Abstract :
Background: Preschool children in Indonesia continue to experience developmental challenges. National data indicate that fewer than half of children aged 1–59 months receive standardized developmental monitoring. At the same time, increased access to digital devices has made screen time a routine part of early childhood, potentially reducing opportunities for physical play that are essential for fine motor skill development.
Objective: To examine the association between screen-time duration and fine motor development among children aged 2–5 years in the service areas of the Sikumana and Tarus Community Health Centers.
Methods: This study employed an analytic correlational design with a cross-sectional approach. A total of 55 children aged 24–60 months were recruited using consecutive sampling. Screen-time duration was assessed using a questionnaire adapted from the SMALL-Q, while fine motor development was evaluated using age-specific fine motor items from the Developmental Pre-Screening Questionnaire (Kuesioner Pra Skrining Perkembangan/KPSP). Data were analyzed using the Spearman rank correlation test.
Results: The results showed that 54.5% of children were exposed to excessive screen time (>60 minutes/day), and 63.6% demonstrated fine motor development that was not appropriate for their age. A significant moderate negative correlation was observed between screen-time duration and fine motor development (r = −0.449; p = 0.001). Children with excessive screen time had a substantially lower proportion of age-appropriate fine motor development (16.7%) compared with children who adhered to recommended screen-time limits (60%).
Conclusion: There is a significant and moderately strong association between screen-time duration and fine motor development among children aged 2–5 years. Parental education on limiting screen time and ensuring active supervision is crucial to support optimal fine motor development in early childhood.
Keywords :
screen time; fine motor development; preschool children; child development; digital media; Kupang.References :
- Statistics Indonesia (BPS). Early childhood profile 2024. Jakarta: Statistics Indonesia; 2024.
- World Health Organization. Nurturing care for early childhood development: A framework for helping children survive and thrive to transform health and human potential. Geneva: World Health Organization; 2018.
- Ministry of Health of the Republic of Indonesia. Indonesian health survey (SKI) 2023 in numbers. Jakarta: Ministry of Health of the Republic of Indonesia; 2023.
- Lontoh PF, Suryawan A, Utami S. The relationship between duration of television exposure and fine motor development in toddlers at Kenjeran Public Health Center Surabaya. Indones Midwifery Health Sci J. 2021;3(1):77–84.
- Bedford R, Saez de Urabain IR, Cheung CH, Karmiloff-Smith A, Smith TJ. Toddlers’ fine motor milestone achievement is associated with early touchscreen scrolling. Front Psychol. 2016;7:1108.
- Oswald TK, Rumbold AR, Kedzior SGE, Moore VM. Psychological impacts of screen time and green time for children and adolescents: A systematic scoping review. PLoS One. 2020;15(9):e0237725.
- Darmawan AC. Practical guide to child growth and development (age 0–72 months). Jakarta: Pustaka Bunda; 2019.
- Small GW, Lee J, Kaufman A, Jalil J, Siddarth P, Gaddipati H, et al. Brain health consequences of digital technology use. Dialogues Clin Neurosci. 2020;22(2):179–187.
- Hutton JS, Dudley J, Horowitz-Kraus T, DeWitt T, Holland SK. Associations between screen-based media use and brain white matter integrity in preschool-aged children. JAMA Pediatr. 2020;174(1):e193869.
- Yizhar O, Fenno LE, Prigge M, Davidson TJ, Shea SD, Deisseroth K. Neocortical excitation/inhibition balance in information processing and social dysfunction. Nature. 2011;477(7363):171–178.
- Laksmi IGAPS, Wati NMN, Lestari RTR. The role of parenting to increase gross and fine motor skills development in children aged 5–6 years. Media Keperawatan Indones. 2020;3(2):54.
- Wulandari H, Hasanah SA, Santoso MB. Parental supervision of preschool children in using gadgets. Pros Penelit Pengabd Masy. 2021;2(1):1–6.
