{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T09:13:17Z","timestamp":1768641197070,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"vor","delay-in-days":101,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004515","name":"Universiti Kebangsaan Malaysia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004515","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Studies suggest excessive screen time (use of smartphones, televisions, computers and\/or video games) is linked to speech and language delay. This study explored the sociodemographic characteristics of children with speech delay in Kuantan, Malaysia, and the association of screen time with speech and other developmental delays.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study was conducted between July and November 2019 at the child psychiatry and speech therapy clinics, at Kuantan Hospital, Pahang, Malaysia. Parents of children with speech delay aged &lt;72\u2009months provided information on their children's and their own screen times. Speech and other developmental skills were assessed using the Schedule of Growing Skills II with scores reported as developmental quotient (DQ) level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 91 children (67 boys, 24 girls) of whom 54.9% had primary speech delay and 45.1% had neurodevelopmental disorders; their mean age was 39.9 \u00b1 11.52\u2009months. The children's mean screen time was 2.26 \u00b1 1.98\u2009h daily, with 36.3% exceeding 2\u2009h. Higher children's screen time was moderately correlated with higher parental screen time <jats:italic>(r<jats:sub>s<\/jats:sub><\/jats:italic> = 0.479, <jats:italic>P<\/jats:italic> &lt; 0.01). Household income was positively correlated with screen times of the children and the parents (<jats:italic>r<\/jats:italic><jats:sub>s<\/jats:sub> = 0.243, <jats:italic>P<\/jats:italic> = 0.02 and <jats:italic>r<\/jats:italic><jats:sub>s<\/jats:sub> = 0.390, <jats:italic>p<\/jats:italic> &lt; 0.01, respectively). Parents who intended to reduce their children's screen time reported higher screen time in their children (<jats:italic>t<\/jats:italic>(89) = 2.322, <jats:italic>P<\/jats:italic> = 0.023). Children's age was positively correlated with the number of types of screen media (<jats:italic>r<\/jats:italic><jats:sub>s<\/jats:sub> = 0.225, <jats:italic>P<\/jats:italic> = 0.032). The mean speech DQ was 54.76 \u00b1 24.06%. Lower speech DQ was associated with lower DQs in other skills (<jats:italic>P<\/jats:italic> &lt; 0.01). No significant correlation was shown between children's and parents' screen time with DQs of speech and other skills (<jats:italic>P<\/jats:italic> &gt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The correlation between parent and child screen time provides an opportunity for possible intervention, where necessary. Larger studies are required to examine this correlation further.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.15105","type":"journal-article","created":{"date-parts":[[2021,12,25]],"date-time":"2021-12-25T11:38:45Z","timestamp":1640432325000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Screen time of children with speech delay: a cross\u2010sectional study in a tertiary center in Kuantan, Malaysia"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2820-5986","authenticated-orcid":false,"given":"Wei Wei","family":"Chong","sequence":"first","affiliation":[{"name":"Department of Psychiatry Faculty of Medicine Universiti Kebangsaan Malaysia Medical Centre Kuala Lumpur Malaysia"},{"name":"Department of Psychiatry and Mental Health Hospital Tengku Ampuan Afzan Kuantan Pahang Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8296-3318","authenticated-orcid":false,"given":"Fairuz Nazri","family":"Abd Rahman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Faculty of Medicine Universiti Kebangsaan Malaysia Medical Centre Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noorul Amilin","family":"Harun","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Mental Health Hospital Tengku Ampuan Afzan Kuantan Pahang Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-10-102"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-2591"},{"key":"e_1_2_9_4_1","volume-title":"American Academy of Pediatrics Announces New Recommendations for Children\u2019s Media Use","author":"American Academy of Pediatrics"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012342"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1010539516638155"},{"issue":"4","key":"e_1_2_9_7_1","first-page":"29","article-title":"Electronic screen time of two\u2010year\u2010old children in Malaysia","volume":"16","author":"Suria J","year":"2016","journal-title":"Malaysian J. 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