You are on page 1of 7

RESEARCH ARTICLE

Are Kids Too Busy? Early Adolescents’


Perceptions of Discretionary Activities,
Overscheduling, and Stress
STEPHEN L. BROWN, PhDa BRANDYE D. NOBILING, PhD, CHESb JAMES TEUFELc DAVID A. BIRCH, PhD, CHESd

ABSTRACT
BACKGROUND: The activity patterns of children, especially after-school patterns, are receiving more professional attention.
However, evidence regarding the value of various activities in children’s lives is contradictory. The purpose of this study was to
assess perceptions of discretionary activities, overscheduling, and levels of stress from adolescents’ perspective.
METHODS: A sample of 882 children, ages 9 to 13, recruited at 9 health education centers in the United States was selected
for this study. Children answered questionnaires using remote, handheld devices. Data were analyzed using descriptive statistics
and multivariate logistic regression. The outcomes of interest were activity-based stress and desire for more free time.
RESULTS: The primary predictor for the desire for more free time was hours of screen time (television, computer, video
games): those who reported 3 or more hours were nearly 3 times more likely to desire more free time. Further, children who
chose their own activities experienced more activity-related stress than those who shared decisions with parents. The single
greatest predictor of activity-related stress was the reported number of hours spent on homework. Students who averaged at
least 2 hours on homework per night were nearly twice as likely to report frequent activity-related stress.
CONCLUSION: Parents of school-aged children should assess activity-related stress and the degree to which children perceive
they are busy. Teachers, school counselors, and school administrators should be aware of these perceptions as they are making
decisions regarding school schedules and should teach personal skills such as time management and stress control.
Keywords: children and adolescent health; perceived stress; overscheduling of activities.
Citation: Brown SL, Nobiling BD, Teufel J, Birch DA. Are kids too busy? Early adolescents’ perceptions of discretionary activities,
overscheduling, and stress. J Sch Health J Sch Health. 2011; 81: 574-580.

Received on February 12, 2010


Accepted on September 2, 2010

W ith increasing rates of childhood overweight,


more attention has been given to the activity
patterns of children, especially after-school patterns.
positive associations among age, male gender, black
race/ethnicity, low-income, and hours of screen time.
Conversely, the study found negative associations
Studies have shown that increases in television among physical activity (both free-time and organized
viewing and homework among children since the activities), parental limits on screen time, and
1970s are leading to more sedentary lifestyles.1−3 likelihood to exceed 2 hours of screen time each
According to the Youth Risk Behavior Study in 2007, day.6 Associations found in this study raise questions
more than a third of adolescents watched television for regarding the parental role in screen time restriction
3 or more hours on an typical school day,4 and about and parental control over other daily activities.
one fourth played video games or used computers Findings like these have prompted questions about
for nonscholastic purposes 3 or more hours on an what children’s schedules are really like. In a culture
average school day.4 Television viewing of more than where parents are encouraged to value their children’s
3 to 4 hours a day has been linked to lower school autonomy,7 are children allowed to be involved in too
performance.5 many activities? Are parents encouraging too many
A recent study by the Youth Media Campaign activities? And, in addition to calorie imbalances, are
Longitudinal Survey (YMCLS) explored the potential children and adolescents experiencing other undesir-
associations among limit-setting, physical activity, and able side effects? To date, there has been little research
screen time among 9-13-year-olds.6 This study found on children’s perceptions of stress and busyness.

a Associate Professor, (slbrown@siu.edu), Southern Illinois University, 475 Clocktower Drive (Mailcode 4632), Carbondale, IL 62901.
bAssistant Professor, (bran80@siu.edu), Salisbury University, 1100 Camden Ave, Salisbury, MD.

574 • Journal of School Health • September 2011, Vol. 81, No. 9 • © 2011, American School Health Association
Perhaps the most important study on children’s socially maladjusted adults’’13 (p. 24). His last point
time was conducted by Hofferth and Sandberg.7,8 It alludes to the work of psychiatrist Stuart Brown, who
investigated how children under the age of 13 spend interviewed approximately 6000 individuals regarding
their time, and how variables such as parents’ level of their childhoods. Brown’s data suggest a clear asso-
education, family size, and family dynamics affected ciation between the amount of free play as children
children’s school achievement. They categorized time and adjustment and happiness as adults. Lawson5 sug-
usage in 4 ways: (a) time spent in school settings; gests that the best approach for development is likely a
(b) free play versus organized activities; (c) learning combination of structured and unstructured activities
activities outside the classroom; and (d) family activ- that can teach personal and social skills, develop good
ities. Although television viewing time did not affect habits, and allow kids to play as an outlet to combat
scores of achievement tests of reading, writing, and daily stressors.
mathematics abilities, family time did.7 Children who This study investigated early adolescents’ percep-
reported more family meal time were more proficient tions of the degree of busyness and stress in their
identifying letters and reading words aloud, as well as own lives. Eight research questions guided the study.
solving word problems. Family time also affected scores Although not specifically written to measure the per-
of the behavioral index, which measures parental per- formance indicators related to the National Health
ceptions of their children’s behavior problems. The Education Standards, 3 items generally addressed 3
study also found that children with employed mothers standards (NHES) for grades 3-5 and 6-8 (Table 1).14
had less free time for both structured and unstructured
activities, primarily due to increased time in daycare METHODS
settings.7
Compared to teens in East Asia or Europe, American This study was conducted as part of KidsHealth Kids-
teens spend more of their waking hours in discre- Poll. The project was a collaborative effort among a
tionary activities, 50% versus 25-35% in East Asia and university research team, the Nemours Foundation,
35-45% in Europe.5 Hofferth7 compared American the National Association of Health Education Centers
children’s lives in 1997 to those in 1981, concluding (NAHEC), and participating NAHEC member, health
that children have lost 12% of regular free time, 25% education centers.
of play activities, and 50% of unstructured activities.
Conversely, contemporary children spend 50% more Subjects
time involved with structured sports and homework.7 Following institutional review board approval, chil-
Research regarding the value of structured versus dren aged 9 to 13 years, who were students at schools
unstructured activity is unclear. Some studies report attending classes in 9 health education centers across
mostly positive outcomes from structured activities, 6 states, were recruited for the study. Prior to each
while others have shown associations with increased school’s visit to the center, officials at the school
stress and ‘‘overscheduling’’ conflicts. Similarly, while were contacted for permission to administer the sur-
a few studies suggest that unstructured (and unsuper- vey to students during the visit to the center. If
vised) play can lead to delinquency, others argue that the school agreed, passive parent permission for the
depriving children of unorganized activities dampens survey was obtained with each parent’s permission
creativity and decisionmaking.9,10 for the student to visit the center. As a sample of
Social scientists as early as Piaget believed that convenience, demographic data for the students in
unstructured play was an opportunity for vari- the sample approximated National Center for Edu-
ous forms of development, including social, lin- cation Statistics (NCES) statistics for the same age
guistic, cognitive, and emotional. Research suggests group. Students in the group ranged in age from
that unstructured play is crucial in providing chil- 9 to 13, with an average age of 10.3; 53% were
dren opportunities to acquire resiliency skills.11,12 boys.
Wenner13 gives 3 propositions to support the need Other demographic data were collected at the school
for free play in childhood: (1) ‘‘Childhood play is level, rather than from each student. A total of 883
crucial for social, emotional, and cognitive develop- students came from 21 schools. At the school level,
ment. (2) Imaginative and rambunctious ‘free play,’ 61% were White, 23% Black, 13% Hispanic, 2%
as opposed to games or structured activities, is the Asian or Pacific Islander, and 1% Native American.
most essential type. (3) Kids and animals that do not The US Census Bureau Metropolitan Statistical Area
play when they are young may grow into anxious, (MSA) was used to measure locale. Seventeen percent
of schools were in large city centers, 9% midsize city
c Doctoral Candidate, (teufel@siu.edu), Southern Illinois University, 475 Clocktower Drive (Mailcode 4632), Carbondale, IL 62901.
dProfessor, (birchd@ecu.edu), Department of Health Education and Promotion, East Carolina University, 3106 Carol Belk Building, Greenville, NC 27858-4353.

Address correspondence to: Brandye D. Nobiling, Assistant Professor, (bran80@siu.edu), Salisbury University, 1100 Camden Ave, Salisbury, MD.

Journal of School Health • September 2011, Vol. 81, No. 9 • © 2011, American School Health Association • 575
Table 1. Relationship Between Research Questions and National Health Education Standards15 (NHES)
Item
Number Research Question NHES
1 How many non-school-related activities are children involved in?
2 Who chooses children’s activities?
3 What is the average amount of daily screen time (ie, TV, video games,
computer) children engage in?
4 What is the average time spent doing homework during the school
week?
5 What are children’s perceptions of the amount of time dedicated to Standard 2.8.4: Analyze how the school and community can impact
homework regularly? health practices and behaviors
6 Do children wish they had more free time? Standard 1.8.3: Analyze how environment impacts personal health
7 Do children feel stressed?
8 What would children choose to do with more free time? Standard 5.8.7: Analyze the outcomes of a health-related decision

centers, 28% large city fringe, 5% midsize city fringe, RESULTS


1% large towns, 18% small towns, and 9% rural.
Kids’ Busyness Levels
Average school size was 501.
The vast majority (62%) of students claim that they
choose their own out-of-school activities, followed by
Instrumentation and Procedure 29% who say they use cooperative decisionmaking
Instrument items were not on a scale; therefore, with their parents. Only 9% said their parents chose
internal reliability was not applicable. To address most of their activities. Older students were more likely
face validity of the survey, the research team along to claim autonomy over their activities.
with experts in the area of child development, school Reports of screen time were bimodal; about half
health education, and stress in children constructed the reported 2 or fewer hours of screen time, while over
instrument. These experts represented both the edu- 40% reported more than 3 hours. Boys were more
cation and medical professions. In addition, the final likely to report more than 3 hours. Older students were
version of the instrument was reviewed by school also more likely to report 3 or more hours of screen
principals and teachers prior to administration. The time. There were no gender differences among those
instrument was piloted with 1 class at 1 participating who chose the activities or the number of activities.
center. The data collection method, using handheld More than three fourths (82%) of participants
devices, had been used at all of the participating cen- claimed to have an hour or less of homework per
ters in previous KidsHealth KidsPoll studies. Before the night. Ten percent said they have about 2 hours, and
actual administration of the questionnaire, students 8% reported having 3 or more hours per night. Neither
were allowed to practice with the handheld devices. gender, age, who chose activities, or number of activ-
The 10-item child-friendly questionnaire included ities was associated with time spent on homework.
2 demographic items and 8 construct-related items. Interestingly, most participants either said their
Students answered each item using handheld data school gave the right amount (39%) or way too
collection devices. Items on the instrument addressed much homework (36%). There were no differences by
each of the study’s 8 research questions, including the gender, number of activities, or who chose activities.
amount and type of activities in which participants are About the same proportion of those who reported <1,
involved. In this study, child participants were told the 1, and 2 hours of homework thought their schools
word ‘‘activity’’ meant activities that are planned or gave too much homework (34%, 28%, and 30%),
organized, such as sports, lessons, teams, clubs, groups, while those who reported 3+ hours of homework
scouts, or tutoring. were much more likely (66%) to say they get way too
much homework.
Data Analysis The great majority of students wished they had a
Data collected with handheld response devices were lot more free time. Boys were more likely to wish
imported into the Statistical Program for the Social for more free time (66% vs. 54%) (Table 2). When
Sciences (SPSS Inc, Chicago, IL). An alpha level forced to select only 1 activity in which to engage if
of .05 was established a priori. Descriptive statistics they had more free time, nearly half (45%) said they
such as proportions, central tendency, and variance would hang out or play with friends. Another fourth
were calculated. Inferential statistics included Pearson (26%) said sports or other physical activity. Thirteen
product correlation and multivariate logistic regression percent said their first choice would be family time, and
for nominal data assessing odds ratios for outcomes only 6% chose reading. Ten percent chose ‘‘none of
based on predictive variables. these.’’ Boys were more likely to say sports or physical

576 • Journal of School Health • September 2011, Vol. 81, No. 9 • © 2011, American School Health Association
Table 2. Frequencies of Responses by Gender and Age for Items 1-4

Gender Age
Total (%) Boys (%) Girls (%) 9 (%) 10 (%) 11 (%) 12+ (%)
Activities besides school:∗
None 14 14 15 11 15 13 25
One 25 26 23 34 24 21 19
Two 22 23 21 22 24 21 17
Three 15 13 17 9 13 18 15
Four or more 24 24 24 24 24 27 24
Who chooses activities?∗
My parents/guardians 9 10 6 14 8 7 3
We both choose 29 28 31 33 29 27 28
I choose most activities 62 62 63 53 63 66 69
How many hours of screen
time on most school days?∗,†
Less than 1 hour 20 15 23 21 23 21 9
1 hour 15 14 17 19 17 12 11
2 hours 16 14 19 16 16 18 15
3 hours 7 7 6 9 6 7 3
3 or more hours 42 50 35 35 38 42 62
Hours of homework on school days:
Less than 1 hour 59 59 58 64 56 61 53
1 hour 23 22 23 21 26 21 25
2 hours 10 11 10 7 11 11 12
3 or more hours 8 8 9 8 7 7 10
∗ χ 2 tests statistically significant for age (p < .05); N = 882.
† χ 2 tests statistically significant for gender (p < .05).

activity (32% vs. 19%), whereas girls were more apt to DISCUSSION
select time with friends (52% vs. 39%). Older students
were also more likely to name time with friends (9 = Results of average screen time reported in this study
37%, 10 = 43%, 11 = 49%, 12+ = 58%) (Table 3). are consistent with existing literature. Other studies
To statistically control for intercorrelation among have found that children spend an average range
variables, odds ratios were calculated using multivari- of 13-30 hours per week watching television.15,16
ate logistic regression. The outcomes of interest were Participants most often recorded that if they had more
activity-based stress and desire for more free time. free time they would most likely choose to spend it
When analyzed together, the primary predictor for hanging out with friends. Since the term ‘‘hanging
desire for more free time was hours of screen time. out’’ is likely to involve unstructured activities, this
Those who reported 3 or more hours of screen time finding supports research indicating that children and
per day were nearly 3 times more likely to desire more adolescents prefer free play.9,10,13 And although a few
free time than those who reported 2 or fewer hours of research studies warn that excessive unstructured play
screen time. with peers may lead to delinquency,8 spending more
When analyzed with the effect of the other vari- time with others can build interpersonal skills and
ables, participants who said they cooperate with their foster the development of social health.12
parents in choosing activities were less likely to be Studies have also linked levels of child busyness
frequently ‘‘stressed about all they do’’ than those to levels of parents’ busyness, implying that the
who either chose their own activities or whose parents busier parents are, the busier their children tend to
chose most of their activities. Further, having more be. Quist posits that ‘‘if parents are the ones who
activities, particularly 3 or more, doubled the likeli- are too busy, perhaps the children are registered in
hood that children will say they are stressed by all they a myriad of organized activities because Mom and
do. Excessive screen time also doubled the likelihood of Dad don’t have the time in their schedule to spend
frequent stress. The single greatest predictor of activity- with them’’10 (p. 27). Clearly interventions including
related stress was the reported number of hours spent parents are necessary to promote the importance
on homework. Students who said they average about of spending quality and quantity time with their
2 hours of homework per night were nearly twice as children. Quantity time does not have to be structured;
likely to report frequent activity-related stress. Those deliberate activities, such as doing chores around the
who said they do 3 or more hours per night were house, going for a walk, or sitting outside together,
almost 5 times as likely to report this stress (Table 4). can offer many teaching moments. For quantity time to

Journal of School Health • September 2011, Vol. 81, No. 9 • © 2011, American School Health Association • 577
Table 3. Frequencies of Responses by Gender and Age for Items 5-8
Gender Age
Total (%) Boys (%) Girls (%) 9 (%) 10 (%) 11 (%) 12+ (%)
Do you think school gives you:∗
Somewhat or way too little homework 11 11 10 11 9 15 8
About right amount of homework 39 36 44 40 43 43 24
Somewhat too much homework 14 13 15 10 13 13 24
Way too much homework 36 40 31 39 35 29 44
Which matches your feelings:†
Wish had a little or a lot less free time 4 3 4 4 3 4 2
Feel have the right amount of free time 18 16 22 22 17 18 14
Wish had a little more free time 17 15 20 13 20 17 17
Wish had a lot more free time 61 66 54 61 60 61 67
How often do you feel stressed?
Never 10 11 7 10 11 10 5
Once in a while 26 24 29 33 27 25 17
Some of the time 23 23 24 18 23 23 29
Most of the time 17 16 18 17 15 18 23
Always 24 26 22 22 24 24 26
What would you do with more time?∗,†
Play sports/physical activity 26 32 19 29 28 23 24
Spend time with family 13 12 15 12 16 15 5
Read 6 5 6 11 4 4 4
Hang out/play with friends 45 39 52 37 43 49 58
None of these 10 12 8 11 9 9
∗ χ 2 tests statistically significant for age (p < .05); N = 882.
† χ 2 tests statistically significant for gender (p < .05).

occur, parents and children alike need to ‘‘unschedule’’ eat dinner together.23 One study showed a decrease
themselves5 (p. 27). from 50% in 1977 to 34% in 1999.7 Family structure
Future studies should explore children’s perceptions and age of children also influence family mealtime. For
of their parents’ busyness. Recent polling data17,18 instance, families where mothers are employed16 and
have shown that many parents (especially middle- families whose children are older23 spend less time eat-
class parents) have become increasingly aware and ing as a family. Investigating how societal family time
concerned about these trends, yet feel powerless to trends are filtered through cultural influences may
make changes and stem the tide. A Search Institute also deserve further exploration. For example, White
poll found that 41% of parents said their ‘‘child families spend less time eating together than Black and
being overscheduled in so many activities’’ made Hispanic families, who in turn eat together less than
parenting difficult19 (p. 9). School and community Asian families.22 All of these researches suggest that
officials can also add to the problem of overscheduled the decline in family mealtime due to busier sched-
children by promoting numerous extracurricular ules of children and parents may have implications for
activities to children without considering the possible children and parents alike.
consequences these activities may have on the family These societal changes also show up in other parent-
unit. child time interactions. For instance, children in male
New initiatives, such as Family Time First and Fam- breadwinner-female homemaker families read more
ily Time IN, community action initiatives developed than children in any other types of families. The
by Doherty20 and colleagues with Eden Prairie and researchers concluded that the differences were largely
Southeast Minnesota community members, respec- predicted by the amount of time the parent had
tively, have been developed to teach families how to available.7 Interestingly, the study found no significant
increase and prioritize family time. These community- association between homework during the elemen-
organizing approaches, though relatively new, expect tary grades and academic achievement, meaning the
to strengthen the family by trying to prevent family amount of homework given by elementary school
overscheduling and hyperactivity.20 teachers predicts nothing in terms of children’s aca-
Family mealtime has also been receiving more focus demic achievement. However, there was a significant
as a research topic. Controlling for variables such as association with the amount of time spent reading
income, family structure, and social class, frequency of outside the classroom. All these perhaps suggest that
family mealtime is positively associated with childhood educators and parents should work together to ensure
well-being.21,22 Unfortunately there has been a decline that more homework time is devoted to reading at
in the proportion of married-couple households who home.

578 • Journal of School Health • September 2011, Vol. 81, No. 9 • © 2011, American School Health Association
Table 4. Odds Ratio (OR) (With 95% CI) for ‘‘Wish for More Free IMPLICATIONS FOR SCHOOLS
Time’’ and Stressed ‘‘Always’’ or ‘‘Most of the Time’’ Because
of Too Much to Do† School health educators must be sensitive to
and aware of students’ commitments outside of the
Wish for More Stressed ‘‘Always’’ or classroom. Teachers must appreciate the many hats
Free Time ‘‘Most of the Time’’ children must wear on a regular basis. For example, a
OR (CI) OR (CI) 10-year-old girl who is a full-time student, takes dance
Gender classes 3 days a week, is involved in Girl Scouts, sings
Girls 1.0 1.0 in a church choir, and is involved in intramural sports,
Boys 1.3∗ (0.88-1.94) 1.1 (0.77-1.54) may not perform as consistently on standardized tests
Age (years) due to external variables that may affect her day-to-
9 1.0 1.0
10 1.4 (0.82-2.30) 1.1 (0.72-1.79)
day health. Further, middle and high school teachers
11 1.1 (0.68-1.91) 1.1 (0.70-1.80) must be sensitive to the fact that their students are
12+ 1.5 (0.74-3.01) 1.2 (0.66-2.08) juggling 6 to 7 academic subjects. And because most
Who chooses activities? teachers do not coordinate their assignments, students
Child 1.0 1.0 may have little homework some weeks and hours
50/50 0.8 (0.53-1.27) 0.6∗ (0.40-0.90) a night other weeks. This homework pattern is on
Parent 1.1 (0.52-2.36) 1.5 (0.78-2.78)
top of the normal challenges puberty brings. Many
Number of activities
0 1.0 1.0 high school students are also busy with part-time jobs,
1 1.0 (0.50-2.03) 1.2 (0.59-2.28) sports teams, and romantic relationships.
2 1.0 (0.51-2.12) 1.4 (0.73-2.82) School health instruction should promote the devel-
3 1.7 (0.77-3.90) 2.1∗ (1.01-4.23) opment of skills specific to decisionmaking, goal set-
4 or more 1.4 (0.68-2.90) 2.2∗ (1.13-4.29) ting, and time management. Health education teachers
Hours of homework can address these skills through instructional activities
<1 1.0 1.0
1 1.3 (0.81-2.13) 0.9 (0.57-1.32)
and assessment products based on decision-making
2 2.3∗ (1.07-4.99) 1.7∗ (1.00-3.01) inventories, responses to decision-making scenarios,
3 or more 1.1 (0.54-2.34) 4.7∗ (2.41-9.31) and goal setting and time management scenarios.
Hours of screen time Schools, parents, and other stakeholders can work
<1 1.0 1.0 together to develop policies related to the amount of
1 1.1 (0.59-1.89) 1.8∗ (1.02-3.20) time spent on homework and other extracurricular
2 1.7 (0.94-3.06) 0.9 (0.48-1.57)
school activities. Such initiatives could meet NHES
3 or more 2.7∗ (1.63-4.53) 1.9∗ (1.17-3.01)
addressed in this study. Schools and their respective
CI, confidence interval.
∗ p < .05.
communities can impact health practices and behav-
† OR N = 882. iors by affecting children’s perceptions of the amount
of time spent on homework regularly, and influencing
how environment impacts students’ personal health
In this study, the relationship between perceived
(Standards 2.8.4 and 1.8.3, respectively).14
level of stress and the desire for more free time was
Existing literature related to busyness among both
bimodal. More specific studies on the relationship
children and their parents indicates the importance
between hours of screen time and perceived level of
of parent and family involvement in school health
stress could test whether our findings were anomalies
education. Birch25 has identified involvement in deci-
or in fact peculiar phenomenon deserving of further
sionmaking, health education programs designed for
investigation.
parents and family members, and at-home learning
activities as 3 types of parent and family involvement.
Limitations In addition, parents and other family members could
This study did not look at family dynamics; doing be involved in the planning, implementation, and eval-
so may provide additional insight into the issue of uation of after-school programs. These programs could
children’s perceived busyness levels. Variables such serve as another forum for addressing youth busyness
as culture, head of household, parental employment, and other stressors related to hectic lifestyles. It is
and parental education levels may also allow a deeper, important to note that research suggests that participa-
more thorough understanding of children’s lives.4 tion in after-school programs is associated with higher
Although this study used non-random sampling, test scores and academic achievement, especially for
sample demographics parallel those from the National low-income children.26,27
Center for Educational Statistics (NCES).24 NCES ‘‘is In addition to the above-mentioned skills, children
the primary federal entity for collecting and analyzing and parents may benefit from instruction in stress
data related to education in the U.S. and other management and coping. Acquisition of these skills,
nations.’’24 through lessons on stress appraisal and social support,

Journal of School Health • September 2011, Vol. 81, No. 9 • © 2011, American School Health Association • 579
for example, may allow students to analyze outcomes 12. Ginsburg KR. The importance of play in promoting healthy
of health-related decisions (NHES, 5.8.7).14 child development and maintaining strong parent-child bonds.
Pediatrics. 2007;119(1):182-191.
13. Wenner M. The serious need for play. Sci Am Mind.
Human Subjects Approval Statement 2009;20(1):22-29.
14. Centers for Disease Control and Prevention. National
This study was approved by the institutional review Health Education Standards. Available at: http://www.cdc.gov/
board at Southern Illinois University Carbondale. HealthyYouth/SHER/standards/index.htm. Updated October
15, 2007. Accessed December 5, 2009.
15. Bianchi SM, Robinson J. What did you do today? Children’s
REFERENCES use of time, family composition, and the acquisition of social
capital. J Marriage Fam. 1997;59(2):332-344.
1. Forum of Child and Family Statistics. America’s children: key 16. Medrich EA, Roizen J, Rubin V, Buckley S. The Serious Business
national indicators of well-being. 2009. Available at: http:// of Growing Up: A Study of Children’s Lives Outside School. Berkeley,
www.childstats.gov/americaschildren/tables.asp. Accessed May CA: University of California Press; 1982.
19, 2009. 17. Anderssen E, McIlroy A. Quebec distinct in nursery too,
2. Lowry R, Weschler H, Galuska DA, Fulton JE, Kann L. Televi- poll finds. The Globe and Mail. 2004. Available at:
sion viewing and its associations with overweight, sedentary www.theglobeandmail.com. Accessed May 19, 2009.
lifestyle, and insufficient consumption of fruits and vegetables 18. Center for the New American Dream. What do kids really
among US high school students: differences by race, ethnicity, want that money can’t buy? 2003. Available at: http://www.
and gender. J Sch Health. 2002;72(10):413-421. newdream.org/publications/bookrelease.php. Accessed May
3. Robinson TM. Does television cause childhood obesity? JAMA. 21, 2009.
1998;279(12):959-960. 19. Roehlkepartain EC, Scales PC, Roehlkepartain JL, Gallo C,
4. National Center for Chronic Disease Prevention and Health Rude SP. Building strong families: highlights from a pre-
Promotion, Division of Adolescent and School Health. liminary survey from YMCA of the USA and Search Insti-
YRBSS: Youth risk behavior surveillance system. Avail- tute on what parents need to succeed. 2002. Available at:
able at: http://www.cdc.gov/HealthyYouth/yrbs/index.htm. http://www.abundantassets.org/pdfs/BSF-Highlights.pdf. Ac-
Updated April 2, 2009. Accessed May 21, 2009. cessed May 21, 2009.
5. Lawson RW. How U.S. children and adolescents spend 20. Anderson JR, Doherty WJ. Democratic community initiatives:
their time: what it does (and doesn’t) tell us about their the case of overscheduled children. Fam Relat.2005;54:654-665.
development. Curr Dir Psychol Sci. 2001;10(5):160-164. 21. Neumark-Sztainer D, Hannan PJ, Story M, Croll J, Perry C.
6. Carlson SA, Fulton JE, Lee SM, Foley JT, Heitzler C, Huh- Family meal patterns: associations with sociodemographic
man M. Influence of limit-setting and participation in physical characteristics and improved dietary intake among adolescents.
activity on youth screen time. Pediatrics. 2010;126(1):89-96. J Am Diet Assoc. 2003;103(3):317-322.
7. Hofferth SH, Sandberg JF. How American children spend their 22. Eisenberg ME, Neumark-Sztainer D, Feldman S. Does TV
time. J Marriage Fam. 2001;63(2):295-308. viewing during family meals make a difference in adolescent
8. Newman PR, Newman BM. Development Through Life: A Psy- substance use? Prev Med. 2009;48(6):585-587.
chosocial Approach. 10th ed. Belmont, CA: Wadsworth Cengage 23. Putnam R. Bowling Alone: The Collapse and Revival of American
Learning; 2009. Community. New York, NY: Simon & Schuster; 2000.
9. Burdette HL, Whitaker RC. Resurrecting free play in young 24. National Center for Education Statistics. State profiles: Illinois.
children. Arch Pediatr Adolesc Med. 2005;159:46-50. 2006. Available at: http://nces.ed.gov/nationsreportcard/states/
10. Quist D. Who’s Playing Around Now? Overscheduled Parents Mean profile.asp. Accessed October 21, 2009.
Overscheduled Kids. IMFC Review. Canada: Institute of Marriage 25. Birch DA. Step by Step to Involving Parents in Health Education.
and Family; 2007. Available at: http://www.imfcanada.org/ Santa Cruz, CA: ETR Associates; 1996.
article_files/Who’s_Playing_Around_Now.pdf. Accessed May 26. Miller BM. The promise of after-school programs. Educ
18, 2009. Leadersh. 2001;58(7):6-12.
11. McHale SM, Crouter AC, Tucker CJ. Free-time activities in 27. Posner JK, Lowe Vandell D. Low-income children’s after-
middle childhood: links with adjustment in early adolescence. school care: are there beneficial effects of after-school
Child Dev. 2001;72(6):1764-1778. programs? Child Dev. 1999;65:440-456.

580 • Journal of School Health • September 2011, Vol. 81, No. 9 • © 2011, American School Health Association

You might also like