Review Article

Parent Self-Efficacy and Its Relationship with Children’s Screen Viewing: A Scoping Review

Table 2

Scoping review article summary.

Authors, year, countryParticipant characteristicsData collectionParent self-efficacy measureChildren’s screen time measureParent self-efficacy-screen time relationship reportedMain findings (direction)
ParentChild/adolescentResearch focusDescription

Campbell et al. [42]; Australia140 mothers6-20 months & 4-5 yearsSurveyTask-specific: control eating/limit sedentary behaviour/increase physical activityRespondents rated their confidence in influencing or controlling children’s eating and sedentary behaviours and limited viewing using 12 questions.Parent self-report (survey)—child’s daily TV/video/DVD time on weekdays and weekends, scaled 0-6 hrs in 30 min increments. Average computed: Higher maternal self-efficacy to limit viewing time is inversely associated with screen time exposure in both age groups of children.Negative
Carson and Janssen [43]; Canada746 parents<5 yearsSurveyTask-specific: limit/restrict screen timeParents’ confidence in reducing or eliminating their child’s screen time was assessed by one item: “How confident are you that you could say no to your child’s request to participate in screen time (TV/computer/video games) activities?”Parent self-report (survey)—screen time assessed via two items relating to the time per day the child watches/plays: (1) TV/videos/DVDs and (2) video/computer games. 7-point scale from “none” to “≥3 hrs/day” for weekdays and weekends. Weighted means for each, overall screen of watching game scores.Higher levels of parent self-efficacy are associated with lower levels of screen time among children aged 0-5 years.Negative
De Lepeleere et al. [44]; Belgium207 parents6-12 yearsSurveyTask-specific: promote a healthy lifestyleThe parental self-efficacy questions were created based on the translation of the GEMS (Girls Health Enrichment Multisite Study) questionnaire [45], the validated questionnaire of parental self-efficacy for enhancing healthy lifestyles in their children [46] and section L of the Aventuras Para Ninos parent survey [47].Parent self-report (survey)—utilized and adapted from the Flemish Physical Activity Questionnaire (FPAQ, [48]). Screen time is quantified by summing minutes of TV watching and computer/console gaming, measured in daily hours for weekdays and weekends.Parenting practices and related parental self-efficacy were not associated with children’s screen time. Children had a lower screen time if parents limited their own gaming.Not significant
Downing et al. [49]; Australia937 parent-child dyads3-5 yearsSurvey & accelerometerTask-specific: promote a healthy lifestyleHealthy Active Preschool and Primary Years (HAPPY) Study-Social correlates questionnaire [50].Parent self-report (survey)—parents reported child’s TV/video/DVD, computer use, and game time in hrs/min for weekdays and weekends. Responses are converted to minutes for standardized total screen time assessment.Higher levels of parental self-efficacy to limit screen time are associated with less screen time for both boys and girls.Negative
Goncalves et al. [51]; Brazil318 parent-child dyads3-5 yearsSurvey & health dataTask-specific: limit/restrict screen timeParental self-efficacy for limiting screen time was assessed using three items from the parenting self-efficacy scale used in the Infant Feeding Activity and Nutrition Trial (InFANT Study) [52].Parent self-report (survey)—used He et al. [53] instrument. Parents reported child’s daily TV, video, and computer/game time, with separate weekday and weekend categories: <1 h, 1-2 h, ≥3 h.Higher levels of parental self-efficacy to limit screen time are inversely associated with child screen time.Negative
Halpin et al. [54]; Australia106 parents0-4 yearsSurveyTask-specific: limit/restrict screen timeScreen Time Self-Efficacy Scale (STSES) [55] is a 14-item scale used to assess parents’ self-efficacy for managing their child’s screen time under various challenging or stressful circumstances.Parent self-report (survey)—Children’s Screen Time History Questionnaire (CSTHQ; [56]) used to collect child and parent screen time details.Low levels of parental self-efficacy for managing screen time are strongly correlated with higher levels of children’s screen time.Negative
Jago et al. [21]; UK954 parents5-6 yearsSurveyTask-specific: limit/restrict screen timeParents’ self-efficacy was measured in relation to reducing the child’s screen viewing behaviour using three questions that were based on Bandura’s recommendations [57].Parent self-report (survey)—questionnaire on child’s screen time for TV and computer/laptop, reported separately for each device and for weekdays and weekends. Response options included none, 1-30 minutes, 31 minutes-1 hour, 1-2 hours, 2-3 hours, 3-4 hours, or >4 hours.Higher levels of parental self-efficacy to limit screen time are associated with lower levels of screen viewing among 5- to 6-year-old children.Negative
Lampard, Jurkowski, and Davison [58]; USA147 parents2-6 yearsSurveyTask-specific: limit/restrict screen timeSelf-efficacy to restrict child screen time was measured using three items developed for this study.Parent self-report (survey)—screen time evaluated using the New York State Department of Health Eat Well Play Hard Survey and the Fragile Families and Child Wellbeing Survey. Parents reported average child screen time for (a) TV/DVDs/videos, (b) video games, and (c) leisure computer use on weekdays and weekends. Average daily minutes is calculated with formula .Greater self-efficacy to restrict screen time was associated with greater restriction of child screen use, after controlling for parent screen time.Negative
Lee et al. [59]; Canada203 parent-child dyads1-2 yearsSurvey & accelerometerTask-specific: increase physical activityBarrier self-efficacy for supporting toddlers’ physical activity included seven items primarily based on a previous study [60].Parent self-report (survey)—adapted from the Canadian Health Measures Survey [61]. Parents reported average daily hours/minutes for (1) TV/videos/DVDs on various devices and (2) video/computer games. Total screen time is calculated by summing weighted averages of weekday and weekend times for each activity.Higher parental confidence in managing toddlers’ screen time correlates with more effective screen time limiting practices. As parental barrier self-efficacy increases, there is a decrease in the amount of screen time allowed for the child.Negative
Määttä et al. [22]; Finland808 parents3-6 yearsSurveyTask-specific: limit/restrict screen timeQuestions assessing parental self-efficacy for limiting children’s screen time items adapted from previous studies.Parent self-report (diary)—parents documented child’s sedentary behaviour over 7 days, including TV, DVD/video watching, and tablet/smartphone use, excluding preschool hours. Reported activities’ total time in hrs/min are converted to minutes, aggregated daily. Daily average screen time is derived from a weighted average of weekdays (5/7) and weekends (2/7).Higher parental self-efficacy for limiting children’s screen time is associated with lower screen time for preschool children, accounting for parental education.Negative
Mansor et al. [62]; Malaysia789 parents<5 yearsSurveyTask-specific: increase physical activityThe study employed a validated study instrument adapted from various studies measuring parent’s self-efficacy in relation to influencing the child’s physical activity and reflected the confidence level of the parent in situations related to a child’s physical activity.Parent self-report (survey)—questions based on Bernard et al. [63] about the average time spent by the child on each media device per weekday and weekendParents with low self-efficacy to influence physical activity encounter more barriers to reducing children’s screen time, resulting in a higher likelihood of their child engaging in excessive screen use.Negative
Pathirana et al. [64]; Australia640 parents<5 yearsSurvey (pretest/posttest)Task-specific: increase physical activity, control eating, and limit/restrict screen timeQuestions on self-efficacy of carers on promoting healthy foods, limiting unhealthy foods, promoting physical activity, and limiting screen time. These self-efficacy measures were adopted from the work of Campbell et al. [42].Parent self-report (survey)—developed collaboratively by Griffith University, Playgroup Queensland, and Queensland Health [65]. Questions determined children’s screen time (TV, DVD, video, computer, video games) for the previous day.Higher levels of parental self-efficacy in limiting screen time are negatively correlated with the amount of screen time children engage in.Negative
Priebe et al. [66]; Canada944 parents5-17 yearsSurveyTask-specific: limit/restrict screen timeOne item, rated on a 4-point scale, was used to assess parents’ confidence in their ability to help their child reduce screen time.Parent self-report (survey)—parents asked average daily hours/minutes the child spends watching TV, using computer, and playing video games in free time, for typical weekday and weekend. Focus on recreational screen time, excluding homework time.There is no specific mention of the association between parental self-efficacy and children’s screen time. The evaluation primarily focuses on the recall of the campaign promoting active play and its impact on parental support for screen time and play.Not applicable
Raj et al. [67]; Malaysia489 parent-child dyads<5 yearsSurvey & health dataTask-specific: increase physical activityParents were asked to indicate their self-efficacy in influencing their child’s physical activity level ranging from (1) “not confident” to (5) “very confident.”Parent self-report (survey)—adapted from Bernard et al. [63]. Assessed child’s screen time for (1) TV (incl. videos, DVDs, consoles), (2) computers, and (3) handheld devices, on weekdays and weekends. Averaged device-specific time using formula; total screen across all devices.Parents with moderate self-efficacy to influence their child’s physical activity are 2.3 times more likely to have children with excessive screen time compared to parents with higher self-efficacy.Negative
Smith et al. [68]; Australia4006 parentsPreschool, Grade K, 2, 4, 6, 8, and 10SurveyTask-specific: increase physical activityParents were asked to rate their confidence in influencing their child’s physical activity in a series of challenging situations, which were identified from focus group consultations with parents undertaken by the NSW Health Department.Parent self-report (survey)—screen viewing questions measured the usual daily time spent on TV, recreational computer use, and electronic games. Based on the NSW Population Health Survey [69].Children of parents with high self-efficacy in influencing physical activity are about 3.72 times more likely to adhere to screen time guidelines than children of parents with low self-efficacy.Negative
Xu, Wen, and Rissel [70]; Australia497 mother-child dyads2 yearsSurveyGeneralGlobal parent self-efficacy questions from “Growing up in Australia: The Longitudinal Study of Australian Children” (FAHCSIA, AIFS, ABS [71]).Parent self-report (survey)—mothers reported child’s total time spent on (i) TV programs, (ii) DVDs/videos, (iii) computer use, and (iv) electronic games, covering weekdays and weekends.No association between parental self-efficacy and children’s screen time.No association