This Study Explores How Young Children Aged 3 to 5 Use Interactive Electronic DevicesiKidsNCT07373483
Observing 3-5 Year Old Children's Use of Interactive Electronic Devices (IED) in the Family Home to Understand the Context These Devices Are Being Used in, Exploring Whether Socioeconomic Factors or Parent's Own Use of Such Devices Influence the Child's IED Usage.
An observational study of This Study Explores How Young Children Aged 3 to 5 Use Interactive Electronic Devices, run by Sheffield Hallam University at 1 site in United Kingdom.
Trial summary
This study aims to explore the context of how children aged 3-5 use interactive electronic devices like tablets or smartphones in their everyday home environment. The researchers will look at the social, family, and environmental factors that shape this use. Read more about this study
- Who is it for?
- Ages 3 to 5 yearsHealthy volunteers can take part
- Conditions the study is for
- This Study Explores How Young Children Aged 3 to 5 Use Interactive Electronic Devices
- How many people
- 20 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 17 Nov 2025to 31 Dec 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 3 to 5 years
- All sexes
- Healthy volunteers accepted
- Child
Study population: 3-5 year old children, living in Yorkshire, UK, who currently uses an interactive electronic device while at home, without a diagnosed behavioural or cognitive condition.
Who may be able to join
- Children between 3 and 5 years old
- Children who use an interactive electronic device
- Children who have received parent/carer consent for participation and provided verbal assent
Who cannot join
- Children whose parents do not speak and/or understand English
- Children who have been clinically diagnosed with a developmental disorder by a medical professional prior to either baseline or follow-up assessments
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Liane Beretta de Azevedo, PhD contact
United Kingdom1 site, 1 recruiting
- Recruiting
Sheffield Hallam University
Sheffield, S1 1WB
Eleanor Craig, PhD, +44 7765830197, Eleanor.Craig@shu.ac.uk
About this study
Official title: Interactive Electronic Devices (IEDs) in the Home: Exploring How Young Children Use IEDs in the Family Home Setting
This study aims to explore the context of how children aged 3-5 use interactive electronic devices like tablets or smartphones in their everyday home environment. The researchers will look at the social, family, and environmental factors that shape this use.
This study will use a qualitative ethnographic approach to explore how young children aged 3-5 use interactive electronic devices (IEDs) in the home. Data will be collected through questionnaires, exploring parent and child IED use, and video recordings of children in their natural home environment over one week, with three recording sessions of approximately four hours each. Following the recording period, selected clips will be reviewed with parents during a semi-structured interview to reflect on behaviours, routines, and context.
Read more
These videos will help capture not just what children do, but also how they interact with others while using the devices - like gestures, facial expressions, and conversations. The researchers will process the data and extract some video clips. These clips will be used to discuss with parents what they saw in the videos during 60-90-minute interviews to get their insights and giving us a deeper understanding of the child's behaviour and communication.
Data analysis will involve inductive thematic analysis of interview transcripts to identify patterns and themes in parental reflections and experiences. To support and accelerate this process, video analysis will be used to extract key moments and behaviours from the recordings, helping to contextualise and enrich the thematic findings. This combined approach will allow for a deep understanding of the social and environmental factors shaping children's technology use.
The study will include families from a range of socioeconomic backgrounds, with children aged 3-5 years of age. Participants will be recruited through early years settings, as well as via flyers distributed across family hubs, community centres, libraries and on social media throughout Yorkshire.
Read the detailed description
Background:
Interactive electronic devices (IEDs), which the researchers define as any portable screen, such as tablets or mobile phones, are ubiquitous in young children's lives, with 90% of children aged 3-4 years going online. National and international guidelines report a lack of understanding around the family circumstances of when young children are using such devices, limiting recommendations. Few studies have focused on how and when young children use IEDs, and fewer still explore the socioeconomic relationship and IED use of children (Arabiat et al., 2023; Radesky et al., 2020). In conversations with early years practitioners, parents and policymakers, they recognise IEDs as a valuable resource for early years learning, observing how most families from all backgrounds now allow their children to use IEDs (Azevedo et al., 2025). However, what is unknown is how children and their parents are using IEDs and whether there is an observable difference or indeed what circumstances increase or reduce IED usage.
Few studies have examined the experience of young children engaging in screen-based activities.
Studies found that parents advise children to use devices for multiple purposes, such as education and distraction, particularly when parents need to do household chores (Bentley et al., 2016). Studies have also reported contrasting views on the need to establish rules, while many agreed that mobile devices are an unavoidable part of modern life (Kabali et al., 2015).
However, to date, the researchers are unaware of any study that has observed children in their home environment to better understand their behaviours and interactions with mobile devices.
Research Aim:
This study aims to explore how young children (aged 3-5) use interactive electronic devices like tablets or smartphones in their everyday home environment. The researchers will look at the social, family, and environmental factors that shape this use.
Main research question: What is the context and nature of interactions in which children use IEDs in their home environment?
- How do young children aged 3-5 use interactive electronic devices within the routines and relationships of their family home?
- In what ways do family structure, financial circumstances, and cultural background influence the nature and context of children's IED use?
- How do parents perceive the role of IED in supporting or challenging their caregiving practices, including supervision, learning, and daily household management?
Methods:
This ethnographic study will adopt a qualitative and pragmatic approach (Morgan, 2014), to explore the social, familial and environmental contexts in which young children use interactive electronic devices (IEDs) at home.
The researchers will employ video-reflexive ethnography (VRE), which combines video ethnography - capturing routine behaviours and interactions of children using IEDs in the home - with video-reflexivity, involving interviews with parents to reflect on these behaviours (Korstjens et al., 2021). Video recordings will provide rich data on children's practices and behaviours related to IED use (Manojlovich et al., 2019), offering access to verbal and non-verbal communication (Risley and Hart, 1968) and insights into the interplay of multiple communication channels (Heath et al., 2007). Engaging parents/carers in interpreting these observations will enhance the visibility of these interactions and allow reflection on the child's lived experiences (Gordon et al., 2017).
Participants and Recruitment:
Eligible families must have a child aged 3-5 years with no diagnosed developmental disorders. The study will be promoted using posters placed in family-oriented locations such as libraries, community centres, family hubs, and leisure centres. To ensure socioeconomic diversity, nurseries, family hubs, and community centres will be selected from areas in both the highest and lowest IMD quintiles in the West Yorkshire region. The researchers aim to recruit 20 parents/carers - 10 from low-income areas and 10 from high-income areas.
Families will be provided with contact details for the lead researcher and reassured that they may withdraw from the study at any time. This process prioritises openness, trust, and informed consent.
As this study is part of a wider NIHR -funded research project, the researchers will use the contacts established with different stakeholders (Local Authorities, Early Years Settings) and participants to advertise and recruit participants.
Parents/carers of children aged 3-5 are directed to a weblink where they can read more about the study and express interest to meet the researcher and learn more about the study. Parents/carers will be offered to meet ahead of agreeing to partake in the research and given the opportunity to ask any questions they have, learn more about the research project, and meet the researcher who will be coming into their home to place the cameras and interview them.
A recent systematic review (Hennink \& Kaiser, 2022) suggests that 9-17 interviews are sufficient for relatively homogeneous populations, although some argue that sample size should be determined during analysis. Taking a pragmatic approach, the researchers believe this sample size will allow us to reach thematic saturation.
To better understand participant demographics, the researchers will collect data on age, gender, ethnicity, marital status, parenthood, and years of education as well as additional demographic information - such as family structure, cultural background, and financial and educational context. The questionnaire will also ask about the child's and parent's own use of interactive electronic devices by using the screen Q and SAS-SV questionnaires. A combined version of these questionnaires will be sent to parents before the camera is placed in their home. The answers to the questionnaire will guide the interview questions and prompt conversation around the observations from the video and sound recordings.
Data Collection, Processing, and Analysis:
Video recording within the home environment presents several challenges, including its resource-intensive nature, potential influence on participant behaviour (Asan and Montague, 2014), and concerns around privacy (Everri et al., 2020). To address these issues thoughtfully and ethically, the researchers will begin with family engagement meetings, where they will discuss key topics such as participant rights, data anonymisation, privacy protection, and the intended use of recorded material.
Recognising the sensitive nature of placing a camera in the family home, the researchers will also offer families the opportunity for individual follow-up meetings after the group engagement sessions. These one-to-one conversations - held in a location of the participant's choosing, such as a local café or community space - are intended to foster trust and build rapport between researchers and families. By creating a more informal and personalised setting, the researchers hope to support open dialogue and ensure families feel comfortable and confident in their participation.
A video camera will be placed in a communal room (e.g., a sitting room) within the family home for a period of seven days. However, to minimise self-consciousness and reduce the impact of observation on behaviour, recording will only take place during the final three days - ideally, over two weekdays and one weekend day. Parents and carers will be actively involved in determining the most appropriate location for the camera, ensuring it is placed in a space where the child spends time and feels comfortable.
To maintain flexibility and reduce intrusiveness, the family will have the ability to turn the camera on and off or cover the camera lens. If any footage is captured that parents feel is inappropriate or outside the scope of the study, they may request its removal. To facilitate this, families will be provided with a diary and a deletion request form. These tools will allow parents to note specific times and dates they wish to exclude from the final dataset - for example, if the camera was left on after the child stopped using the IED. Alternatively, requests can be submitted during the data processing stage, and the relevant clips will be removed without being viewed.
During data processing, a member of the research team will review all footage and automatically delete any segments where the child is not present. This approach ensures that only relevant interactions are retained and respects the privacy and autonomy of participating families.
Interview transcripts and video data will be anonymised during analysis, with names and other identifying details removed or replaced with pseudonyms. Only the research team at Sheffield Hallam University will have access to identifiable data.
All data will be stored securely on encrypted devices and institutional servers, in accordance with the Data Protection Act (2018). Anonymised data will be archived in the Sheffield Hallam Research Data Archive for up to 10 years following the last third-party access request. Paper documents will be stored in locked cabinets and securely disposed of at the end of the retention period. Participants may withdraw at any time, and their data can be removed up until June 2026.
From the recordings, the researchers will select up to ten 3-minute clips featuring the child interacting with IEDs and family or friends. The PI and RF will review these clips, asking "What is 'this' an example of?" and use open coding to develop themes (Khandkar, 2009). A subsample size of 20% of the video footage will be reviewed by two other members of the research team, offering opportunity for agreement on what the researchers are looking before moving on to the full sample. Rather than simply describing events, researchers will interpret the meaning behind them (Goldman, 2014).
These clips will be shown to parents/carers during reflective semi-structured interviews, allowing them to share their interpretations. Interviews will follow a guide with open-ended questions, informed by the completed questionnaire, using reflective listening. To promote reflexivity, the researchers will pause the video at key moments and ask interview questions.
Each interview will last approximately 60-90 minutes, be digitally recorded with consent, and transcribed verbatim. Identifiable information will be removed, and pseudonyms assigned to ensure confidentiality. Transcripts will be imported into Nvivo 12 for analysis.
The researchers will use inductive thematic analysis to interpret the data (Clarke et al., 2015), acknowledging that researchers' prior knowledge may influence theme development (Maggs-Rapport, 2000). To mitigate this, four members of the research team will review at least 20% of the same videos before coming to an agreement of what to measure and the PI and RF will then independently conduct the analysis over the rest of the videoclips and then will convene to discuss emerging themes. The researchers will include extensive participant quotations to support transparency and allow readers to interpret the findings (Eldh et al., 2020).
Data from both the video ethnography and the video-reflexivity interviews will be integrated to provide a rich, contextual understanding of how young children engage with interactive electronic devices (IEDs) and how parents/carers interpret and respond to this use. The video ethnography will offer direct observational insights into children's behaviours, interactions, and environments, while the reflexive interviews will add depth by capturing parental perspectives, contextual explanations, and emotional responses to the footage.
To ensure transparency and rigour in reporting, the researchers will explicitly describe how these two data sources are merged during the analysis phase. This will include outlining the process of cross-referencing coded video segments with interview transcripts, identifying converging and diverging themes, and explaining how parental interpretations either reinforce or challenge the observational data. This triangulation will strengthen the validity of our findings and allow us to explore the interplay between observed behaviour and parental meaning-making (Skivington et al., 2021).
In the researchers final reporting, they will include a dedicated section detailing the data integration strategy, including examples of how specific video observations were interpreted and expanded upon through parental interviews. This will help readers understand the analytical process and the rationale behind theme development, ensuring clarity and coherence in how the findings are presented.
- Keywords
- Early Years, Mobile Devices, Socioeconomic Development, Home Context
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Study Population: Children aged 3-5 years old | We will be recruiting participants who are 3-5 years of age and use interactive electronic devices and who have not been clinically diagnosed with a developmental disorder by a medical professional. | |
| Study Population: Parent of children aged 3-5 years involved in the study | We will interview a parent or carer of the 3-5 year old children involved in the study to gain insights from the video recordings taken of their children using interactive electronic devices in the family home. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Ethnographic Observation of Children's use of Interactive Electronic Devices
Parents' perceptions and attitudes toward their child's use of interactive electronic devices (IEDs) will be assessed through semi-structured interviews. These interviews will explore parents' views on the appropriateness, benefits, and potential risks of IED usage, as well as their beliefs about the circumstances under which their child engages with these devices. Responses will provide qualitative insights into parental attitudes and perceived influences on Early Years children's technology use.
Measured: Through study completion, an average of 6 months.
Video Observation
Video observations made by the researchers will help to provide understanding on how and why the phenomena (child's use of interactive electronic device) occur. Three four hour clips will be selected to analyse for themes and repeated behaviours during the child's device use.
Measured: During analysis of video footage (first 3 weeks of participation).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jan 2026
- Study start17 Nov 2025
- Primary completion31 Jul 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (19)Papers the sponsor has linked to this study.
- Other trials for This Study Explores How Young Children Aged 3 to 5 Use Interactive Electronic DevicesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Family based
- Time perspective
- Cross-sectional
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sheffield Hallam University
- Sponsor type
- University, hospital or other
- Collaborators
- University of Chester
- Responsible party
- Sponsor
- Investigators
- Eleanor Craig, PhD, Principal investigator, Sheffield Hallam UniversityLiane Beretta de Azevedo, Study chair, Sheffield Hallam University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07373483
- Sponsor's protocol ID
- AA63081485
- Other IDs
- NIHR159040
- Acronym
- iKids
- Status last verified
- Jan 2026
- First submitted
- 5 Dec 2025
- Last updated
- 28 Jan 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Data will be shared via a repository, and requests can be made directly to the Sheffield Hallam Research Data Archive (SHURDA), email address: library-research-support@shu.ac.uk. If data is requested during the project period, a data-sharing agreement will be issued between Sheffield Hallam University and the data requester. In this case, data sharing will be restricted to ensure it does not impact the research team's publication plan. Fully anonymised data will be stored in SHURDA and be retained for 10 years from the last time a third party requested access.
Publications
Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Soc Sci Med. 2022 Jan;292:114523. doi: 10.1016/j.socscimed.2021.114523. Epub 2021 Nov 2.
PubMed 34785096Azevedo LB, Downes M, Eastburn S, Covell J, Bissell P. Early Years Practitioners' and Public Health Consultants' Perspectives on the Use of Interactive Electronic Devices in Young Children: A Qualitative Study. Child Care Health Dev. 2025 Jan;51(1):e70022. doi: 10.1111/cch.70022.
PubMed 39800360Bentley GF, Turner KM, Jago R. Mothers' views of their preschool child's screen-viewing behaviour: a qualitative study. BMC Public Health. 2016 Aug 4;16:718. doi: 10.1186/s12889-016-3440-z.
PubMed 27492488Clarke, V., Braun, V. and Hayfield, N. (2015) 'Thematic analysis', in Smith, J.A. (ed.) Qualitative Psychology: A Practical Guide to Research Methods. 3rd edn. London: Sage, pp. 222-248.
Eldh, A.C., Årestedt, L. and Berterö, C. (2020) 'Quotations in qualitative studies: reflections on constituents, custom, and purpose', International Journal of Qualitative Methods, 19, pp. 1-8. doi:10.1177/1609406920969268.
Everri, M., Heitmayer, M., Yamin-Slotkus, P. and Lahlou, S. (2020) 'Ethical challenges of using video for qualitative research and ethnography', in Challenges and Solutions in Ethnographic Research. Abingdon: Routledge, pp. 68-83.
Goldman, R. (2014) 'Video representations and the perspectivity framework: Epistemology, ethnography, evaluation, and ethics', in Goldman, R., Pea, R., Barron, B. and Derry, S. (eds.) Video Research in the Learning Sciences. Abingdon: Routledge, pp. 3-37.
Heath C, Luff P, Svensson MS. Video and qualitative research: analysing medical practice and interaction. Med Educ. 2007 Jan;41(1):109-16. doi: 10.1111/j.1365-2929.2006.02641.x.
PubMed 17209899Kabali HK, Irigoyen MM, Nunez-Davis R, Budacki JG, Mohanty SH, Leister KP, Bonner RL Jr. Exposure and Use of Mobile Media Devices by Young Children. Pediatrics. 2015 Dec;136(6):1044-50. doi: 10.1542/peds.2015-2151. Epub 2015 Nov 2.
PubMed 26527548Khandkar, S.H. (2009) Open coding. University of Calgary. Available at: https://studylib.net/doc/18074044/open-coding---university-of-calgary (Accessed: 25.11.25).
Korstjens I, Mesman J, van Helmond I, de Vries R, Nieuwenhuijze M. The paradoxes of communication and collaboration in maternity care: A video-reflexivity study with professionals and parents. Women Birth. 2021 Mar;34(2):145-153. doi: 10.1016/j.wombi.2020.01.014. Epub 2020 Feb 13.
PubMed 32063528Maggs-Rapport F. Combining methodological approaches in research: ethnography and interpretive phenomenology. J Adv Nurs. 2000 Jan;31(1):219-25. doi: 10.1046/j.1365-2648.2000.01243.x.
PubMed 10632812Manojlovich M, Frankel RM, Harrod M, Heshmati A, Hofer T, Umberfield E, Krein S. Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2019 Feb;28(2):160-166. doi: 10.1136/bmjqs-2017-007728. Epub 2018 Jul 14.
PubMed 30007915Skivington K, Matthews L, Simpson SA, Craig P, Baird J, Blazeby JM, Boyd KA, Craig N, French DP, McIntosh E, Petticrew M, Rycroft-Malone J, White M, Moore L. A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. BMJ. 2021 Sep 30;374:n2061. doi: 10.1136/bmj.n2061.
PubMed 34593508Risley TR, Hart B. Developing correspondence between the non-verbal and verbal behavior of preschool children. J Appl Behav Anal. 1968 Winter;1(4):267-81. doi: 10.1901/jaba.1968.1-267.
PubMed 16795186
Study at a glance
From the registry record, last updated by the sponsor on 28 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Interactive Electronic Devices (IEDs) in the Home: Exploring How Young Children Use IEDs in the Family Home Setting
- ClinicalTrials.gov ID
- NCT07373483
- Acronym / sponsor ID
- iKids / AA63081485
- Keywords
- Early Years, Mobile Devices, Socioeconomic Development, Home Context
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- Sheffield Hallam UniversityUniversity, hospital or other
- Collaborators
- University of Chester
- Study start
- 17 Nov 2025 (actual)
- Primary completion
- 31 Jul 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 28 Jan 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to explore the context of how children aged 3-5 use interactive electronic devices like tablets or smartphones in their everyday home environment. The researchers will look at the social, family, and environmental factors that shape this use.
This study will use a qualitative ethnographic approach to explore how young children aged 3-5 use interactive electronic devices (IEDs) in the home. Data will be collected through questionnaires, exploring parent and child IED use, and video recordings of children in their natural home environment over one week, with three recording sessions of approximately four hours each. Following the recording period, selected clips will be reviewed with parents during a semi-structured interview to reflect on behaviours, routines, and context.
These videos will help capture not just what children do, but also how they interact with others while using the devices - like gestures, facial expressions, and conversations. The researchers will process the data and extract some video clips. These clips will be used to discuss with parents what they saw in the videos during 60-90-minute interviews to get their insights and giving us a deeper understanding of the child's behaviour and communication.
Data analysis will involve inductive thematic analysis of interview transcripts to identify patterns and themes in parental reflections and experiences. To support and accelerate this process, video analysis will be used to extract key moments and behaviours from the recordings, helping to contextualise and enrich the thematic findings. This combined approach will allow for a deep understanding of the social and environmental factors shaping children's technology use.
The study will include families from a range of socioeconomic backgrounds, with children aged 3-5 years of age. Participants will be recruited through early years settings, as well as via flyers distributed across family hubs, community centres, libraries and on social media throughout Yorkshire.
Detailed description
Background:
Interactive electronic devices (IEDs), which the researchers define as any portable screen, such as tablets or mobile phones, are ubiquitous in young children's lives, with 90% of children aged 3-4 years going online. National and international guidelines report a lack of understanding around the family circumstances of when young children are using such devices, limiting recommendations. Few studies have focused on how and when young children use IEDs, and fewer still explore the socioeconomic relationship and IED use of children (Arabiat et al., 2023; Radesky et al., 2020). In conversations with early years practitioners, parents and policymakers, they recognise IEDs as a valuable resource for early years learning, observing how most families from all backgrounds now allow their children to use IEDs (Azevedo et al., 2025). However, what is unknown is how children and their parents are using IEDs and whether there is an observable difference or indeed what circumstances increase or reduce IED usage.
Few studies have examined the experience of young children engaging in screen-based activities.
Studies found that parents advise children to use devices for multiple purposes, such as education and distraction, particularly when parents need to do household chores (Bentley et al., 2016). Studies have also reported contrasting views on the need to establish rules, while many agreed that mobile devices are an unavoidable part of modern life (Kabali et al., 2015).
However, to date, the researchers are unaware of any study that has observed children in their home environment to better understand their behaviours and interactions with mobile devices.
Research Aim:
This study aims to explore how young children (aged 3-5) use interactive electronic devices like tablets or smartphones in their everyday home environment. The researchers will look at the social, family, and environmental factors that shape this use.
Main research question: What is the context and nature of interactions in which children use IEDs in their home environment?
- How do young children aged 3-5 use interactive electronic devices within the routines and relationships of their family home?
- In what ways do family structure, financial circumstances, and cultural background influence the nature and context of children's IED use?
- How do parents perceive the role of IED in supporting or challenging their caregiving practices, including supervision, learning, and daily household management?
Methods:
This ethnographic study will adopt a qualitative and pragmatic approach (Morgan, 2014), to explore the social, familial and environmental contexts in which young children use interactive electronic devices (IEDs) at home.
The researchers will employ video-reflexive ethnography (VRE), which combines video ethnography - capturing routine behaviours and interactions of children using IEDs in the home - with video-reflexivity, involving interviews with parents to reflect on these behaviours (Korstjens et al., 2021). Video recordings will provide rich data on children's practices and behaviours related to IED use (Manojlovich et al., 2019), offering access to verbal and non-verbal communication (Risley and Hart, 1968) and insights into the interplay of multiple communication channels (Heath et al., 2007). Engaging parents/carers in interpreting these observations will enhance the visibility of these interactions and allow reflection on the child's lived experiences (Gordon et al., 2017).
Participants and Recruitment:
Eligible families must have a child aged 3-5 years with no diagnosed developmental disorders. The study will be promoted using posters placed in family-oriented locations such as libraries, community centres, family hubs, and leisure centres. To ensure socioeconomic diversity, nurseries, family hubs, and community centres will be selected from areas in both the highest and lowest IMD quintiles in the West Yorkshire region. The researchers aim to recruit 20 parents/carers - 10 from low-income areas and 10 from high-income areas.
Families will be provided with contact details for the lead researcher and reassured that they may withdraw from the study at any time. This process prioritises openness, trust, and informed consent.
As this study is part of a wider NIHR -funded research project, the researchers will use the contacts established with different stakeholders (Local Authorities, Early Years Settings) and participants to advertise and recruit participants.
Parents/carers of children aged 3-5 are directed to a weblink where they can read more about the study and express interest to meet the researcher and learn more about the study. Parents/carers will be offered to meet ahead of agreeing to partake in the research and given the opportunity to ask any questions they have, learn more about the research project, and meet the researcher who will be coming into their home to place the cameras and interview them.
A recent systematic review (Hennink \& Kaiser, 2022) suggests that 9-17 interviews are sufficient for relatively homogeneous populations, although some argue that sample size should be determined during analysis. Taking a pragmatic approach, the researchers believe this sample size will allow us to reach thematic saturation.
To better understand participant demographics, the researchers will collect data on age, gender, ethnicity, marital status, parenthood, and years of education as well as additional demographic information - such as family structure, cultural background, and financial and educational context. The questionnaire will also ask about the child's and parent's own use of interactive electronic devices by using the screen Q and SAS-SV questionnaires. A combined version of these questionnaires will be sent to parents before the camera is placed in their home. The answers to the questionnaire will guide the interview questions and prompt conversation around the observations from the video and sound recordings.
Data Collection, Processing, and Analysis:
Video recording within the home environment presents several challenges, including its resource-intensive nature, potential influence on participant behaviour (Asan and Montague, 2014), and concerns around privacy (Everri et al., 2020). To address these issues thoughtfully and ethically, the researchers will begin with family engagement meetings, where they will discuss key topics such as participant rights, data anonymisation, privacy protection, and the intended use of recorded material.
Recognising the sensitive nature of placing a camera in the family home, the researchers will also offer families the opportunity for individual follow-up meetings after the group engagement sessions. These one-to-one conversations - held in a location of the participant's choosing, such as a local café or community space - are intended to foster trust and build rapport between researchers and families. By creating a more informal and personalised setting, the researchers hope to support open dialogue and ensure families feel comfortable and confident in their participation.
A video camera will be placed in a communal room (e.g., a sitting room) within the family home for a period of seven days. However, to minimise self-consciousness and reduce the impact of observation on behaviour, recording will only take place during the final three days - ideally, over two weekdays and one weekend day. Parents and carers will be actively involved in determining the most appropriate location for the camera, ensuring it is placed in a space where the child spends time and feels comfortable.
To maintain flexibility and reduce intrusiveness, the family will have the ability to turn the camera on and off or cover the camera lens. If any footage is captured that parents feel is inappropriate or outside the scope of the study, they may request its removal. To facilitate this, families will be provided with a diary and a deletion request form. These tools will allow parents to note specific times and dates they wish to exclude from the final dataset - for example, if the camera was left on after the child stopped using the IED. Alternatively, requests can be submitted during the data processing stage, and the relevant clips will be removed without being viewed.
During data processing, a member of the research team will review all footage and automatically delete any segments where the child is not present. This approach ensures that only relevant interactions are retained and respects the privacy and autonomy of participating families.
Interview transcripts and video data will be anonymised during analysis, with names and other identifying details removed or replaced with pseudonyms. Only the research team at Sheffield Hallam University will have access to identifiable data.
All data will be stored securely on encrypted devices and institutional servers, in accordance with the Data Protection Act (2018). Anonymised data will be archived in the Sheffield Hallam Research Data Archive for up to 10 years following the last third-party access request. Paper documents will be stored in locked cabinets and securely disposed of at the end of the retention period. Participants may withdraw at any time, and their data can be removed up until June 2026.
From the recordings, the researchers will select up to ten 3-minute clips featuring the child interacting with IEDs and family or friends. The PI and RF will review these clips, asking "What is 'this' an example of?" and use open coding to develop themes (Khandkar, 2009). A subsample size of 20% of the video footage will be reviewed by two other members of the research team, offering opportunity for agreement on what the researchers are looking before moving on to the full sample. Rather than simply describing events, researchers will interpret the meaning behind them (Goldman, 2014).
These clips will be shown to parents/carers during reflective semi-structured interviews, allowing them to share their interpretations. Interviews will follow a guide with open-ended questions, informed by the completed questionnaire, using reflective listening. To promote reflexivity, the researchers will pause the video at key moments and ask interview questions.
Each interview will last approximately 60-90 minutes, be digitally recorded with consent, and transcribed verbatim. Identifiable information will be removed, and pseudonyms assigned to ensure confidentiality. Transcripts will be imported into Nvivo 12 for analysis.
The researchers will use inductive thematic analysis to interpret the data (Clarke et al., 2015), acknowledging that researchers' prior knowledge may influence theme development (Maggs-Rapport, 2000). To mitigate this, four members of the research team will review at least 20% of the same videos before coming to an agreement of what to measure and the PI and RF will then independently conduct the analysis over the rest of the videoclips and then will convene to discuss emerging themes. The researchers will include extensive participant quotations to support transparency and allow readers to interpret the findings (Eldh et al., 2020).
Data from both the video ethnography and the video-reflexivity interviews will be integrated to provide a rich, contextual understanding of how young children engage with interactive electronic devices (IEDs) and how parents/carers interpret and respond to this use. The video ethnography will offer direct observational insights into children's behaviours, interactions, and environments, while the reflexive interviews will add depth by capturing parental perspectives, contextual explanations, and emotional responses to the footage.
To ensure transparency and rigour in reporting, the researchers will explicitly describe how these two data sources are merged during the analysis phase. This will include outlining the process of cross-referencing coded video segments with interview transcripts, identifying converging and diverging themes, and explaining how parental interpretations either reinforce or challenge the observational data. This triangulation will strengthen the validity of our findings and allow us to explore the interplay between observed behaviour and parental meaning-making (Skivington et al., 2021).
In the researchers final reporting, they will include a dedicated section detailing the data integration strategy, including examples of how specific video observations were interpreted and expanded upon through parental interviews. This will help readers understand the analytical process and the rationale behind theme development, ensuring clarity and coherence in how the findings are presented.
Study design
- Observational model
- Family based
- Time perspective
- Cross-sectional
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Study Population: Children aged 3-5 years old | – | –We will be recruiting participants who are 3-5 years of age and use interactive electronic devices and who have not been clinically diagnosed with a developmental disorder by a medical professional. |
| Study Population: Parent of children aged 3-5 years involved in the study | – | –We will interview a parent or carer of the 3-5 year old children involved in the study to gain insights from the video recordings taken of their children using interactive electronic devices in the family home. |
Who may qualify
- Ages
- 3 to 5 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
- Study population
- 3-5 year old children, living in Yorkshire, UK, who currently uses an interactive electronic device while at home, without a diagnosed behavioural or cognitive condition.
Key inclusion criteria (3 listed)
- Children between 3 and 5 years old
- Children who use an interactive electronic device
- Children who have received parent/carer consent for participation and provided verbal assent
Key exclusion criteria (2 listed)
- Children whose parents do not speak and/or understand English
- Children who have been clinically diagnosed with a developmental disorder by a medical professional prior to either baseline or follow-up assessments
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Ethnographic Observation of Children's use of Interactive Electronic Devices
Time frame: Through study completion, an average of 6 months.
Parents' perceptions and attitudes toward their child's use of interactive electronic devices (IEDs) will be assessed through semi-structured interviews. These interviews will explore parents' views on the appropriateness, benefits, and potential risks of IED usage, as well as their beliefs about the circumstances under which their child engages with these devices. Responses will provide qualitative insights into parental attitudes and perceived influences on Early Years children's technology use.
Video Observation
Time frame: During analysis of video footage (first 3 weeks of participation).
Video observations made by the researchers will help to provide understanding on how and why the phenomena (child's use of interactive electronic device) occur. Three four hour clips will be selected to analyse for themes and repeated behaviours during the child's device use.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jan 2026.
- Background: PubMed 34785096Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Soc Sci Med. 2022 Jan;292:114523. doi: 10.1016/j.socscimed.2021.114523. Epub 2021 Nov 2.
- Background: PubMed 39800360Azevedo LB, Downes M, Eastburn S, Covell J, Bissell P. Early Years Practitioners' and Public Health Consultants' Perspectives on the Use of Interactive Electronic Devices in Young Children: A Qualitative Study. Child Care Health Dev. 2025 Jan;51(1):e70022. doi: 10.1111/cch.70022.
- Background: PubMed 27492488Bentley GF, Turner KM, Jago R. Mothers' views of their preschool child's screen-viewing behaviour: a qualitative study. BMC Public Health. 2016 Aug 4;16:718. doi: 10.1186/s12889-016-3440-z.
- BackgroundClarke, V., Braun, V. and Hayfield, N. (2015) 'Thematic analysis', in Smith, J.A. (ed.) Qualitative Psychology: A Practical Guide to Research Methods. 3rd edn. London: Sage, pp. 222-248.
- BackgroundEldh, A.C., Årestedt, L. and Berterö, C. (2020) 'Quotations in qualitative studies: reflections on constituents, custom, and purpose', International Journal of Qualitative Methods, 19, pp. 1-8. doi:10.1177/1609406920969268.
- BackgroundEverri, M., Heitmayer, M., Yamin-Slotkus, P. and Lahlou, S. (2020) 'Ethical challenges of using video for qualitative research and ethnography', in Challenges and Solutions in Ethnographic Research. Abingdon: Routledge, pp. 68-83.
- BackgroundGoldman, R. (2014) 'Video representations and the perspectivity framework: Epistemology, ethnography, evaluation, and ethics', in Goldman, R., Pea, R., Barron, B. and Derry, S. (eds.) Video Research in the Learning Sciences. Abingdon: Routledge, pp. 3-37.
- Background: PubMed 17209899Heath C, Luff P, Svensson MS. Video and qualitative research: analysing medical practice and interaction. Med Educ. 2007 Jan;41(1):109-16. doi: 10.1111/j.1365-2929.2006.02641.x.
- Background: PubMed 26527548Kabali HK, Irigoyen MM, Nunez-Davis R, Budacki JG, Mohanty SH, Leister KP, Bonner RL Jr. Exposure and Use of Mobile Media Devices by Young Children. Pediatrics. 2015 Dec;136(6):1044-50. doi: 10.1542/peds.2015-2151. Epub 2015 Nov 2.
- BackgroundKhandkar, S.H. (2009) Open coding. University of Calgary. Available at: https://studylib.net/doc/18074044/open-coding---university-of-calgary (Accessed: 25.11.25).
- Background: PubMed 32063528Korstjens I, Mesman J, van Helmond I, de Vries R, Nieuwenhuijze M. The paradoxes of communication and collaboration in maternity care: A video-reflexivity study with professionals and parents. Women Birth. 2021 Mar;34(2):145-153. doi: 10.1016/j.wombi.2020.01.014. Epub 2020 Feb 13.
- Background: PubMed 10632812Maggs-Rapport F. Combining methodological approaches in research: ethnography and interpretive phenomenology. J Adv Nurs. 2000 Jan;31(1):219-25. doi: 10.1046/j.1365-2648.2000.01243.x.
- Individual participant dataSharing planned: Yes. Data will be shared via a repository, and requests can be made directly to the Sheffield Hallam Research Data Archive (SHURDA), email address: library-research-support@shu.ac.uk. If data is requested during the project period, a data-sharing agreement will be issued between Sheffield Hallam University and the data requester. In this case, data sharing will be restricted to ensure it does not impact the research team's publication plan. Fully anonymised data will be stored in SHURDA and be retained for 10 years from the last time a third party requested access.
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Liane Beretta de Azevedo, PhD contact
Eleanor Craig, PhD principal investigator
Sheffield Hallam University
Liane Beretta de Azevedo study chair
Sheffield Hallam University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of This Study Explores How Young Children Aged 3 to 5 Use Interactive Electronic Devices, run by Sheffield Hallam University at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 28 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Eleanor Craig, PhD (+447407686957, Eleanor.Craig@SHU.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Ethnographic Observation of Children's use of Interactive Electronic Devices (time frame: Through study completion, an average of 6 months.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07373483, which also lists 19 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jan 2026.