Learning, Social Technology, and Healthy Behaviors - Newton ...

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Learning, Social Technology, and Healthy Behaviors - Newton ...
+Learning, Social
   Technology, and
   Healthy Behaviors
   Pilot Study

   Panel discussion at Bigelow Middle
   School, September 6, 2018

          Linda Charmaraman, PhD, Jennifer Grossman, PhD,
                                    Wellesley College
                     Megan Moreno, MD, MPH, MSEd
                             University of Wisconsin, Madison
       Funding generously provided by Children and Screens: Institute of Digital Media and
Child Development, Robert Wood Johnson Publication Support, WCW student internship
                      program
Learning, Social Technology, and Healthy Behaviors - Newton ...
+
        Purpose of Pilot Study
         Little is  known about the effects of early
            initiation to social media on psychosocial and
            behavioral health outcomes in early
            adolescence, despite the fact that

               95% of adolescents are now online
               88% have access to a mobile phone
               81% of them are using social media sites, and
               80% sleep with their mobile phones in the bedroom

Copyright @ Linda Charmaraman, Wellesley College
Learning, Social Technology, and Healthy Behaviors - Newton ...
+                          The rise of social media

      The “net generation” (born between 1980
       and 2001) spends much more time online
       than watching TV.

      Almost half of all teens (45%) are constantly
       online (doubled from 2015).

      Boys are more likely to say YouTube is their
       #1 site whereas girls are more likely to say
       Snapchat

Copyright @ Linda Charmaraman, Wellesley College
Learning, Social Technology, and Healthy Behaviors - Newton ...
+
        The youngest users of SM
           Despite the federally mandated age limits on access to social media sites
            (COPPA), the Pew Research Center reported in 2010 that 38% of 12 year
            olds in the U.S. were using online social networks

           With remarkably similar findings, a 2011 survey of 25 European
            countries found that 38% of 9-12 year olds had a social media profile

           The increasing pervasiveness of social media use by the youngest users
            raises questions about their safety, motivations for use, and need for
            oversight by concerned adults

           Young adolescents have limited capacity to self-regulate and are
            susceptible to peer pressure.

           As adolescents seek autonomy and separation from their familial
            networks, there are many concerns about safety, privacy, inappropriate
            disclosures, and distancing from real life interactions.

Copyright @ Linda Charmaraman, Wellesley College
Learning, Social Technology, and Healthy Behaviors - Newton ...
+
        Benefits vs. Risks of internet use
           Little is known about how the type and intensity of
            particular online exposures are associated with
            unhealthy behaviors or psychosocial health

           A majority of adolescents use the Internet as a venue
            for social interaction, including online blogging and
            photography, which can be positively associated with
             emancipation from parental surveillance
             adolescents’ friendship quality and feelings of
               closeness

           However, studies have also reported on the risks of
             online harassment,
             exposure to sexual, pornographic, and violent
              material,
             online sexual exploitation by predators,
             potential to decrease physical activity
             increasing social isolation

Copyright @ Linda Charmaraman, Wellesley College
Learning, Social Technology, and Healthy Behaviors - Newton ...
+ Adolescent mental health and social media:
        Pros and cons
      Beneficial aspects include
        a sense of social connectivity and sense of belonging,
        personal contentment and self-esteem,
        emotional expression/control, and
        identity development
        widen social networks, increase social capital, maintain
         ties, and promote trust
        Promote civic engagement and social awareness

      Maladaptive aspects include
        alienation and social anxiety,
        body dissatisfaction and disordered eating,
        triggering of emotions such as depression, and
        exposure to sexual content/sexting

      book chapter on the Positive and Negative Associations
       between Adolescent Mental Health and Technology

Copyright @ Linda Charmaraman, Wellesley College
Learning, Social Technology, and Healthy Behaviors - Newton ...
+
        Methods for Pilot study

              Fall ‘17-Summer ‘18 – 6th-8th grade student survey at 3 school sites
                  Parent, staff, and student feedback much appreciated from the Bigelow survey
                   informed the improvement of procedures and survey measured used for the
                   other 2 school sites

              Winter 2018 – Pilot student and parent interviews; Staff survey

              Spring 2018 – 6th-8th grade (matched) online parent survey

              Spring/Summer 2018 – Student interviews with social media content tour
               and follow-up analysis

              Spring/Summer 2018 – (Matched) Parent interviews

Copyright @ Linda Charmaraman, Wellesley College
+                         Student Survey Sample Description

                               Bigelow                 Other schools in Greater Boston
           465 students aged 11-15                   235 students aged 11-16

           51% female                                55% female

           59% White, 20% Asian, 7% Black,           27% White, 9% Asian, 29% Black,
            7% Hispanic, 8% other                      19% Hispanic, 16% other

           8% low income                             30% low income

           82% use a smartphone                      88% use a smartphone

Copyright @ Linda Charmaraman, Wellesley College
+
        Topics parents most wanted to learn
        more about
           Screen time statistics

           Parent-child match on survey topics, esp.
            what parents do not know about what their
            child is doing

           Parental guidance, monitoring, prevention
            of harm, tools around talking to kids about
            social media/internet use

           Impacts on emotional wellbeing/mood and
            health

Copyright @ Linda Charmaraman, Wellesley College
+ Most read online topics (in order of frequency)
                       6th and 7th graders                        8th graders
           Animals                                   TV shows

           Science/technology                        Online games
           Hobbies                                   Relationships
           Books/authors                             Depression
           Politics
                                                      Music/musicians
           Environment
                                                      Science/technology
           Celebrities
                                                      Books/authors
           Online games
                                                      Race/culture
           Sports
                                                      Animals

Copyright @ Linda Charmaraman, Wellesley College
+ Negative online content viewed
                  Parent report of student                                Student report

   90                                                                90
   80                                                                80                    84
                       78                                            70
   70                                                     74
                                                               70    60
   60                                                                     61
                 60                                                  50
   50                                                                40
   40                                                                30
                                               39                    20
   30                                   33                                         21
                                                                     10
   20
                                                                      0
   10
     0
               Violence            Pornography           Profanity
                                  Mom              Dad
Copyright @ Linda Charmaraman, Wellesley College
+
                                 % social media initiation
                                     in middle school
                                                           Percentage
        100%                                                             96%          96%      98%

         90%                           85%                   85%
                           81%
         80%

         70%

         60%

         50%

         40%

         30%

         20%

         10%

          0%
                              6th graders                        7th graders           8th graders

                                                   Your school         Other sample

Copyright @ Linda Charmaraman, Wellesley College
+ When did you first sign up for a social media
        account, e.g., Instagram, Facebook, etc.?

                                                   Percentage
        35
                                                                 33
        30
                                                     28         32
        25
                                                     23
        20                                   19
        15                                   16
                        10                                                 14
        10
                         11
                                                                      12
         5                                                                            2

         0                                                                        1

              9 years or                 10         11      12        13        14 years
               younger                                                          or older
                                            Your school   Other sample

Copyright @ Linda Charmaraman, Wellesley College
+
        Reasons for initiating social media
        profiles
           Across all grades, the top two reasons for joining were:
               I was curious about what it was all about
               I wanted to post interesting things to share with others

           The 3rd most frequent reason for 7th and 8th grade was that
            “everyone else was already on it,” whereas the 3rd most cited reason
            in 6th grade was to “stay in touch with friends and family”

           Least frequently cited reasons for joining initially were
               “I was required to for a class project”
               “To gain access to online games”

Copyright @ Linda Charmaraman, Wellesley College
+ According to Pew research, % of teens aged 13-17 use …

                                2015                                            2018
  80%        71%                                                 90   85
  70%                                                            80        72
  60%               52%                                                         69
                                                                 70
  50%                       41%
  40%                              33%                           60                    51
  30%                                      24%                   50
  20%                                              14% 14% 11%   40                         32
  10%                                                            30
   0%                                                            20
                                                                                                 9
                                                                 10
                                                                  0

Copyright @ Linda Charmaraman, Wellesley College
+
                  Popular social media sites at Bigelow
                  70%

                        62% 61%
                  60%             57%

                  50%

                                        43%
                  40%                          38%
     Percentage

                                                                                                  Others
                                                     32%                                          include:
                  30%                                                                             • Discord
                                                           25% 24%
                                                                                                  • iFunny
                                                                     21% 20% 20%
                                                                                 19%              • Tumblr
                  20%
                                                                                                  • Reddit
                                                                                       13%        • Wechat
                  10%                                                                        7%

                  0%

Copyright @ Linda Charmaraman, Wellesley College
+
          Popular social media sites by sample
    90%
             86%

    80%

    70%
                      65%     66%

    60%
                   58%                58%
                            53%
          50%
    50%

                                               42%
    40%
                                    35%     36%       35%
                                                                                                                    Your School
                                                     30%                    30%    29%
                                                                                          31%                       Other School
    30%                                                      27%
                                                            24%      25%                         26%
                                                                   24%
    20%                                                                                                 18%
                                                                           16%    15%    15%    15%
                                                                                                       10%    11%
    10%

                                                                                                               0%
     0%

Copyright @ Linda Charmaraman, Wellesley College
+ Middle School Social Media Use

                                   Got first cellphone                                                              Signed up for social
                  40                                                                                                    media site
                                            36                                                   35
                                                                                                                                          33 32
                  35

                                                                                                 30
                  30         29                                                                                               28

                                                 26
                                                                                                 25
                  25                                                                                                               23
     Percentage

                                                                                                 20                      19

                                                                                    Percentage
                  20    18          18 17                    17
                                                                                                                    16
                  15                                                                             15                                                    14
                                                        12                 13
                                                                                                        11 10                                     12
                  10                                                                             10
                                                                       6        6
                   5
                                                                   3                              5
                                                                                                                                                              1 2
                   0
                       9 years       10      11          12       13 and I don't                  0
                          or                                       older have one                     9 years or     10        11          12      13       14 years
                       younger                                             yet                         younger                                              or older

                                  Your school         Other sample                                                 Your school          Other sample

Copyright @ Linda Charmaraman, Wellesley College
+ Parent-child mismatch of social media sites joined
                                            % Teen Yes, Parent No
    30

    25        24
                                                                  22
            20                                 20    20
    20
                       17      17
                                                                       15   15
    15
                    12       12      12
                                             11                                  Bigelow
                                                    10
    10                                                    8       8              Other schools
                                                                       7
                                                                            5                   Out of teens
      5
                                                              2                                  who are on
                                        0                                                        Instagram, 61%
      0                                                                                          of parents are
                                                                                                 following them.

                                                                                                46% are
                                                                                                 following them
                                                                                                 on Snapchat.
Copyright @ Linda Charmaraman, Wellesley College
+ Parent-child mismatch with age at first time use

   60%
                                                                              About half (48%)
                                                   50%                         used a fake older
   50%
                                                                               age to sign up for
                                      42%
                                                                               Instagram and
   40%                                                                         Snapchat
                                                           Teen reported       Interviewer: Did your
   30%                                                     younger
                                                                           
                                                                               parents know you had
                                                           Teen reported       begun to use SM?
   20%                  18%                 18%
                                                           older
                                                     15%
                  13%                                                         Student: I didn’t know
                                                                               why I would tell them.
   10%                                                                         If I did tell them, I don’t
                                                                               think her response
     0%                                                                        would be no and she
                                                                               probably already knew
                Age at first Age at first Age at first                         I had one.
                cell phone Instagram Snapchat
Copyright @ Linda Charmaraman, Wellesley College
+ Parental monitoring of social
    technologies
           65% of parents know when                  35% put blocks on some
            teens are online.                          websites or apps.

           Half (49-51%) restrict when and           13% use an app to track online
            how long teen can go online.               usage or are physically present
                                                       every time teen goes online.

           44% restrict who they can chat
            with or become friends with
            online.
                                                       24% have suspended phone or
           39% are permitted to have a                 internet use.
            device with internet access in
            bedroom.                                   7% of parents have no restrictions
                                                        whatsoever.
Copyright @ Linda Charmaraman, Wellesley College
+
                                         Parent interviews:
                                        Limits & monitoring
           Provide access to cell phones/social networking/online gaming

           Restrict time & hours of access

           Friend/follow teen on social media
               Understanding of/access to teen social media

           Read teen’s posts or texts
               Privacy/trust vs. security

           Limit who teens can talk to/play with

           Respond to rule-breaking

Copyright @ Linda Charmaraman, Wellesley College
+
        Parent interviews: Concerns about
        negative emotional impacts
           Interferes with school work, exercise or sleep

           Potential for hurtful interactions, social exclusion, or bullying
               Exposure to peer pressure & drama

           Online games
               Tunnel vision
               Exposure to violence
               Difficulty stopping

           Mood change when online for long periods

Copyright @ Linda Charmaraman, Wellesley College
+
        Parent interviews:
        Identifying positive emotional impacts
           Connect with friends across distance

           Plan/participate in social events with friends

           Have fun
               Smiling, laughing, happy

Copyright @ Linda Charmaraman, Wellesley College
+
        Parent interviews:
        Challenges of parent roles
           Pros and cons of social media use
               Balance positive & negative impacts
               Worry about negative effects but don’t want teens to be left out

           Approaches to social media use
               Too much or too little
               Capacity to monitor teens’ use
               Teens’ rights to privacy & trust vs parent protections

Copyright @ Linda Charmaraman, Wellesley College
+
        Behavioral characteristics of overall
        sample
                               Bigelow                  Other schools in Boston area
           22% fewer than 8 hrs of sleep             42% fewer than 8 hrs of sleep

           14% believe parents would                 16% believe parents would
            disapprove of a SM site they are           disapprove of a SM site they are
            using                                      using

           22% believe that parents would            29% believe that parents would
            disapprove of someone in their             disapprove of someone in their
            online network                             online network

           Student interview: I go to bed at         Only 5% of parents believe their
            10:30 and my parents think I’m             children get fewer than 8 hours of
            asleep by 11pm but I set the alarm         sleep at night
            for midnight and go back on Youtube
            until 1am.
Copyright @ Linda Charmaraman, Wellesley College
+
        Problematic internet behaviors
         When asking                      teens to report problematic internet
            behaviors
               77% matched with parents on “losing motivation to do other things
                that need to get done because of being on the Internet”
               55% matched with parents on “feeling nervous or anxious because
                s/he is away from the internet”
               46% matched with parents on “experiencing feelings of withdrawal
                from not using the internet”

          Interviewer: Do you feel like your other swim mates are on their phones a
        lot compared to you?
          Student: Yeah the other swimmers are on their phones a lot.
          Interviewer: Give me an example.
          Student: So last season I was sitting down reading a book and I noticed a
        bunch of kids standing over in a corner and they were all playing Fortnite
        together. I think a couple actually missed their events.

Copyright @ Linda Charmaraman, Wellesley College
+
        Fortnite and health outcomes

                      What to watch for              No significant impacts seen yet
           less hours of sleep per night           Notassociated with
                                                    depression, social anxiety,
           more physical symptoms of
            computer overuse (such as hand          or making new friends
            pain, blurry vision, and loss of
            sleep)

           more time on the computer
            when not doing homework

           more likely to have started
            dating

Copyright @ Linda Charmaraman, Wellesley College
+
        Health and Psychosocial Outcomes
        *p < .05. **p < .01. ***p < .001

                       Social media users                  Non-social media users
           More likely to have depressive            More likely to get enough sleep at
            symptoms**                                 night (at least 8 hours) ***

           More online emotional support
            ***

           More likely to seek out support
            with regards to angry feelings*,
                                                   Interviewer: Have you ever felt scared,
            depressive feelings**,                 nervous, or angry reading the news online.
            anxieties***
                                                   Student: About Trump…and like, the
                                                   Parkland shooting. ..and how we can just
                                                   sell millions of guns of military grade to
                                                   kids in this country

Copyright @ Linda Charmaraman, Wellesley College
+
        Early SM initiators vs. Later SM initiators

                                                    Later initiators (12-14 yrs) or Non-
                   Early initiators (9-11 yrs)
                                                             social media users
         More    likely to report                  Spend less time on
            fewer hours of sleep                    computer not doing
                                                    homework
         More    likely to have
            started dating                          Less likely to
                                                                 have
         More     likely to have online            online friends parents
            social anxiety                          would disapprove of

Copyright @ Linda Charmaraman, Wellesley College
+ How number of friends is related to body dissatisfaction
                               Number of Friends on Social Media

                                                                                             Interviewer: Do you
                                                           23%
          < 50                                                                                ever feel bad about
                                                                               42%            your body image
                                                                                              after looking at
                                       10%                                                    other’s photos?
     51-100
                                                   15%
                                                                   Body Dissatisfaction
                                                                                             Student: I mean I
                                                     18%                                      feel like everyone
   101-250
                                                    17%                                       does. When you
                                                                                              look at Selena
                                                                   Non-Body
                                                      21%                                     Gomez, like oh my
   251-500                                                         Dissatisfaction
                                                    18%                                       God, she’s so
                                                                                              perfect and she can
                                                                 29%                          make herself look
         500+                                                                                 like she’s 16
                                     8%

Copyright @ Linda Charmaraman, Wellesley College
+ Social media frequency and body dissatisfaction

Copyright @ Linda Charmaraman, Wellesley College
+
        Peer networks: How often has someone
        ever…
        60%

        50%                                        54%

        40%                           45%

                            36%                                      38%
        30%                                                                6th grade
                                                               28%         7th grade
        20%                                                                8th grade
                                                         19%
        10%

          0%
                        made rude or mean       spread rumors about you
                     comments online or by text     online or by text

Copyright @ Linda Charmaraman, Wellesley College
+
        Peer networks: How often do you…

        40%
        35%                                        38%
                                                                    35%
        30%
        25%
                                      24%                                   6th grade
        20%
                            19%                                             7th grade
        15%
                                                              16%
                                                                            8th grade
        10%
          5%                                             7%
          0%
                      show rude or mean online upload embarrassing photos
                       behavior toward others          of friends

Copyright @ Linda Charmaraman, Wellesley College
+
        Digital citizenship: When an online friend
        shares bad news, I try to respond…
        90%

        80%
                                                                          82%
        70%
                                                          72%
        60%
                                            63%
        50%

        40%

        30%

        20%

        10%

         0%

                                                   Strongly agree/agree
                                           6th grade    7th grade    8th grade

Copyright @ Linda Charmaraman, Wellesley College
+ Digital citizenship: Online social/emotional
        support
         1/5 to 2/5 of students                    1/3 to halfof students
            admitted receiving online               giving online support
            support about:                          about:
                                                       School
               School
                                                       Worries/anxieties
               Worries/anxieties
                                                       Dating (esp. in 8th grade)
               Not getting along with others
                                                       Not getting along with others
               Friends they care about                Friends they care about
               Family

Copyright @ Linda Charmaraman, Wellesley College
+ Implications for early adolescent SM use
          Our  study suggests that online social
           media use is not a substitute for peer
           interactions (not associated with social
           isolation).
          Being a SM user exposes adolescents to
           the risks of greater likelihood of online
           social anxiety, negative body image, and
           decreased sleep, yet can also offer the
           benefits of online emotional support.

Copyright @ Linda Charmaraman, Wellesley College
+
        Implications for community
           Our studies demonstrate…
             value of SMS for voicing emotional needs and avoiding isolation

             Importance of parental monitoring at initiation

             Importance of parents, educators, practitioners, and community
              members knowing both positive and negative uses of social
              media in young people which can be potential sources of digital
              citizenship socialization

        Resources for parents:

           American Association of Pediatrics guidelines

           Common Sense Media

           Parenting for a Digital Future e-newsletter

Copyright @ Linda Charmaraman, Wellesley College
+ Future Directions
           In our follow-up adolescent and parent qualitative studies, we
            will probe further about
             a) how students and parents perceive household rules about
              social technologies,
             b) secretive online behaviors, and
             c) what online content (e.g. celebrities, “challenges”) might
              be associated with different psychosocial or health
              consequences, such as body dissatisfaction
           2018-2021 – Launching a three-year NIH funded study of
            longitudinal impacts of early social media use on physical and
            socioemotional health
            Recruiting middle schools currently to begin Spring 2019
           THANK YOU BIGELOW FOR ALLOWING US TO PILOT HERE!

Copyright @ Linda Charmaraman, Wellesley College
Like us on Facebook!
   https://www.facebook.com/
     mediaandidentitystudy/
                      Many thanks to Principal Harrison, Missy
                      Costello, our project coordinator Ineke Ceder,
                      our data analysts Amanda Richer, MA and
                      Lisette DeSouza, PhD, and student research

        +             assistants Rebecca Leu, Nimo Suleyman, Sabina
                      Unni, Cynthia Serrano Najera, Olaide Sode, as
                      well as everyone who helped us recruit and
                      collect data!

For more info or copies of book chapters/articles, feel free to
contact the Principal Investigator,
Linda Charmaraman
lcharmar@wellesley.edu
I look forward to hearing from you!
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