Tracking of maternal self-efficacy for limiting young children's television viewing and associations with children's television viewing time: A longitudinal analysis over 15-months Health behavior, health promotion and society

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 (β∈=∈-35.5; 95 % CI∈=∈-54.4,-16.6 and β∈=∈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.