Date of Publication


Project Team

Rebecca Nagle, DNP, APRN, PNP Jean Pelski, Ph.D., APRN, NNP-BC



Currently in the United States, 56.1% of preschoolers use over one hour a day screen time, exceeding time recommendations set by the American Academy of Pediatrics (AAP) (Healthy People 2030, 2020). Excess screen use by preschoolers is detrimental to development, behavior, and increases the risk for obesity. The Family Media Plan (FMP) is an evidenced-based intervention developed by the AAP to reduce screen time use in pediatrics (Reid Chassiakos et al., 2016).


To address preschoolers at risk for the overuse of screen time, this quality improvement project aimed to increase evidenced-based intervention for those ages 2-5 years old who use more than one hour a day of screen time.


At a pediatric clinic in New England, a standard intervention process for the introduction of the FMP was piloted for 2–5-year-olds. A one-page handout of the FMP was developed for providers and families to initiate the plan at well-child visits. Providers were surveyed before and after the intervention trial to evaluate provider practice in addressing screen time in preschoolers and to assess approval of the intervention.


Prior to the implementation of the Family Media Plan intervention, no participating providers used an intervention to address screen time use in the preschooler population. After the intervention period, 80% of providers used the FMP intervention and planned to continue to use it in future practice.


The FMP intervention is appropriate for use in primary care setting to address the overuse of screen time in the preschool population

Document Type