Excessive screen time in young children can lead to significant neurocognitive delays, affecting attention spans, memory, and language skills, according to Dr. Stephanie Haridopolos, the interim surgeon general and principal deputy assistant secretary of health.

Haridopolos stated that parents are increasingly struggling to compete with the attention demands of digital devices. To address this, the U.S. Surgeon General's Office has developed a framework called "the 5 Ds" to guide families in establishing healthier screen habits.

The "5 Ds" Framework

The framework encourages parents to actively manage their children's screen usage through five key strategies:

  • Discuss: Families should establish clear, age-appropriate rules regarding when, where, and how long screens can be used. Discussing these boundaries proactively can reduce daily conflicts.
  • Do (model the behavior): Haridopolos emphasized the importance of parents modeling healthy screen habits. "If we're constantly on our screens, then perhaps our children will be, too," she said, urging adults to lead by example.
  • Divert: Instead of offering screens as a default solution for boredom, parents are encouraged to redirect children toward offline activities such as arts and crafts or preparing meals together.
  • Disconnect: Haridopolos recommends incorporating regular screen-free periods into daily routines, including during meals, car rides, and at least one hour before bedtime. Turning off devices before sleep can help avoid disrupting natural sleep cycles.
  • Delay: The framework suggests delaying children's access to screens whenever possible. One practical application of this step is requiring mobile devices to be charged overnight in a common area, such as the kitchen or living room, rather than in children's bedrooms.

These recommendations aim to help families reset digital boundaries and foster better connections by prioritizing face-to-face interactions and other offline activities. Haridopolos noted that implementing these simple strategies can lead to significant positive changes in children's development.

Woman entering PIN on cell phone at restaurant table.

Breaks such as holidays and summer vacation are identified as critical periods for families to re-evaluate and adjust their digital habits. The interim surgeon general highlighted that mealtimes should focus on conversation, travel time can be an opportunity to reconnect, and screen-free time before bed is crucial for healthy sleep patterns.

Children on smartphones