{"id":213,"date":"2017-05-22T17:38:16","date_gmt":"2017-05-22T17:38:16","guid":{"rendered":"http:\/\/every-one-unique.com\/?p=213"},"modified":"2018-06-17T17:49:43","modified_gmt":"2018-06-17T17:49:43","slug":"why-your-speech-therapist-wont-stop-talking-about-screen-time","status":"publish","type":"post","link":"https:\/\/www.adventtherapy.com\/advent-therapy-d\/why-your-speech-therapist-wont-stop-talking-about-screen-time\/","title":{"rendered":"Why Your Speech Therapist Won\u2019t Stop Talking About Screen Time"},"content":{"rendered":"<p>If you\u2019ve been in our waiting room recently, you\u2019ve probably noticed our bulletin board about screen time guidelines\u00a0for kids. \u00a0And if you\u2019ve been in one of our therapy sessions lately, you\u2019ve likely heard one of your therapists talk about this same issue. \u00a0It\u2019s something that comes up a lot here at Advent. \u00a0Why? \u00a0Because we are convinced that it matters. \u00a0And we are convinced that there are very real risks to overuse of screen time, especially in very young children. \u00a0Stay with me here. \u00a0I am not out to add to your parenting challenges. \u00a0Trust me. \u00a0I am a parent too. \u00a0But I am here to call out the cultural norm and help us navigate a media-heavy society responsibly (and equip\u00a0our children to do the same).\u00a0\u00a0So let\u2019s start with the obvious question:<\/p>\n<p><!--more--><\/p>\n<h3>What\u2019s the problem with screen time, anyway?<\/h3>\n<p>Research has begun to highlight a number of potential ill-effects of heavy media use in kids, but in this post,\u00a0we will focus on language development (it happens to be my area of expertise as well). \u00a0The bottom line is that media use can interfere with language development and therefore, communication. \u00a0Young children (under 2) cannot effectively learn from programs even if the programs\u00a0are educational, as they cannot translate information from the 2-D world (TV) and use it in the 3-D (reality). \u00a0Furthermore, the more time a young child spends in front of a screen, the less time they will spend interacting with an actual human, or with a stack of blocks, or books, etc. \u00a0 And we know that language processing and communication development happens rapidly in the early years. \u00a0We also know that real human interaction is the catalyst for this process.<\/p>\n<p>&nbsp;<\/p>\n<p>Check out some of the research:<\/p>\n<p><a href=\"http:\/\/time.com\/4769571\/smartphone-speech-delays\/\">A new study<\/a>\u00a0found that babies aged 6-24 months who used handheld devices had an increased risk of language delay. \u00a0For every 30 minutes of daily screen time, there was a 49% increase in risk of expressive language delay. \u00a0Forty-nine percent!!! Check out this helpful\u00a0clip:<\/p>\n<p><iframe src=\"http:\/\/players.brightcove.net\/293884104\/SJa0Thl7_default\/index.html?videoId=5426232457001\" width=\"300\" height=\"150\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/p>\n<p><a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1651-2227.2008.00831.x\/abstract;jsessionid=769A49F57B74F338D8AEF770D7B05640.f02t01\">This study<\/a>\u00a0from 2008 also linked screen time in toddlers to increased risk of language delay. \u00a0They found that kids who started watching TV earlier (younger than 1 year) and kids who watched more daily TV (more than 2 hours) had 6x the risk of language delay. \u00a0I\u2019m no statistician, but that sounds like a pretty big increase to me.<\/p>\n<p>&nbsp;<\/p>\n<p>Here are some other supporting studies if you\u2019re the peer-reviewed article-reading type:<\/p>\n<ol>\n<li>Association of Screen Time Use and Language Development in Hispanic Toddlers. \u00a0Duch, et al. \u00a02013. \u00a0<a href=\"http:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0009922813492881\">\u00a0http:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0009922813492881<\/a><\/li>\n<li>Effects of Television Exposure on Developmental Skills Among Young Children. \u00a0Lin, et al. \u00a02015. \u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25544743\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25544743<\/a><\/li>\n<li>Relationship between television viewing and language delay in toddlers. \u00a0Byeon, et al. \u00a02015. \u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25785449\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25785449<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3>And this is just the tip of the iceberg.<\/h3>\n<p>Excessive screen time (generally defined as &gt; 2 hours per day) in early childhood (under 3 years) has also been linked to:<\/p>\n<ul>\n<li>Cognitive delays<\/li>\n<li>Motor\u00a0delays<\/li>\n<li>Social\/emotional delays<\/li>\n<li>Negative effects on attention<\/li>\n<li>Poor executive functioning (impulse control, self-regulation, mental flexibility)<\/li>\n<li>Difficulty understanding other\u2019s thoughts and feelings<\/li>\n<li>Sleep difficulties<\/li>\n<li>Higher\u00a0incidence of obesity<\/li>\n<li>Media addiction (yes, this is a real thing!)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>So What\u2019s a Parent to Do? \u00a0Screens are Everywhere.<\/h3>\n<p>Screens are here to stay. \u00a0So how do we help\u00a0our children manage\u00a0this media maze? \u00a0The AAP recently updated their media guidelines to reflect modern media practices of American families (i.e. tablet and phone use being much more prevalent vs just TV). \u00a0Their guidelines are a\u00a0helpful start for children who do not have any delays (language, motor, or other).\u00a0<strong>\u00a0<\/strong><em>But remember, if your child is experiencing language delays, etc, it may benefit them to reduce screen time even beyond these recommendations.\u00a0<\/em>\u00a0I am not suggesting that screens are what caused the delay in the first place, but we have hard data to support that screens do not help in a child\u2019s language progression (or other area of development).<\/p>\n<p>Here is a summary of the guidelines for young children (from the AAP policy statement titled\u00a0<a href=\"http:\/\/pediatrics.aappublications.org\/content\/early\/2016\/10\/19\/peds.2016-2591\">Media and Young Minds<\/a>\u00a0). \u00a0 The guidelines for older children (&gt;6) can be viewed\u00a0<a href=\"http:\/\/pediatrics.aappublications.org\/content\/early\/2016\/10\/19\/peds.2016-2592\">here<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<h3>American Academy of Pediatrics Guidelines on Media Use<\/h3>\n<ul>\n<li data-reactid=\"262\">\n<ol id=\"list-2\" class=\"list-unord \">\n<li id=\"list-item-10\">\n<p id=\"p-26\">Avoid digital media use (except video-chatting) in children younger than 18 to 24 months.<\/p>\n<\/li>\n<li id=\"list-item-11\">\n<p id=\"p-27\">For children ages 18 to 24 months of age, if you want to introduce digital media, choose high-quality programming and use media together with your child. Avoid solo media use in this age group.<\/p>\n<\/li>\n<li id=\"list-item-12\">\n<p id=\"p-28\">Do not feel pressured to introduce technology early; children will figure them (tablets, etc) out quickly once they start using them at home or in school.<\/p>\n<\/li>\n<li id=\"list-item-13\">\n<p id=\"p-29\">For children 2 to 5 years of age, limit screen use to 1 hour per day of high-quality programming, coview with your children, help children understand what they are seeing, and help them apply what they learn to the world around them.<\/p>\n<\/li>\n<li id=\"list-item-14\">\n<p id=\"p-30\">Avoid fast-paced programs (young children do not understand them as well), apps with lots of distracting content, and any violent content.<\/p>\n<\/li>\n<li id=\"list-item-15\">\n<p id=\"p-31\">Turn off televisions and other devices when not in use.<\/p>\n<\/li>\n<li id=\"list-item-16\">\n<p id=\"p-32\">Avoid using media as the only way to calm your child. Although there are intermittent times (eg, medical procedures, airplane flights) when media is useful as a soothing strategy, there is concern that using media as strategy to calm could lead to problems with limit setting or the inability of children to develop their own emotion regulation. Ask your pediatrician (or therapist) for help if needed.<\/p>\n<\/li>\n<li id=\"list-item-18\">\n<p id=\"p-34\">Keep bedrooms, mealtimes, and parent\u2013child playtimes screen free for children and parents. Parents can set a \u201cdo not disturb\u201d option on their phones during these times.<\/p>\n<\/li>\n<li id=\"list-item-19\">\n<p id=\"p-35\">No screens 1 hour before bedtime, and remove devices from bedrooms before bed.<\/p>\n<\/li>\n<\/ol>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Yeah, this sounds great. \u00a0Until my 2 year old is tantruming in the doctor\u2019s office\u2026.<\/h3>\n<p>First of all, we\u2019ve all been there (any parent who tells you they haven\u2019t is probably lying!) \u00a0Secondly, I would encourage you to reach out to others around you to bounce ideas off of. \u00a0Have a therapist? \u00a0A Pediatrician? \u00a0Ask them for tips on ways to reduce your families reliance on screens. \u00a0I am confident they would love to help!<\/p>\n<p>There is so much more we could discuss, but I hope I\u2019ve given you some things to think about today. \u00a0Please check back soon for my own list of favorite parenting survival tips that do NOT\u00a0involve screens.<\/p>\n<p>&nbsp;<\/p>\n<p>Until Next Time,<\/p>\n<p>&nbsp;<\/p>\n<p><em>CAT<\/em>\u00a0(the one with the idea)<\/p>\n<p><em>\u00a0 \u00a0 \u00a0and Annie<\/em>\u00a0(the one with the pen)<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3>Other References<\/h3>\n<p><a href=\"https:\/\/www.psychologytoday.com\/blog\/behind-online-behavior\/201604\/what-screen-time-can-really-do-kids-brains\">What Screen Time Can Really Do to a Kids\u2019 Brain<\/a>. \u00a0Psychology Today. \u00a02016.<\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3844496\/\">Screen time use in children under 3 years old: a systematic review of correlates<\/a>. \u00a0Duch, et al. \u00a02013.<\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5379769\/\">The Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) cohort study: rationale and design<\/a>. \u00a0Dylan. \u00a02017.<\/p>\n<p><a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1651-2227.2008.00831.x\/abstract;jsessionid=769A49F57B74F338D8AEF770D7B05640.f02t01\">Television viewing associates with delayed language development<\/a>. \u00a0Chonchaiya. \u00a02008.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you\u2019ve been in our waiting room recently, you\u2019ve probably noticed our bulletin board about screen time guidelines\u00a0for kids. \u00a0And [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":214,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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