Screen Free Activities for Screen Time Lovers

screen time

Want to Know How To Get Your Child Off the Screen?

Screen time is here to stay, but you don’t have to let it take away your child’s ability to play with real toys, have conversations and calm down when they’re frustrated without the use of a tablet or cell phone. But how? Let’s take a look at some of the psychology and sensory processing aspects of screen time to find a set of tools that will help you and your child succeed.

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What Exactly Does Screen Time Do For Your Child’s Brain?

One thing we know is that we get a rush of dopamine when we use a screen. Opening a new tab, fast and colorful graphics popping up in a video or game. It triggers the reward and pleasure centers in our brain, which is part of why it can become so addicting. And children’s brains are especially susceptible in the way that what they’re exposed to in early childhood is wiring their brains for what they prefer, how they learn etc.

And What About the Sensory Aspect of Screen Time?

Kids get LOTS of visual stimulation when they’re on a screen. The fast and colorful graphics, endless notifications and pop ups. It’s a lot to process (and they’re not actually processing it all, which in part may lead to them getting so hyped up from screens.) But the good news is, we can take this information and use it to help us get your child off of screens.

Any well informed OT knows that in order to “take away” a sensory activity we have to find something that provides the same or similar sensory input. So knowing that screen time lovers are getting lots of visual input, that’s exactly the kind of activities I start with when I am working with a kid who just loves screens.

My Top Activities to Try for Kids Who Love Screen Time

  1. Bubbles: About as classic as it gets, but why fix it if it ain’t broke? Bubbles are magical. They appear seemingly out of nowhere and just as mysteriously disappear. They are colorful and visually captivating. Eventually your child can work on motor skills by popping and then blowing their own bubbles, but for now just focus on the visually awe inducing input.
  2. Colorful craft feathers: I usually just will stand above a child and drop a whole bunch of feathers down above their head. My goal isn’t for the child to catch them. I’m just trying to get a child to engage with something that isn’t a tablet or phone. So by using bright and colorful feathers, I’m hoping to get their attention. You can exaggerate or make it more fun by delaying dropping the feathers by building up anticipation. Narrate it, “Oneee…twoooo…………three!”
  3. Marbles: Obviously be mindful if you think your child would choke on these, but they’re another simple and great toy for screen lovers. Most often I’ll sit across the table from a child and roll marbles across to them. You can encourage them to catch it with their hand or a cup, but that’s not necessary. Remember to start, we’re just trying to get attention and engagement. Motor skills can come later.
  4. Let’s Go Fishing Game: By far one of my favorites for kids because it’s kind of like a bridge between screens and less stimulating toys. I don’t even bother with the fishing poles to start. I simply turn the game on and off so the child can watch the fish going up and down and around and around. Maybe the child will take a fish out when we turn the game off for a moment, and that’s ok.
  5. Marble painting: Marbles again, but this time with paint! I love helping tech age kids fall in love with old school activities. This is one of my favorites. Get a cookie sheet, or even better, the lid of a cardboard box. Tape down a piece of paper and squirt some paint on it. Add a few marbles and go to town. This is so visually captivating and addresses a lot of motor skills too.
  1. Balloons: Similar to bubbles and feathers, balloons are a very fun way to capture a child’s attention if they’re always craving something visually interesting. As I’ve said (ad nauseam yet?) don’t worry about your child hitting the balloon or hitting it back to you. You can just bop it around in their vicinity with the goal that they’ll notice it, and maybe then they will engage! (Pick latex free balloons if there’s concern of an allergy!)
  2. Add movement to visual motor tasks. This is not one of my first activities I’d try (those are numbers 1-6) but it’s a good step to use a bridge to doing an activity. Add movement to a more typically “seated” tasks like puzzles or lacing beads. If you have a puzzle, put one piece at the top of a slide and have it ride down the slide and bump into the frame of the puzzle, which should be waiting at the bottom of the slide. Your child can then take a turn down the slide and put a piece in before they go down again. You can do a similar thing with beads by sitting across from your child. Pass a bead across the table so your child has to catch it before they put it onto a string. This again increases visual input which may capture your child’s interest.
  3. Balls and toy cars: You can first try to just roll these past your child to see if it captures their attention. If so, great! And if they seem like they’re interested, maybe you can try building a block tower and knocking the blocks over with a ball or car.
  4. Water Wow Books: These were a goldmine discovery for me when trying to get kids interested in writing. Each book has several different scenes which is white/colorless. Your child will use the water-filled “marker” to reveal color as they swipe along the page. Perfect for kids who are resistant to writing!

Tried These and Looking for More?

Once you’ve been able to get your child off the screen with some alluring visual input, let’s try to get them moving their bodies! The connection between their movement (specifically vestibular) and visual systems is strong, and movement input can go a long way in helping your child regulate! But that’s a post for another day 😉

A Vocational Structured Healing Garden Program & Its Impact on Career Attitudes for College Students with Developmental Disabilities

garden
Image by Free-Photos from Pixabay

This week on my Instagram account, I’ve been talking all about the benefits of gardening for kids. I grew up with a mom who loved to garden, so I have lots of fond memories of picking strawberries off of the bush, making snapdragons talk and walking barefoot in the dirt.

When lockdowns and stay at home orders hit this past year, what did we see filling our newsfeeds? For my part, I saw a lot of sourdough bread starters and a lot of people talking about starting to garden! People were seeking out or returning to former occupations, which we know can help our ability to self regulate. Whether is was because we had more time than we knew what to do with at home or because we inherently knew that working with our hands has a host of benefits to our mental health, I think there was a large uptick in interest in gardening this past year.

This study was interesting because it looked at how students participating in a “healing garden” class improved in markers of vocational readiness.

Journal Journal of People, Plants and Environment

Article Title: The Effects of a Healing Garden Program based on Vocational Adaptation on Career Attitude for College Students with Developmental Disabilities

  • 1A Systematic review of homogeneous RCTs
  • 1B Well-designed individual RCT
  • 2A Systematic review of cohort studies
  • 2B Individual prospective cohort study, low quality RCT, ecological studies; and two-group, non-randomized studies
  • 3A Systematic review of case control studies
  • 3B Individual retrospective case-control studies; one-group, non-randomized pre-post test study; cohort studies
  • 4 Case series (and low-quality cohort and case control study)
  • 5 Expert opinion without explicit critical appraisal

Methods Twenty five college students with developmental disabilities participated in a Healing Garden class which incorporated principles of vocational adaptation to promote skills required for vocation participation. Thirty students in the control group took general courses that were based on the theory of vocational adaptation.

Students in both groups completed the Career Attitude Measurement Tool before and after the study. The study author used this as a measure for the students’ current attitudes toward careers.

Findings

Students in both the control and experimental group demonstrated significant increases for the areas of confidence and independence.

Only students in the healing garden group demonstrated significantly increased measures of finality, preparation, and determination.

Reference

Kim, S.Y. (2020). The Effects of a Healing Garden Program based on Vocational Adaptation on Career Attitude for College Students with Developmental Disabilities. Journal of People, Plants and Environment, Vol. 23 No. 1: 77-85. https://doi.org/10.11628/ksppe.2020.23.1.77

Learning to Read Body Signs: Help for Children with Functional Abdominal Pain (FAP)

pain

The newer kid to the more mainstream discussions in pediatric OT is interoception. The term cropped up I’d say about 2-3 years ago. It speaks to how we experience the internal signals of our body and the effects those have on regulation and awareness. I think it is definitely crucial to consider when working with children with Sensory Processing issues.

One thing the study authors emphasized in this study and approach is the idea of teaching children to be curious about what their bodies are telling them. I take this as the idea being to not stigmatize the feelings. I think this is very insightful and helpful from an acceptance based approach! I think that often children who have more sensitive sensory systems are often also anxious and/or struggle with more intense feelings. For these children they may compound their negative feelings when trying to please others if made to feel badly about their feelings. I think the authors are on a very good path by reframing the children’s sensory sensitivities in a positive light.

Journal Behaviour Research and Therapy (SNIP 2.086)

Article Title Acceptance-based interoceptive exposure for young children with functional abdominal pain

  • 1A Systematic review of homogeneous RCTs
  • 1B Well-designed individual RCT
  • 2A Systematic review of cohort studies
  • 2B Individual prospective cohort study, low quality RCT, ecological studies; and two-group, non-randomized studies
  • 3A Systematic review of case control studies
  • 3B Individual retrospective case-control studies; one-group, non-randomized pre-post test study; cohort studies
  • 4 Case series (and low-quality cohort and case control study)
  • 5 Expert opinion without explicit critical appraisal

Methods Child were screened and recruited from a pediatrician’s office. Inclusion criteria included:

  • Age between 5 years and 9 years 11 months at time of screening
  • A guardian who was fluent in English
  • At home access to a device with video chat function
  • Positive Screen for FAP on the Questionnaire on Pediatric Gastrointestinal Symptoms Rome III Version (Meaning 2 or more stomachaches with impairment or 8 or more stomachaches with or without impairment over 2 months time (Zucker et al. 2017, p. 202)

Children who had an IQ of <70 or pervasive developmental delay were excluded.

Intervention

Parents completed a semi-structured interview, and both parents and child completed 2 weeks worth of a pain-diary. Both parents and child also completed multiple self-report questions. These provided information on the mental health of the parents and child, emotional regulation and pain symptoms. Parents completed ratings of their children’s pain before treatment and two weeks after treatment.

What was in the pain diary?

  • A parent and child rating on a pain thermometer that indicated the intensity of the child’s pain
  • A parent report with insight on their child’s distress about the pain
  • The child’s report of their affect

Treatment

Children participated in 10 weeks of therapy during which they participated in cognitive and physical activities to promote becoming, “Feeling and Body Investigators.” Both parents and children received positive reframing education on how their sensitivity can be beneficial and an advantage.

The children’s parents traced them on a piece of paper to create a body map that was then used throughout treatment. Researchers then introduced children to specific body sensations. They also completed exercises that illustrated interoceptive feelings (Zucker et al., p. 203).

See the infographic for more details on the treatment intervention.

Findings

Investigators found that parents’ ratings of their child’s pain were significantly reduced following intervention. Similarly, the children’s ratings of their own pain decreased significantly.

Parents’ ratings of the distress their child’s pain caused them were also significantly decreased following intervention. The authors suggest this supports the study’s aim of reducing a child’s fear of their own bodily sensations.

Parents also rated how their child’s pain interfered with their day pre and post treatment. After treatment, parents’ ratings improved significantly.

Both children and their parents reported decreased negative affect (such as sadness and nervousness) for children following treatment.

Things to Consider

The demographics of this study were mainly caucasian (75%) females (66%) (Zucker et al. 2017, p. 206). One may consider how easily the findings can generalize to the general public who presents with FAP. The study authors also mentioned that the sample size was small and there was no control group.

References

Zucker, N., et al. (2017). Acceptance-based interoceptive exposure for young children with functional abdominal pain. Behaviour Research and Therapy, 97, 200-212.