Electronic Media and Early Childhood: A Review

Abstract

Background This review summarizes the state of knowledge of use of new media on the development in early childhood in 6 sections: descriptive utilization data, psychosocial and emotional development, cognition and language, motor development, nutrition and sleep, and influence of parental media consumption.

Methods The review is based on a literature search of this topic in peer-reviewed journals. We included 87 articles, books, and book chapters. The used literature data bases were ERIC, PsycARTICLES, PsycINFO and PSYNDEX.

Results Manifold studies describe in young children’s utilization data the pervasive nature of digital exposure and impressive usage times and availability. They confirm adverse influences of electronic media use (television, video games) on children’s emotional and behavioral problems and well-being, e. g. on physical activity, sleep and obesity. In general a positive effect in sense of knowledge transfer of age could be found for high quality educational media, however predominantly the impact of media use at younger age was negative.

Conclusions High frequent media use in early childhood is likely to have a negative impact on psychosocial development, positive effects such as knowledge transfer may be seen beyond the age of 18 months. As parental media use is a strong predictor of child media habits, reducing parental media use and enhancing parent–child interactions might be important areas to address when trying to change the media behavior of young children. In view of the scarcity of studies for early childhood, it is advisable to use digital play and communication devices cautiously and restrictively in this vulnerable development phase.

Zusammenfassung

Hintergrund Dieses Review fasst den aktuellen Wissensstand zum Gebrauch neuer Medien in der frühen Kindheit für 6 Bereiche zusammen: Deskriptive Gebrauchsdaten, psychosoziale und emotionale Entwicklung, Kognition und Sprache, motorische Entwicklung, Ernährung und Schlaf, Einfluss des elterlichen Medienkonsums.

Methode Das Review basiert auf einer Literaturrecherche in peer reviewed Zeitschriften. Insgesamt wurden 87 Artikel, Bücher und Buchkapitel eingeschlossen. Durchsucht wurden die Literaturdatenbänke ERIC, PsycARTICLES, PsycINFO und PSYNDEX.

Ergebnisse Die Studien dokumentieren die Allgegenwärtigkeit der Mediennutzung im frühen Lebensalter und weisen eindrucksvolle Nutzungszeiten und Verfügbarkeiten auf. Sie bestätigen ungünstige Einflüsse der elektronischen Medien (Fernseher, Videospiele) auf emotionale und Verhaltensprobleme und auf das Wohlergehen der Kinder, wie z. B. körperliche Aktivität, Schlaf und Übergewicht. Es konnten auch positive Einflüsse von pädagogisch hochwertigen Medien identifiziert werden. Jedoch überwiegen die negativen Effekte der Mediennutzung im jungen Alter deutlich.

Schlussfolgerung Ein hoher Medienkonsum in der frühen Kindheit hat negative Auswirkungen auf die psychosoziale Entwicklung, wohingegen positive Effekte wie bspw. Wissenstransfer erst ab einem Alter von 18 Monaten beobachtet werden können. Eine reduzierte Nutzung seitens der Eltern und eine verbesserte Eltern-Kind Interaktion sind wichtige Bereiche für eine Veränderung der kindlichen Mediennutzung. Wegen des Mangels an Studien ist es ratsam digitale Spiel- und Kommunikationsgeräte nur mit Vorsicht zu nutzen.

Key words

electronic media - digital - infant - toddler - development - parental media use

Schlüsselwörter

elektronische Medien - digital - Säugling - Kleinkind - Entwicklung - elterliche Mediennutzung

Publication History

Article published online:
04 March 2021

• References

• 1 Ahearne C, Dilworth S, Rollings R. et al. Touch-screen technology usage in toddlers. Archives of disease in childhood 2016; 101: 181-183 DOI: 10.1136/archdischild-2015-309278.
• 2 Ainsworth MDS. Infancy in Uganda: Infant care and the growth of love. Johns Hopkins University Press; Baltimore, MD: 1967
• 3 Ainsworth MDS. Social development in the first year of life: Maternal influences on infant-mother attachment. In: Tanner JM. Developments in psychiatric research: Essays based on the Sir Geoffrey Vickers Lectures of the Mental Health Foundation. Hodder & Stoughton; London: 1977: 1-20
• 4 American Academy of Pediatrics AAP Media use by children younger than 2 years: policy statement of the AAP. Pediatrics 2011; 128: 1040-1045 DOI: 10.1542/peds.2011-1753.
• 5 American Academy of Pediatrics AAP Council on Communications and Media. Media and Young Minds. Pediatrics 2016; 138: 1-6 DOI: 10.1542/peds.2016-2591.
• 6 Barr R, Wyss N. Reenactment of televised content by 2-year olds: Toddlers use language learned from television to solve a difficult imitation problem. Infant Behavior and Development 2008; 31: 696-703 doi:10.1016/j.infbeh.2008.04.006
• 7 Bedford R, Saez de Urabain IR. et al. Toddler’s fine motor milestone achievement is associated with early touchscreen scrolling. Frontiers in psychology 2016; 7: 1108 DOI: 10.3389/fpsyq.2016.01108.
• 8 Boles RE, Roberts MC. Supervising children during parental distractions. Journal of pediatric psychology 2008; 33: 833-841 doi:10.1093/jpepsy/jsn021
• 9 Brockmann PE, Diaz B, Damiani F. et al. Impact of television on the quality of sleep in preschool children. Sleep medicine 2016; 20: 140-144 DOI: 10.1016/j.sleep.2015.06.005.
• 10 Campos JJ, Sternberg CR. Perception, Appraisal and Emotions. The onset of social referencing. In: Lamb M.E. Infant social cognition: empirical and social considerations. Lawrence Erlbaum Associates; Hillsdale, NJ: 1981: 273-314
• 11 Cespedes EM, Gillman MW, Kleinman K. et al. Television viewing, bedroom television, and sleep duration from infancy to mid-childhood. Pediatrics 2014; 133: e1163-e1171 DOI: 10.1542/peds.2013-3998.
• 12 Chassiakos YLR, Radesky J, Christakis D. et al. Children and adolescents and digital media. Pediatrics 2016; 138: e20162593
• 13 Cheng S, Maeda T, Yoichi S. et al. Early television exposure and children’s behavioral and social outcomes at age 30 months. Journal of epidemiology 2010; 20: 482-489 DOI: 10.2188/jea.JE20090179.
• 14 Cheung CHM, Bedford R, Saez De Urabain IR. et al. 2017; Daily touchscreen use in infants and toddlers is associated with reduced sleep and delayed sleep onset. Frontiers in psychology 2016 7: 1108 DOI: 10.1038/srep46104.
• 15 Chindamo S, Buja A, DeBattisti E. et al. Sleep and new media usage in toddlers. European journal of pediatrics 2019; 178: 483-490 DOI: 10.1007/s00431-019-03318-7.
• 16 Chiong C, Ree J, Takeuchi L. et al. Print books vs. e-books: Comparing parent-child co-reading on print, basic, and enhanced e-book platforms. The Joan Ganz Cooney Center 2012; 1-5
• 17 Chonchaiya W, Sirachairat C, Vijakkhana N. et al. Elevated background TV exposure over time increases behavioural scores of 18-month-old toddlers. Acta Paediatrica 2015; 104: 1039-1046 DOI: 10.1111/apa.13067.
• 18 Chonchaiya W, Pruksananonda C. Television viewing associates with delayed language development. Acta Paediatrica 2008; 97: 977-982 doi:10.1111/j.1651-2227.2008.00831.x
• 19 Christakis DA, Ebel BE, Rivara FP. et al. Television, video, and computer game usage in children under 11 years of age. The Journal of pediatrics 2004; 145: 652-656
• 20 Christakis DA, Garrison MM. Preschool-aged children’s television viewing in child care settings. Pediatrics 2009; 124: 1627-1632 DOI: 10.1542/peds.2009-0862.
• 21 Christakis DA. The effects of infant media usage: what do we know and what should we do. Acta Paediatrica 2009; 98: 8-16 DOI: 10.1111/j.6512227.20080001027x.
• 22 Christakis DA, Zimmerman FJ, DiGiuseppe DL. et al. 2004; Early television exposure and subsequent attentional problems in children. Pediatrics 2004a 113: 708-713 DOI: 10.1542/peds.113.4.708.
• 23 Cox R, Skouteris H, Rutherford L. et al. Television viewing, television content, food intake, physical activity and body mass index: a cross-sectional study of preschool children aged 2–6 years. Health promotion journal of Australia 2012; 23: 58-62
• 24 Cristia A, Seidl A. Parental Reports on Touch Screen Use in Early Childhood. PLoS ONE 2015; 10: e0128338 DOI: 10.1371/journal.pone.0128338.
• 25 Domingues-Montanari S. Clinical and psychological effects of excessive screen time on children. J Paediatr Child Health 2017; 53: 333-338 doi: 10.1111/jpc.13462
• 26 Duch H, Fisher EM, Ensari I. et al. Association of screen time use and language development in Hispanic toddlers: a cross-sectional and longitudinal study. Clinical pediatrics 2013; 52: 857-865 DOI: 10.1177/0009922813492881.
• 27 Duch H, Fisher EM, Ensari I. et al. Screen time use in children under 3 years old: a systematic review of correlates. International Journal of behavioral nutrition and physical activity 2013; 10: 102-110
• 28 Edelson LR, Mathias KC, Fulgoni VL. et al. Screen-based sedentary behavior and associations with functional strength in 6-15 year old children in the United States. BMC Public Health 2016; 16: 116 DOI: 10.1186/s12889-016-2791-9.
• 29 Epstein E, Sherman J, Blackman A. et al. Testing the feasibility of Skype and FaceTime updates with parents in the neonatal intensive care unit. American Journal of Critical Care 2015; 24: 290-297 DOI: 10.4037/ajcc2015828.
• 30 Feierabend S, Plankenhorn T, Rathgeb T. MiniKim 2014. Kleinkinder und Medien. Basisuntersuchung zum Medienumgang 2- bis 5-jähriger in Deutschland. Medienpädagogischer Forschungsverbund Südwest; Stuttgart: 2015: 1-34
• 31 Garrison MM, Liekweg K, Christakis DA. Media use and child sleep: the impact of content, timing, and environment. Pediatrics 2011; 128: 29-35 doi:10.1542/peds.2010-3304
• 32 Geist EA. 2012; A qualitative examination of two year-olds interaction with tablet based interactive technology. Journal of Instructional Psychology 39: 26-35
• 33 Genuneit J, Brockmann PE, Schlarb AA. et al. Media consumption and sleep quality in early childhood: Results from the Ulm SPATZ Health Study. Sleep Medicine 2017; 45: 7-10 DOI: 10.1016/j.sleep.2017.10.013.
• 34 Heelan KA, Eisenmann JC. 2006; Physical activity, media time and body composition in young children. Journal of Physical Activity and Health 3: 200-209
• 35 Hinkley T, Salmon J, Okley AD. et al. Correlates of sedentary behaviours in preschool children: a review. International Journal of Behavioral Nutrition and Physical Activity 2010; 7: 66 DOI: 10.1186/1479-5868-7-66.
• 36 Hinkley T, Verbestel V, Ahrens W. et al. Early childhood electronic media use as a predictor of poorer well-being. A prospective cohort study. JAMA pediatrics 2014; 168: 485-492 DOI: 10.1001/jamapediatrics.2014.94.
• 37 Johnson KB, Culpepper D, Scott P. et al. The utility of providing automated medication dose reminders to young children on chronic medication. J Telemed Telecare 2011; 17: 387-391 DOI: 10.1258/jtt.2011.110314.
• 38 Kabali HK, Irigoyen MM, Nunez-Davis R. et al. Exposure and use of mobile media devices by young children. Pediatrics 2015; 136: 1044-1050 DOI: 10.1542/peds.2015-2151.
• 39 Kılıç AO, Sari E, Yucel H. et al. Exposure to and use of mobile devices in children aged 1–60 months. European journal of pediatrics 2019; 178: 221-227 DOI: 10.1007/s00431-018-3284-x.
• 40 Korkeamäki R-L, Dreher MJ, Pekkarinen A. 2012; Finnish preschool and first-grader children’s use of media at home. Interdisciplinary Journal on Humands in ICT environments 8: 109-132 doi: http://dx.doi.org/10.17011/ht/urn.201211203031
• 41 Kostyrka-Allchorne K, Cooper NR, Simpson A. Touchscreen generation: children’s current media use, parental supervision methods and attitudes towards contemporary media. Foundation Acta Paediatrica 2016; 106: 654-662
• 42 Kuhl PK, Tsao F-M, Liu H-M. Foreign-language experience in infancy: Effects of short-term exposure and social interaction on phonetic learning. Proceedings of the National Academy of Sciences PNAS 2013; 100: 9096-9101 doi: 10.1073/pnas.1532872100
• 43 Kwok K, Ghrear S, Li V. et al. 2016; Children can learn new facts equally well from interactive media versus face to face instruction. Frontiers in Psychology 2016 7: 1-10 DOI: 10.3389/fpsyg.2016.01603.
• 44 Lauricella AR, Barr R, Calvert SL. Parent-child interactions during traditional and computer storybook reading for children’s comprehension: Implications for electronic storybook design. International Journal of Child-Computer Interaction 2014; 2: 17-25 DOI: 10.1016/j.ijcci.2014.07.001.
• 45 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 DOI: 10.1016/j.appdev.2014.12.001.
• 46 Lin L-Y, Cherng R-J, Chen Y-J. et al. Effects of television exposure on developmental skills among young children. Infant Behavior and Development 2015; 38: 20-26 DOI: 10.1016/j.infbeh.2014.12.005.
• 47 Linebarger DL, Walker D. Infants’ and toddlers’ television viewing and language outcomes. American behavioral scientist 2005; 48: 624-645
• 48 Loprinzi PD, Schary DP, Cardinal BJ. Adherence to active play and electronic media guidelines in preschool children: gender and parental education considerations. Maternal and child health Journal 2013; 17: 56-61 DOI: 10.1007/s10995-012-0952-8.
• 49 Magee CA, Lee JK, Vella SA. Bidirectional relationships between sleep duration and screen time in early childhood. JAMA pediatrics 2014; 168: 465-470 DOI: 10.1001/jamapediatrics.2013.4183.
• 50 Manganello JA, Taylor CA. Television exposure as a risk factor for aggressive behavior among 3-year-old children. Arch pediatr Med 2019; 163: 1037-1045
• 51 Manios Y, Kondaki K, Kourlaba G. et al. Television viewing and food habits in toddlers and preschoolers in Greece: the GENESIS study. European journal of pediatrics 2009; 168: 801-808 DOI: 10.1007/s00431-008-0838-3.
• 52 McDaniel BT, Radesky JS. Technoference: longitudinal associations between parent technology use, parenting stress, and child behavior problems. Pediatric Research 2018; 84: 210-218 DOI: 10.1038/s41390-018-0052-6.
• 53 Mendoza JA, Zimmerman FJ, Christakis DA. Television viewing, computer use, obesity and adiposity in US preschool children. International Journal of behavioral nutrition and physical activity 2007; 4: 44 DOI: 10.1186/1479-5868-4-44.
• 54 Mol SE, Neuman SB, Strouse GA. From ABCs to DVDs: Profiles of infants’ home media environments in the first two years of life. Early Child Development and Care 2014; 184: 1250-1266 DOI: 10.1080/03004430.2013.862531.
• 55 Morrison M, Krugman DM. A look at mass and computer mediated technologies: understanding the roles of television and computers in the home. Journal of Broadcasting & Electronic Media 2001; 45: 135-161
• 56 Oduor E, Neustaedter C, Odom W. et al. The frustrations and benefits of mobile device usage in the home when co-present with family members. In: Proceedings of the 2016 ACM conference on designing interactive systems. 06/2016. Brisbane, Australia: 1315-1327 DOI: 10.1145/2901790.2901809
• 57 Okely AD, Stewart GT, Steele JR. et al. Adherence to physical activity and electronic media guidelines in Australian pre-school children. Journal of paediatrics and child health 2009; 45: 5-8 DOI: 10.1111/j.1440-1754.2008.01445.x.
• 58 Papousek M. Regulationsstörungen der frühen Kindheit: Klinische Evidenz für ein neues diagnostisches Konzept. In: Papousek M, Schieche M, Wurmser H. Regulationsstörungen der frühen Kindheit. Hans Huber; Bern: 2004: 77-110
• 59 Peez G. 2014; Mit den Fingern die Welt erkunden: Ein Forschungsprogramm zur motorischen und haptischen Nutzung des Touchscreens aus Sicht der Kleinkind- und Kinderzeichnungsforschung. Discourse. Journal of Childhood and Adolescence Research 9: 319-338
• 60 Pempek TA, McDaniel BT. Young children’s tablet use and associations with maternal well-being. Journal of Child and Family Studies 2016; 25: 2636-2647 doi: 10.1007/s10826-016-0413-x
• 61 Poulain T, Vogel M, Neef M. et al. Reciprocal associations between electronic media use and behavioral difficulties in preschoolers. International Journal of Environmental Research and Public Health 2018; 15: 814 10.3390ijerph15040814
• 62 Radesky JS, Kistin CJ, Zuckerman B. et al. Patterns of mobile device use by caregivers and children during meals in fast food restaurants. Pediatrics 2014; 133: e843-e849 DOI: 10.1542/peds.2013-3703.
• 63 Radesky JS, Miller AL, Rosenblum KL. et al. Maternal mobile device use during a structured parent–child interaction task. Academic pediatrics 2015; 15: 238-244 DOI: 10.1016/j.acap.2014.10.001.
• 64 Radesky JS, Peacock E. Zuckerman. et al. Use of mobile technology to calm upset children: Associations with social-emotional development. JAMA Pediatrics 2016; 170: 397-399 doi: 10.1001/jamapediatrics.2015.4260
• 65 Radesky JS, Schumacher J, Zuckerman B. Mobile and interactive media use by young children: the good, the bad, and the unknown. Pediatrics 2015; 135: 1-3 doi: https://doi.org/10.1542/peds.2014-2251
• 66 Radesky JS, Silverstein M, Zuckerman B. et al. Infant Self-Regulation and Early Childhood Media Exposure. Pediatrics 2014; 133: e1172-e1178 DOI: 10.1542/peds.2013-2367.
• 67 Rideout VJ, Vandewater EA, Wartella EA. Zero to six: Electronic media in the lives of infants, toddlers and preschoolers. Henry J. Kaiser Family Foundation; Menlo Park, CA: 2006. 1 1-39
• 68 Roseberry S, Hirsh-Pasek K, Golinkoff RM. Skype me! Socially contingent interactions help toddlers learn language. Child Development 2014; 85: 956-970 DOI: 10.1111/cdev.12166.
• 69 Salti R, Tarquini R, Stagi S. et al. Age-dependent association of exposure to television screen with children’s urinary melatonin excretion?. Neuroendocrinology Letters 2006; 27: 73-80
• 70 Sauseng W, Sonnleitner A, Hofer N. et al. Empfehlungen zur Regulierung von Bildschirmzeiten im Kindes- und Jugendalter. Monatsschrift Kinderheilkunde 2017; 165: 254-256 DOI: 10.1007/s00112-016-0201-0.
• 71 Schmidt ME, Pempek TA, Kirkorian HL. et al. The effects of background television on the toy play behavior of very young children. Child development 2008; 79: 1137-1151
• 72 Schmidt ME, Rich M, Rifas-Shiman SL. et al. Television viewing in infancy and child cognition at 3 years of age in a US cohort. Pediatrics 2009; 123: e370-e375 DOI: 10.1542/peds.2008-3221.
• 73 Stern DN. The interpersonal world of the infant. Basic Books; New York: 1985
• 74 Strouse GA, Ganea P. Parent-Toddler behavior and language differ when reading electronic and print picture books. Front. Psychol 2017; 8: 1-14 DOI: 10.3389/fpsyg.2017.00677.
• 75 Takeuchi H, Taki Y, Hashizume H. et al. The impact of television viewing on brain structures: Cross-sectional and longitudinal analyses. Cereb Cortex 2015; 25: 1188-1197 DOI: 10.1093/cercor/bht315.
• 76 Tandon PS, Zhou C, Lozano P. et al. Preschoolers’ total daily screentime at home and by type of child care. The Journal of pediatrics 2011; 158: 297-300 DOI: 10.1016/j.jpeds.2010.08.005.
• 77 Thompson DA, Christakis DA. The association between television viewing and irregular sleep schedules among children less than 3 years of age. Pediatrics 2005; 116: 851-856
• 78 Thompson DA, Christakis DA. The Association of Maternal Mental Distress With Television Viewing in Children Under 3 Years Old. Ambulatory Pediatrics 2007; 7: 32-37 DOI: 10.1016/j.ambp.2006.09.007.
• 79 Tomopoulos S, Dreyer BP, Berkule S. et al. Infant media exposure and toddler development. Archives of Pediatrics & Adolescent Medicine 2010; 164: 1105-1111
• 80 Tomopoulos S, Dreyer BP, Valdez P. et al. Media content and externalizing behaviors in Latino toddlers. Ambulatory pediatrics 2007; 7: 232-238
• 81 Vanderwater EA, Rideout VJ, Wartella EA. et al. Digital childhood: electronic media and technology use among infants, toddlers and preschoolers. Pediatrics 2007; 119: e1006-e1015
• 82 Vorwerg Y, Petroff D, Kiess W. et al. 2013; Physical activity in 3-6 year old children measured by SenseWear Pro^®: Direct acceleromertry in the course of the week and relation to weight status, media consumption, and socioeconomic factors. PloS one 2013 8: e60619 DOI: 10.1371/journal.pone.0060619AA.
• 83 Watkins L, Aitken R, Robertson K. et al. 2016; Advertising’s impact on pre-schoolers’ brand knowledge and materialism. International Journal of Consumer Studies 2016 40: 583-591 DOI: 10.1111/ijcs.12303.
• 84 WHO Global recommendations on physical activity for health. World Health Organization; 2010. Geneva: Switzerland:
• 85 Wijtzes AI, Jansen W. Kamphuis. et al. Increased risk of exceeding entertainment-media guidelines in preschool children from low socioeconomic background: The Generation R study. Preventive Medicine 2012; 55: 325-329 DOI: 10.1016/j.ypmed.2012.07.023.
• 86 Zhang G, Wu L, Zhou L. et al. Television watching and risk of childhood obesity: A meta-analysis. Eur J Public Health 2016; 26: 13-18 DOI: 10.1093/eurpub/ckv213.
• 87 Zimmerman FJ, Christakis DA, Meltzoff AN. Television and DVD/video viewing in children younger than 2 years. Archives of pediatrics & adolescent medicine 2007; 161: 473-479