Digital Ecosystems, Children, and Adolescents: Policy Statement

Digital media, including television, the internet, social media, video games, and interactive assistants, form the digital ecosystem. When this digital ecosystem is designed with children's unique developmental needs in mind, it can support learning and well-being. In contrast, digital ecosystems that prioritize engagement and commercialization often encourage prolonged use, which in turn can displace healthy behaviors (eg, movement behaviors, sleep), and contribute to negative outcomes. This policy statement follows the conceptual framework of the socioecological model, depicting nested circles of care including: children's own characteristics, their caregivers, the digital ecosystem, as well as broader societal systems. Given the interconnected nature of these influences and systems, "media and children" cannot be viewed solely through the lens of individual child behaviors or screen limits alone. Recommendations are provided for families, pediatric providers, practitioners (eg, psychologists, social workers, counselors, educators, researchers), industry, and policy makers, aiming to provide strengths-based solutions and promote a more child-centered digital ecosystem.

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Publication Details

Journal
PEDIATRICS
Published
2026-01-20
DOI
https://doi.org/10.1542/peds.2025-075320
Citations
2
Primary Topic
Child Development and Digital Technology
Type
article
Field-Weighted Citation Impact
385.39
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article

Digital Ecosystems, Children, and Adolescents: Policy Statement

Libby Matile Milkovich, Eli M. Cahan, Taiwo Ajumobi, Corinn Cross et al.
2 citations
PEDIATRICS
Child Development and Digital Technology
385.39
article

Digital Ecosystems, Children, and Adolescents: Policy Statement

Libby Matile Milkovich, Eli M. Cahan, Taiwo Ajumobi, Corinn Cross, Tiffany G. Munzer, Roslyn Gerwin, Yolanda N. Evans, Amna Husain, Joanna Parga-Belinkie, Edith Bracho-Sanchez, R. Psych, Ilan Shapiro, Jenny S. Radesky, Alok Patel, Suzy Tomopoulos, Elizabeth Milkovich
article en
2 citations

Abstract

Digital media, including television, the internet, social media, video games, and interactive assistants, form the digital ecosystem. When this digital ecosystem is designed with children's unique developmental needs in mind, it can support learning and well-being. In contrast, digital ecosystems that prioritize engagement and commercialization often encourage prolonged use, which in turn can displace healthy behaviors (eg, movement behaviors, sleep), and contribute to negative outcomes. This policy statement follows the conceptual framework of the socioecological model, depicting nested circles of care including: children's own characteristics, their caregivers, the digital ecosystem, as well as broader societal systems. Given the interconnected nature of these influences and systems, "media and children" cannot be viewed solely through the lens of individual child behaviors or screen limits alone. Recommendations are provided for families, pediatric providers, practitioners (eg, psychologists, social workers, counselors, educators, researchers), industry, and policy makers, aiming to provide strengths-based solutions and promote a more child-centered digital ecosystem.

PEDIATRICSVol. 157(2)
Children's Mercy Hospital (US), Children's Hospital of Philadelphia (US), University of Calgary (CA), Alberta Children's Hospital (CA), Goryeb Children's Hospital (US), Bellevue Hospital Center (US), Maine Medical Center (US), Deployable Space Systems (United States) (US), C. S. Mott Children's Hospital (US), University of Missouri–Kansas City (US)
Openalex Percentile: Top 0%
Child Development and Digital Technology
385.39
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