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Accepted for/Published in: JMIR mHealth and uHealth

Date Submitted: Aug 22, 2025
Open Peer Review Period: Aug 22, 2025 - Oct 17, 2025
Date Accepted: Jul 29, 2026
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Objective Smartphone Screen Time Monitoring Among Caregivers of Preschool-Aged Children: Reliability Study of Monitoring Duration

Culverhouse J, Adair T, Restino M, Weeks HM, Radesky JS, Weaver RG, Burkart S, Parker H, Finnegan OL, Holmes AJ, Kiely K, Ghosal R, Nelakuditi S, Beets MW, Armstrong B

Objective Smartphone Screen Time Monitoring Among Caregivers of Preschool-Aged Children: Reliability Study of Monitoring Duration

JMIR Mhealth Uhealth 2026;14:e82846

DOI: 10.2196/82846

PMID: 42721410

Objective Smartphone Screen Time Monitoring in Caregivers of Preschool-Aged Children: Reliability of Monitoring Duration

  • Joshua Culverhouse; 
  • Taylor Adair; 
  • Meghan Restino; 
  • Heidi M. Weeks; 
  • Jenny S. Radesky; 
  • R. Glenn Weaver; 
  • Sarah Burkart; 
  • Hannah Parker; 
  • Olivia L. Finnegan; 
  • Anthony J. Holmes; 
  • Keagan Kiely; 
  • Rahul Ghosal; 
  • Srihari Nelakuditi; 
  • Michael W. Beets; 
  • Bridget Armstrong

ABSTRACT

Background:

Reliable measurement of daily smartphone screen time is critical for research examining associations with health outcomes. While objective tools overcome biases inherent in self-reported methods, it remains unclear how many days of monitoring are needed to reliably estimate typical use.

Objective:

This study aimed to determine the minimum number of days, within a 7-day measurement period, required to achieve reliable estimates of weekly smartphone screen time using two objective methods.

Methods:

We analyzed 7-day smartphone screen time data collected via passive sensing on Android devices (Android Chronicle, n = 71) and daily screenshots on iOS devices (iOS Screenshot, n = 64). We computed one‐way random‐effects, single‐measure ICCs (ICC₁,₁) with 95% bootstrap confidence intervals (CI; 500 resamples) and applied the Spearman–Brown prophecy formula to project the number of days needed to achieve a target reliability of ≥0.80. Projections were conservatively based on the criterion that the lower bound of the ICC’s 95% CI must exceed this threshold.

Results:

Single‐day ICC₁,₁ values were 0.66 (95% CI: 0.58 to 0.75) for Chronicle and 0.72 (95% CI: 0.63 to 0.79) for screenshots. Using the conservative lower-bound criterion to ensure 95% confidence in achieving reliability ≥0.80, passive sensing from Android Chronicle users required four days, and screenshots from iOS users required three days of monitoring. Average daily screen time was lower on weekends than on weekdays.

Conclusions:

To reliably measure daily smartphone screen time duration (ICC ≥ 0.80), a monitoring period of three to four days is required. Due to screen time differing on weekends, we recommend including at least one weekend day. In a rapidly evolving field with diverse, often proprietary measurement tools, these conservative benchmarks, and transparent processing pipelines, are helpful for producing reproducible, comparable smartphone-behavior data.


 Citation

Please cite as:

Culverhouse J, Adair T, Restino M, Weeks HM, Radesky JS, Weaver RG, Burkart S, Parker H, Finnegan OL, Holmes AJ, Kiely K, Ghosal R, Nelakuditi S, Beets MW, Armstrong B

Objective Smartphone Screen Time Monitoring Among Caregivers of Preschool-Aged Children: Reliability Study of Monitoring Duration

JMIR Mhealth Uhealth 2026;14:e82846

DOI: 10.2196/82846

PMID: 42721410

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