Previous studies suggest that screen use (phones, TV, computers, etc) may negatively impact both sleep and mental health (1-3). The purpose of this study is to determine the impact of reducing smartphone use on sleep, physical activity, sedentary behaviour, and mental health in adolescents and young adults aged 13-25.
Participants will be asked to visit the Active Living Lab on 3 occasions. We expect each visit to take 30-60 minutes. At baseline, participants will meet with members of the research team to provide informed consent (ages 16+) or parent/guardian consent + participant assent (ages 13-15). Researchers will then record participants' baseline age, gender, height and weight. Participants will then be instructed to download the In The Moment iPhone application which will be used to measure smartphone use. Upon leaving the lab, all participants will be provided with an ActivPAL inclinometer to be worn on the leg, and a Fitbit Flex to be worn on the wrist for 7 days to measure sedentary behaviour, physical activity and sleep. Following the week of baseline data collection, participants will return to the lab to complete a series of questionnaires focusing on self-reported sedentary behaviour (International Sedentary Assessment Tool, Sedentary Disorder Scale, Social Media Disorder Scale and SHAPES sedentary behaviour questionnaire), physical activity (International Physical Activity Questionnaire), sleep (Pittsburgh Sleep Index), food intake (SHAPES food frequency questionnaire) and mental health (Positive and Negative Affect Schedule and Center for Epidemiologic Studies Depression Scale). At this time participants will also be asked to write down the daily time spent using social media apps (this information can be found under Settings on their iPhone). After completing the questionnaires, participants will be told whether they are in the Intervention or Control groups. Participants in the intervention group will be asked to restrict their daily smartphone use by 50%, compared to the week of baseline testing. This will be achieved via the OurPact app, which allows the researchers to limit smartphone use to a specific amount of daily use for 7 days (participants will be asked to download and install the app after being told they are in the Intervention group). Once participants have used their allotted daily smartphone time, entertainment apps will not function until the timer is reset the following day (the address book and calling functions are never restricted, so participants will continue to be able to make/receive phone calls, and access their address book at all times). Participants will also be asked to determine a nightly "bedtime", after which their smartphone will be able to make/receive calls, but no other applications will be available. Participants in the intervention group will also be asked to leave their phones outside of their bedroom at night, and will be provided with a digital alarm clock to reduce the use of phones for this purpose. Participants in the control group will be asked to maintain their typical daily smartphone use for 7 additional days. After the 7 day intervention/control period, participants will return to the lab to complete the questionnaires for a second time, and to return the Fitbit and inclinometer, and have the apps removed from their phones. Participants in the Intervention group will also be asked to complete a questionnaire on their experience with the intervention, and to provide any additional comments on their experience in the intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
7
Cutting average smartphone screen time in half. Sleeping without smartphone in bedroom. Establishing a "bedtime" to stop smartphone screen time.
University of Prince Edward Island
Charlottetown, Prince Edward Island, Canada
Changes in Positive and Negative Affect
Data will be collected using the PANAS scale. Scores for both Positive and Negative Affect range from 10-50, with higher scores representing higher levels of each.
Time frame: Measured after the first and second week of study.
Changes in Depression Symptoms
Data will be collected using the CES-D scale. Scores range from 0-60, with higher scores indicating the presence of more symptomatology
Time frame: Measured after the first and second week of study.
Changes in Self-Reported Food Intake
Data will be collected using a food frequency questionnaire
Time frame: Measured after the first and second week of study.
Changes in body mass index
Calculated using measured height and weight.
Time frame: Measured after the first and second week of study.
Changes in sleep quality and quantity
Data will be collected using the Pittsburgh Sleep Quality Index
Time frame: Measured after the first and second week of study.
Changes in Physical Activity
Will be assessed via Fitbit
Time frame: Measured after the first and second week of study.
Changes in Sedentary Behaviour
Will be measured via ActivPAL inclinometer
Time frame: Measured after the first and second week of study.
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