Journal
BMC PUBLIC HEALTH
Volume 15, Issue -, Pages -Publisher
BMC
DOI: 10.1186/s12889-015-1858-3
Keywords
Television; Infant; Toddler; Maternal behaviour; Tracking
Categories
Funding
- National Health and Medical Research Council
- Heart Foundation Victoria
- Deakin University
- National Health and Medical Research Council [APP1026216]
- Australian Research Council [FT130100637]
- Honorary Heart Foundation Future Leader Fellowship
- Australian Research Council [FT130100637] Funding Source: Australian Research Council
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Background: Mothers' self-efficacy for limiting their children's television viewing is an important correlate of this behaviour in young children. However, no studies have examined how maternal self-efficacy changes over time, which is potentially important during periods of rapid child development. This study examined tracking of maternal self-efficacy for limiting young children's television viewing over 15-months and associations with children's television viewing time. Methods: In 2008 and 2010, mothers (n = 404) from the Melbourne InFANT Program self-reported their self-efficacy for limiting their child's television viewing at 4- and 19-months of age. Tertiles of self-efficacy were created at each time and categorised into: persistently high, persistently low, increasing or decreasing self-efficacy. Weighted kappa and multinomial logistic regression examined tracking and demographic and behavioural predictors of change in self-efficacy. A linear regression model examined associations between tracking categories and children's television viewing time. Results: Tracking of maternal self-efficacy for limiting children's television viewing was low (kappa = 0.23, p < 0.001). Mothers who had persistently high or increasing self-efficacy had children with lower television viewing time at 19-months (beta = -35.5; 95 % CI = -54.4,-16.6 and beta = 37.0; 95 % CI = -54.4, -19.7, respectively). Mothers of children with difficult temperaments were less likely to have persistently high self-efficacy. Mothers who met adult physical activity guidelines had 2.5 greater odds of increasing self-efficacy. Conclusions: Interventions to increase and maintain maternal self-efficacy for limiting children's television viewing time may result in lower rates of this behaviour amongst toddlers. Maternal and child characteristics may need to be considered when tailoring interventions.
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