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developmentally healthy activities. Policy statements from the American Academy of Pediatrics benefit
from expertise and resources of liaisons and internal (AAP) and
external reviewers. However, policy statements from the American
Academy of Pediatrics may not reflect the views of the liaisons or the
organizations or government agencies that they represent.
INTRODUCTION The guidance in this statement does not indicate an exclusive course
of treatment or serve as a standard of medical care. Variations, taking
Technologic innovation has transformed media and its role in the lives into account individual circumstances, may be appropriate.
of infants and young children. More children, even in economically All policy statements from the American Academy of Pediatrics
challenged households, are using newer digital technologies, such automatically expire 5 years after publication unless reaffirmed,
revised, or retired at or before that time.
as interactive and mobile media, on a daily basis1 and continue to be
the target of intense marketing.2 This policy statement addresses the DOI: 10.1542/peds.2016-2591
influence of media on the health and development of children from 0 PEDIATRICS (ISSN Numbers: Print, 0031-4005; Online, 1098-4275).
to 5 years of age, a time of critical brain development, building secure Copyright © 2016 by the American Academy of Pediatrics
relationships, and establishing health behaviors.
FINANCIAL DISCLOSURE: The authors have indicated they do
not have a financial relationship relevant to this article to
disclose.
INFANTS AND TODDLERS
FUNDING: No external funding.
Children younger than 2 years need hands-on exploration and social
POTENTIAL CONFLICT OF INTEREST: The authors have
interaction with trusted caregivers to develop their cognitive, language,
indicated they have no potential conflicts of interest to
motor, and social-emotional skills. Because of their immature symbolic, disclose.
memory, and attentional skills, infants and toddlers cannot learn from
traditional digital media as they do from interactions with caregivers,3
To cite: AAP COUNCIL ON COMMUNICATIONS AND MEDIA.
and they have difficulty transferring that knowledge to their
Media and Young Minds. Pediatrics. 2016;138(5):e20162591
3-dimensional experience.4 The chief factor that facilitates toddlers’
• Turn off televisions and other income families and in multiple 2. Chiong C, Shuler C; The Joan Ganz
devices when not in use. languages. Cooney Center at Sesame Workshop.
• Eliminate advertising Learning: Is there an app for that?
• Avoid using media as the only way and unhealthy messages on Investigations of young children's
to calm your child. Although there usage of learning with mobile
apps. Children at this age
are intermittent times (eg, medical devices and apps. Available at: http://
cannot differentiate between
procedures, airplane flights) when dmlcentral.net/wp-content/uploads/
advertisements and factual files/learningapps_final_110410.pdf.
media is useful as a soothing information, and therefore, Accessed September 2, 2016
strategy, there is concern that advertising to them is
using media as strategy to calm unethical. 3. Anderson DR, Pempek TA. Television
could lead to problems with limit and very young children. Am Behav Sci.
setting or the inability of children
• Help parents to set limits by 2005;48(5):505–522
stopping auto-advance of videos
to develop their own emotion 4. Barr R. Memory constraints on infant
as the default setting. Develop
regulation. Ask your pediatrician learning from picture books, television,
systems embedded in devices that
for help if needed. and touchscreens. Child Dev Perspect.
can help parents monitor and limit 2013;7(4):205–210
• Monitor children’s media content media use.
and what apps are used or 5. DeLoache JS, Chiong C, Sherman K,
LEAD AUTHORS et al. Do babies learn from baby media?
downloaded. Test apps before the
Psychol Sci. 2010;21(11):1570–1574
child uses them, play together, and Jenny Radesky, MD, FAAP
ask the child what he or she thinks Dimitri Christakis, MD, MPH, FAAP 6. Richert RA, Robb MB, Fender JG,
about the app. Wartella E. Word learning from baby
COUNCIL ON COMMUNICATIONS AND MEDIA videos. Arch Pediatr Adolesc Med.
• Keep bedrooms, mealtimes, and EXECUTIVE COMMITTEE, 2016-2017 2010;164(5):432–437
parent–child playtimes screen free David Hill, MD, FAAP, Chairperson
7. Roseberry S, Hirsh-Pasek K,
for children and parents. Parents Nusheen Ameenuddin, MD, MPH, FAAP
Yolanda (Linda) Reid Chassiakos, MD, FAAP
Golinkoff RM. Skype me! Socially
can set a “do not disturb” option on contingent interactions help
Corinn Cross, MD, FAAP
their phones during these times. Jenny Radesky, MD, FAAP toddlers learn language. Child Dev.
Jeffrey Hutchinson, MD, FAAP 2014;85(3):956–970
• No screens 1 hour before bedtime, Rhea Boyd, MD, FAAP
and remove devices from Robert Mendelson, MD, FAAP
8. Kirkorian HL, Choi K, Pempek TA.
Megan A. Moreno, MD, MSEd, MPH, FAAP Toddlers’ Word Learning From
bedrooms before bed.
Justin Smith, MD, FAAP Contingent and Noncontingent
• Consult the American Academy of Wendy Sue Swanson, MD, MBE, FAAP Video on Touch Screens. Child Dev.
Pediatrics Family Media Use Plan, 2016;87(2):405–413
LIAISONS
available at: www.healthychildren. 9. Zack E, Gerhardstein P, Meltzoff AN,
org/MediaUsePlan. Kris Kaliebe, MD – American Academy of Child Barr R. 15-month-olds’ transfer of
and Adolescent Psychiatry
learning between touch screen and
Jennifer Pomeranz, JD, MPH – American Public
Industry Health Association
real-world displays: language cues
Brian Wilcox, PhD – American Psychological and cognitive loads. Scand J Psychol.
• Work with developmental Association 2013;54(1):20–25
psychologists and educators to 10. McClure ER, Chentsova-Dutton YE,
create design interfaces that are STAFF
Barr RF, Holochwost SJ, Parrott WG.
appropriate to child developmental Thomas McPheron “Facetime doesn’t count”: video-chat
abilities, that are not distracting, as an exception to media restrictions
and that promote shared parent– for infants and toddlers. Int J Child
child media use and application ABBREVIATIONS Comput Interact. 2016;6:1–6
of skills to the real world. Cease 11. Anderson DR, Huston AC, Schmitt
app: application
making apps for children younger KL, Linebarger DL, Wright JC. Early
PBS: Public Broadcasting Service
than 18 months until evidence of childhood television viewing and
benefit is demonstrated. adolescent behavior: the recontact
Updated Information & including high resolution figures, can be found at:
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References This article cites 47 articles, 10 of which you can access for free at:
http://pediatrics.aappublications.org/content/138/5/e20162591#BIBL
Subspecialty Collections This article, along with others on similar topics, appears in the
following collection(s):
Current Policy
http://www.aappublications.org/cgi/collection/current_policy
Council on Communications and Media
http://www.aappublications.org/cgi/collection/council_on_communic
ations_and_media
Media
http://www.aappublications.org/cgi/collection/media_sub
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Pediatrics is the official journal of the American Academy of Pediatrics. A monthly publication, it
has been published continuously since 1948. Pediatrics is owned, published, and trademarked by
the American Academy of Pediatrics, 345 Park Avenue, Itasca, Illinois, 60143. Copyright © 2016
by the American Academy of Pediatrics. All rights reserved. Print ISSN: 1073-0397.