Volume 44 Issue 9
Sep.  2023
Turn off MathJax
Article Contents
HU Jingwen, LYU Pingping, SHI Jiaojiao, WANG Yujie, SHI Huijing. Development of an Assessment Questionnaire for Screen-based Behaviors among Primary and Secondary School Students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1333-1337. doi: 10.16835/j.cnki.1000-9817.2023.09.012
Citation: HU Jingwen, LYU Pingping, SHI Jiaojiao, WANG Yujie, SHI Huijing. Development of an Assessment Questionnaire for Screen-based Behaviors among Primary and Secondary School Students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1333-1337. doi: 10.16835/j.cnki.1000-9817.2023.09.012

Development of an Assessment Questionnaire for Screen-based Behaviors among Primary and Secondary School Students

doi: 10.16835/j.cnki.1000-9817.2023.09.012
  • Received Date: 2023-07-04
  • Rev Recd Date: 2023-07-10
  • Available Online: 2023-09-28
  • Publish Date: 2023-09-25
  •   Objective  To develop an assessment questionnaire for screen-based behaviors among primary and secondary school students, so as to provide a basis for comprehensive assessment among the population.  Methods  Nineteen experts were invited to take part in this study from August to September 2022. The initial framework and item pool of the assessment questionnaire were developed based on literature review and a series of guidelines and standards issued by the national education and health authorities, as well as relevant domestic and foreign guidelines, and were combined with existing assessment tools that were used to evaluate screen-based behavior among these age groups. Experts in related fields were selected for two rounds of Delphi consultation to determine the dimensions, items and corresponding weights of the assessment questionnaire.  Results  The response rates from two rounds of consultation were 95.0% and 100.0% respectively, the opinion submission rates were 89.5% and 63.2% respectively, and the authority coefficient (Cr) was 0.87. An assessment questionnaire was finally designed, consisting in 44 items and four dimensions, namely screen use type and time, screen use related health behaviors, safety and civilization in screen use, and reasonable arrangement of screen and non-screen activities. The coefficient of variation(CV) of each item ranged from 0.00 to 0.19, and the Kendall's W increased from 0.22 to 0.34(P < 0.01). Expert opinions were in agreement and credible.  Conclusion  The designed assessment questionnaire can be used to comprehensively evaluate screen-based behavior among primary and middle school students, and provides a basis for subsequent intervention measures to improve screen-based behavior among this population.
  • loading
  • [1]
    PARDHAN S, PARKIN J, TROTT M, et al. Risks of digital screen time and recommendations for mitigating adverse outcomes in children and adolescents[J]. J Sch Health, 2022, 92(8): 765-773. doi: 10.1111/josh.13170
    [2]
    REID C Y, RADESKY J, CHRISTAKIS D, et al. Children and adolescents and digital media[J]. Pediatrics, 2016, 138(5): e20162593.
    [3]
    展恩燕, 张铭鑫, 乔凤杰, 等. 国外关于减少儿童青少年屏幕时间的措施及启示[J]. 中国健康教育, 2020, 36(7): 635-638. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202007012.htm

    ZHAN E Y, ZHANG M X, QIAO F J, et al. Review on measurements for reducing screen time among children and adolescents from abroad[J]. Chin J Health Educ, 2020, 36(7): 635-638. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202007012.htm
    [4]
    中华人民共和国教育部等八部门关于印发《综合防控儿童青少年近视实施方案》的通知[EB/OL]. (2018-08-30)[2023-05-29]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/201808/t20180830_346672.html.

    Ministry of Education of the PRC and other seven departments have issued Implementation Plan for Comprehensive Prevention and Control of Myopia in Children and Adolescents[EB/OL]. (2018-08-30)[2023-05-29]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/201808/t20180830_346672.html. (in Chinese)
    [5]
    中华人民共和国国家卫生健康委员会办公厅关于印发《儿童青少年近视防控适宜技术指南》的通知[EB/OL]. (2019-10-14)[2023-05-29]. http://www.nhc.gov.cn/jkj/s5898bm/201910/c475e0bd2de444379402f157523f03fe.shtml.

    Notice of the General Office of the National Health Commission of the PRC on issuing Appropriate Technical Guidelines for the Prevention and Control of Myopia in Children and Adolescents[EB/OL]. (2019-10-14)[2023-05-29]. http://www.nhc.gov.cn/jkj/s5898bm/201910/c475e0bd2de444379402f157523f03fe.shtml. (in Chinese)
    [6]
    中华人民共和国疾病预防控制局. 儿童青少年新冠肺炎疫情期间近视预防指引(更新版)[EB/OL]. (2020-04-26)[2023-05-29]. http://www.nhc.gov.cn/jkj/s5899tg/202004/8258621038d346659a64c69b06f46405.shtml.

    Bureau of Disease Prevention and Control of the PRC. Guidelines on prevention of myopia in children and adolescents during the COVID-19 pandemic(updated version)[EB/OL]. (2020-04-26)[2023-05-29]. http://www.nhc.gov.cn/jkj/s5899tg/202004/8258621038d346659a64c69b06f46405.shtml. (in Chinese)
    [7]
    HARDY L L, BOOTH M L, OKELY A D. The reliability of the Adolescent Sedentary Activity Questionnaire(ASAQ)[J]. Prev Med, 2007, 45(1): 71-74. doi: 10.1016/j.ypmed.2007.03.014
    [8]
    CABANAS-SANCHEZ V, MARTINEZ-GOMEZ D, ESTEBAN-CORNEJO I, et al. Reliability and validity of the Youth Leisure-time Sedentary Behavior Questionnaire(YLSBQ)[J]. J Sci Med Sport, 2018, 21(1): 69-74. doi: 10.1016/j.jsams.2017.10.031
    [9]
    KNEBEL M, DA C B, DOS S P, et al. The conception, content validation, and test-retest reliability of the Questionnaire for Screen Time of Adolescents(QueST)[J]. J Pediatr(Rio J), 2022, 98(2): 175-182. doi: 10.1016/j.jped.2021.05.004
    [10]
    KLAKK H, WESTER C T, OLESEN L G, et al. The development of a questionnaire to assess leisure time screen-based media use and its proximal correlates in children(SCREENS-Q)[J]. BMC Public Health, 2020, 20(1): 664. doi: 10.1186/s12889-020-08810-6
    [11]
    BULL F C, AL-ANSARI S S, BIDDLE S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour[J]. Br J Sports Med, 2020, 54(24): 1451-1462. doi: 10.1136/bjsports-2020-102955
    [12]
    MORENO M A, BINGER K S, ZHAO Q, et al. Effect of a family media use plan on media rule engagement among adolescents: a randomized clinical trial[J]. JAMA Pediatr, 2021, 175(4): 351-358. doi: 10.1001/jamapediatrics.2020.5629
    [13]
    LISSAK G. Adverse physiological and psychological effects of screen time on children and adolescents: literature review and case study[J]. Environ Res, 2018, 164: 149-157. doi: 10.1016/j.envres.2018.01.015
    [14]
    李欣宇, 邵海妍, 祖平, 等. 基于德尔菲法构建上海市区级疾病预防控制机构建设发展指标体系[J/OL]. 上海预防医学, 2023, 35: 1-17[2023-05-23]. https://kns.cnki.net/kcms2/article/abstract?v=3uoqIhG8C45S0n9fL2suRadTyEVl2pW9UrhTDCdPD65F3zvuSRmFBad4hG6CX-xpL4Jzyu89psVvXoIHXFPlkGwJtiLN_49x&uniplatform=NZKPT.

    LI X Y, SHAO H Y, ZU P, et al. Developing a development index system of Shanghai district-level disease prevention and control institutions using the Delphimethod[J/OL]. Shanghai J Prev Med, 2023, 35: 1-17[2023-05-23]. https://kns.cnki.net/kcms2/article/abstract?v=3uoqIhG8C45S0n9fL2suRadTyEVl2pW9UrhTDCdPD65F3zvuSRmFBad4hG6CX-xpL4Jzyu89psVvXoIHXFPlkGwJtiLN_49x&uniplatform=NZKPT. (in Chinese)
    [15]
    FANG K, MU M, LIU K, et al. Screen time and childhood overweight/obesity: a systematic review and Meta-analysis[J]. Child Care Health Dev, 2019, 45(5): 744-753. doi: 10.1111/cch.12701
    [16]
    KANDOLA A, OWEN N, DUNSTAN D W, et al. Prospective relationships of adolescents' screen-based sedentary behaviour with depressive symptoms: the Millennium Cohort Study[J]. Psychol Med, 2021: 1-9. DOI: 10.1017/S0033291721000258.
    [17]
    张雅萍, 王丽娟, 张卿, 等. 上海市某社区小学生近视状况及相关因素分析[J]. 上海预防医学, 2022, 34(1): 63-65. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI202201013.htm

    ZHANG Y P, WANG L J, ZHANG Q, et al. The prevalence of myopic refractive error and its association risk factors among primary school students in a commuunity in Shanghai[J] Shanghai J Prev, 2022, 34(1): 63-65. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI202201013.htm
    [18]
    何鲜桂, 潘臣炜. 儿童青少年近视防控需要更高质量的研究证据[J]. 中国学校卫生, 2021, 42(2): 161-164. doi: 10.16835/j.cnki.1000-9817.2021.02.001

    HE X G, PAN C W. Higher quality research evidence is needed in the prevention and control of myopia in children and adolescents[J]. Chin J Sch Health, 2021, 42(2): 161-164. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.02.001
    [19]
    NCD Risk Factor Collaboration(NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2 16 population-based measurement studies in 128.9 million children, adolescents, and adults[J]. Lancet, 2017, 390(10113): 2627-2642. doi: 10.1016/S0140-6736(17)32129-3
    [20]
    董晓莲, 江弋舟, 张艺璇, 等. 青少年游戏成瘾对健康的危害[J]. 上海预防医学, 2022, 34(5): 504-508. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI202205021.htm

    DONG X L, JIANG Y Z, ZHANG Y X, et al. Hazards of game addiction to health in adolescents[J]. Shanghai J Prev, 2022, 34(5): 504-508. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI202205021.htm
    [21]
    WANG C W, HO R T, CHAN C L, et al. Exploring personality characteristics of Chinese adolescents with Internet-related addictive behaviors: trait differences for gaming addiction and social networking addiction[J]. Addict Behav, 2015, 42: 32-35. doi: 10.1016/j.addbeh.2014.10.039
    [22]
    严琼, 杨妍婷, 祁月, 等. 上海市2004-2019年青少年网络成瘾变化趋势[J]. 中国学校卫生, 2022, 43(8): 1193-1197. doi: 10.16835/j.cnki.1000-9817.2022.08.017

    YAN Q, YANG Y T, QI Y, et al. Trends in the prevalence of Internet addiction among adolescents from 2004 to 2019 in Shanghai[J]. Chin J Sch Health, 2022, 43(8): 1193-1197. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.08.017
    [23]
    蒋炫励, 王晓宇, 顾嘉昌, 等. 中学生遭受网络欺凌现状及相关因素分析[J]. 中国学校卫生, 2023, 44(3): 398-402. doi: 10.16835/j.cnki.1000-9817.2023.03.018

    JIANG X L, WANG X Y, GU J C, et al. Cyberbullying and associated factors among middle school students[J]. Chin J Sch Health, 2023, 44(3): 398-402. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.03.018
    [24]
    张云婷, 马生霞, 陈畅, 等. 中国儿童青少年身体活动指南[J]. 中国循证儿科杂志, 2017, 12(6): 401-409. https://www.cnki.com.cn/Article/CJFDTOTAL-XZEK201706001.htm

    ZHANG Y T, MA S X, CHEN C, et al. Physical activity guidelines for children and adolescents in China[J]. Chin J Evid-Based Pediatr, 2017, 12(6): 401-409. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XZEK201706001.htm
    [25]
    中华人民共和国国家卫生健康委员会. 健康中国行动(2019-2030年)[EB/OL]. (2019-07-15)[2023-05-29]. https://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.

    National Health Commission of the PRC. Healthy China Action(2019-2030)[EB/OL]. (2019-07-15)[2023-05-29]. https://www.gov.cn/xinwen/2019-07/15/content_5409694.htm. (in Chinese)
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(2)

    Article Metrics

    Article views (250) PDF downloads(48) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return