant Mental Health. 2016;9(1):55-70. https://doi.org/10.47801/KJIMH.09.1.3
  15. Kim IS, Kim DY. The effects of mother's smartphone addiction tendency on smartphone overindulgence and externalizing problem behaviors among preschool children: Focusing on mediating effects of marital conflicts and mother-child communication. Asian Journal of Education. 2017;18(2):221-244. https://doi.org/10.15753/aje.2017.06.18.2.221
  16. Nam KH. The Influence of maternal parenting behaviors and media mediation on young children's smartphone overuse. Early Childhood Education & Care. 2018;13(1):117-137. https://doi.org/10.16978/ecec.2018.13.1.005
  17. Kwon MK, Park HS, You JH, Han KO. A study of variables influencing smartphone overuse in early childhood. The Korean Journal of the Human Development. 2016;23(4):121-138. https://doi.org/10.15284/kjhd.2016.23.4.121
  18. Stewart LA, Clarke M, Rovers M, Riley RD, Simmonds M, Stewart G, et al. Preferred reporting items for a systematic review and meta-analyses of individual participant data: The PRISMA-IPD statement. JAMA. 2015;313(16):1657-1665. https://doi.org/10.1001/jama.2015.3656
  19. Smartphone [Internet]. Asuncion: Namu.wiki; c2020 [cited 2020 Apr 17]. Available from: https://bit.ly/2XM2Tdu.
  20. National Institute of Health (NIH). Quality assessment tool for observational cohort and cross-sectional studies [Internet]. Rockville: NIH; [cited 2020 Jan 18]. Available from: https://bit.ly/2WQRkRP.
  21. Borenstein M, Hedges LV, Higgins JPT, Rothstein HR. Introduction to meta-analysis. Chichester: John Wiley & Sons, Ltd; 2009. p. 41-43.
  22. Cohen J. Statistical power analysis for the behavioral sciences. New York: Academic Press; 1977. p. 109-116.
  23. Duval S, Tweedie R. Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in metaanalysis. Biometrics. 2000;56(2):455-463. https://doi.org/10.1111/j.0006-341x.2000.00455.x
  24. Sterne JA, Sutton AJ, Ioannidis JP, Terrin N, Jones DR, Lau J, et al. Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials. BMJ. 2011;343:d4002. https://doi.org/10.1136/bmj.d4002
  25. Kum JY, Chung CH, Jeong HJ. The influence of mothers' parenting attitude on children's smart-phone dependency: Focusing on the moderating effect of children's playfulness. Journal of Children's Literature and Education. 2019;20(2):75-97. https://doi.org/10.22154/JCLE.20.2.4
  26. Bae JH, Lee SH. The relationship between mother's parenting stress and parenting attitude on smart devices dependency in child; a meditation model of mother's smart devices dependency. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2017;7(2):747-759. https://doi.org/10.35873/ajmahs.2017.7.2.071
  27. Lee HJ, Chae SM, Bang KS, Choi H. Relationships among preschoolers' smartphone addiction tendency, their problem behaviors, and parenting efficacy of their mothers. Child Health Nursing Research. 2015;21(2):107-114. https://doi.org/10.4094/chnr.2015.21.2.107
  28. Choi YH, Park NS, Song SM, Park B, Kang MS. The mediating effect of preschoolers' smart device immersion tendencies on the relationship between maternal parenting behavior and preschoolers' problem behaviors. Korean Journal of Play Therapy. 2016;19(4):297-316. https://doi.org/10.17641/KAPT.19.4.2
  29. Gil HJ, Lee YJ. The relationship between self-regulation in children and smart device usage habits of mothers and children. The Journal of Korea Open Association for Early Childhood Education. 2016;21(1):275-295. https://doi.org/10.20437/KOAECE21-1-11
  30. Lim MH, Kim SH. A study on the smart phone and tablet PC utilization, parental perception, and addictive tendencies of young children. Korean Journal of Child Education and Care. 2014;14(4):237-260.
  31. Cha G, Kwak S. An analysis of the relationship between mothers' beliefs and participation in play and children's excessive immersion in smartphone use. The Journal of Future Education. 2018;8(2):77-109.
  32. Jo JO, Kim EJ. The mediating and moderating effects of maternal parenting efficacy on the relationship between parenting stress and child's media addiction. Journal of Learner-Centered Curriculum and Instruction. 2019;19(9):1189-1208. https://doi.org/10.22251/jlcci.2019.19.9.1189
  33. Lee G, Kim S. An integrative review on the contents and effectiveness of emotion coaching interventions for parents. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2019;28(1):64-78. https://doi.org/10.12934/jkpmhn.2019.28.1.64
  34. Lauricella AR, Wartella E, Rideout VJ. Young children's screen time: The complex role of parent and child factors. Journal of Applied Developmental Psychology. 2015;36:11-17. https://doi.org/10.1016/j.appdev.2014.12.001
  35. Jo JO. Impact of ecological variables on the internet game addiction inclination of preschoolers. Journal of Early Childhood Education Research. 2014;18(3):359-386.
  36. Cundy L. Love in the age of the internet: Attachment in the digital era. London: Karnac Books; 2015. p. 1-30.
  37. Paudel S, Jancey J, Subedi N, Leavy J. Correlates of mobile screen media use among children aged 0-8: A systematic review. BMJ Open. 2017;7:e014585. https://doi.org/10.1136/bmjopen-2016-014585
  38. Bandura A. Self-efficacy in changing societies. New York: Cambridge University Press; 1995. p. 1-334.

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