PEDIATRICS · 2026 · 16 citations · 86 references
MedicineChild HealthPediatricsChild DevelopmentDevelopmental-behavioral PediatricsPediatric CareChild Development PolicyDigital EcosystemsDigital InclusionDigital MediaNew MediaSocial MediaChild Developmental NeedsChildren's Media PolicyChildren's Media UseDigital Inclusion For ChildrenDigital Media PolicySocioecological Models
Digital media, including television, the internet, social media, video games, and interactive assistants, form the digital ecosystem. When this digital ecosystem is designed with children's unique developmental needs in mind, it can support learning and well-being. In contrast, digital ecosystems that prioritize engagement and commercialization often encourage prolonged use, which in turn can displace healthy behaviors (eg, movement behaviors, sleep), and contribute to negative outcomes. This policy statement follows the conceptual framework of the socioecological model, depicting nested circles of care including: children's own characteristics, their caregivers, the digital ecosystem, as well as broader societal systems. Given the interconnected nature of these influences and systems, "media and children" cannot be viewed solely through the lens of individual child behaviors or screen limits alone. Recommendations are provided for families, pediatric providers, practitioners (eg, psychologists, social workers, counselors, educators, researchers), industry, and policy makers, aiming to provide strengths-based solutions and promote a more child-centered digital ecosystem.
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The Lifelong Effects of Early Childhood Adversity and Toxic Stress
Jack P. Shonkoff, Andrew S. Garner, Ben Siegel et al. · PEDIATRICS · 2011 · 5K citations
A behavior model for persuasive design
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Social Sciences, Design, Psychology +11
Adolescence and the social determinants of health
Russell Viner, Elizabeth M. Ozer, Simon Denny et al. · The Lancet · 2012 · 2.2K citations
Public Health, Human Development, Adolescent Development +11