Investigators will conduct a pilot randomized controlled trial assessing the efficacy and feasibility of the newly developed Family Media Check-In (FMC).
The clinical trial portion of this study will enroll 150 families (child age 11-17, and at least one parent/guardian). Stratified randomization will be used to assign families to the intervention (FMC) or control (delayed FMC) condition. Families assigned to the intervention condition will be asked to complete the FMC within 2 weeks of randomization and will be sent a second survey one week after completion. Participants in the control condition will complete a condition-specific subset of these questions three weeks after baseline. Participants in both conditions will complete a follow-up survey two months after their second survey. The primary outcomes will be measured at the first follow-up period and will be related to screen media planning and decision making. Two-month follow-up surveys will explore intervention impact on screen media practices. Prior to the clinical trial portion of the study, the study team conducted interviews/focus groups, participatory design sessions, and usability testing sessions with a diverse group of families to refine the concept for the intervention and to iteratively develop the intervention itself. Changes in the behavioral targets and components of the intervention and outcomes for the evaluation (relative to the original grant proposal) were driven by family-expressed needs and priorities.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
300
An interactive, web-based tool to support within-family media use planning will be developed and shared with families.
Seattle Children's Research Institute
Seattle, Washington, United States
RECRUITINGDecision Satisfaction
Perceived Effective Decision Scale: a 4-item measure that assesses parent and teen satisfaction with their family media plan. Responses are measured on a 5-point Likert scale, with higher scores indicating a stronger perception of decision effectiveness.
Time frame: Baseline, 3 weeks post-baseline
Decision Uncertainty
Decision Uncertainty Scale: a 3-item scale adapted for the intervention and nature of decision designed to measure parent and teen perceptions of uncertainty when making decisions. The items evaluate factors contributing to uncertainty, including difficulty, lack of clarity, and indecision. Responses are recorded on a 5-point Likert scale. Higher scores indicate greater levels of perceived uncertainty, with the third item reverse-scored.
Time frame: Baseline, 3 weeks post-baseline
Change in Family Media Planning and Plan Engagement
Family Media Planning and Engagement Scale. This scale includes two components, each with 3 items: elements included in plan and engagement with plan. Higher scores indicate more screen media-related elements included in plan and greater teen engagement with plan.
Time frame: Baseline, 3 weeks post-baseline
Teen Involvement in Plan
This single-item assesses the degree of involvement teens perceive they had in creating the plan. Response options range from full individual control to full parent parental control, with options capturing varying levels of shared-decision making
Time frame: Baseline, 3 weeks post-baseline
Screen Media Conflict
3 items from the 2003 PEW Research Center Survey about how often parents and teens have argued in the past 2 weeks about three dimensions of teen screen media use.
Time frame: Baseline, 3 weeks post-baseline
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Screen-Related Parenting Style
Perceived Parental Media Mediation Scale: a 15-item measure adapted for the main types of digital media use addressed in the intervention that assess teen perceptions of restrictive and active parental mediation. Responses are recorded on a 5-point Likert scale; responses to items are added together to create a total score, with higher scores indicating a greater perception of parental media mediation.
Time frame: Baseline, 3 weeks post-baseline
Acceptability of FMC
Acceptability of Intervention Measure: a 4 item 4 point Likert scale with higher score indicating a higher level of acceptability
Time frame: 1 week post-intervention / 3 weeks post-baseline