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The Effect of Primary Care Interventions on Children's Media Viewing Habits and Exposure to Violence

This study has been completed.
Information provided by (Responsible Party):
Seth Scholer, Vanderbilt University Identifier:
First received: December 7, 2011
Last updated: December 8, 2011
Last verified: December 2011

The American Academy of Pediatrics recommends that parents receive anticipatory guidance about violence prevention as part of the routine well child visit. Educational resources are needed to help physicians routinely provide these important anticipatory guidance messages. In this study, consecutive parents will be exposed to routine anticipatory guidance messages before the well child visit with the physician. After the clinic visit, parents will be invited to participate in a research study to determine if they plan any changes at home. The key research question of this study is:

Can a brief multimedia program (i.e. Play Nicely program) and/or the AAP Connected Kids brochure, entitled, "Pulling the Plug on TV Violence", help parents develop plans to decreases their children's exposure to violence in the media (e.g. less media time, no TV in the bedroom)?

Condition Intervention
Behavioral: AAP Handout entitled, Pulling the Plug on Violence.
Behavioral: Play Nicely Program
Other: Control Group

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: The Effect of Primary Care Interventions on Children's Media Viewing Habits and Exposure to Violence

Further study details as provided by Vanderbilt University:

Primary Outcome Measures:
  • Changes in media viewing habits [ Time Frame: Baseline and 2-4 weeks ]

    At the 2 week follow up phone call, parents were asked:

    "Since your clinic visit, have you made any changes related to your child's media viewing habits such as TV, movies, or computer games?"

  • Changes in exposure to violence. [ Time Frame: Baseline and 2-4 weeks ]

    At the 2 week follow up phone call, parents were asked:

    "Since your clinic visit, have you made any changes related to decreasing your child's exposure to violence, either violence in the media or violence at home?"

Enrollment: 336
Study Start Date: June 2010
Study Completion Date: September 2010
Primary Completion Date: September 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Placebo Comparator: Control
Parents in control group experienced a routine primary care visit.
Other: Control Group
Standard care in primary care clinic.
Experimental: Handout intervention
Caregivers assigned to the hand-out group were instructed to read the AAP hand-out "Pulling the Plug On TV Violence." This 2 page hand-out emphasizes the negative effect that television has on children's behavior and makes recommendations about limiting media. The RA did not supervise the reading of the handout.
Behavioral: AAP Handout entitled, Pulling the Plug on Violence.
This handout is two pages and is part of the Connected Kids Program, American Academy of Pediatrics
Experimental: Multimedia intervention
Caregivers assigned to the multimedia group were instructed to watch "Recommendation 3: Decrease Exposure to Violence" from the Play Nicely program, a 5 minute video in English and Spanish that teaches caregivers about the negative impact of violent media and instructs parents about the importance of limiting media. The intervention was presented to the parents on a mobile laptop computer.
Behavioral: Play Nicely Program
Multimedia program available at


Ages Eligible for Study:   18 Years to 70 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Participants included English and Spanish speaking caregivers of 2-12 year old children presenting to the pediatric primary care clinic for a well-child visit.

Exclusion Criteria:

  • Parents who could not speak either English or Spanish.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01490320

United States, Tennessee
Vanderbilt University Pediatric Primary Care Clinic
Nashville, Tennessee, United States, 27232
Sponsors and Collaborators
Vanderbilt University
Principal Investigator: Seth J Scholer, MD, MPH Vanderbilt University
  More Information

Additional Information:
Responsible Party: Seth Scholer, Associate Professor of Pediatrics, Vanderbilt University Identifier: NCT01490320     History of Changes
Other Study ID Numbers: IRB# 100401
Study First Received: December 7, 2011
Last Updated: December 8, 2011

Keywords provided by Vanderbilt University:
Violence prevention
Primary care
Parenting processed this record on May 24, 2017