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Screen Time Impact on Sleep & Activity

This document outlines a correlative study aimed at assessing the relationship between screen time, quality of sleep, and physical activity among children aged 13-15 in selected schools in Mangalore. The study will utilize stratified random sampling and various questionnaires to collect data, with the aim of understanding how these factors are interrelated. The research highlights the growing concern over children's screen time and its potential negative impacts on their sleep and physical activity levels.

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yangzompassang
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0% found this document useful (0 votes)
21 views41 pages

Screen Time Impact on Sleep & Activity

This document outlines a correlative study aimed at assessing the relationship between screen time, quality of sleep, and physical activity among children aged 13-15 in selected schools in Mangalore. The study will utilize stratified random sampling and various questionnaires to collect data, with the aim of understanding how these factors are interrelated. The research highlights the growing concern over children's screen time and its potential negative impacts on their sleep and physical activity levels.

Uploaded by

yangzompassang
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

A correlative study on screen time, version 1 06/11/2024

quality of sleep and physical activity

1
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

YENEPOYANURSINGCOLLEGE
YENEPOYA (deemed to be UNIVERSITY)
MANGALORE, KARNATAKA

ACCREDIATED BY NAAC WITH GRADE A+

PROFORMA FOR REGISTRATION OF

Project
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

A correlative study on screen time, quality of sleep and physical activity among children
at selected schools, Mangalore.

YENEPOYA NURSING COLLEGE


PART A: PERSONAL DETAILS :-

1 Name of the investigator’s Ms. Passang Yangzom


Ms. Raheema CK
Ms. Radhika Biju
Mr. Mohammed Swalih
2 PI’s Designation and name of the Designation: Student
department and college/ center Department: Nursing
College/Centre:
Yenepoya nursing
college
CampusID:17020 Dr.
Priya Reshma Arahna

3 Name of the Course BSc nursing


4th October 2021
4 Date of admission

5 Contact details of the PI Valid mobile


number:9845672539
Email id:
yangzompassang@gma
[Link]

6 Name(s) of the Co
investigators/Research team members -
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

Dr. Priya Reshma Arahna

Name of the guide: Vice principal

Asso. Professor

Dep. of Child health nursing

Yenepoya Nursing college.

Co-guide: [Link]
reema barboza

Name of the co-guide: asso .professor dep. of


Medical surgical nursing
yenepoya nursing college

PART B: PROJECT DETAILS

1. TITLE OF THE RESEARCH TOPIC:

A correlative study on screen time, quality of sleep and physical activity among
children at selected schools, Mangalore.
2. EXECUTIVE SUMMARY:

A descriptive correlative study will be done to assess the screen time, quality of sleep
and physical activity among children. The study samples are children aged 13-15years
studying in selected schools in Mangalore. Stratified random sampling technique will be
adopted to select study subjects. Physical activity questionnaire for adolescents, Screen
Time questionnaire and Pittsburgh QOS index will be used to collect the data. Data will
be analyzed using descriptive and inferential statistics.

3. INTRODUCTION & BACKGROUND:


A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

Children in the age group twelve to sixteen year experience many changes, including
physical, mental, and social development. During this course of time, their interest spreads
to varied areas and the gadgets are the one to which children get attracted to. Children
become addicted to gadgets which affects their sleep quality as well physical activity.

Young people engage in various types of screen time, such as streaming


and gaming. This screen time is interconnected with other behaviors,
including physical activity and sleep duration. 1 15% of all deaths
worldwide each year are preventable early deaths. It has been demonstrated
that one of the elements that helps to preserve health and avoid early mortality is physical
activity. For instance, youth physical exercise enhances bone mass and cardio metabolic
health, lowers the risk of depression, and aids in maintaining a healthy weight and level of
physical fitness.2 Every area of the body benefits from sleep, but young children's bodies
and minds require more sleep than others. Lack of sleep or poor sleep quality in young
children can lead to challenging behaviors a reduced ability to absorb and retain
information, and a tendency toward unhealthy eating habits and weight increase.3
Anger, sadness, worry, and stress can all be reduced with regular exercise. As physical
activity becomes a regular part of their life, most people find that they feel better overtime.
Lack of sleep and physical activity can have serious consequences, including: Impaired
focus, concentration, and decision-making, Increased risk of accidents and mistakes,
Weakened immune system, Higher risk of chronic conditions like heart disease, diabetes,
and high blood pressure and Emotional problems like depression and anxiety. Sleep and
physical activity are closely linked.4
Studies have shown that exercise increased the length or quality of [Link] time
affects children in many aspects such as in attention, irritability, tantrums and poor
performance at school. It also causes Suppression of the sleep-inducing hormone melatonin,
leading to delayed sleep and shorter sleep duration.6
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quality of sleep and physical activity

A study conducted in China showed that children in school between the ages of 6 and 14
spent 2.77 hours on average per day in front of a screen, with 46.4% of them spending more
than 2 hours on average.7 Comparing studies conducted in the same nations and regions prior
to and following the COVID-19 epidemic allows one to infer a general growth tendency.
Screen time among school-aged children increased from 41.3% to 59.4% after january 2020,
with 2 or more hours of daily screen time.7
In Brazil a study was conducted which showed that there is a dearth of information on
adolescents' screen use, sleep habits, and physical activity in Brazil, a nation with a moderate
income level. By polling 58,535 teenagers between the ages of 12 and 17, this study sought
to close this gap. Only 8.7% of respondents to the study met all three recommendations for
screen time, sleep, and physical exercise. On the other hand, 46.4% of respondents satisfied
there commendations for physical activity,42.5% for screen time, and 40% for sleep duration.
The study also discovered that residing in less develop dare as, being a male adolescent, and
being between the ages of 14 and 15 increased the likelihood of meeting the standards. These
results imply that the movement habits of teenagers maybe negatively impacted by
urbanization.8

A study was conducted in rural India, among secondary school students located in the rural
field practice area of a Private Medical College in Pune district of Maharashtra. The research
involved 184 students from eigth to tenth grades. The study revealed that 83.2% of them used
screens for more than the suggested two hours each day, 18% of kids spent more than two
hours a day in front of a screen.9

In Karnataka a comparative study was conducted among high school students which showed
that Urban kids had a mean total screen time of 177 minutes, whereas rural students had a
mean total screen time of 93 minutes.9
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4. NEED FOR THE STUDY:

The availability and usage of electronic gadgets, including computers, tablets, video
games, consoles, televisions, and cellphones, have significantly expanded during the past
few decades.6As per the guidelines of American academy of child and adolescent
psychiatry recommends screen time 2 hours or less for children 6 years and
above.10Exercise must be done in accordance with World health organization guidelines
in order to be beneficial. Children and adolescents should engage in 60 minutes of
moderate-vigorous physical activity each day, primarily aerobic, with muscle-
strengthening and bone-strengthening activities on at least three days per week. 11At the
same time, the prevalence of insomnia and sleep deprivation have risen. Poor sleep (too
little or too much, and poor quality) has been shown to be a risk factor for obesity,
diabetes, cardiovascular disease, depression, and overall mortality.12

A study which was conducted in Brazil on 25 th Dec 2023 has shown that poor sleep quality
was observed in 52.3 % of the sample, whereas 46.6 % reported sleeping less than eight
hours/day. Inadequate physical activity among adolescents was linked to high screen time,
which in turn was associated with poor sleep quality (OR = 1.45; 95 %CI = 1.01-2.12) and
insufficient sleep duration(OR = 1.52; 95 %CI = 1.01-2.03). There were no associations
between screen time and sleep parameters in active adolescents.13

A study which was conducted in Karnataka to assess the relationship between quality of
sleep, physical activity and screen time has shown that nearly every night, 70%of urban and
51.6% of rural students used their cellphones, while 95% of urban and 76% of rural students
watched television. The urban group's overall screen time was almost twice as long as the
rural group's.14

The investigators in their day to day practice has observed that children these days spend
most of their time in front of screen and are not interested in physical activities. This could
affect their sleep quality as well. Therefore the investigators are interested to study if there is
a relationship between screen time, physical activities and sleep quality among school
children.
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[Link] QUESTION:
a. RESEARCH QUESTION OR HYPOTHESIS:

The following hypotheses are stated and will be tested at 0.05 level of significance
H1: There will be a correlation between screen time, level of physical activity and
quality of sleep among children
H2: There will be an association of screen time, level of physical activity and quality of
sleep with selected demographic variables
[Link] OF THE STUDY:
The aim of the study is to assess the correlation between screen time, level of physical
activity and quality of sleep among children.
[Link]:
[Link] assess screen time among school children.

2. To assess the quality of sleep among school children.

3. To assess the level of physical activity among school children.

4. To find correlation between screen time, quality of sleep and level of physical activity
among school children.
5. To find the association of screen time, quality of sleep, level of physical activity with
selected demographic variables.

6. REVIEW OF LITERATURE

A cross-sectional study was conducted to investigate the relationships between body


mass index, amount of sleep, and screen usage in children under the age of five. There
were 322 healthy under-five children in the sample. Multi stage stratified cluster
sampling procedures were employed in the selection of the sample in Takestan county,
an area in Qazvin province of Iran, from May to December [Link] diary technique
was used to gather the data, and one way and two way ANOVAS, multiple linear
regression analysis, the Kolmogorov-Smirnov test, and the spear man correlation test
were used to analyze it. The results of the study indicated that there was a negative
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association (p <0.001) between screen time and sleep duration, a positive correlation (p
<0.001) between screen time and BMI, and a negative correlation (p <0.001) between
sleep duration and BMI. The amount of time spent on screens was correlated with both
BMI and sleep length. The study found that children averaged 97.75 minutes of screen
time,11.1 hours of sleep, and a BMI of 16.58. No significant differences were found
between boys and girls.1

A cross-sectional study conducted to use compositional analysis to investigate the


associations between movement behaviours (length of sleep, time spent sedentary,
physical activity) and health markers in a representative sample of children and youth.
Based on data from 4169 children and youth (ages 6to 17) from cycles 1 through 3 of
the Canadian Health Measures Survey,cross-sectional conclusions were produced
using compositional analysis. within a youth sample,researchers examined the
associations between movement behaviours (sleep, light-intensity physical activity,
moderate-to-vigorous physical activity, and sedentary time) and a range of health
indicators (blood pressure, aerobic fitness, behavioural strengths and difficulties,
obesity risk markers, and cardio metabolic risk markers).They discovered that:-
Light-intensity physical activity and sedentary time were associated with adverse health
outcomes. - Sleep and moderate-to-vigorous physical activity were linked to positive health
outcomes.15

A cross-sectional study was conducted on 2016 . Participants were recruited through online
and social media advertisements, email campaigns with research organizations, and in-person
at medical clinics affiliated with The University of California, San Francisco. To examine the
smartphone usage of 653 individuals and its connection to their sleep quality. Demographics,
medical information, and sleep habits (Pittsburg Sleep Quality Index-PSQI). They discovered
that: - The average daily screen time was 38.4 hours over 30 days; - Longer screen times were
associated with younger ages and specific racial/ethnic groupings (Black and "Other").
Extended periods of screen time were linked to: - Reduced sleep efficiency - Extended sleep
onset delay - Decreased sleep quality although the exact cause of the findings is unknown,
they do imply that excessive smartphone use may have a harmful effect on sleep. The study
emphasizes how crucial it is to take smartphone use into account when having conversations
about sleep hygiene.16
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A cross sectional study conducted to find the relationship between screen time and sleep
quality in 600 under graduate students (ages 17 to 24) in Karachi. The sampling
technique was Multi staged sampling. Instruments comprised of three parts 1)
Demographic profile, 2) Sleep quality measure, 3) Screen time usage measures. They
found :- Mean sleep duration was 6.7 hours - 71% of students had poor sleep quality-
Students with>2hoursofscreentime on weekdays had 4.23times higher odds of poor sleep
quality - Students with >2 hours of screen time on weekends had 24.15 times higher
odds of poor sleep quality. The study’s findings suggest that excessive screen time
negatively impacts sleep quality in young adults, underscoring the needs for public
health stratergies to promote healthy screen use behaviours.2

A study involving 694 Spanish adolescents explored the levels and relationship
between screen time, sleep duration and physical activity. The study design was
non-experimental, descriptive-correlational and cross-sectional. Participants
completed four One-Day Physical Activity Questionnaires. Statistical analysis used
t-tests and Pearson’s correlation to examine physical activity, screen time, and
sleep duration. Findings revealed: - The average daily screen time for men was
greater (136.93 min). - Weekends saw higher levels of screen time, sleep duration,
and moderate-to-intense physical activity. - Positive relationships between screen
time and light physical activity – Negative relationships between moderate-
vigorous physical activity and screen time – Study finds more screen time means less
sleep time in males, with habits varying by gender and day of the week.17
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METHODOLOGY:

a. STUDYDETAILS:

i. STUDY DESIGN: Descriptive Correlational design


ii. STUDY SITE: Selected high schools of Mangalore
iii. FUNDING DETAILS: Self funding
Iv. STUDY DURATION: 12 months

b. PARTICIPANT DETAILS:

i. SOURCES OF DATA:
School children

ii. SAMPLE SIZE: 167

The expected correlation between screen time and physical activity among students was
0.274 (Sanz-Martin et al., 2022). The sample size is computed using G*Power software.
To detect the anticipated correlation with 95% power, 5% level of significance, 167
subjects must be included in the study.18

iii. METHOD OF SAMPLING (SAMPLING TECHNIQUE):


Stratified random sampling

[Link] AND BLINDING:


Study participants will be selected randomly

v. INCLUSION CRITERIA:
School children

● Aged between13 to15 years,

● Both males and females

● Owning a gadget or using parents gadgets


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vi. EXCLUSION CRITERIA:

School Children with

● Cognitive impairment

● Any psychiatric disorder and on treatment

● Any physical condition that hinders the mind indulging physical activity
v. WITHDRAWAL CRITERIA:

Participation in this study is voluntary, study subjects can withdraw from the study at
any time. There would not be any harm in their life if they do so.

vi. DISCONTINUATION CRITERIA:


The participants can discontinue at any point of time.

c. STUDY TOOL

1. Demographic performa

2. Screen time questionnaire for adolescent

3. Pittsburgh quality of sleep index

4. Physical activity questionnaire for adolescence

Serial no Tools Reliability

1 Screen time 0.90


questionnaire

2 Pittsburgh quality of 0.88


sleep index

3 Physical activity 0.61to0.78.


questionnaire for
adolescent

i. DESCRIPTION
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1. DEMOGRAPHIC PERFORMA

It consists of 19 items including : Age in years, gender, type of family, religion,


grade studying in, school type, mother’s educational status, father educational
status, occupation of father, Occupation of mother, Monthly family income in
rupees, Type of gadgets you own, Duration of sleep during week days, Duration of
sleep during weekends/holidays, Duration of outdoor plays during weekdays,
Duration of outdoor plays during weekends/holidays, Use of gadgets at bedtime,
Use of gadgets during weekdays, Use of gadgets during weekends/holidays.

2. SCREEN TIME QUESTIONNAIRE


SCREENS-Q is a comprehensive tool to assess children’s screen media habits, the
screen media environment and possible related correlates. It is a feasible questionnaire
with multiple validated constructs and moderate to substantial test-retest reliability of all
evaluated items. The Screens-Q is a promising tool to investigate children screen media
use19. It assess screen use on an average week day and weekend. It consists of 6 items
for week days and weekend which is score independently.

3. PITTSBURGH QUALITY OF SLEEP INDEX


The Pittsburgh Quality of Sleep Index is commonly used in both clinical and research
settings to evaluate various aspects of sleep. It is a valuable tool for assessing sleep
quality as it captures multiple dimensions of sleep, including both subjective experiences
and objective parameters. It allows researchers and health care providers a like to obtain
a comprehensive understanding of an individual’s sleep patterns and disturbances and
inform treatment decisions and interventions for sleep disorders [Link] consists of 10 items.
Maximum possible score is 21. Higher scores indicates poor sleep quality.

4. PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS


The Physical Activity Questionnaire for Older Children (PAQ-C) and the physical
Activity Questionnaire for Adolescents (PAQ-A) provide a general measure of physical
activity for youth from grades 4-12(approximately ages 8-20). The purpose of the
Physical Activity Questionnaire manual is to ensure that you can easily
administer the Physical Activity Questionnaire measures in research and to
provide you with a library of studies utilizing the physical activity
questionnaire for children and the physical activity questionnaire for
adolescents. It is difficult to determine the best instruments to assess
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physical activity when a gold standard doesn’t exist. In response to the


need for a valid and feasible self-report measure for large-scale research with children
and adolescents, the physical activity questionnaire for older children. 21It consists of 9
items. These items will assess the level of physical activity from the last 7 days. Each
item will score independently.

ii. VALIDATION:
The tool will be submitted to subject experts for the validation.

iii. PRETESTING:

Tool will be given to children to identify the problems related to answering, completing
the questionnaire and to rectified weakness in administration, organization and
distributions of instrument.

d. METHOD:

i) DETAILS OF THE METHODOLOGY INCLUDING DETAILS OF SAMPLE


COLLECTION:
● Approval will be obtained from the scientific review board (Yenepoya
nursing college) and Ethics Committee of Yenepoya, deemed to be
university Mangalore.
● Permission will be obtained from the concerned authority.

● Based on the inclusion criteria, participants will be recruited to the study.


● The participant information sheet will be explained and informed consent
will be obtained from the parents and assent from the children and
confidentiality will be assured.

● Researcher affirms that participants can withdraw from study at any time.
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

● Data will be collected using questionnaire


● Collected data will be coded, tabulated and analyzed using descriptive
and inferential statistics.
ii) DETAILS OF ANALYSIS:
 Demographic variables will be analyzed using frequency and percentage.
 Physical activity questionnaire, pittsburg quality of sleep and screen time will be analyzed using
frequency and percentage.
 The correlation between screen time, pittsburg and physical activity will be assessed using Carl
Pearson’s correlation coefficient.
 Association of screen time, physical activity and quality of sleep with selected demographic variables
will be assessed using Chi Square Test.
8) WORKPLAN:

SL Activities July Aug Sep Oct Nov Dec Jan Feb March
No.

1. Review of literature.

2. Problem statement presentation with


objective.

3. Synopsis presentation with tool

4. Synopsis submission to SRB, YNC

5. Tool validation

6. Getting ethical clearance from


ethical committee YU

7. Reliability & pretesting

8. Completion of data collection

9. Analysis

10. Report presentation


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11. Project work submission,


plagiarism check and
publication

9) BUDGET:

Self funded

10) ETHICAL ISSUES:

A. Ethical guidelines followed:


The ICMR national ethical guidelines for biomedical and health research including human participants
2017 to be followed.
B. Ethical approval:
The study will start only after ethical approval from the institutional ethics committee.
Approved version of the protocol and protocol-related documents will be followed.
[Link] consent:

Informed consent will be obtained from parents followed by a written consent will be
obtained from each participant.

[Link] population:

Study samples are schooler children aged 13-15 years old hence, study include
vulnerable population.

[Link] of care:

Our study participants are students. The study design adopted is descriptive study. No
intervention will be provided for the subjects. The participation in this study will not
harmfully affect the rights of schooler children. The study doesn’t provide any sort of
compensation or reimbursement for the study participant.

F. Harms:

This study will not cause any harm to anyone or any resources. If they do not take
initiative to take part in the study or if they would like to quit from the study after giving
consent there would not be any harm to children's right in any way.
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G. Benefits:
The study posing no specific risks, researcher doesn’t anticipate any risks to any participants
participating in the study. There is no expenditure for participating in the study. No direct
benefits for the study participants but they get an opportunity to gain awareness on
knowledge regarding correlation between screen time, quality of sleep and physical activity
of schooler children aged 13-15 yrs. The study will also provide factual data for conducting
researchers on similar subjects with same aim for the future research.

H. Risk benefit ratio:


No direct benefits will get for the participants. It will help researchers to understand the
correlation between screen time, quality of sleep and physical activity level among
adolescents and children. It enables to organized awareness program for children and their
parents. Risk-benefit ratio is favourable.
I. Privacy:
Privacy will be provided to the participants throughout the study period.
J. Confidentiality:
The response from participants will be used for study analysis and not be shared with anyone
except guide, ethics committee. Recorded responses will not be represented individually, as a
grouped anonymous data will be published in respective journal, used for scientific
presentation and publication. The data will be disposed within 1 year of study completion. If
participants are interested to know the results of the study, they will be intimated at the end of
study.
K. Requisite permission/approvals/agreements/MoU/MTA:NA
11. BIOSAFETY ISSUES:
Not applicable as it is a questionnaire-based research project.

[Link] OF RESULTS OF RESEARCH AND SPECIFIC


DELIVERABLES:
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quality of sleep and physical activity

The result of study will be published in an indexed scientific paper and presented in national
or international conference.

13. REFERENCES:

1. Sourtiji H, Hosseini SA, Rassafiani M, Kohan A, Noroozim, Motlagh ME. The


associations between screen time, sleep duration,and body mass index (BMI) in under
five-Year-Old children. Arch Neurosci.2019;6(1):e81229.
2. Muhammad N, Hussain M, Adnan SM. Screen time and Sleep Quality among College and
University Students of Karachi. J Health Biol Sci. 2021;9(1):5-14.

3. Jansen E. Sleep 101: Why sleep is so important to your health [Internet]. University of
Michigan School of Public Health. 2020. [cited 2025 Feb 21]. Available from:
[Link]

4. Why Is Physical Activity So Important for Health and Well-Being? [Internet]. American
Heart Association. 2024. [ Cited 2025 Mar 11]. Available
from : [Link]
so-important-for-health-and-wellbeing

5. Dolezal BA, Neufeld EV, Boland DM, Martin JL, Cooper CB. Interrelationship between
sleep and exercise: A systematic review. Adv Prev Med. 2017;2017:1364387.

[Link] N, Gradisar M. Electronic media use and sleep in school-aged children and
adolescents: A review. Sleep Med. 2010 Sep;11(8):735-42.

7. Guo YF, Liao MQ, Cai WL, Yu XX, Li SN, Ke XY [Link]., Physical activity, screen
exposure and sleep among students during the pandemic of COVID-19. Scientific reports.
2021;11(1):8529.

8. Schaan CW, Schaan BD, Cureau FV. Prevalence and correlates of meeting physical
activity, screen time, and sleep duration guidelines among Brazilian adolescents: findings
from ERICA. Applied Physiology, Nutrition, and Metabolism. 2022; 8;47(6):690-698.

[Link] R, Pokale A, Chutke A, Narula AP, Shinde S, Deshmukh R. Prevalence of excess


screen time among secondary school children in rural India. Journal of Preventive Medicine
and Hygiene. 2023;64(4): E457.
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[Link] P, Shah D, Bedi N, Galagali P, Dalwai S, Agrawal S, John JJ, Mahajan V, Meena
P, Mittal HG, Narmada S. IAP Guideline Committee On Digital Wellness And Screen Time
In Infants, Children, And Adolescents. Indian Academy of Pediatrics Guidelines on Screen
Time and Digital Wellness in Infants, Children and Adolescents. Indian Pediatric.
2022;59(03):235-44.

11. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G [Link]. World
Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J
Sports Med. 2020 Dec;54(24):1451-1462.

12. Institute of Medicine (US) Committee on Sleep Medicine and Research. Sleep Disorders
and Sleep Deprivation: An Unmet Public Health Problem. Colten HR, Altevogt BM,
editors. Washington (DC): National Academies Press (US); 2006.

13. Dos Santos AB, Prado WL, Tebar WR, Ingles J, Ferrari G, Morelhão PK, Borges LO,
Dias RM, Beretta VS, Christofaro DG. Screen time is negatively associated with sleep
quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional
school-based study. Preventive Medicine Reports. 2024 ; 1(37):102579.

14. Chandran S, Kishore M, Prakrithi S, Sadar A, Jayaram R. A comparative study of screen


time, sleep duration and behavioural disturbances in urban and rural high school
children. Journal of Indian Association for Child and Adolescent Mental Health.2020;16(4):
119 - 141.

15. Zink J, Booker R, Wolff-Hughes DL, Allen NB, Carnethon MR, Alexandria SJ, Berrigan
D. Longitudinal associations of screen time, physical activity, and sleep duration with body
mass index in U.S. youth. Int J Behav Nutr Phys Act. 2024 Apr 2;21(1):35.
16. Carson V, Tremblay MS, Chaput JP, Chastin SF. Associations between sleep duration,
sedentary time, physical activity, and health indicators among Canadian children and youth
using compositional analyses. Applied Physiology, Nutrition, and Metabolism.
2016;41(6):S294-302.

[Link] MA, Bettencourt L, Kaye L, Moturu ST, Nguyen KT, Olgin JE, Pletcher MJ,
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Marcus GM. Direct measurements of smartphone screen-time: relationships with


demographics and sleep. PloS one. 2016;11(11):e0165331.

18. Sanz-Martín D, Ubago-Jiménez JL, Ruiz-Tendero G, Zurita-Ortega F, Melguizo-Ibáñez E,


Puertas-Molero P. The Relationships between Physical Activity, Screen Time and Sleep
Time According to the Adolescents' Sex and the Day of the Week. Healthcare (Basel).
2022;10(10):1955.
19. Klakk H, Wester CT, Olesen LG, Rasmussen MG, Kristensen PL, Pedersen J, et al. The
development of a questionnaire to assess leisure time screen-based media use and its
proximal correlates in children (SCREENS-Q). BMC Public Health . 2020;20(1):664.

[Link] DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep
Quality Index: a new instrument for psychiatric practice and research. Psychiatry research.
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[Link] GJ, Wood K. Physical activity assessments in physical education: A practical review of
instruments and their use in the curriculum. Journal of Physical Education, Recreation &
Dance. 2000;71(1):30-40.
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quality of sleep and physical activity

[Link] OF ANNEXURES:
 Demographic tool
 Pittsburg sleep quality index
 Physical activity questionnaire
 Informed consent
 CV
 SRB approval
 Tool validation
[Link] COLLECTION FORM
Tool 1: DEMOGRAPHIC PERFORMA
Dear participants, kindly read the following carefully and place the tick mark against
the option which
best suit for you. The information provided by you will be kept confidential.
1. Age (in years ) ____
2. Gender:
a) Male [ ]
b) Female [ ]
c) Others [ ]
3. Grade studying in:
a) Class 8 [ ]
b) Class 9 [ ]
c) Class 10 [ ]
4. School type :
a) Government school [ ]
b) Private school [ ]
5. Mother’s educational status:
a) No formal education [ ]
b) Primary [ ]
c) Secondary [ ]
d) PUC [ ]
e) Post graduate or above [ ]
6. Father’s educational status:
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a) No formal education [ ]

b) Primary [ ]
c) Secondary [ ]
d) PUC [ ]
e) Post graduate or above [ ]
7. Occupation of Father:
a) Unemployed [ ]
b) Private sector [ ]
c) Public sector [ ]
d) Business [ ]
e) Day labourer [ ]
8. Occupation of mother:
a) Homemaker [ ]
b) Private sector [ ]
c) Public sector [ ]
d) Business [ ]
e) Day labourer [ ]
9. Monthly family income in rupees:
a) <25,000 [ ]
b) 25,001- 50,000 [ ]
c) 50,001- 75,000 [ ]
d) >75,000 [ ]
10. Types of gadgets you own:
a) Mobiles [ ]
b) Laptops [ ]
c) Tablets [ ]
d) Others [ ]
11. Use of gadgets at bedtime:
a) Yes [ ]
b) No [ ]
c) If yes, specify the time duration [ ]
12. Duration of your sleep during weekdays hours:
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quality of sleep and physical activity

a) <30 mins [ ]
b) 30 mins to 59 mins [ ]
c) 1-2 hours [ ]
d) >2 hours [ ]
13. Duration of your sleep during weekends/ holidays hours:
a) <30 mins [ ]
b) 30 mins to 59 mins [ ]
c) 1-2 hours [ ]
d) >2 hours [ ]
14. Duration of outdoor play during weekdays:
a) <30 mins [ ]
b) 30 mins to 59 mins [ ]
c) 1-2 hours [ ]
d) >2 hours [ ]
15. Duration of outdoor play during weekends/ holidays:
a) <30 mins [ ]
b) 30 mins to 59 mins [ ]
c) 1-2 hours [ ]
d) >2 hours [ ]

TOOL 2: Physical Activity Questionnaire (High School)

Name:_____________
Age:____________-
Sex: M _____ F ____
Grade:_____
Teacher:___________

We are trying to find out about your level of physical activity from the last 7 days (in the last week).
This includes sports or dance that make you sweat or make your legs feel tired, or games that make
you breathe hard, like tag, skipping, running, climbing, and others.

Remember:
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1. There are no right and wrong answers — this is not a test.


2. Please answer all the questions as honestly and accurately as you can — this is very important.
3. Physical activity in your spare time: Have you done any of the following activities in the past
7 days (last week)? If yes, how many times? (Mark only one circle per row.)

1-2 3-4 5-6 7 times or more


Skipping
Rowing/canoeing
In-line skating
Tag
Walking for exercise
Bicycling
Jogging or running
Aerobics
Swimming
Baseball, softball
Dance
Football
Badminton
Skateboarding
Soccer
Street hockey
Volley ball
Floor hockey
Basketball
Ice skating
Cross- country
Others

2. In the last 7 days, during your physical education (PE) classes, how often were you
very active (playing hard, running, jumping, throwing)? (Check one only.)
a) I don't do PE .
b) Hardly ever ..
c) Sometimes
d) Quite often ..
e) Always

3. In the last 7 days, what did you normally do at lunch (besides eating lunch)?
(Check one only.)
a) Sat down (talking, reading, doing schoolwork) ..
b) Stood around or walked around ..
c) Ran or played a little bit ..
d) Ran around and played quite a bit .
e) Ran and played hard most of the time

4. In the last 7 days, on how many days right after school, did you do sports, dance,
or play games in which you were very active? (Check one only.)
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a) None .
b) 1 time last week ..
c) 2 or 3 times last week .
d) 4 times last week ..
f) 5 times last week ..

5. In the last 7 days, on how many evenings did you do sports, dance, or play games
in which you were very active? (Check one only.)
a) None .
b) 1 time last week .

c) 2 or 3 times last week .


d) 4 or 5 last week .
e) 6 or 7 times last week .

6. On the last weekend, how many times did you do sports, dance, or play games
in which you were very active? (Check one only.)
a) None ..
b) 1 time ..
c) 2 - 3 times
d) 4 — 5 times
e) 6 or more times .. .

7. Which one of the following describes you best for the last 7 days? Read
all five statements before deciding on the one answer that describes you.
F. All or most of my free time was spent doing things that involve
little physical effort .
G. I sometimes (1 - 2 times last week) did physical things in my
free time (e.g. played sports, went running, swimming, bike riding,
did aerobics) .
H. I often (3 — 4 times last week) did physical things in my free time ..
I. I quite often (5 — 6 times last week) did physical things in my free time .
J. I very often (7 or more times last week) did physical things in my free time .........

8. Mark how often you did physical activity (like playing sports, games, doing dance,
or any other physical activity) for each day last week.

None Little bit medium often Very often


Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

8. Were you sick last week, or did anything prevent you from doing your normal
physical activities? (Check one.)
Yes .
No .............................
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quality of sleep and physical activity

If Yes, what prevented you?.................................

TOOL 3: Screen-time Questionnaire


For the following set of questions, primary activity is defined as the main activity you
are engaged in rather than using a television/other screen in the background while
performing another activity such as cooking or exercising.
Screen use on an average weekday

Thinking of an average weekday (from when you wake up until you go to sleep), how much time
do you spend using each of the following types of screen as the primary activity?
You must answer both hours and minutes. If zero please type "0" in the box.

Hours Minutes
Television
TV- connected devices (eg: streaming
devices, video games consoles)
Laptop/computer
Smartphone
Tablets
Screen use on an average weeknight

Now, thinking of an average weeknight (from when you return from work until you go to sleep),
how much time do you spend using each of the following types of screen as the primary activity?
You must answer both hours and minutes. If zero please type "0" in the box.

Hours Minutes
Television
TV- connected devices (eg: streaming
devices, video games consoles)
Laptop/computer
Smartphone
Tablets

Screen use on an average weekend day

Now, thinking of an average weekend day (Saturday or Sunday), how many hours over the
course of the whole day (from when you wake up until you go to sleep) do you spend using
each of the following types of screen as the primary activity?
You must answer both hours and minutes. If zero please type "0" in the box.

Hours Minutes
Television
TV- connected devices (eg: streaming
devices, video games consoles)
Laptop/computer
Smartphone
Tablets
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quality of sleep and physical activity

For the following set of questions, background screen is defined as the use of a television or another screen
near you while performing other activities such as exercising, cooking, and interacting with family/friends.

Thinking about a regular weekday (Monday through Friday), on average, how many hours over the course
of the whole day (from when you wake up until you go to sleep) are you exposed to background screen use?

Example: If you exercise in the morning for one hour while watching the TV news, you use your smartphone
for one hour while eating lunch and an additional 30 minutes while eating dinner, you would estimate that
you are exposed to 2 hours and 30 minutes of background screen use per day.

Hours minutes
Background screen use on a regular
weekday

Now we want to ask about background screen use during the evening specifically. On average,
how many hours per evening (Monday through Friday) are you exposed to background
screen use from when you return from work until you go to sleep?

Example: If you regularly prepare dinner with the television on for one hour, and you keep
the television on for an additional hour while using your smartphone for social media use,
you can estimate that you are exposed to 2 hours of background screen use every evening.

Hours minutes
Background screen use on a regular
weekday

Now we want to ask about background screen use during the weekend. Thinking about a regular weekend
day (Saturday or Sunday), on average, how many hours over the course of the whole day (from when you
wake up until you go to sleep) are you exposed to background screen use?

Example: If you have the television on while you do some online shopping for two hours, and you keep the
television on when friends come over to visit for an additional two hours, you can estimate that you are
exposed to 4 hours of background screen use every evening.
Hours minutes
Background screen use on a regular
weekday

[Link] INFORMATION SHEET AND INFORMED CONSENT FORM

Dear Sir/Madam,
You are invited to participate in a research study conducted by Mr. Mohammed Swalih,
Ms. Passang Yangzom, Ms. Radhika Biju, Ms. Raheema C K 4th year BSC nursing students
of Yenepoya Medical College, Manguluru under the guidance of Dr. Priya Reshma Aranha,
Vice principle, Asso. Professor, dept. of child health nursing and Dr. Hezil Reema Barboza,
asso .Professor Dep. of Medical surgical nursing. You are selected as a possible participant
in this study because you can give all the information regarding the actual research and the
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

method used can be found in the following information. Please ensure that you have read all
of the sections correctly and thoroughly before selecting to continue.
TITLE OF THE STUDY:
A correlative study on screen time, quality of sleep and physical activity among children at
selected schools, Manguluru.
AIM OF THE STUDY:
The aim of the study is to assess the correlation between screen time, level of physical activity
and quality of sleep among children.
PROCEDURE OF THE STUDY:

RISK:
No direct benefits will get for the participants. It will help researchers to
understand the correlation between screen time, quality of sleep and physical activity level
among adolescents and children. It enables to organized awareness program for children and
their parents. Risk-benefit ratio is favourable.
BENEFITS:
The study posing no specific risks, researcher doesn’t anticipate any risks to any participants
participating in the study. There is no expenditure for participating in the study. No direct
benefits for the study participants but they get an opportunity to gain awareness on
knowledge regarding correlation between screen time, quality of sleep and physical activity
of schooler children aged 13-15 yrs. The study will also provide factual data for conducting
researchers on similar subjects with same aim for the future research.
VOLUNTARINESS:
Participant is entirely voluntary and any time you can withdraw from the study, even if you
agreed to participate earlier. You can retain a copy of the participant’s information sheet or
informed consent. For clarification if any, please ask any questions if you have now or you
may ask later. Later If you are having any questions, you may contact us.

ಭಾಗವಹಿಸುವ ಮಾಹಿತಿ ಪತ್ರಿಕೆ ಮತ್ತು ತಿಳುವಳಿಕೆಯುಕ್ತ ಒಪ್ಪಿಗೆ ಫಾರ್ಮ್

ಪಾಸ್ಸಂಗ್, ರಾಧಿಕಾ,ರಹೀಮಾ, ಮೊಹಮ್ಮದ್ ಸ್ವಲಿ, ಡಾ. ಪ್ರಿಯ ಆರಾನ್ಹ ಹಾಗೂ ಡಾ.


ಹೆಝಿಲ್ ರೀಮಾ ಬರ್ಬೋಜ ಮಾರ್ಗದರ್ಶನ ದಲ್ಲಿ ನಡೆಸುತಿರುವ " ಎ ಕೋರಿಲೀಟಿವ್ ಸ್ಟಡಿ
ಆನ್ ಸ್ಕ್ರೀನ್ ಟೈಮ್, ಕ್ವಾಲಿಟಿ ಆಫ್ ಸ್ಲೀಪ್ ಅಂಡ್ ಫಿಸಿಕಲ್ ಆಕ್ಟಿವಿಟಿ
A correlative study on screen time, version 1 06/11/2024
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ಅಮೊಂಗ್ ಚಿಲ್ಡ್ರನ್ ಅಟ್ ಸೆಲೆಕ್ಟೆಡ್ ಸ್ಕೂಲ್ಸ್, ಮಂಗಳೂರ್ "ಎಂಬ ಅಧ್ಯಯನದಲ್ಲಿ


ಭಾಗಾವಹಿಸಲು ನಿಮ್ಮನು ಕೋರಿಕೊಳ್ಳುಲಾಗಿದೆ.

ಅಧ್ಯಯನದ ಉದ್ದೇಶ
ಅಧ್ಯಯನದ ಉದ್ದೇಶವು ಸ್ಕ್ರೀನ್ ಟೈಮ್ ಶಾರೀರಿಕ ಚಟುವಟಿಕೆಯ ಮಟ್ಟದ ನಡುವಿನ
ಸಂಬಂಧವನ್ನು ಮೌಲ್ಯಮಾಪನ ಮಾಡುವುದಾಗಿದೆ.

ಅಧ್ಯಯನದ ಪ್ರಕ್ರಿಯೆ
ಪ್ರತಿಕೂಲತೆ / ಅಪಾಯ:

ಭಾಗವಹಿಸುವವರಿಗೆ ನೇರ ಲಾಭಗಳು ದೊರೆಯುವುದಿಲ್ಲ. ಆದರೆ, ಈ ಅಧ್ಯಯನವು ಸ್ಕ್ರೀನ್


ಟೈಮ್ ನಿದ್ರೆಯ ಗುಣಮಟ್ಟ ಮತ್ತು ಕಿಶೋರರು ಮತ್ತು ಮಕ್ಕಳ ಶಾರೀರಿಕ ಚಟುವಟಿಕೆಯ
ಮಟ್ಟದ ನಡುವಿನ ಸಂಬಂಧವನ್ನು ತಜ್ಞರಿಗೆ ಅರ್ಥಮಾಡಿಕೊಳ್ಳಲು ಸಹಾಯ ಮಾಡುತ್ತದೆ.
ಇದು ಮಕ್ಕಳ ಮತ್ತು ಅವರ ಪಾಲಕರಿಗಾಗಿ ಜಾಗೃತತಾ ಕಾರ್ಯಕ್ರಮಗಳನ್ನು ಆಯೋಜಿಸಲು
ಸಾಧ್ಯವಾಗುತ್ತದೆ. ಅಪಾಯ-ಲಾಭ ಅನುಪಾತ ಅನುಕೂಲಕರವಾಗಿದೆ.

ಭಲಾಗಳು:
ಈ ಅಧ್ಯಯನವು ಯಾವುದೇ ವಿಶಿಷ್ಟ ಅಪಾಯಗಳನ್ನು ಉಂಟುಮಾಡುವುದಿಲ್ಲ, ಮತ್ತು
ಅಧ್ಯಯನದಲ್ಲಿ ಭಾಗವಹಿಸುವ ಭಾಗವಹಿಸುವವರಿಗೆ ಯಾವುದೇ ಅಪಾಯಗಳು ಎದುರಾಗುವ
ಸಂಭವವನ್ನು ಸಂಶೋಧಕರು ನಿರೀಕ್ಷಿಸುತ್ತಿಲ್ಲ. ಅಧ್ಯಯನದಲ್ಲಿ ಭಾಗವಹಿಸಲು
ಯಾವುದೇ ವೆಚ್ಚವಿಲ್ಲ. ಅಧ್ಯಯನದ ಭಾಗವಹಿಸುವವರಿಗೆ ನೇರ ಲಾಭಗಳು ಇಲ್ಲ, ಆದರೆ 13-
15 ವರ್ಷ ವಯಸ್ಸಿನ ಶಾಲಾ ಮಕ್ಕಳ ಸ್ಕ್ರೀನ್ ಟೈಮ್ ನಿದ್ರೆಯ ಗುಣಮಟ್ಟ ಮತ್ತು
ಶಾರೀರಿಕ ಚಟುವಟಿಕೆಯ ನಡುವಿನ ಸಂಬಂಧದ ಬಗ್ಗೆ ಜ್ಞಾನವನ್ನು ಅರಿತುಕೊಳ್ಳಲು
ಅವಕಾಶ ದೊರೆಯುತ್ತದೆ. ಈ ಅಧ್ಯಯನವು ಭವಿಷ್ಯದ ಸಂಶೋಧನೆಗಾಗಿ ಇದೇ ಉದ್ದೇಶವನ್ನು
ಹೊಂದಿರುವ ಇದೇ ರೀತಿಯ ವಿಷಯಗಳ ಮೇಲೆ ಸಂಶೋಧನೆ ನಡೆಸಲು ತತ್ವಸಂಬಂಧಿ
ಮಾಹಿತಿಯನ್ನು ಒದಗಿಸುತ್ತದೆ.

ಸ್ವಯಂಸೇವೆ:
ಭಾಗವಹಿಸುವುದು ಸಂಪೂರ್ಣವಾಗಿ ಸ್ವಯಂಸೇವೆಯಾದುದು ಮತ್ತು ನೀವು ಹಿಂದೆ
ಭಾಗವಹಿಸಲು ಒಪ್ಪಿದ್ದರೂ, ಯಾವುದೇ ಸಮಯದಲ್ಲಿ ಅಧ್ಯಯನದಿಂದ ಹೊರಗೊಳ್ಳಬಹುದು.
‌ ಭಾಗವಹಿಸುವ ಮಾಹಿತಿ ಪತ್ರಿಕೆ ಅಥವಾ ತಿಳುವಳಿಕೆಯುಕ್ತ ಒಪ್ಪಿಗೆ ಫಾರ್ಮ್‌ನ
ಪ್ರತಿಯನ್ನು ನಿಮ್ಮಲ್ಲಿಯೇ ಇಟ್ಟುಕೊಳ್ಳಬಹುದು. ಯಾವುದೇ ಸ್ಪಷ್ಟೀಕರಣಕ್ಕೆ,
ನೀವು ಈಗ ಪ್ರಶ್ನೆಗಳನ್ನು ಕೇಳಬಹುದು ಅಥವಾ ನಂತರ ಕೇಳಬಹುದು. ನಂತರ ಯಾವುದೇ
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

ಪ್ರಶ್ನೆಗಳು ಇದ್ದಲ್ಲಿ, ದಯವಿಟ್ಟು ನಮಗೆ ಸಂಪರ್ಕಿಸಬಹುದು.

ನಾಮಾಂಕಿತನ ಹೆಸರು ಮತ್ತು ವಿಳಾಸ ಹಾಗೂ ಭಾಗವಹಿಸುವವರೊಂದಿಗೆ ಸಂಬಂಧ:

• ಮೇಲ್ಕಾಣಿಸಿದ ಅಧ್ಯಯನದ ಭಾಗವಹಿಸುವ ಮಾಹಿತಿ ಪತ್ರಿಕೆಯಲ್ಲಿ ನೀಡಿದ


ವಿಷಯವನ್ನು ನಾನು ಓದಿದ್ದೇನೆ (ಅಥವಾ ಓದಿ ತೋರಿಸಲಾಗಿದೆ) ಮತ್ತು ಅದನ್ನು ನಾನು
ಅರ್ಥಮಾಡಿಕೊಂಡಿದ್ದೇನೆ. ಈ ವಿವರಗಳನ್ನು ನನಗೆ ನನ್ನ ಮಾತೃಭಾಷೆಯಲ್ಲಿ
ವಿವರಿಸಲಾಗಿದೆ.

• ನನಗೆ ಹೆಚ್ಚಿನ ಅಗತ್ಯವಿದ್ದರೆ, ಭಾಗವಹಿಸುವ ಮಾಹಿತಿ ಪತ್ರಿಕೆಯಲ್ಲಿ ನೀಡಿದ


ಸಂಪರ್ಕ ಮಾಹಿತಿಯುಳ್ಳ ಸಂಶೋಧನಾ ತಂಡದ ಸದಸ್ಯರೊಂದಿಗೆ ಪ್ರಶ್ನೆಗಳನ್ನು ಕೇಳಲು
ಮತ್ತು ಸಂಶಯಗಳನ್ನು ಸ್ಪಷ್ಟಪಡಿಸಲು ಸಾಕಷ್ಟು ಅವಕಾಶ ಮತ್ತು

ಸಮಯ ಲಭಿಸಿದೆ.
ನಾನು ಅಧ್ಯಯನದಲ್ಲಿ ಭಾಗವಹಿಸುವುದು ಸಂಪೂರ್ಣವಾಗಿ ಸ್ವಯಂಸೇವೆಯಾದುದು ಮತ್ತು
ನಾನು ಯಾವುದೇ ಸಮಯದಲ್ಲಿ, ಯಾವುದೇ ಕಾರಣ ನೀಡದೆ, ಅಧ್ಯಯನದಿಂದ ಹೊರಗೊಳ್ಳಲು
ಸ್ವತಂತ್ರನಾಗಿದ್ದೇನೆ ಎಂಬುದನ್ನು ಅರ್ಥಮಾಡಿಕೊಂಡಿದ್ದೇನೆ. ಇದರಿಂದ ನನ್ನ
ವೈದ್ಯಕೀಯ ಚಿಕಿತ್ಸೆ ಅಥವಾ ರೋಗಿಯಾಗಿ ನನ್ನ ಕಾನೂನುಬದ್ಧ ಹಕ್ಕುಗಳಿಗೆ ಯಾವುದೇ
ಪ್ರಭಾವ ಬರುವುದಿಲ್ಲ. ಈ ಅಧ್ಯಯನದಲ್ಲಿ ಭಾಗವಹಿಸಲು ನನ್ನ ನಿರ್ಧಾರ ಒತ್ತಾಯ
ಅಥವಾ ಪ್ರಲೋಭನೆಯಿಂದ ಮುಕ್ತವಾಗಿದೆ ಎಂದು ನಾನು ಘೋಷಿಸುತ್ತಿದ್ದೇನೆ.

• ಈ ಅಧ್ಯಯನದ ಉದ್ದೇಶ ಮತ್ತು ಅದರಲ್ಲಿ ನನ್ನ ಜವಾಬ್ದಾರಿಗಳನ್ನು ನನಗೆ


ವಿವರಿಸಲಾಗಿದೆ. ನನ್ನ ನೋಂದಣಿಯಿಂದ ಉಂಟಾಗಬಹುದಾದ ಸಾಧ್ಯವಾದ ಅಪಾಯಗಳು ಮತ್ತು
ಲಾಭಗಳನ್ನು ನಾನು ಅರ್ಥಮಾಡಿಕೊಂಡಿದ್ದೇನೆ.

• ನನ್ನ ಗೌಪ್ಯತೆಯನ್ನು ಗೌರವಿಸಲಾಗುವುದು ಮತ್ತು ನನ್ನಿಂದ ಸಂಗ್ರಹಿಸಲಾದ


ಮಾಹಿತಿಯನ್ನು ರಹಸ್ಯವಾಗಿಯೇ ಮತ್ತು ಸುರಕ್ಷಿತವಾಗಿ ಇಡಲಾಗುವುದು ಎಂಬ
ಭರವಸೆಯನ್ನು ನನಗೆ ನೀಡಲಾಗಿದೆ.

• ಸಂಶೋಧಕರು ಅಧ್ಯಯನದಿಂದ ದೊರೆತ ಫಲಿತಾಂಶಗಳನ್ನು ಶಾಸ್ತ್ರೀಯ


ಮಾಸಪತ್ರಿಕೆಗಳಲ್ಲಿ ಪ್ರಕಟಿಸಬಹುದು ಅಥವಾ ಸಂಬಂಧಿತ ಅಧಿಕಾರಿಗಳಿಗೆ ವರದಿ
ಸಲ್ಲಿಸಬಹುದು ಎಂಬುದನ್ನು ನಾನು ಅರ್ಥಮಾಡಿಕೊಂಡಿದ್ದೇನೆ. ಅಂತಹ ಸಂದರ್ಭಗಳಲ್ಲಿ
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

ನನ್ನ ಗೌಪ್ಯತೆ ಮತ್ತು ಮಾಹಿತಿಯ ರಹಸ್ಯತೆ ಸಂರಕ್ಷಿತವಾಗಿರುತ್ತದೆ ಎಂಬ


ಭರವಸೆಯನ್ನು ನನಗೆ ನೀಡಲಾಗಿದೆ.

• ನಾನು ಅರ್ಥಮಾಡಿಕೊಂಡಿದ್ದೇನೆ, ಸಂಶೋಧಕರು, ಯೆನೆಪೋಯಾ ಎಥಿಕ್ಸ್ ಕಮಿಟಿ-1,


‌/ಪರೀಕ್ಷಕರು, ಮತ್ತು ನಿಯಂತ್ರಣ ಪ್ರಾಧಿಕಾರಗಳ ಪ್ರತಿನಿಧಿಗಳು ಈ ಸಂಶೋಧನೆಗಾಗಿ
ಸಂಗ್ರಹಿಸಿದ ನನ್ನ ದಾಖಲೆಗಳನ್ನು ಕೆಲ ಸಮಯಗಳಲ್ಲಿ ನೋಡುವ ಅಗತ್ಯವಿರಬಹುದು.
ಇದಕ್ಕಾಗಿ ನಾನು ಒಪ್ಪಿಗೆ ನೀಡುತ್ತೇನೆ. ನನ್ನ ಸ್ಪಷ್ಟ, ಮುಂಚಿನ
ಅನುಮತಿಯಿಲ್ಲದೆ ಯಾರಿಗೂ ನನ್ನ ವಿವರಗಳನ್ನು ನೋಡಲು ಸಾಧ್ಯವಿಲ್ಲ.

• ಈ ಸಂಶೋಧನೆಯಿಂದ ಉತ್ಪತ್ತಿಯಾದ ಮಾಹಿತಿಯನ್ನು ನನ್ನ ಮುಂಚಿನ ಸ್ಪಷ್ಟ


ಅನುಮತಿಯಿಲ್ಲದೆ ಇತರ ಸಂಶೋಧಕರೊಂದಿಗೆ ಹಂಚಿಕೊಳ್ಳಲಾಗುವುದಿಲ್ಲ ಅಥವಾ ಬೇರೆ
ಯಾವುದೇ ಸಂಶೋಧನೆಗಾಗಿ ಬಳಸಲಾಗುವುದಿಲ್ಲ ಎಂಬುದನ್ನು ನಾನು
ಅರ್ಥಮಾಡಿಕೊಂಡಿದ್ದೇನೆ.

• ಈ ಸಂಶೋಧನೆಯಿಂದ ಉಂಟಾದ ಮಾಹಿತಿಯನ್ನು 3 ವರ್ಷಗಳವರೆಗೆ ಸುರಕ್ಷಿತವಾಗಿ


ಸಂಗ್ರಹಿಸಲಾಗುವುದು ಮತ್ತು ನಂತರ, ಅದನ್ನು ಸಂಸ್ಥೆಯ ಜೈವಚಿಕಿತ್ಸಾ ತ್ಯಾಜ್ಯ
ನಿರ್ವಹಣಾ ನೀತಿಗೆ ಅನುಸಾರವಾಗಿ ತ್ಯಜಿಸಲಾಗುವುದು ಎಂಬುದನ್ನು

ನಾನು ಅರ್ಥಮಾಡಿಕೊಂಡಿದ್ದೇನೆ.

• ಈ ಸಂಶೋಧನಾ ತಂಡದ ಯಾವುದೇ ಸದಸ್ಯರಿಗೆ ಈ ಸಂಶೋಧನೆಯಿಂದ ಉಂಟಾಗುವ ಹಿತಾಸಕ್ತಿ


ಸಂಘರ್ಷವಿಲ್ಲ ಎಂಬುದನ್ನು ನನಗೆ ತಿಳಿಸಲಾಗಿದೆ.

• ನನಗೆ ಅರ್ಥವಾಗಿದೆ, ಒಪ್ಪಿಗೆ ಪತ್ರದ ಒಂದು ಪ್ರತಿಯನ್ನು ಮತ್ತು ಭಾಗವಹಿಸುವ


ಮಾಹಿತಿ ಪತ್ರದ ಒಂದು ಪ್ರತಿಯನ್ನು (ನನ್ನ ಮಾತೃಭಾಷೆಯಲ್ಲಿ) ಭವಿಷ್ಯದ
ಉಲ್ಲೇಖಕ್ಕಾಗಿ ನಾನು ನನ್ನಲ್ಲಿಡಬಹುದು.

Annexure 6
Assent form

I have read and understood the information in the participant information sheet and have
received answers to all the questions I asked. I am voluntarily willing to participate in the
study titled "A Correlative study on screen time, quality of sleep and physical activity
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

among children at selected schools Mangalore.” conducted by Ms. Passang Yangzom,


Radhika Biju, Raheema CK and Mohammed Swalih. I have been informed that the
information provided by me will be kept confidential and will be used only for the research
purpose. I am aware that the data obtained will be analysed and published without interfering
into my privacy. I have received adequate information about the study, and all my doubts are
cleared. I am willingly participating in this study without any one's influence and I have
given with adequate time to take the decision. I give consent to utilize and publish the data
without revealing my identity.

Signature of the participant:


Date:
Place:
Name and signature of the researcher:

Annexure 9
Assent form (Kannada)

ಅಧ್ಯಯನದಲ್ಲಿ ಭಾಗವಹಿಸಲು ಮಗುವಿನ ಸಮ್ಮತಿ

ಪಾಸ್ಸಂಗ್, ರಾಧಿಕಾ, ರಹೀಮಾ ಹಾಗು ಮೊಹಮ್ಮದ್ ಸ್ವಲಿ ಯವರು ನಡೆಸುತಿರುವ "ಎ


ಕೋರಿಲೇಟಿವ್ ಸ್ಟಡಿ ಆನ್ ಸ್ಕ್ರೀನ್ ಟೈಮ್, ಕ್ವಾಲಿಟಿ ಆಫ್ ಸ್ಲೀಪ್ ಅಂಡ್
ಫಿಸಿಕಲ್ ಆಕ್ಟಿವಿಟಿ ಅಮೊಂಗ್ ಚಿಲ್ಡ್ರನ್ ಅಟ್ ಸೆಲೆಕ್ಟೆಡ್ ಸ್ಕೂಲ್ಸ್ ,
ಮಂಗಳೂರು" ಎಂಬ ಅಧ್ಯಯನದ ಬಗ್ಗೆ ನೀಡಿದ ಮಾಹಿತಿಯನ್ನು ನಾನು ಓದಿ
ತಿಳಿದುಕೊಂಡಿರುತ್ತೇನೆ. ನನ್ನಿಂದ ಪಡೆದುಕೊಂಡ ಮಾಹಿತಿಯನ್ನು ಗೌಪ್ಯವಾಗಿಟ್ಟು
ಅಧ್ಯಯನಕ್ಕೆ ಮಾತ್ರ ಬಳಸಲಾಗುವುದು ಎಂದು ನನಗೆ ತಿಳಿಸಲಾಗಿದೆ. ನನ್ನಿಂದ
ಪಡೆದುಕೊಂಡ ಮಾಹಿತಿಯನ್ನು ವಿಶ್ಲೇಷಿಸಿ ನನ್ನ ಹೆಸರು ಬಳಸದೇ ಪ್ರಕಟಿಸಲಾಗುವುದು
ಎಂದೂ ನನಗೆ ತಿಳಿಸಲಾಗಿದೆ. ಅಧ್ಯಯನದ ಬಗ್ಗೆ ನನಗೆ ಸಂಪೂರ್ಣ ಮಾಹಿತಿ ನೀಡಿದ್ದು
ನಾನು ಕೇಳಿದ ಎಲ್ಲಾ ಪ್ರಶ್ನೆಗಳಿಗೆ ಉತ್ತರಿಸಲಾಗಿದೆ. ನಾನು ಯಾವುದೇ
ಒತ್ತಡವಿಲ್ಲದೆ ನನ್ನ ಸ್ವಂತ ಇಚ್ಛೆಯಿಂದ ಈ ಅಧ್ಯಯನದಲ್ಲಿ ಭಾಗವಹಿಸಲು
ಸಮ್ಮತಿಸುತ್ತಿದ್ದು ಈ ಬಗ್ಗೆ ನಿರ್ಧರಿಸಲು ನನಗೆ ಸಾಕಷ್ಟು ಸಮಯಾವಕಾಶ
ನೀಡಲಾಗಿತ್ತು. ನನ್ನಿಂದ ಪಡೆದುಕೊಂಡ ಮಾಹಿತಿಯನ್ನು ನನ್ನ ಬಹಿರಂಗಪಡಿಸದೆಯೇ
ಪ್ರಕಟಿಸಲು ನಾನು ಸಮ್ಮತಿಸುತ್ತೇನೆ. ಹೆಸರು
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

ಭಾಗವಹಿಸುವವರ ಸಹಿ

ದಿನಾಂಕ:

ಸ್ಥಳ:

ಅಧ್ಯಯನಕಾರರ ಹೆಸರು ಮತ್ತು ಸಹಿ:

Names of Investigators
Miss. Passang Yangzom
Miss. Raheema CK
Miss. Radhika Biju
Mr. Mohammed Swalih
4th year BSC nursing
Mobile no:9845672539
Guide’s name and address:
Dr. Priya Reshma Aranha
Vice principal
Asso. Professor
Dept. of CHN
Yenepoya Nursing College

Co-guide name and address:


Dr. Hezil Reema Barboza
Asso. professor
Dept. of MSN
Yenepoya Nursing College
Contact details of the responsible person from the ethics committee who will address queries
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

that the participant is not satisfied by the answer provided by the PI. You may contact
Contact details of the ethics committee member:
Dr. Uma Kulkarni
The Member Secretary Yenepoya Ethics Committee-I
Yenepoya (deemed to be university)
Mobile no: 9448150032

NAME AND ADDRESS OF THE NOMINEE AND RELATION TO THE


PARTICIPANT:
 I have read (or have read out) and understood the contents of the participant
information sheet for the above-mentioned study and I have been explained these details
in my native tongue.
 I have ample opportunity and time to ask questions and clarify doubts from the
research team whose contact details have been provided to me in the Participant
information sheet, in case of any further need.
 I understand that my participation in the study is voluntary and that I am free to
withdraw at any time, without giving any reason, without my medical care or legal
rights as a patient, being affected. I hereby state that my decision to participate in this
study of free from coercion or inducements.
 I have been explained the purpose of the study and my responsibility in it. I have
understood the possible risks and the benefits that might arise due to my enrolment.
 I have been assured that my privacy will be respected, and the data collected from me
will be kept confidentially secure.
 I have also understood that the researchers might want to present the findings from
the study publish them in a scientific periodical or submit reports to the concerned
authorities. I have been assured that in such situations my privacy and confidentiality
will not be compromised.
 I understand that researchers, Yenepoya Ethics Committee-1, auditors/inspectors, and
representatives of the regulatory authorities will, at times, need to access my records
collected for this research and I hereby consent to the same. No one else shall be
privy to my details with my explicit, prior permission.
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

 I understand that the data generated from this research study, will not be shared with
any other researchers or be used in any other research study without my prior, explicit
permission.
 I have understood that the data arising from this research will be securely stored for 3
years and when disposed of, will be done as per the biomedical waste disposal
management policy of the institution.
 I have been given to understand that none of the research team members have a
conflict of interest arising out of this research study.

 I have also understood that one copy of the informed consent document and one copy
of the participant information sheet (in my native language) can be kept by me for
future reference.

Consent form of parent (English)

I father / mother of________________ have been explained the details of this


study titled "A Correlative Study on Screen time, Sleep quality and physical activity
among childrens at selected schools Mangaluru." being conducted by [Link]
Yangzom, Ms. Radhika Biju, Ms. Raheema CK and Mr. Muhammad Swalih under the
guidance of Dr. Priya Reshma Arahna. I have been explained these details in my native
tongue. I have understood the possible risks and the benefits that might arise due to my
enrolment. I have been given adequate time to decide on my enrolment and have given time
and opportunity to ask clarifications from the researchers.

They have provided me their contact details and I understand that I can contact them
anytime for further clarifications about the protocol. I hereby state that my decision to
participate in this study is free from coercion or undue inducements.

This study aims to assess the correlation between screen time, activity level and sleep
quality. My child's screen time, physical activity level and sleep duration will be assessed.
The assessment done by the investigator will be used only for this study.
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

Benefit: There is no direct benefit. The study helps to assess the correlation between screen
time, level of activity and quality of sleep which will be used later for health promotion of
children.

Negative effect: The study posing no negative effect or anticipate any risks to participant in
the study.

I have also been explained that I have the right to withdraw at any point of time before
study completion, without this decision compromising my rights as a parent of the potential
participant.

The researchers have assured me that my child’s privacy will be respected and the data
collected from my child will be kept confidential and will be shared only by members of the
research team, ethics committee and regulatory authorities. No one else shall be privy to my
child’s details.

I have also understood that the researchers might want to present the findings from the
study or publish them in a scientific periodical or submit reports to the concerned authorities.
I have been assured that in such situations my child’s privacy and confidentiality will not be
compromised.

Parent’s Signature:
Name with date:
PG/PI's Signature:
Name with date:
PG/PI's contact details
Mobile number and/or email id: 9845672539; pyangzom418@[Link]
Parent’s thumb impression (in case illiterate):
Independent witness signature, name with date:

ಪೋಷಕರ ಒಪ್ಪಿಗೆ ಪತ್ರ


A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

ನಾನು, (ತಂದೆ/ತಾಯಿ) (ಮಗು ಹೆಸರು) ರ ಪೋಷಕನಾಗಿ/ಪೋಷಕಿಯಾಗಿಯಾಗಿ, ಕೆಳಕಂಡ ಅಧ್ಯಯನದ


ವಿವರಗಳನ್ನು ನನಗೆ ನನ್ನ ತಾಯ್ನುಡಿಯಲ್ಲಿ ವಿವರಿಸಲಾಗಿದೆ.
“ಮಂಗಳೂರು ನಗರದಲ್ಲಿನ ಆಯ್ದ ಶಾಲೆಗಳಲ್ಲಿ ಮಕ್ಕಳ ಪೈಕಿ ಪರದೆಯ ಸಮಯ, ನಿದ್ರೆಯ ಗುಣಮಟ್ಟ
ಮತ್ತು ಶಾರೀರಿಕ ಚಟುವಟಿಕೆಗಳ ನಡುವಿನ ಸಂಬಂಧದ ಅಧ್ಯಯನ.”
ಈ ಅಧ್ಯಯನವನ್ನು ಶ್ರೀಮತಿ ಪಸ್ಸಾಂಗ್ ಯಾಂಗ್ಜೋಮ್, ಶ್ರೀಮತಿ ರಾಧಿಕಾ ಬಿಜು, ಶ್ರೀಮತಿ
ರಹೀಮಾ ಸಿಕೆ ಮತ್ತು ಶ್ರೀ ಮುಹಮ್ಮದ್ ಸ್ವಾಲಿಹ್, ಇವರು ಡಾ.ಪ್ರಿಯಾ ರೇಷ್ಮಾ ಅರಹ್ನಾ
ರವರ ಮಾರ್ಗದರ್ಶನದಲಿ ನಡೆಸುತಾರೆ.
ನನಗೆ ಈ ಅಧ್ಯಯನದ ಉದ್ದೇಶ, ಸಾಧ್ಯವಿರುವ ಅಪಾಯಗಳು ಮತ್ತು ಲಾಭಗಳ ಬಗ್ಗೆ ವಿವರವಾಗಿ
ತಿಳಿಸಲಾಗಿದೆ. ನಾನು ನನ್ನ ಮಗುವನ್ನು ಈ ಅಧ್ಯಯನದಲ್ಲಿ ಭಾಗವಹಿಸಲು
ಒಪ್ಪಿಕೊಳ್ಳುವುದನ್ನು ತೀರ್ಮಾನಿಸಲು ಸಾಕಷ್ಟು ಸಮಯ ಹಾಗೂ ಸಂಶೋಧಕರಿಗೆ
ಪ್ರಶ್ನೆಗಳನ್ನು ಕೇಳಲು ಅವಕಾಶ ಒದಗಿಸಲಾಗಿದೆ.
ಅಧ್ಯಯನದ ಉದ್ದೇಶ
ಈ ಅಧ್ಯಯನವು ಪರದೆ ಬಳಕೆಯ ಸಮಯ, ಶಾರೀರಿಕ ಚಟುವಟಿಕೆ ಮತ್ತು ನಿದ್ರೆಯ ಗುಣಮಟ್ಟದ ನಡುವಿನ
ಸಂಬಂಧವನ್ನು ಅರ್ಥಮಾಡಿಕೊಳ್ಳಲು ಉದ್ದೇಶಿಸಿರುವದು. ನನ್ನ ಮಗುವಿನ ಪರದೆ ಬಳಕೆಯ ಸಮಯ,
ಶಾರೀರಿಕ ಚಟುವಟಿಕೆ ಮತ್ತು ನಿದ್ರೆಯ ಅವಧಿಯನ್ನು ಮೌಲ್ಯಮಾಪನ ಮಾಡಲಾಗುತ್ತದೆ. ಈ
ಮಾಹಿತಿಯನ್ನು ಈ ಅಧ್ಯಯನದ ಉದ್ದೇಶಕ್ಕಾಗಿ ಮಾತ್ರ ಬಳಸಲಾಗುತ್ತದೆ.
ಲಾಭಗಳು ಮತ್ತು ಅಪಾಯಗಳು
ಲಾಭ: ನನ್ನ ಮಗುವಿಗೆ ಯಾವುದೇ ನೇರ ಲಾಭವಿಲ್ಲ. ಆದರೆ, ಈ ಅಧ್ಯಯನವು ಮಕ್ಕಳ ಆರೋಗ್ಯ
ಉತ್ತೇಜನೆಗೆ ಭವಿಷ್ಯದ ಯೋಜನೆಗಳಿಗೆ ಸಹಾಯಕರಾಗಬಹುದು.
ಅಪಾಯ: ಈ ಅಧ್ಯಯನದಿಂದ ಭಾಗವಹಿಸುವವರಿಗೆ ಯಾವುದೇ ಅಪಾಯ ಅಥವಾ ಹಾನಿ ಸಂಭವಿಸುವ ಸಾಧ್ಯತೆ
ಇಲ್ಲ.
ಗೌಪ್ಯತೆ ಮತ್ತು ಹಿಂಪಡೆಯುವ ಹಕ್ಕು
ನಾನು ಈ ವಿಷಯಗಳನ್ನು ಅರ್ಥಮಾಡಿಕೊಂಡಿದ್ದೇನೆ:
ನನ್ನ ಮಗುವಿನ ಗೌಪ್ಯತೆ ಸಂಶೋಧಕರಿಂದ ಶ್ರದ್ಧೆಯಿಂದ ಕಾಪಾಡಲ್ಪಡುತ್ತದೆ ಮತ್ತು
ಸಂಗ್ರಹಿಸಿದ ಮಾಹಿತಿಯನ್ನು ಸಂಶೋಧನಾ ತಂಡ,

ನೈತಿಕ ಸಮಿತಿ ಹಾಗೂ ನಿಯಂತ್ರಣಾಧಿಕಾರಿಗಳಿಗೆ ಮಾತ್ರ ಲಭ್ಯವಾಗುತ್ತದೆ.


ಈ ಅಧ್ಯಯನದ ಫಲಿತಾಂಶಗಳನ್ನು ವೈಜ್ಞಾನಿಕ ಸಂಶೋಧನಾ ಪತ್ರಿಕೆಯಲ್ಲಿ ಪ್ರಕಟಿಸಲು ಅಥವಾ
ಸಂಬಂಧಿತ ಪ್ರಾಧಿಕಾರಗಳಿಗೆ ಸಲ್ಲಿಸಲು ಸಂಶೋಧಕರು ಬಯಸಬಹುದು. ಆದರೆ, ಇಂತಹ
ಸಂದರ್ಭಗಳಲ್ಲಿಯೂ ನನ್ನ ಮಗುವಿನ ಗೌಪ್ಯತೆ ಮತ್ತು ಮಾಹಿತಿಯ ರಹಸ್ಯತೆ
ಕಾಪಾಡಲಾಗುತ್ತದೆ.
ನನಗೆ ಈ ಅಧ್ಯಯನದಲ್ಲಿ ಭಾಗವಹಿಸುವುದು ಸಂಪೂರ್ಣವಾಗಿ ಸ್ವಯಂ ಇಚ್ಛೆಯಿಂದ ಆಗಿದ್ದು,
ಯಾರಾದರೂ ಒತ್ತಾಯ ಮಾಡುವುದಿಲ್ಲ. ನಾನು ಅಧ್ಯಯನ ಪೂರ್ಣಗೊಳ್ಳುವ ಮೊದಲು ಯಾವಾಗ
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

ಬೇಕಾದರೂ ನನ್ನ ಮಗುವನ್ನು ಅಧ್ಯಯನದಿಂದ ಹಿಂಪಡೆಯಬಹುದು.


ಪೋಷಕರ ಸಹಿ:
(ಹೆಸರು ಹಾಗೂ ದಿನಾಂಕ)
ಮುಖ್ಯ ಅನ್ವೇಷಕರ ಸಹಿ:
(ಹೆಸರು ಹಾಗೂ ದಿನಾಂಕ)
ಅನ್ವೇಷಕರ ಸಂಪರ್ಕ ವಿವರಗಳು:
ಮೊಬೈಲ್ ಸಂಖ್ಯೆ/ಇಮೇಲ್: 9845672539; pyangzom418@[Link]
ಪೋಷಕರ ಬೆರಳಚ್ಚು (ಅಕ್ಷರಜ್ಞಾನದಿಲ್ಲದವರಿಗಾಗಿ):
ಸ್ವತಂತ್ರ ಸಾಕ್ಷಿಯ ಸಹಿ, ಹೆಸರು ಮತ್ತು ದಿನಾಂಕ:

STATEMENT BY RESEARCHERS ON RESEARCH INTEGRITY

We do here by declare that this study titled “A correlative study on the


quality of sleep, screen time and physical activity among children at
selected schools, Mangaluru ” will be
Carried out by me/us up holding the principles enshrined in the declaration of Helsinki, and
simultaneously abiding by the ICMR’s national ethical guide lines for biomedical and
health research involving human participants (2017). (For academic clinical trials please
replace the ICMR guidelines with the new drugs and clinical trials rules,2019 and Indian
GSP guidelines)
Name of Investigators: Ms. PassangYangzom
Ms. Raheema CK
Ms. Radhika Biju
Mr. Mohammed Swalih

Name of the Guide: Dr. Priya Reshma Arahna

Name of the Co-guide: Dr. Hezil Reema Barboza

Date:6/11/24
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

PARTC: RECOMMENDATIONS AND SIGNATURES

Names of the investigators [Link] YANGZOM


Ms. RAHEEMA CK
Ms. RADHIKA BIJU
Mr. MOHAMMED SWALIH
Signatures of the investigators

Remark/recommendations of co-
guide
(if any)

Name and Designation of co-guide(if [Link] REEMA BARBOZA


any) [Link]
[Link] MEDICAL SURGICAL NURSING
YENEPOYA NURSING COLLEGE

Signature of co-guide(if any)

Remarks/recommendation of the guide


(ifany)

Name & designation of the guide DR. PRIYA RESHMA ARAHNA


VICE PRINCIPAL
[Link]
[Link] HEALTH NURSING
YENEPOYA NURSING COLLEGE

Signature of the guide

Signature(with seal)of the head of the


Department
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

Signature(with seal)of the head of the


Institution
A correlative study on screen time, version 1 06/11/2024
quality of sleep and physical activity

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