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PLOS One logoLink to PLOS One
. 2026 Oct 5;21(10):e0359518. doi: 10.1371/journal.pone.0359518

Parental monitoring challenges and recommendation for managing excessive screen use among students aged 12–14 years in Dhaka, Bangladesh: A qualitative exploration

Shahria Hafiz Kakon 1,*, Nahian Sultana 2, Bidhan Krishna Sarker 3, Tanjir Rashid Soron 4, Rashidul Haque 1, Fahmida Tofail 2
Editor: Derebe Madoro Bunte5
PMCID: PMC13637862  PMID: 42832551

Abstract

Background

The pervasive use of social media and recreational internet platforms among students has become increasingly evident. The proper use of devices for students is critical; excessive use leads to a negative impact on students in many areas of their lives. This study aimed to explore the challenges parents face when their children engage in excessive use of electronic digital screens. Additionally, it sought to capture parents, teachers, and student’s,’ recommendations for the best use of digital devices among students.

Methods

An exploratory qualitative study design was employed to understand parental experience in regulating screen use and strategies adopted to manage its duration and quality. Data was collected between January and April 2024. Students aged between 12 and 14 who attend class six to ten English and Bangla medium schools in Dhaka, and their parents and teachers, were the participants in this study. Data were collected through focus group discussions and in-depth interviews, which were conducted with parents, teachers, and students to capture the perspectives of each stakeholder group. A thematic analysis was conducted in which themes were initially identified inductively from the data and subsequently organized and interpreted using the socio-ecological model as an analytical framework.

Results

We included 25 students who attended classes six and ten, of whom 56% were male. The key parental challenges identified in this study, including monitoring children’s screen viewing, supervising age appropriate online content, balancing educational and recreational device use, promoting alternative offline activities and lack of digital literacy among parents. Participants’ recommendations included school-based awareness. interventions, national-level guidelines regarding the use of digital devices, development of self-regulatory behavior in students, provision of secure recreational infrastructures, creating scope for outdoor recreational activities among students, enhancing the parent-child bond, and offering interesting options to divert the students from screens.

Conclusions

The study findings provide a better understanding of the parental challenges of the overuse of devices and recommendations among the population. Effective guidelines for managing students’ screen use require participation from schools, parents, legislators, and students themselves. Further research is required to determine the most effective interventions.

Introduction

The presence of technology in everyday life has become inescapable. The boundaries between digital and real worlds have blurred, and children are increasingly immersed in virtual media, gaming, and online communication [1,2]. While digital tools can provide educational and recreational benefits, excessive screen viewing (SV) has been associated with adverse impacts on children’s health and development [3]. Existing evidence highlights the influential role of socio-economic status (SES) in shaping parenting practices related to children’s technology use [4]. Four key factors influenced screen time practices: parenting practices, digital skill expectations, access to digital resources, and opportunities for alternative recreational activities. For example, higher-SES parents often weighed concerns about screen-related harms against the importance of developing children’s digital skill [5]. Parenting styles also influence children’s technology habits, with some parents permitting more device use as part of an individualized parenting approach, even when this exceeds pediatric guidelines [4]. A relevant quantitative study on children about screen time reported that the class year was positively and significantly associated with the average time spent on electronic devices during school days, weekends, and holidays [6].

Evidence links prolonged SV with negative outcomes such as poorer mental health, sleep disturbance, reduced academic performance, and behavioral problems, although in some cases, screen use has also been associated with improved peer relationships in adolescents [7,8]. Another recent paper on SV and Adolescent Brain Cognitive Development (ABCD) further indicated associations between high screen time and depressive symptoms, conduct disorders, and attention-deficit/hyperactivity disorder [8,9]. The type of screen activity is important, as texting, video chatting, video streaming, and gaming are more strongly linked to mental health problems than other types of screen use [9]. Excessive SV is commonly defined as recreational screen use exceeding 2 hours per day, which the WHO considers part of prolonged sedentary behaviour that should be limited and replaced with physical activity for optimal health [10].

In Bangladesh, a recent study reported that recreational SV is rising rapidly among adolescents. In today’s modern world, children engage in using a wide range of digital devices such as smartphones, tablets, laptops, and game consoles in addition to watching television [11]. A study found that approximately 79% of adolescents exceeded the WHO recommended recreational screen viewing [11]. The WHO and the American Academy of Pediatrics (AAP) both recommend limiting screen exposure in early childhood. The WHO recommends no screen time for children under 2 years and no more than one hour per day for those aged 2–5 years, while the AAP recommends avoiding digital media before 18 months (except video chatting) and limiting high-quality, parent-supervised screen use to no more than one hour per day for children aged 2–5 years [2,12]. Median reported recreational screen time was found to be 4.0 hours/day, with boys having longer times (4.3 hours/day) compared to girls (3.6 hours/day). Further, the study reported that high SV was associated with unhealthy behaviors, including frequent fast-food consumption and difficulty falling asleep [11]. The trend of using more than one device simultaneously is even observed nowadays [2]. It’s popular to use multiple digital gadgets with the use of internet media for a range of objectives, including leisure, social communication, and academic duties [12]. However, no such tailored guidelines currently exist in the Bangladesh context.

Parents across both high-income countries (HICs) and low- and middle-income countries (LMICs), including Bangladesh, face similar challenges in managing adolescents’ screen viewing, despite differences in social and cultural contexts. Appropriate parental regulation of screen viewing is essential, as excessive restrictions may reduce opportunities for learning and development, while inadequate restrictions may increase the risk of harmful screen use. However, these key challenges may be further influenced by context-specific factors such as socioeconomic conditions, digital access, parental digital literacy, and cultural norms. Together, these findings highlight the complexity of managing adolescents’ SV across diverse settings, particularly in low- and middle-income countries, including Bangladesh, where digital technology is rapidly expanding [13]. In such circumstances, parents’ and caregivers’ demanding schedules often limit their ability to monitor both the amount of time children spend on screens and the nature of the content to which they are exposed [13].

Parents face the key challenge of balancing the need to protect children from internet addiction and online risks, including cybercrime, while also fostering the digital skills needed for education and future opportunities [14]. Research in a variety of settings emphasizes the issue. For instance, even though they were aware of the detrimental effects of screen time, some Canadian parents (85% of mothers) claimed that they valued screen viewing as a behavior management technique or by employing SV as a “electronic babysitter” to handle their household obligations [15]. The previous studies conducted in Bangladesh, restrictive schedules and safety concerns limited children’s opportunities for physical activity, especially for girls [16,17]. In the developed country context, self-interests such as doing tasks undisturbed, creating me-time, regulating children’s behavior, avoiding arguments, and being able to use devices themselves were the core findings [18].

In Kuwait, parents use family-based strategies to manage sedentary behavior, including encouraging children to join health clubs, using reward techniques, arranging regular sports competitions, and establishing entertainment centers in each region [19]. In the context of UK, Parents identified that school-based interventions, alongside the parental role, as important for preventing excessive use [20].

Despite the growing body of evidence, there remains a lack of research exploring how parents in low-and middle-income countries (LMICs) navigate these challenges. In Bangladesh, where digital access is rapidly expanding but parental knowledge, guidelines, and protective structures for the limitation of use of devices are limited, understanding these dynamics is particularly important This study aimed to explore the challenges parents face in supervising and restricting children’s SV from the perspectives of parents, teachers, and adolescents aged 12–14 years in urban Dhaka, Bangladesh, and to identify strategies that may help achieve a healthier balance between digital engagement and children’s overall well-being.

Materials and methods

Study design

This study employed an exploratory qualitative design to explore the perspectives and experiences of parents, teachers, and adolescents regarding children’s SV. This exploratory qualitative design as a follow-up to our previous quantitative study to provide a deeper understanding of the findings within the local context [21].

The qualitative component explored the perspectives of parents, teachers, and adolescents on the challenges of managing children’s SV and identified context-specific factors and potential strategies to promote healthier screen use.

Data collection method

Data were collected using multiple qualitative data collection methods. In-depth interviews (IDIs) were conducted with parents, teachers, and adolescents to explore their experiences and perceptions of children’s screen viewing. Focus group discussions (FGDs) were conducted with parents and adolescents to capture shared experiences, challenges, and recommendations for healthier screen use. The use of both IDIs and FGDs enabled the collection of complementary individual and group perspectives.

Study settings

The study was conducted in Dhaka, the capital and largest metropolitan city of Bangladesh, characterized by high population density, rapid urbanization, widespread internet connectivity, and extensive access to digital devices. Dhaka North and Dhaka South City Corporations represent urban areas with comparatively higher socioeconomic status, greater availability of private and public educational institutions, and high penetration of smartphones, tablets, and internet services.

Study participants and sampling

During the school selection, we also considered, with the kind permission of the school authorities, the study included three participant groups: parents, students, and teachers. Students aged between 12–14 years, who were in classes 6–10, and who used more than two hours of screen time each day as the qualifying criteria for sample inclusion [10]. Smartphones, tablets, laptops, personal computers (PCs), televisions, and portable gaming devices were considered acceptable gadgets. However, students who might have pre-existing conditions, such as physical or psychological impairment, were excluded from the study. Parents were eligible if they were the primary caregivers of a school-going child with excessive digital device use and were responsible for setting household rules and boundaries regarding screen time. establishing household screen-time rules. Students were recruited separately from the selected schools based on the study inclusion criteria. This non-dyadic approach allowed the collection of individual perspectives from parents and students without linking responses to specific parent–child pairs. Teachers from the selected schools were recruited to provide their perspectives on students’ screen use and potential management strategies. Teachers were interviewed independently to develop potential strategies for managing screen time, as they play a significant role in student development and education.

Parents, teachers and students were required and interviewed independently. Parents and students were not enrolled as parent-child dyads, allowing individual perspectives to be explored without linking responses between family members.

A heterogeneous sampling technique was utilized for IDIs, while a homogeneous technique was applied for FGDs [22]. IDIs with students and parents were conducted separately after school hours to ensure sufficient time and minimize distractions. FGDs were also organized separately with students and parents, considering diverse classes, ages, and sexes to capture a wide range of perspectives. Participants were seated in a circle to encourage interaction, and all discussions were audio recorded. Nobody was allowed in the interview room during the sessions, ensuring confidentiality. All interviews were conducted in Bangla, the national language of Bangladesh. and privacy was maintained throughout the interviews. A total of 12 IDIs and six FGDs were conducted across six schools, which was sufficient to reach thematic saturation. Table 1 provides detailed information about the study participants below.

Table 1. Interview method and sampling.

Method Type of schools Type and number of participants
Bangla English Children Parents Teacher
In-depth interviews (IDIs) 6 6 5 3 4
Focus Group Discussions (FGDs) 3 3 20 24 –

Operational definitions

Screen Viewing (SV): The time students spend using digital devices for any purpose, including educational, recreational, or social activities.

Excessive screen time: Excessive screen time is commonly defined as recreational screen use exceeding 2 hours per day, which the WHO considers part of prolonged sedentary behaviour that should be limited and replaced with physical activity for optimal health [10]

Digital Device: Any electronic device that allows access to digital content, such as smartphones, tablets, laptops, televisions, computers, and game consoles.

Digital Platform: Online services or applications accessed through digital devices, including websites, social media, educational tools, and entertainment platforms.

Digital Literacy: The ability to effectively and safely use digital devices and platforms, including understanding content, managing screen time, and navigating online resources.

Outdoor Activity: Any physical or recreational activity performed outside the home, including sports, games, creative play, and other forms of physical exercise.

Peer Interaction: Social engagement and communication with other students, either in-person or virtually, fostering social skills and relationships.

Inappropriate Content: Digital material that is harmful, age-inappropriate, or culturally unacceptable, such as violent, sexual, or drug-related content.

Social Safety: The provision of a secure and supervised environment for students to engage in activities, reducing exposure to harm and promoting physical, emotional, and social well-being.

Data collection and quality checking

Data collection was carried out between January 2024 and April 2024. Six schools were purposively selected, including three Bangla-medium and three English-medium schools, to capture variation in educational systems and student backgrounds. English-medium schools in Dhaka generally cater to higher-income families, while Bangla-medium schools include students from diverse socioeconomic strata. The selected schools were located in residential and mixed-use urban neighborhoods where children are frequently exposed to digital screens for both educational and recreational purposes. Data were collected using a combination of audio recording and detailed field note-taking to ensure accurate documentation of participants’ responses and contextual observations during interviews and focus group discussions. Three separate semi-structured interview guides were developed for students, parents, and teachers based on the study objectives and a review of the relevant literature [6–8,15,19]. The guides explored participants’ experiences, challenges, and recommendations related to monitoring students’ screen time [9]. All study tools were translated from English into Bangla before data collection. All tools were pre-tested with 6 non-study participants to ensure clarity and appropriateness.

Each in-depth interview (IDI) lasted approximately 40–60 minutes, while each focus group discussion (FGD) lasted up to 90 minutes. The interviews were conducted in the teachers’ common room after school hours, providing a quiet and comfortable environment where participants could speak openly about the study topics. After informed written consent, the FGDs were conducted on the respective school premises in a quiet and private setting approved by school authorities. Interviews were conducted by a Senior Research Officer with more than five years of qualitative research experience, assisted by a Field Research Assistant with over three years of experience who took field notes. Both received training before data collection. A mental health expert monitored the overall interview process to ensure appropriate interviewing techniques, ethical conduct, and neutrality, but did not participate in the interviews or observe individual participants directly.

Data analysis

Data analysis began by organizing the interview transcripts and field notes. To maintain confidentiality, all audio recordings were assigned unique identifiers before transcription. Interviews and FGDs were transcribed verbatim in Bangla and reviewed by the principal investigator for accuracy. Field notes and observations recorded during data collection were also incorporated into the analysis.

The transcripts were read repeatedly to achieve data familiarization. An inductive thematic analysis approach was used to allow themes to emerge directly from the data rather than being predetermined [23]. Initial codes were developed independently from the transcripts and then discussed among the research team. Through regular meetings, the team reviewed, refined, merged, and redefined the codes until consensus was reached, resulting in the development of a shared codebook. Related codes were grouped into categories and subsequently organized into themes and sub-themes that reflected participants’ experiences and recommendations regarding SV.

To enhance reflexivity, the research team regularly discussed their assumptions, interpretations, and potential biases throughout the coding and theme development process. Differences in interpretation were resolved through discussion and consensus, ensuring that the findings were grounded in participants’ accounts rather than individual researchers’ perspectives. This reflexive process was particularly important because an inductive approach was used.

The identified themes were then interpreted using a modified socioecological model [24–26] with findings organized into three interconnected levels: individual and family, institutional and community, and national policy. Four themes were identified for the challenges, while recommendations were presented according to these three socioecological levels.

To enhance the rigor and trustworthiness of the findings, we used multiple strategies, including investigator triangulation through collaborative coding, methodological triangulation across IDIs and FGDs, and data source triangulation involving parents, students, and teachers [27].

Ethical approval

The study protocol was approved by the Institutional Review Board (IRB) of icddr,b (Protocol No: PR-22002). Informed written consent was obtained from parents and teachers. Assent was obtained from the students themselves, as they were aged above 11 years, prior to the interviews. All the respondents were informed in Bengali about their rights related to their voluntary participation in the study, and they could withdraw from the interview at any time during the interview. Interviewers of this study clearly conveyed to the respondents the objectives of the study, reasons for their participation in the study, their role, risks, benefits, anonymity, and confidentiality, including the rights not to participate or withdraw. After getting acquainted with all these issues, the respondents decided whether to participate in this study. Confidentiality during and after data collection was ensured, and no identifiable information was used that may expose the identity of the participants. Only the research team members have access to the collected data, which was stored securely. After the interview, each participant received compensation equivalent to BDT 370 (USD 3) to reimburse their time and transportation expenses.

Results

Background characteristics of participants

The demographic characteristics of the participants are illustrated in Table 2. All the students were between 12 and 14 years of age, and 56% of them were males. The majority of them (48%) were students of class 8, hailed from Bangla-medium schools (64%), and belonged to nuclear-type families (64%). Most of the fathers of students are involved in business (64%), whereas mothers are housewives (92%). The majority of the students (60%) had at least one device, and a substantial percentage (92%) were Wi-Fi users. They were found to be using multiple devices, meaning 100% used smartphones, followed by 76% had access to smart TVs.

Table 2. Participant demographics (N = 25).

Variable Frequency (n) Percentage (%)
Sex
 Male 14 56.0
 Female 11 44.0
Age (in years)
 12 12 48
 13 10 40
 14 3 12
Studying class/ grade
 6th 2 8.0
 7th 2 8.0
 8th 12 48.0
 9th 8 32.0
 10th 1 4.00
School type
 Bangla Medium 16 64.0
 English Medium 9 36.0
Occupation of father
 Business 16 64.0
 Service holder 3 12.0
 Labor 2 8.0
 Skilled worker 1 4.0
 Others 3 12.0
Occupation of Mother
 Housewife 23 92.0
 Skilled worker 2 8.0
Type of family
 Nuclear 16 64.0
 Extended 9 36.0
Device owned by participant
 Yes 15 60.0
 No 10 40.0
Type of internet access
 Wi-Fi or Broadband 23 92.0
 Mobile data 2 8.0
Type of device used by the participant [multiple response]
 Smart phone 25 100.0
 Smart television 19 76.0
 Laptop 11 44.0
 Tablet 9 36.0
 Computer 8 32.0

The thematic analysis identified two major themes emerging from the perspectives of parents, students, and teachers. Theme 1 focused on “Challenges faced by parents in monitoring children’s screen use”, describes the barriers encountered at the individual and family and institutional and community levels. Theme 2, “Recommendations to reduce excessive screen time among children”, presents participants’ recommendations at the individual and family, institutional and community, and national policy levels. Integrating the perspectives of parents, students, and teachers provided a comprehensive understanding of the challenges associated with excessive screen use and the strategies recommended to address them. Illustrative quotations are presented to support each theme. As no substantial differences were observed between data obtained from IDIs and FGDs, the findings are presented collectively. Including multiple stakeholder perspectives allowed triangulation of findings and provided a comprehensive understanding of excessive digital device use within the school and family context. An overview of the challenges identified and the recommendations proposed is presented using illustrative verbatim quotes. As no substantial differences were observed between responses from IDIs and FGDs, the findings are reported collectively without specific participant identifiers.

Challenges faced by parents in monitoring children’s screen use

Individual and family level

Reduced opportunities for offline social interaction and family engagement.

Parents expressed concerns about the safety of outdoor spaces, particularly for girls, which limited opportunities for students to interact with peers. Parents prevented their children from going outside or socializing with lesser-known peers out of fear of sexual abuse, even teasing, and misguidance by strangers. Consequently, students had few friends and spent most of their leisure time on digital devices.

“Where will our children play in Dhaka city? As we live in an apartment, sometimes there are rules or restrictions on going to the rooftop. We are primarily a home-centered family and do not allow our children to mix with others due to concerns about social safety. We do not even know our next-door neighbor due to our lack of time and security. I think there is no other reason than these.” ( FGD; Parent; Bangla medium school)

Most parents reported that very few children had siblings to play with and that both working and non-working parents struggled to spend sufficient time with their children due to busy schedules. Some parents noted that children felt more comfortable communicating with classmates than with family members.

“sometimes we also cannot give enough time, as her mom stays occupied, and I also stay busy with school activities. What will she do? There is no access to play outside. She might spend her leisure time gossiping with others if we lived in a joint family, but as we live in a nuclear family, there is no scope to do that, either. That’s why they are addicted to mobile phones. We also cannot say anything considering all of these issues.” (IDI; Parents; Bangla medium school)

Students also highlighted similar issues about a lack of interaction with their parents owing to their tedious schedules. One student conveyed,

“My father sat with me to spend time, but within two hours, he checked his E-mail numerous times. During that time, I also felt a similar urge to use my device as my father checked his inbox messages.” (FGD; Student; Bangla medium school)

Both parents and students reported restricted access to outdoor play due to the lack of playgrounds and concerns over social insecurity, including kidnapping, sexual harassment in public spaces, or sexual abuse. In nuclear families, children often had limited opportunities to interact and engaged with their cousins or age-matched peers, making digital devices their primary source of leisure and recreation.

“Even when cousins are together, they’re all on their devices. Each cousin has one in hand. Instead of chatting, they just sit with their devices. We, on the other hand, can talk for hours after the end. But our kids can’t. After talking for a little while, they’ll say they need a break, which means they want to check their phone, and then again, they go back to the phone. Managing them is much tougher.” ( FGD; parents; English medium school )

Limited parental capacity for effective monitoring and digital literacy

Teachers reported that some parents lacked the knowledge and skills to effectively monitor their children’s digital device use. They believed that this limited monitoring contributed to children’s exposure to age-inappropriate online content, which could negatively affect behavior, communication, and emotional well-being.

“Due to digital device usage, children are accessing inappropriate content and becoming addicted to it, with younger students watching adult material and mimicking adult behaviors. This leads to a lack of communication, with interactions moving to platforms like Facebook. When breakups occur, they struggle to cope, often resulting in depression, as they are too young to handle such situations”. ( (IDI; Teacher; English medium school)

Students stressed that supervision could prevent access to unsafe websites, pornography, gambling, and the use of abusive language. They indicated that awareness of parental monitoring would discourage engagement in risky or inappropriate online behaviors.

“Children would be conscious if they knew that their activities on devices would be supervised or monitored by their parents, and then they would be discouraged from doing any wrong activities using those devices.” (FGD; Student; English medium school)

Parents acknowledged that limited digital literacy constrained their ability to monitor children effectively. Children were often more technologically skilled and could bypass restrictions or age limits, leaving parents feeling unable to enforce boundaries.

“He is expert on device use than me. He is an expert in IT. He can hack our software to open it, that’s why I left to use age limit apps.” (FGD; Parent; English medium school)

Students also reported creating fake accounts to access games or social media apps restricted by age settings.

“There are many children who lie by increasing their age using fake profile accounts.” (FGD; Parent; English medium school)

Institutional and community level

Educational reliance on digital devices without structured guidance.

Parents highlighted the lack of sufficient guidance in the newly introduced education system, which increased students’ reliance on mobile phones and the internet for academic purposes. They reported that teachers often did not provide adequate explanations in class, pushing students to depend on online resources. While parents provided mobile phones to support their students’ learning, they observed that students frequently misused the devices for non-academic purposes, such as playing games, under the pretext of studying.

“The books that are provided as per the new education system, there are no guidelines. So, students need to depend on using a mobile phone to get help from the internet. Because teachers nowadays do not explain the topics in the classroom, they tell their students to complete them at home. So, when students are given mobile phones for study, it is seen that sometimes they start to play games as an excuse for study.” (FGD; Parent; Bangla medium school)

Students reported that teachers frequently encouraged them to use Google and other online resources to complete classroom assignments and obtain additional information. Many participants explained that their parents were often unable to help them with the updated curriculum, which increased their reliance on internet-based resources for academic learning. They also described creating online groups with classmates to discuss lessons, share study materials, and collaborate on assignments through digital communication platforms. These online resources and communication platforms were considered important tools for supporting their learning and completing school-related tasks.

“There are many topics in the books that I do not know how to solve, and even my parents cannot help me with that, so they suggested I search Google. Actually, it often happens that I take permission from my mom to use the mobile phone for study purposes, but I do not use it for study purposes. I usually watch short videos. Short videos or reels are more fun than studying”. (FGD; Student; Bangla medium school)

All parents emphasized that as a result of excessive device use, their students’ academic performance is directly impacted, resulting in lower grades.

“My son’s roll number is dropping from 20 to 50. He only spends one hour on coaching and private tutoring. The rest of the day, he’s glued to his mobile.” (FGD; Parents; Bangla medium school)

Teachers expressed concerns about the increasing dependence on digital platforms from grade six onwards. While acknowledging the benefits of technology for learning, they noted that many students lacked the maturity to use devices responsibly. Teachers also observed that group work often created inequalities, where a small number of students bore the entire burden, while others misused devices for unrelated activities. They emphasized the importance of parental supervision and awareness to ensure productive screen use.

“If we ask students to create content in groups, say we form a group of ten, usually only two out of the ten end up doing the work. The remaining eight, instead of contributing, often get busy with unrelated activities on their phones or laptops, under the pretense of preparing content. This puts all the pressure on the two active members. As a result, those two, who are often the group leaders and active students across most subjects, bear the entire burden, leading to increased stress on them.” (IDI; Teacher; English medium school)

Risks related to unsafe and unsupervised digital exposure

Parents reported that students were frequently exposed to unwanted sexual content through advertisements on platforms such as TikTok, YouTube, Facebook, and online games. Many parents found it challenging to monitor students’ device use due to time constraints and discomfort discussing sexual topics, despite recognizing the importance of guidance during childhood. Exposure to such content caused worry and anxiety, as parents feared it might trigger curiosity or inappropriate behaviors.

“I was astonished after seeing what my son was viewing; when I asked my son about that obscene video, my son replied that he always plays games, but such obscene videos sometimes appeared on his screen as advertisements. But after that incident, I can’t stop thinking negatively about him.” (FGD; Parents; Bangla medium school)

Students confirmed that sexual or inappropriate content sometimes appeared unintentionally while using digital platforms, and they were unable to skip certain advertisements. They reported that exposure increased curiosity and encouraged further exploration, underscoring the risks of unsupervised screen time.

“Sometimes a bad video pops up, and once you watch it, you feel like watching more. Later, it causes physical problems… the body feels weak. I mean, in the middle of a video, like for 30 seconds, these kinds of clips appear. Actually, they’re just 3-second videos that come up automatically. I was playing a game when those ads popped up, and my father saw it. After that, he didn’t give me the phone for two or three days.” (FGD; Parents; English medium school)

Recommendations to reduce excessive screen time among children

The recommendations from parents, teachers, and students were organized using a socio-ecological framework, which recognizes that excessive screen use is influenced by multiple, interconnected factors at the individual, family, institutional, community, and national policy levels. Using this framework, the study examined screen-use behaviors across different layers of influence rather than focusing on a single level. After thematic analysis, the recommendations were grouped into three broad and interconnected levels: (1) individual and family, (2) institutional and community, and (3) national policy. Participants emphasized that reducing excessive screen time in a meaningful and sustainable way requires coordinated actions across all of these levels.

Individual and family level

At the individual and family level, participants strongly emphasized the role of parent–child relationships in shaping children’s screen use behaviors. Parents highlighted the importance of spending quality time with children through shared activities such as conversations, morning walks, picnics, interactive games, and cooking together. These interactions were viewed as essential for strengthening emotional bonds and naturally reducing children’s dependence on digital devices. Parents’ own screen habits influence children’s behavior, reinforcing the need for positive family engagement.

“My father sat with me to spend time, but within two hours, he checked his e-mail numerous times. During that time, I also felt a similar urge to use my device as my father checked his inbox messages.” (FGD; Student; Bangla medium school)

Developing self-regulation skills in children was another key recommendation. Rather than relying solely on strict parental control, parents and teachers suggested encouraging children to understand and manage their own screen habits. Emphasis was placed on fostering self-discipline, awareness of health consequences, and balanced daily routines, enabling children to voluntarily limit prolonged screen use. Counseling was repeatedly identified as a supportive strategy for both children and parents. Participants felt that counseling sessions could help address screen-related issues alongside academic stress, sleep deprivation, and behavioral concerns.

“The time that is being spent on the mobile means they are not getting enough rest. Of course, that has an effect. That’s why I think counseling is necessary. Because through counseling, whether it’s about mobile use or something else, the issue will come up. They will hear things like, ‘Don’t do this,’ or, ‘It’s better if you avoid that,’ and then the topic of studies will also come up. One way or another, some advice will be given.” ( FGD; Parent; English medium school)

Parents noted that overreactive or punitive approaches often backfired, increasing children’s curiosity and resistance.

“Children would be conscious if they knew that their activities on devices were being supervised by their parents. Then they would be discouraged from doing inappropriate activities using those devices.” (FGD; Student; English medium school)

Instead, logical guidance, consistent communication, and parental counseling on how to support children’s digital habits were seen as more effective. Parental should supervise their children with logical guidance. Participants also recommended promoting alternative, engaging activities to replace screen viewing. These included outdoor play, sports, reading, creative arts and crafts, and other hobbies that provide enjoyment and cognitive stimulation. Such alternatives were perceived as essential to shift children’s attention away from devices while supporting holistic development.

“I have the same opinion as the others. One more recommendation I would make is that, since study time is spent on mobile devices, children then look for suggestions on how to excel in exams in a short amount of time. Because of this, they become more concerned with just performing well in exams rather than actually learning. That’s a major harm. Another point is that devices will be used anyway, so along with the children, the parents also need to be made aware. If we overreact, then whatever is forbidden is exactly what they will want to do. In that case, if parents behave logically, it will help, because sometimes their overreaction can have a negative impact. That’s why it would be good to have a counseling session for parents as well, on how to guide their children. At the school level, too, parents could be made more aware of how to behave with their children.” ( FGD; Parent; English medium school)

Institutional and community level

At the institutional level, schools were viewed as critical settings for reducing excessive screen exposure. Participants recommended minimizing unnecessary online activities within the curriculum and replacing them with offline, interactive teaching approaches wherever possible. When digital tools were required, parents and teachers suggested that device-based tasks should be completed under direct teacher supervision, with schools providing the necessary devices rather than relying on students’ personal phones.

“The books under the new education system do not provide enough guidance. Students have to depend on mobile phones to search the internet, and once they get access to a phone for studying, they often end up playing games instead.” (FGD; Parent; Bangla medium school)

Schools were also encouraged to play a proactive role in awareness building, through joint programs involving parents, teachers, and students that address the harmful physical, psychological, and academic consequences of excessive screen use. Increasing extracurricular opportunities such as sports, physical exercise, creative games, and cultural activities was seen as an effective way to divert students’ attention from screens. Several participants emphasized the need for school-based psychological support, recommending the appointment of a mentor or psychologist to address device overuse, provide counseling, and support students’ mental well-being. Additionally, limiting ICT and computer studies to supervised use within school premises was suggested to prevent unsupervised and excessive exposure.

“Due to digital device usage, children are accessing inappropriate content and becoming addicted to it. They become isolated, and when problems arise, they often become depressed because they are too young to cope.” (IDI; Teacher; English medium school)

At the community level, participants highlighted the importance of improving access to safe outdoor spaces. Students and parents emphasized the need for playgrounds in every neighborhood, along with security measures such as guards and surveillance cameras, to ensure children’s safety.

“Every area needs to have a playground. There should be guards around the field and cameras installed along the area’s borders.” ( FGD; Students; English medium school)

Creating secure and supervised environments was seen as essential for encouraging outdoor play, physical activity, social interaction, and the development of life skills, all of which contribute to reduced screen time. Community-based awareness initiatives, including programs led by schools, NGOs, and local organizations, were also recommended. These initiatives could educate parents about the mental health risks associated with excessive mobile phone use and promote healthier digital practices at home.

“Schools could arrange programs to make parents aware of how harmful mobile phones can be. Such initiatives could also be taken through different NGOs. These programs could highlight the mental health problems associated with mobile phone use and explain them sincerely to parents. Various awareness sessions could also be conducted.” ( FGD; student; Bangla medium school)

National policy level

At the national level, participants described excessive screen use as a growing public health concern requiring government leadership and policy action. Parents recommended the development of digital restriction mechanisms in collaboration with the ICT Department of Bangladesh to prevent children’s exposure to age-inappropriate content. Parents alone cannot ensure safe digital environments, so national technological safeguards are needed.

“He is more expert in using devices than I am. He can bypass our software restrictions, so I eventually stopped using age-limit applications.” (FGD; Parent; English medium school)

Suggested strategies included web and content filtering systems, child-friendly digital platforms, and software or applications that offer age-appropriate content while enabling parental monitoring. “There are many children who lie about their age by creating fake profile accounts.” (FGD; Parent; English medium school)

National digital regulations, age-verification mechanisms and Government-led awareness campaigns were also strongly emphasized. Participants suggested using widely accessible platforms such as television, social media, and child-focused media to disseminate messages about the risks of excessive screen time. Integrating these messages into popular educational cartoons and programs was viewed as particularly effective for reaching children.

Incorporating digital health education into the formal school curriculum was another major recommendation. Participants proposed adding dedicated chapters to ICT textbooks that address the negative impacts of excessive screen use and promote healthy digital habits. Teachers further suggested including age-specific screen time guidelines, such as standard use practices within textbooks to formalize recommended limits, aligning educational content with international and national regulatory guidance. Overall, these recommendations reflect a collective call from parents, teachers, and students for multi-level, coordinated interventions that combine family engagement, school-based strategies, community support, and national policies to address the growing challenge of excessive screen use among children.

“This has actually become a national issue now since almost all children are facing this problem. If the government includes these issues in the curriculum, it carries more importance than just us parents saying it. This could be done through NGOs or schools as well. The media we have could also be used to raise awareness. For example, we were taught many things through the Meena cartoon. In the same way, cartoons could be made to show the negative sides of mobile use, so that children themselves would be attracted to watch and learn.” (FGD; Parents; English medium school))

Discussion

This study explored the challenges of monitoring excessive screen use among school-going children and identified multi-level recommendations from parents, teachers, and students in urban Bangladesh. Parents and students highlighted that the new education system encourages independent learning and reliance on digital platforms. Many parents reported that teachers provide insufficient guidance in classrooms, pushing students to seek help online. While digital devices facilitate learning, parents observed frequent misuse, such as playing games under the guise of studying. Students’ dependence on online resources and group assignments via social media further exacerbated the challenge, as distractions from short videos, reels, and other entertainment content were commonly reported. Study found digital media negatively impacts education by causing interaction issues, academic failure, and miscommunication [28]. Another study conducted in Nepal shows that online video games can develop independent study skills and autonomous learning abilities in secondary students, but parents perceive potential negative health impacts if not educationally designed [29]. Teachers noted that younger students often lack the maturity to use devices responsibly, emphasizing the importance of parental supervision to ensure productive and safe digital learning.

Parents’ concerns about social safety, especially for girls, limited children’s outdoor play and peer interactions. This finding has been incorporated into how environmental and social safety concerns constrain children’s participation in alternative recreational and social activities, potentially increasing reliance on digital screens. Several studies conducted in Bangladesh focused on outdoor play have consistently reported similar findings, highlighting social safety, particularly for girls, as a major concern [16,17]. Fear of eve-teasing, sexual abuse, or misguidance led parents to limit their children’s opportunities for outdoor activities and physical play. In nuclear families, the scarcity of siblings or cousins further reduced opportunities for interaction, leaving digital devices as the main avenue for leisure. Limited family time and communication gaps were also evident, as parents’ busy schedules hindered meaningful engagement with their children. Children reported feeling more comfortable interacting with peers than with parents, a phenomenon that may contribute to increased screen dependency. These findings align with previous research conducted in Bangladesh and similar contexts, e.g., India, indicating that urban children often face constrained outdoor play due to safety concerns and that parental availability plays a critical role in managing SV [30,31].

Parents and teachers reported concerns about children’s exposure to inappropriate content on popular digital platforms, particularly through advertisements. While this did not directly constitute a challenge in managing the duration of screen use, it influenced parental vigilance and monitoring practices, shaping the strategies they employed to guide children’s digital media engagement. Previous quantitative research suggests that parent-child relationships, socio-economic conditions, parents being unaware of children’s SV, and children owning devices by themselves were major contributive elements for viewing violent or pornographic content [32]. Students confirmed that exposure to sexual content often increased curiosity and encouraged further exploration, reinforcing the risks of increase digital use. A relevant qualitative paper explored the concerns of parents to exposure to harmful content [33]. Teachers highlighted that unsupervised access could lead to behavioral and emotional consequences, including imitation of adult behaviors, reduced communication skills, and vulnerability to online risks. Students emphasized that awareness of parental monitoring could discourage engagement in unsafe or inappropriate activities.

A significant barrier to effective supervision was parents’ limited digital literacy. The home technology environment is imperative in this context. Various studies report that children of this generation are exposed to a wide range of toys, multimedia, devices, and gadgets from a very early age, which enable and enhance them to efficiently operate them [34,35]. In contrast, many parents reported being less technologically skilled than their children, who could bypass restrictions or manipulate age verification systems. Students also reported creating fake accounts to access games or social media apps restricted by age. These results reflect global evidence showing that parents’ digital skills are critical for establishing boundaries and guiding safe online behaviors [36].

Furthermore, this study focused on some recommendations that the caregivers suggested in order to reduce SV in the young ones. They mentioned that schools should take some core initiatives. A cluster-randomized controlled trial to evaluate the effectiveness of school-based intervention on SV in Bangladesh was conducted between two groups, reporting that there were promising changes in children when physical activity was encouraged and SV was reduced [37].

Points such as implementation of national guidelines, offering alternatives to SV, increased family time, development of self-regulation in children, and ensuring a safer environment were also discussed extensively. Relevant qualitative exploration enumerated some solutions for the government to implement, such as monitoring inappropriate programs for the young ones and blocking them; using social media to explain the detrimental impacts of overuse of devices; establishing more sports clubs; ensuring computer classes at schools, which would include lessons regarding optimum SV [19]. Another paper mentioned that strong bonding between children and parents beneficially impacts the SV of children [24]. Furthermore, similar research recommended that parents need to enhance their knowledge about social media and associated risks to protect their children [25]. In addition, a systematic review revealed that weaker parent-child bonding and an unhealthy familial environment were linked to gaming addiction in children [26]. Also, single-parent families were detected to have greater internet abuse in young ones.

It is essential to consider the deleterious impacts of excessive SV on children. The implications of this paper are based on the challenges encountered by the caregivers and their thoughtful proposals to mitigate this condition. The balance between the real and virtual worlds is difficult to maintain, but it is mandatory. While it is necessary to maintain the guidelines of children’s SV flexible in order to go with the flow of the rapidly changing technological ambience, certain guidelines need to be implemented to make sure caregivers understand how much SV is excessive. It can be encouraged to develop specific policies and programs on multiple levels to eliminate the difficulties faced with regard to monitoring SV and promote alternative activities and options to foster a healthier life for children.

Conclusion

Urban digitalization creates many challenges for caregivers in managing children’s screen use. These include the increasing use of digital devices for schoolwork and limited digital knowledge among caregivers. Safety concerns in outdoor environments also reduce opportunities for children to play outside, while selecting age-appropriate digital content remains difficult. This study aimed to understand the challenges parents face when their children use electronic screens excessively and to gather parents’ suggestions on how digital devices can be used more healthily and effectively for students. The findings highlight the need for clear policy guidelines that involve schools and are supported by national-level strategies. Creating a supportive home environment and providing safe, child-friendly spaces are also important. Future research should focus on long-term and intervention-based studies to assess school-based digital literacy programs, caregiver training, and improvements in urban environments to support balanced screen use and healthy child development. This recommendation approach facilitated a structured interpretation of participants’ perspectives and highlighted the need for coordinated interventions rather than isolated actions. Organizing the findings within this framework ensured clarity, coherence, and relevance for policy and program development.

Acknowledgments

The author would like to acknowledge their affiliation with the icddr,b and its core donors who provide unrestricted support to icddr,b for its operations and research, including the Governments of Bangladesh and Canada. We gratefully acknowledge our core donors for their support and commitment to icddr,b’s research efforts. The authors are also grateful to the school authorities for their unconditional support.

Data Availability

The data from this study are not publicly available due to ethical restrictions and icddr,b’s data sharing policy. The study involved in-depth interviews and focus group discussions. Although the data were anonymized and participants provided consent after being informed about confidentiality safeguards, there remains a risk of identification because of the level of detail in the responses. The data are held by icddr,b. For any requests during peer review, please contact Sabina Shahnaz (sabina.shahnaz@icddrb.org). Data may also be made available upon reasonable request for research purposes through Shiblee Sayeed (shiblee_s@icddrb.org), Head of Research Administration at icddr,b, in accordance with the institution’s data policy.

Funding Statement

The study was financially supported by the Bangladesh government’s Research Grant for Women award, in collaboration with icddr, b (Grant no. 01945).

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Decision Letter 0

Derebe Madoro Bunte

9 Aug 2025

Parental monitoring challenges and recommendation for managing excessive screen use among adolescents aged 12–14 years in Dhaka, Bangladesh: a qualitative exploration

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  • The manuscript requires substantial revision before acceptance, with mandatory changes including clarification of study design and methodology (operational definitions, inclusion/exclusion criteria, recruitment procedures, role of teachers, separation of FGDs and IDIs, complete demographic reporting), detailed ethical procedures, and rigorous description of the analysis process with supporting quotes for all themes. Recommended (non-essential) changes include restructuring recommendations using an ecological model, adding SES-linked analysis, presenting exemplary quotes in tables, and improving contextual relevance with local guidelines. While all reviewers agree on the topic’s importance and the value of the findings, they consistently highlight gaps in methodological transparency, thematic presentation, and language clarity, with no direct conflicts—thus authors should follow the converging advice to strengthen rigor, synthesis, and readability.

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#Reviewer-1

Thank you for your submission.

Overall, this paper addresses what seems to be a key concern. The paper appears to do what it aimed to do, but the portrayal of the results and discussion hinders its impact, and the language and construction of the paper hinders readability. Literature needs to be further synthesized and used effectively to draw conclusions and develop arguments in introduction and discussion. With reworking and refining concerns, this could be a publishable paper.

Introduction:

- Grammar and word use not always appropriate for an academic article or unclear. (Lines 67, 74, 83, 84, 85, 86, 89, 101, 104, 112, 115) Overall the introduction could improve in flow, conciseness and effectiveness.

- The review of literature felt like a side-by-side review of the different studies, rather than synthesising the information into specific sections to build into an argument to justify this paper. Justification for this study and the gap in literature was not fully developed in the introduction, therefore difficult to ascertain. Although there was a description of limited data on the topic, this was not argued so difficult to ascertain.

- I would suggest that this section is reworked to synthesise the evidence to make a stronger case for the evidence gap and justification for this study.

Aim:

- Remember we don't examine in qualitative work, but rather explore or understand, describe etc.

- 'gather specific feedback on how to effectively utilize SV within urban Bangladesh context' doesn't make sense - for adolescent use? to create a family plan for SV? The second aim statement in the methods section makes much more sense.

Design:

- A cross sectional design is linked to quantitative work, not qual. This appears to be a descriptive qualitative study. Please use references.

Setting:

- Please provide a description of the setting (i.e. North and South Dhaka City Corporations in Bangladesh) so that we have an understanding of the context which is vital for rigour, specifically transferability.

Sampling and recruitment:

Clear justification for why specific participants were chosen and heterogenous sampling was used. However, your recruitment strategy was unclear and the eligibility criteria was not apparent.

- How did you identify the schools from which to sample the children from? I see that you aimed for a heterogenous sample, but what criteria specifically did you use to select and approach these schools?

- How did you identify children and parents (of children) with excess screen use? How did you recruit them into the study? What were the age children were you sampling and why?

- Were parents and children from the same families interviewed? How did you negotiate the ethics around this?

- Please ensure that you separate sampling and data collection procedures as this hinders the flow of the paper and makes for confusing reading. Data saturation has to do with the number of interviews and data collection, not sample size. Please review this section. We don’t need to make a case for sample size when using purposive sampling, but rather focus on the eligibility criteria which guided your sampling of the participants.

Data collection:

- You clarified the number of IDIs and FGDs you used, who they were with, where they were run, the language, the facilitators and how you developed the guides.

- Please use references to support your processes?

- Please consolidate the data collection methods under one concise section, as this is not a streamlined passage.

- Methods seem appropriate for design. Would have been nice to see why these methods are useful to harness participants perspectives/experiences etc. or linked to the aim.

- 1.5 hrs appears very long for the children. What other strategies did you use to ensure that the data collection was rigorous for this specific age group? Looking at power differences etc. I am wondering how having the interviews at school could have influenced data collection as it is a place where children are safe, but not ‘powerful’.

Rigour:

- Please refer to the sources you used to guide this process? It appears that quantitative principles are being used to guide rigour strategies for qualitative work, which is confusing from a paradigm perspective and doesn’t achieve its purpose.

- Rigour in data collection needs refinement, I would strongly urge you to refer to Lincoln and Guba's four constructs. This article refers to rigour in qualitative analysis specifically, however the principles can be applied to the project as a whole:

International Journal of Qualitative Methods Thematic Analysis: Striving to Meet the Trustworthiness Criteria Volume 16: 1–13 DOI: 10.1177/160940691773384.

Analysis:

- Please refer to sources used to guide this process?

- Outline the type of analysis used and the steps upfront (with reference).

- Clarify how you used the codebook and matrixes?

- No mention of reflexivity, this is vital in qualitative work to make your approach clear.

Ethics:

- Were any specific ethical approaches needed as the study was working with children? How were these approached?

- Add reimbursement to data collection for smooth reading

Results:

- It is not clear that table 1 only refers to student’s characteristics. Why were characteristics of the other participants not reported?

- Lacking clarity

- An initial overview of the themes related to challenges faced by parents needs to be provided. i.e. 4 themes were identified that consisted of…

- It is expected that the information from the IDI and FGDs is synthesized as a part of thematic analysis, not presented separately, so this doesn’t need to be explained.

- Why are the recommendations’ themes written as bullet points and do not follow the same process as the challenges with quotes to illustrate your point. The same structure should be used? These are still themes that you identified and need evidence. This section needs to be reworked to follow a similar structure and it would seem that some of the items fall under the same theme. I would consider using the ecological model to structure this section and place recommendations under the different levels as themes (i.e. micro, meso and macro) Please see this as an example:

Harper CR, Steiner RJ, Brookmeyer KA. Using the Social-Ecological Model to Improve Access to Care for Adolescents and Young Adults. J Adolesc Health. 2018 Jun;62(6):641-642. doi: 10.1016/j.jadohealth.2018.03.010. PMID: 29784107; PMCID: PMC10898617.

- General clarity, sentence structure, word usage and grammar needs reworking.

- Evidence/quote provided does not always match statement that it is linked to. (i.e. line 289)

- In the first section (challenges), children, parents and teachers often say the same thing. It would be more impactful for me if these topics are discussed with the evidence from the participants synthesised together, with only their unique contributions/differences discussed separately in another paragraph with evidence, rather than presenting each group of participants results separately under each heading.

- Why are some words in italics? Are these direct quotes? I would suggest using quote marks to make this clear.

Discussion:

- General clarity, sentence structure, word usage and grammar needs reworking.

- This section needs reworking – rather than reporting what other evidence notes, you need to use this other research to link and make recommendations from your own research. It is fine to draw the similarities between your and other research as a mechanism to situate your evidence, but rather than report what other studies found, use it to build the discussion around your evidence.

- Limitations

o why didn’t you have enough time to do separate FGDs?

o The context of a study is not a limitation, rather provide a think description of the setting so that results are transferable to similar settings.

o Qualitative research does not aim to be generalisable and therefore this is not a limitation of the study

#Reviewer-2.

1. check typos in line 77, 204

2. put phrases or acronyms in uniform, line 171 IDI so line 174,177 too.

3. line 180-183, please have a look and rephrase

4. please clarify the participants and the numbers of participants in the line 160 and so forth. 5. line 216: clarify multiple sources. what are the three types of data collection tools

6. What is your measure to determine "excessive use of internet or screen view in this study?"

#Reviewer-3

This study tackles an important and relevant topic with valuable insights and practical recommendations that could significantly contribute to the field. The authors have conducted meaningful research that addresses real challenges faced by parents in managing adolescent screen use. However, the manuscript requires substantial methodological clarification and improved presentation of results to meet publication standards. The findings and recommendations are strong, but the research would benefit from more rigorous reporting and clearer methodology to enhance its impact and reproducibility.

Article Summary: This qualitative study explores the challenges parents face in monitoring their adolescents' (aged 12-14) screen use in Dhaka, Bangladesh. Using focus group discussions, in-depth interviews, and key informant interviews with 25 children, parents, and teachers from six schools, the study identifies four main challenges: educational necessity of devices creating supervision difficulties, restricted outdoor activities increasing device dependence, exposure to age-inappropriate content, and parental digital illiteracy. The study provides comprehensive recommendations including school-based interventions, national-level policies, enhanced parent-child bonding, and secured infrastructure development.

Strengths:

• Comprehensive multi-stakeholder approach: The inclusion of children, parents, and teachers provides valuable triangulation of perspectives on screen use challenges

• Practical and actionable recommendations: The study offers concrete suggestions for schools, parents, and policymakers that are contextually relevant to the Bangladeshi setting

• Important and timely research topic: Addresses a critical public health concern regarding adolescent screen use in a rapidly digitizing society

• Rich qualitative data: The combination of FGDs, IDIs, and KIIs provides depth and breadth to understanding the phenomenon

• Cultural contextualization: Appropriately situates findings within the social and educational context of Dhaka, Bangladesh

Weaknesses:

Major Concerns

• Lack of clear operational definitions

• Insufficient inclusion/exclusion criteria

• Unclear data collection procedures

• Inadequate sample size justification

• Missing inter-rater reliability measures

• Incomplete demographic reporting

• Incomplete consent procedures

Minor Concerns

• Grammar issues

• Presentation and organization

Suggestions for Improvement:

• Suggest using a grammar checker and proofreading – a lot of misspellings and run on sentences which make it hard to read the paper

• Introduction –

o Paragraph 1 - link between parenting and SES is established but it is unclear as to how parenting relates to health of adolescents � explicitly state that parenting style is a mediator of technology use and thus, health of adolescents

o line 95 – please mention whether the screen time usage is a mean or median measure

o line 105 – author’s mention AAP. The study context is Dhaka, Bangladesh, are there any Bangladeshi guidelines for pediatrics that should be mentioned? It will help strengthen the context and be directly applicable

o Currently, paragraphs 1,2, 3 are not logically organized – suggestion for organization � paragraph 1: clearly outline the problems on health brought forth by SV; paragraph 2: outline the literature for why parents are intentionally/unintentionally using technology to help with parenting; paragraph 3: outline existing pediatric guidelines and perspectives for healthier management of technology use among adolescents

• Materials and Methods

o Line 160 – please quantify “excessive use” of digital devices using a threshold (for example, > 5 hours/day, etc.)

o Lines 160 – Lines 167 – please be specific with inclusion and exclusion criteria for the study. Please list the minimum age inclusion/exclusion for each participant, along with any other inclusion/exclusion criteria that was relevant to the study (e.g. technology use, language, family size, etc.) Please try to be specific in this section.

o Line 165 – while teacher’s play a role in children’s development and education, it is unclear as to how they would be valuable as key informants for the aim of the research as they are not providing child care; the introduction argues that SV has come on as a way of making caregiving easier. Please include some literature/citations that can help justify the inclusion of teachers as I do agree that they are an important perspective to consider

o Line 171 – please define how these “class register books” were obtained

o Regarding focus groups – were children and their parents both present in the same focus groups? This poses a concern for social desirability bias on the end of the children to appease to their parents. Please clarify if parents and children had separate focus groups (parents only and children only). If parents and children were present in the same focus group, please justify why this decision was made and how bias arising from potential social desirability bias was avoided.

o Lines 180 – 184 – please condense language to reflect that interviews and focus groups were conducted until thematic saturation was reached.

o Line 185 – Please clarify the 18 interviews – I am only counting 12 interviews (5 students, 3 parents, and 4 key informant teacher interviews); please note that focus group discussions should not be included in the interview sample size and should be listed separately. E.g., “A total of 12 interviews and 6 FGDs were conducted.” Additionally, please list the sample size, N for easier reading.

o Table 1 – Please change the “School Types” column to be more reflective of categorization based on language of teaching as “school types” suggest classification based on funding – private v. public.

o Line 191 – Please include/indicate how sociodemographic data was collected from participants.

o Line 193 – Please include guidelines in the appendix. Alternatively, provide brief descriptions of the contents of the guidelines – did they include suggestions for how long interviews should last? Did they include any probes? How many questions were there? What themes did the interview/FGD questions explore, if any?

o Line 197 – please update the sentence to state “three and five years of experience on qualitative data collection, respectively.”

o Lines 200 – 203 – Which language were the interviews/FGDs conducted in? Were the interviews/FGD conducted in English at English-medium schools and in Bangla at Bangla-medium schools? Please clarify

o Line 201 – how long were key informant interviews?

o Line 208 – Please use gender neutral pronouns to describe the facilitator

o Line 205 – Please clarify if the researcher with the recorder also took notes.

o Lines 213- 218 – How was data validity maintained/triangulated? Were the same participants interviewed multiple times? Were parent – child dyads tracked for this triangulation? This section is very unclear – please provide more details regarding the methodology, maybe including a figure would be helpful.

o Lines 219 – 220 – Data interpretation should be talked about in the analysis section, please remove this sentence.

o Line 221 – Please clarify validating data cross various contexts. Validity of data is usually not a concern in one-time interviews or focus group participations. There are usually limitations of self-report or social desirability biases, but it is unrealistic to have responses free of bias in qualitative studies. Who/what is this data being validated against. Is there a standard respondent? Alternatively, are the authors checking for quality of data, i.e., easy to comprehend and bug-free recordings or recordings that are easy to download/transcribe? Please clarify.

o Line 226 – please provide an example file nomenclatures; e.g. “Participant001_English_IDI” or something along those lines that can let readers know of how files were stored in case they want to replicate.

o Line 228 – Earlier it is mentioned that interviews were recorded, but there is now a note implying that some interviews were not recorded. Please explain.

o Line 231 – Please clarify if there were any consensus meetings to finalize the codebook. Consensus for codebook development is a foundational part of qualitative analysis. Additionally, please include the final codebook in the appendix as it will be helpful to other investigators conducting similar studies.

o Line 232– Please list the initials of those involved in the coding process (analysis team).

o Lines 236-238 – Rather than validity of data, I am more interested in the inter-rater reliability. Please clarify the exact coding methods – was a double-coding or single-coding method used. Or were a select few transcripts coded by all the analysis team members at the start to ensure consistency in coding before single-coding. Alternatively, did all the analysis team members code all the transcripts? Additionally, please provide Cohen’s kappa for a measure of inter-rater reliability.

o Line 241 – As children (<18) were involved in the study, please elaborate on their consent process. Was parental assent required?

o Line 249 – Where were the recordings/data stored? Please provide a location e.g. “password protected computer only accessible by the research team.” Additionally, were the interviews themselves de-identified? Please clarify.

o Line 250 – Please specify the token of appreciation amount (in Bangladeshi currency and USD).

• Results –

o Line 253 – Please note that Table 2 only provides the demographics for children who participated in the study (from what I gather). Please update language to reflective of this specific demographic. As parents and teachers were also interviewed/included in the study, please add additional tables for demographic characteristics of each of these groups. Alternatively, you can create one large table and have subgroup frequencies included as columns (column 1 = children, column 2 = parents, column 3 = teachers)

o Line 263 – 268 – please provide your definition of screen viewing and then provide a summary of responses/content analysis by participant subgroup that relate to screen viewing as a concept. To strengthen this paragraph, you can also summarize any quotes or general remarks that point towards relations between screen viewing and health.

o Lines 325 – 332 – please provide more context using literature or another source to contextualize the social climate in Dhaka.

o Lines 394 – 403 – please provide an exemplary quote to support the claim being made. It is interesting and I would like to read what was said.

o Line 410 – please check the formatting of the quote.

o Line 431 – please include a transition paragraph that segways into the new subsection of recommendations. Also, please consider condensing these recommendations and moving them to the discussion section or including them as a table. Great work on the recommendations!

o Line 484 – Please rename the subheading to “ensure social safety”

o General note – I am missing quotes or analysis based on SES status as that seemed to be a big factor influencing health of adolescents and technology use according to the introduction written by the author’s. Please include 1 or 2 quotes that highlight any relationships of SES, technology use, and health/concerns.

• Discussion –

o Lines 533 – 537 – I appreciate the domains/points brought up regarding SV (e.g. not all screens are equal). It would potentially be helpful to include a table in the results section listing exemplary quotes organized by these domains for easier comprehension.

o Line 567 – please elaborate. The paragraph is only one sentence currently.

o Line 583 – what were the results of the clustered randomized controlled trial?

o Line 608 – I like the call to action being presented here. To tighten narrative, please tie it in or include how existing pediatric guidelines could be modified. Alternatively, should we consider devising new pediatric guidelines? Curious to hear your thoughts.

o Under limitations, please also include the influence of social desirability biases among participants or potential selection for responses given the skew towards Bangla-medium participants in the study. Additionally, please include limitations related to potential human error (such as not recording interviews, errors in translating from Bangla to English or vice versa).

6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

#Reviewer-1 No

#Reviewer-2 No

#Reviewer-3 No

[Note: HTML markup is below. Please do not edit.]

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

Reviewer #1: Partly

Reviewer #2: Yes

Reviewer #3: Partly

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2. Has the statistical analysis been performed appropriately and rigorously? -->?>

Reviewer #1: N/A

Reviewer #2: N/A

Reviewer #3: No

**********

3. Have the authors made all data underlying the findings in their manuscript fully available??>

The PLOS Data policy

Reviewer #1: Yes

Reviewer #2: No

Reviewer #3: Yes

**********

4. Is the manuscript presented in an intelligible fashion and written in standard English??>

Reviewer #1: No

Reviewer #2: No

Reviewer #3: No

**********

Reviewer #1: Thank you for your submission.

Overall, this paper addresses what seems to be a key concern. The paper appears to do what it aimed to do, but the portrayal of the results and discussion hinders its impact, and the language and construction of the paper hinders readability. Literature needs to be further synthesized and used effectively to draw conclusions and develop arguments in introduction and discussion. With reworking and refining concerns, this could be a publishable paper.

Introduction:

- Grammar and word use not always appropriate for an academic article or unclear. (Lines 67, 74, 83, 84, 85, 86, 89, 101, 104, 112, 115) Overall the introduction could improve in flow, conciseness and effectiveness.

- The review of literature felt like a side-by-side review of the different studies, rather than synthesising the information into specific sections to build into an argument to justify this paper. Justification for this study and the gap in literature was not fully developed in the introduction, therefore difficult to ascertain. Although there was a description of limited data on the topic, this was not argued so difficult to ascertain.

- I would suggest that this section is reworked to synthesise the evidence to make a stronger case for the evidence gap and justification for this study.

Aim:

- Remember we don't examine in qualitative work, but rather explore or understand, describe etc.

- 'gather specific feedback on how to effectively utilize SV within urban Bangladesh context' doesn't make sense - for adolescent use? to create a family plan for SV? The second aim statement in the methods section makes much more sense.

Design:

- A cross sectional design is linked to quantitative work, not qual. This appears to be a descriptive qualitative study. Please use references.

Setting:

- Please provide a description of the setting (i.e. North and South Dhaka City Corporations in Bangladesh) so that we have an understanding of the context which is vital for rigour, specifically transferability.

Sampling and recruitment:

- Clear justification for why specific participants were chosen and heterogenous sampling was used. However, your recruitment strategy was unclear and the eligibility criteria was not apparent.

- How did you identify the schools from which to sample the children from? I see that you aimed for a heterogenous sample, but what criteria specifically did you use to select and approach these schools?

- How did you identify children and parents (of children) with excess screen use? How did you recruit them into the study? What were the age children were you sampling and why?

- Were parents and children from the same families interviewed? How did you negotiate the ethics around this?

- Please ensure that you separate sampling and data collection procedures as this hinders the flow of the paper and makes for confusing reading. Data saturation has to do with the number of interviews and data collection, not sample size. Please review this section. We don’t need to make a case for sample size when using purposive sampling, but rather focus on the eligibility criteria which guided your sampling of the participants.

Data collection:

- You clarified the number of IDIs and FGDs you used, who they were with, where they were run, the language, the facilitators and how you developed the guides.

- Please use references to support your processes?

- Please consolidate the data collection methods under one concise section, as this is not a streamlined passage.

- Methods seem appropriate for design. Would have ben nice to see why these methods are useful to harness participants perspectives/experiences etc. or linked to the aim.

- 1.5 hrs appears very long for the children. What other strategies did you use to ensure that the data collection was rigorous for this specific age group? Looking at power differences etc. I am wondering how having the interviews at school could have influenced data collection as it is a place where children are safe, but not ‘powerful’.

Rigour:

- Please refer to the sources you used to guide this process? It appears that quantitative principles are being used to guide rigour strategies for qualitative work, which is confusing from a paradigm perspective and doesn’t achieve its purpose.

- Rigour in data collection needs refinement, I would strongly urge you to refer to Lincoln and Guba's four constructs. This article refers to rigour in qualitative analysis specifically, however the principles can be applied to the project as a whole:

International Journal of Qualitative Methods Thematic Analysis: Striving to Meet the Trustworthiness Criteria Volume 16: 1–13 DOI: 10.1177/160940691773384

Analysis:

- Please refer to sources used to guide this process?

- Outline the type of analysis used and the steps upfront (with reference).

- Clarify how you used the codebook and matrixes?

- No mention of reflexivity, this is vital in qualitative work to make your approach clear.

Ethics:

- Were any specific ethical approaches needed as the study was working with children? How were these approached?

- Add reimbursement to data collection for smooth reading

Results:

- It is not clear that table 1 only refers to student’s characteristics. Why were characteristics of the other participants not reported?

- Lacking clarity

- An initial overview of the themes related to challenges faced by parents needs to be provided. i.e. 4 themes were identified that consisted of…

- It is expected that the information from the IDI and FGDs is synthesized as a part of thematic analysis, not presented separately, so this doesn’t need to be explained.

- Why are the recommendations’ themes written as bullet points and do not follow the same process as the challenges with quotes to illustrate your point. The same structure should be used? These are still themes that you identified and need evidence. This section needs to be reworked to follow a similar structure and it would seem that some of the items fall under the same theme. I would consider using the ecological model to structure this section and place recommendations under the different levels as themes (i.e. micro, meso and macro) Please see this as an example:

Harper CR, Steiner RJ, Brookmeyer KA. Using the Social-Ecological Model to Improve Access to Care for Adolescents and Young Adults. J Adolesc Health. 2018 Jun;62(6):641-642. doi: 10.1016/j.jadohealth.2018.03.010. PMID: 29784107; PMCID: PMC10898617.

- General clarity, sentence structure, word usage and grammar needs reworking.

- Evidence/quote provided does not always match statement that it is linked to. (i.e. line 289)

- In the first section (challenges), children, parents and teachers often say the same thing. It would be more impactful for me if these topics are discussed with the evidence from the participants synthesised together, with only their unique contributions/differences discussed separately in another paragraph with evidence, rather than presenting each group of participants results separately under each heading.

- Why are some words in italics? Are these direct quotes? I would suggest using quote marks to make this clear.

Discussion:

- General clarity, sentence structure, word usage and grammar needs reworking.

- This section needs reworking – rather than reporting what other evidence notes, you need to use this other research to link and make recommendations from your own research. It is fine to draw the similarities between your and other research as a mechanism to situate your evidence, but rather than report what other studies found, use it to build the discussion around your evidence.

- Limitations

o why didn’t you have enough time to do separate FGDs?

o The context of a study is not a limitation, rather provide a think description of the setting so that results are transferable to similar settings.

o Qualitative research does not aim to be generalisable and therefore this is not a limitation of the study

Reviewer #2: 1. check typos in line 77, 204

2. put phrases or acronyms in uniform, line 171 IDI so line 174,177 too.

3. line 180-183, please have a look and rephrase

4. please clarify the participants and the numbers of participants in the line 160 and so forth.

5. line 216: clarify multiple sources. what are the three types of data collection tools

6. What is your measure to determine "excessive use of internet or screen view in this study?"

Reviewer #3: This study tackles an important and relevant topic with valuable insights and practical recommendations that could significantly contribute to the field. The authors have conducted meaningful research that addresses real challenges faced by parents in managing adolescent screen use. However, the manuscript requires substantial methodological clarification and improved presentation of results to meet publication standards. The findings and recommendations are strong, but the research would benefit from more rigorous reporting and clearer methodology to enhance its impact and reproducibility.

Article Summary: This qualitative study explores the challenges parents face in monitoring their adolescents' (aged 12-14) screen use in Dhaka, Bangladesh. Using focus group discussions, in-depth interviews, and key informant interviews with 25 children, parents, and teachers from six schools, the study identifies four main challenges: educational necessity of devices creating supervision difficulties, restricted outdoor activities increasing device dependence, exposure to age-inappropriate content, and parental digital illiteracy. The study provides comprehensive recommendations including school-based interventions, national-level policies, enhanced parent-child bonding, and secured infrastructure development.

Strengths:

• Comprehensive multi-stakeholder approach: The inclusion of children, parents, and teachers provides valuable triangulation of perspectives on screen use challenges

• Practical and actionable recommendations: The study offers concrete suggestions for schools, parents, and policymakers that are contextually relevant to the Bangladeshi setting

• Important and timely research topic: Addresses a critical public health concern regarding adolescent screen use in a rapidly digitizing society

• Rich qualitative data: The combination of FGDs, IDIs, and KIIs provides depth and breadth to understanding the phenomenon

• Cultural contextualization: Appropriately situates findings within the social and educational context of Dhaka, Bangladesh

Weaknesses:

Major Concerns

• Lack of clear operational definitions

• Insufficient inclusion/exclusion criteria

• Unclear data collection procedures

• Inadequate sample size justification

• Missing inter-rater reliability measures

• Incomplete demographic reporting

• Incomplete consent procedures

Minor Concerns

• Grammar issues

• Presentation and organization

Suggestions for Improvement:

• Suggest using a grammar checker and proofreading – a lot of misspellings and run on sentences which make it hard to read the paper

• Introduction –

o Paragraph 1 - link between parenting and SES is established but it is unclear as to how parenting relates to health of adolescents � explicitly state that parenting style is a mediator of technology use and thus, health of adolescents

o line 95 – please mention whether the screen time usage is a mean or median measure

o line 105 – author’s mention AAP. The study context is Dhaka, Bangladesh, are there any Bangladeshi guidelines for pediatrics that should be mentioned? It will help strengthen the context and be directly applicable

o Currently, paragraphs 1,2, 3 are not logically organized – suggestion for organization � paragraph 1: clearly outline the problems on health brought forth by SV; paragraph 2: outline the literature for why parents are intentionally/unintentionally using technology to help with parenting; paragraph 3: outline existing pediatric guidelines and perspectives for healthier management of technology use among adolescents

• Materials and Methods

o Line 160 – please quantify “excessive use” of digital devices using a threshold (for example, > 5 hours/day, etc.)

o Lines 160 – Lines 167 – please be specific with inclusion and exclusion criteria for the study. Please list the minimum age inclusion/exclusion for each participant, along with any other inclusion/exclusion criteria that was relevant to the study (e.g. technology use, language, family size, etc.) Please try to be specific in this section.

o Line 165 – while teacher’s play a role in children’s development and education, it is unclear as to how they would be valuable as key informants for the aim of the research as they are not providing child care; the introduction argues that SV has come on as a way of making caregiving easier. Please include some literature/citations that can help justify the inclusion of teachers as I do agree that they are an important perspective to consider

o Line 171 – please define how these “class register books” were obtained

o Regarding focus groups – were children and their parents both present in the same focus groups? This poses a concern for social desirability bias on the end of the children to appease to their parents. Please clarify if parents and children had separate focus groups (parents only and children only). If parents and children were present in the same focus group, please justify why this decision was made and how bias arising from potential social desirability bias was avoided.

o Lines 180 – 184 – please condense language to reflect that interviews and focus groups were conducted until thematic saturation was reached.

o Line 185 – Please clarify the 18 interviews – I am only counting 12 interviews (5 students, 3 parents, and 4 key informant teacher interviews); please note that focus group discussions should not be included in the interview sample size and should be listed separately. E.g., “A total of 12 interviews and 6 FGDs were conducted.” Additionally, please list the sample size, N for easier reading.

o Table 1 – Please change the “School Types” column to be more reflective of categorization based on language of teaching as “school types” suggest classification based on funding – private v. public.

o Line 191 – Please include/indicate how sociodemographic data was collected from participants.

o Line 193 – Please include guidelines in the appendix. Alternatively, provide brief descriptions of the contents of the guidelines – did they include suggestions for how long interviews should last? Did they include any probes? How many questions were there? What themes did the interview/FGD questions explore, if any?

o Line 197 – please update the sentence to state “three and five years of experience on qualitative data collection, respectively.”

o Lines 200 – 203 – Which language were the interviews/FGDs conducted in? Were the interviews/FGD conducted in English at English-medium schools and in Bangla at Bangla-medium schools? Please clarify

o Line 201 – how long were key informant interviews?

o Line 208 – Please use gender neutral pronouns to describe the facilitator

o Line 205 – Please clarify if the researcher with the recorder also took notes.

o Lines 213- 218 – How was data validity maintained/triangulated? Were the same participants interviewed multiple times? Were parent – child dyads tracked for this triangulation? This section is very unclear – please provide more details regarding the methodology, maybe including a figure would be helpful.

o Lines 219 – 220 – Data interpretation should be talked about in the analysis section, please remove this sentence.

o Line 221 – Please clarify validating data cross various contexts. Validity of data is usually not a concern in one-time interviews or focus group participations. There are usually limitations of self-report or social desirability biases, but it is unrealistic to have responses free of bias in qualitative studies. Who/what is this data being validated against. Is there a standard respondent? Alternatively, are the authors checking for quality of data, i.e., easy to comprehend and bug-free recordings or recordings that are easy to download/transcribe? Please clarify.

o Line 226 – please provide an example file nomenclatures; e.g. “Participant001_English_IDI” or something along those lines that can let readers know of how files were stored in case they want to replicate.

o Line 228 – Earlier it is mentioned that interviews were recorded, but there is now a note implying that some interviews were not recorded. Please explain.

o Line 231 – Please clarify if there were any consensus meetings to finalize the codebook. Consensus for codebook development is a foundational part of qualitative analysis. Additionally, please include the final codebook in the appendix as it will be helpful to other investigators conducting similar studies.

o Line 232– Please list the initials of those involved in the coding process (analysis team).

o Lines 236-238 – Rather than validity of data, I am more interested in the inter-rater reliability. Please clarify the exact coding methods – was a double-coding or single-coding method used. Or were a select few transcripts coded by all the analysis team members at the start to ensure consistency in coding before single-coding. Alternatively, did all the analysis team members code all the transcripts? Additionally, please provide Cohen’s kappa for a measure of inter-rater reliability.

o Line 241 – As children (<18) were involved in the study, please elaborate on their consent process. Was parental assent required?

o Line 249 – Where were the recordings/data stored? Please provide a location e.g. “password protected computer only accessible by the research team.” Additionally, were the interviews themselves de-identified? Please clarify.

o Line 250 – Please specify the token of appreciation amount (in Bangladeshi currency and USD).

• Results –

o Line 253 – Please note that Table 2 only provides the demographics for children who participated in the study (from what I gather). Please update language to reflective of this specific demographic. As parents and teachers were also interviewed/included in the study, please add additional tables for demographic characteristics of each of these groups. Alternatively, you can create one large table and have subgroup frequencies included as columns (column 1 = children, column 2 = parents, column 3 = teachers)

o Line 263 – 268 – please provide your definition of screen viewing and then provide a summary of responses/content analysis by participant subgroup that relate to screen viewing as a concept. To strengthen this paragraph, you can also summarize any quotes or general remarks that point towards relations between screen viewing and health.

o Lines 325 – 332 – please provide more context using literature or another source to contextualize the social climate in Dhaka.

o Lines 394 – 403 – please provide an exemplary quote to support the claim being made. It is interesting and I would like to read what was said.

o Line 410 – please check the formatting of the quote.

o Line 431 – please include a transition paragraph that segways into the new subsection of recommendations. Also, please consider condensing these recommendations and moving them to the discussion section or including them as a table. Great work on the recommendations!

o Line 484 – Please rename the subheading to “ensure social safety”

o General note – I am missing quotes or analysis based on SES status as that seemed to be a big factor influencing health of adolescents and technology use according to the introduction written by the author’s. Please include 1 or 2 quotes that highlight any relationships of SES, technology use, and health/concerns.

• Discussion –

o Lines 533 – 537 – I appreciate the domains/points brought up regarding SV (e.g. not all screens are equal). It would potentially be helpful to include a table in the results section listing exemplary quotes organized by these domains for easier comprehension.

o Line 567 – please elaborate. The paragraph is only one sentence currently.

o Line 583 – what were the results of the clustered randomized controlled trial?

o Line 608 – I like the call to action being presented here. To tighten narrative, please tie it in or include how existing pediatric guidelines could be modified. Alternatively, should we consider devising new pediatric guidelines? Curious to hear your thoughts.

o Under limitations, please also include the influence of social desirability biases among participants or potential selection for responses given the skew towards Bangla-medium participants in the study. Additionally, please include limitations related to potential human error (such as not recording interviews, errors in translating from Bangla to English or vice versa).

**********

what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review?  For information about this choice, including consent withdrawal, please see our Privacy Policy

Reviewer #1: No

Reviewer #2: No

Reviewer #3: No

**********

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Attachment

Submitted filename: PONE-D-25-02782_reviewer notes.pdf

Attachment

Submitted filename: PONE-D-25-02782_reviewer_comments_SS.docx

pone.0359518.s002.docx (28.8KB, docx)

Decision Letter 1

Derebe Madoro Bunte

24 Nov 2025

Dear Dr. Kakon,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

==============================

ACADEMIC EDITOR:

==============================

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We look forward to receiving your revised manuscript.

Kind regards,

Derebe Madoro Bunte,

Academic Editor

PLOS ONE

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If the reviewer comments include a recommendation to cite specific previously published works, please review and evaluate these publications to determine whether they are relevant and should be cited. There is no requirement to cite these works unless the editor has indicated otherwise.

Additional Editor Comments (if provided):

Reviewer #1

‎Thanks for your hardworking in refining the manuscript. Please see some comments that you may touch on:

‎1. "This study aimed to explore the challenges parents face when their students engage in excessive use of electronic digital screens. Additionally, it sought to capture participants’ recommendations for the

‎best use of digital devices among students."

‎Please make sure the conclusion has answered this accordingly and you could give one suggestion for further research recommendation.

‎2. Please specify where you describe the definition of "excessive use" since you reponded "We have quantified “excessive use” of digital devices as more than 2 hours per day in line 160. I have not seen the statement in the revised manuscript. Please recheck.

‎3. check line 124 = what is the significance of mentioning this sentence here? “We conducted qualitative interview from the same schools where previously quantitative study was performed.”

‎4. check line 133, please provide citation here.

‎5. I understand writing an academic manuscript is a bit tricky for non native English. Please have a thorugh and detailed check on the manucript since I found many need to be proofread such as:

‎check line 33, 37= “who attending” is this grammatically correct?

‎check line 59

‎check line 109

‎check line 111= you meant "in the UK"

‎check line 147, 160, 173, 208, 214, 219, 225, 261 etc.

‎Thank you and have a great one!

‎ Reviewer#2

‎Thanks for the revisions and I have read through the responses to the reviewers. I can see that a lot of further work has gone into this revision, however I am still concerned about a number of aspects.

‎Firstly, despite the improvement, there are significant grammar and punctuation errors, which for me is key in academic writing in English.

‎Secondly, I am concerned over the manner in which the results are presented, which hinders your ability to make good points in the discussion:

‎- The overview of how the themes will be presented is not yet sufficient. Please provide an overview of the number of themes that will be shown, name them and describe how they will be presented and why?

‎- There are 14 themes (shown below), which appear to be subthemes and are not consolidated in order to answer your aim of provide the results of “the challenges parents face in supervising and restricting children’s SV in urban Dhaka, Bangladesh, and”…” feedback on strategies that may help achieve a healthier balance between digital engagement and overall child well-being.”

‎Themes include

‎1. Students’ use digital device for education

‎2. Student’s reliance on the internet for learning support

‎3. Parents’ perspectives on digital learning and supervision

‎4. Teachers’ perspectives on digital learning and supervision

‎5. Safety concerns and limited peer interaction

‎6. Limited family time and communication

‎7. Scarcity of outdoor play and recreational opportunities

‎8. Unwanted exposure to age-inappropriate contents

‎9. Socioeconomic status and screen time

‎- remember in this subtheme your sample not randomised so you did not find an association?

‎10. Student’s perspective on unwanted content

‎11. Teachers’ perspective on supervision

‎12. Students’ perspective on supervision

‎13. Lack of parental digital literacy

‎14. Recommendations

‎These need to be consolidated into 3-5 major themes related to your aim. Please review thematic analysis with Braun and Clarkes methods for further information on this.

‎- Not only parents’ perspectives are provided, but also teachers and students, nor is it related only to parental challenges is managing SV? Please adapt your aim to represent the evidence you are presenting or adapt the evidence you are presenting?

‎- Recommendations are still under bulleted format, although I do appreciate them being put within a framework. Please describe how you will be presenting these recommendations according to this framework in your methods section and provide a brief review of the framework.

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

Reviewer #1: (No Response)

Reviewer #2: (No Response)

**********

2. Is the manuscript technically sound, and do the data support the conclusions??>

Reviewer #1: Partly

Reviewer #2: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously? -->?>

Reviewer #1: N/A

Reviewer #2: N/A

**********

4. Have the authors made all data underlying the findings in their manuscript fully available??>

The PLOS Data policy

Reviewer #1: Yes

Reviewer #2: No

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English??>

Reviewer #1: No

Reviewer #2: No

**********

Reviewer #1: Thanks for the revisions and I have read through the responses to the reviewers. I can see that a lot of further work has gone into this revision, however I am still concerned about a number of aspects.

Firstly, despite the improvement, there are significant grammar and punctuation errors, which for me is key in academic writing in English.

Secondly, I am concerned over the manner in which the results are presented, which hinders your ability to make good points in the discussion:

- The overview of how the themes will be presented is not yet sufficient. Please provide an overview of the number of themes that will be shown, name them and describe how they will be presented and why?

- There are 14 themes (shown below), which appear to be subthemes and are not consolidated in order to answer your aim of provide the results of “the challenges parents face in supervising and restricting children’s SV in urban Dhaka, Bangladesh, and”…” feedback on strategies that may help achieve a healthier balance between digital engagement and overall child well-being.”

Themes include

1. Students’ use digital device for education

2. Student’s reliance on the internet for learning support

3. Parents’ perspectives on digital learning and supervision

4. Teachers’ perspectives on digital learning and supervision

5. Safety concerns and limited peer interaction

6. Limited family time and communication

7. Scarcity of outdoor play and recreational opportunities

8. Unwanted exposure to age-inappropriate contents

9. Socioeconomic status and screen time

- remember in this subtheme your sample not randomised so you did not find an association?

10. Student’s perspective on unwanted content

11. Teachers’ perspective on supervision

12. Students’ perspective on supervision

13. Lack of parental digital literacy

14. Recommendations

These need to be consolidated into 3-5 major themes related to your aim. Please review thematic analysis with Braun and Clarkes methods for further information on this.

- Not only parents’ perspectives are provided, but also teachers and students, nor is it related only to parental challenges is managing SV? Please adapt your aim to represent the evidence you are presenting or adapt the evidence you are presenting?

- Recommendations are still under bulleted format, although I do appreciate them being put within a framework. Please describe how you will be presenting these recommendations according to this framework in your methods section and provide a brief review of the framework.

Reviewer #2: Thanks for your hardworking in refining the manuscript. Please see some comments that you may touch on:

1. "This study aimed to explore the challenges parents face when their students engage in excessive use of electronic digital screens. Additionally, it sought to capture participants’ recommendations for the

best use of digital devices among students."

Please make sure the conclusion has answered this accordingly and you could give one suggestion for further research recommendation.

2. Please specify where you describe the definition of "excessive use" since you reponded "We have quantified “excessive use” of digital devices as more than 2 hours per day in line 160. I have not seen the statement in the revised manuscript. Please recheck.

3. check line 124 = what is the significance of mentioning this sentence here? “We conducted qualitative interview from the same schools where previously quantitative study was performed.”

4. check line 133, please provide citation here.

5. I understand writing an academic manuscript is a bit tricky for non native English. Please have a thorugh and detailed check on the manucript since I found many need to be proofread such as:

check line 33, 37= “who attending” is this grammatically correct?

check line 59

check line 109

check line 111= you meant "in the UK"

check line 147, 160, 173, 208, 214, 219, 225, 261 etc.

Thank you and have a great one!

**********

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Reviewer #1: No

Reviewer #2: No

**********

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Attachment

Submitted filename: PONE-D-25-02782_R1_Reviewed.pdf

pone.0359518.s004.pdf (3.6MB, pdf)
PLoS One. 2026 Oct 5;21(10):e0359518. doi: 10.1371/journal.pone.0359518.r004

Author response to Decision Letter 2


29 Mar 2026

March 17, 2026

To

Derebe Madoro Bunte

Academic Editor

PLOS ONE

Subject: Responses to Editor and Reviewer comments on the manuscript [PONE-D-25-02782R1]

Dear Editor,

Thank you for allowing us the opportunity to improve and resubmit our manuscript titled “Parental monitoring challenges and recommendation for managing excessive screen use among students aged 12–14 years in Dhaka, Bangladesh: a qualitative exploration”. We sincerely thank the Academic Editor and both reviewers for their careful evaluation of our manuscript and for their constructive and valuable comments. We have carefully reviewed all the comments and have addressed them individually. Additionally, we have incorporated the suggested changes into the manuscript where applicable. Below, we provide a point-by-point response, indicating how each concern has been addressed in the revised manuscript. Page and line numbers refer to the revised version.

Response to Academic Editor’s Comments:

Comment 1: Major comments highlight the need for a clear definition of “excessive use,” a conclusion that fully answers the study aim with a future research suggestion, and clarification of unclear statements and missing citations. Extensive grammar and language corrections are required throughout.

Response: Thank you for this comment. We have addressed each point mentioned. The definition of “excessive screen use” is clearly stated in the introduction and methods section as more than 2 hours per day, consistent with international guidelines. Please see pages 4, 8, and lines 72-74, and 177-179.

Further, we have rewritten the conclusion in order to directly answer the study's aim and now include a clear recommendation for future research. The manuscript has undergone extensive language editing for grammar, clarity, and academic tone. Please see pages 6, 28-29, and lines 120-123, 629-643.

Comment 2: The results section needs major restructuring, with the current 14 subthemes consolidated into 3–5 main themes supported by a clear thematic overview. The study's aim must align with the perspectives presented, and the recommendations should be written narratively and explained through the chosen framework.

Response: Thanks for this suggestion. As suggested, the results section has been fully restructured, consolidating the original 14 sub-themes into four major challenge-based themes, each supported by sub-themes and illustrative quotes. The study aim has been refined to reflect the inclusion of parents’, teachers’, and adolescents’ perspectives. Recommendations are now presented narratively, explicitly linked to the guiding framework, which is described in both the Methods and Discussion sections. Please see pages 10-11, 13-24, and lines 228-235, 281-547.

Response to 1st Reviewer’s Comments:

Comment-1: "This study aimed to explore the challenges parents face when their students engage in excessive use of electronic digital screens. Additionally, it sought to capture participants’ recommendations for the best use of digital devices among students." Please make sure the conclusion has answered this accordingly, and you could give one suggestion for further research recommendations.

Response: Many thanks for pointing out this and for your guidance. As suggested, the conclusion section has been revised to explicitly address both components of the study aim, parental monitoring challenges, and participant recommendations. We have also added a clear future research suggestion focusing on longitudinal and intervention-based studies to evaluate effective screen-use management strategies. Please see pages 28-29 and lines 629-643.

Comments-2: Please specify where you describe the definition of "excessive use" since you responded "We have quantified “excessive use” of digital devices as more than 2 hours per day in line 160. I have not seen the statement in the revised manuscript. Please recheck.

Response: We thank the reviewer for noting this omission. The definition of “excessive screen use” has now been explicitly included in the Methods section (Study Participants and sampling), specifying use of digital devices for more than 2 hours per day, with appropriate citation. Please see pages 4, 8, and lines 72-74, and 177-179.

Comments-3: check line 124 = what is the significance of mentioning this sentence here? “We conducted qualitative interviews from the same schools where previous quantitative study was performed.”

Response: Thanks for pointing this out. We agree that clarification is required. The sentence has been revised to explain that the qualitative study was designed as a follow-up exploration to contextualize findings from the earlier quantitative work. We have added a citation of previous quantitative work. This clarification has been added to the Study Design section. Please see page 6 and lines 128-131.

Comment-4: check line 133, please provide citation here.

Response: An appropriate citation has now been added to support the respective statement.

Comment-5: I understand writing an academic manuscript is a bit tricky for non native English. Please have a thorough and detailed check on the manuscript since I found many need to be proofread, such as:

‎check line 33, 37= “who attending” is this grammatically correct?

‎Check line 59

‎Check line 109

‎check line 111= You meant "in the UK."

‎check line 147, 160, 173, 208, 214, 219, 225, 261 etc.

Response: We fully acknowledge this concern. The manuscript has undergone thorough language editing, correcting all highlighted issues and many additional grammatical, punctuation, and stylistic errors throughout the text. We believe the manuscript now meets the standards of clear and correct academic English. Thank you.

Response to 2nd Reviewer’s Comments:

Comment-1 Despite the improvement, there are significant grammar and punctuation errors, which, for me, are key in academic writing in English.

Response: Many thanks for the feedback. We have again thoroughly checked the grammar and punctuation issues and addressed them throughout the paper. We appreciate this feedback and have conducted a comprehensive proofreading and language revision of the entire manuscript, including professional-level editing for grammar, punctuation, and clarity.

Comment-2: I am concerned about the manner in which the results are presented, which hinders your ability to make good points in the discussion. The overview of how the themes will be presented is not yet sufficient. Please provide an overview of the number of themes that will be shown, name them, and describe how they will be presented and why? The overview of themes in the Results section is insufficient.

Response: Thank you for this valuable comment. We have now restructured the result sections and presented the results considering the socio-ecological models framework pattern. We have added a clear thematic overview at the data analysis sub-section under the method section, and structured the challenge sub-section under the result accordingly. Please see pages 11, 13-19, and lines 234-235, 280-427.

Comment-3: There are 14 themes (shown below), which appear to be subthemes and are not consolidated in order to answer your aim of provide the results of “the challenges parents face in supervising and restricting children’s SV in urban Dhaka, Bangladesh, and.” feedback on strategies that may help achieve a healthier balance between digital engagement and overall child well-being.” These need to be consolidated into 3-5 major themes related to your aim. Please review thematic analysis with Braun and Clarkes methods for further information on this.

‎Themes include

‎1. Students’ use of digital devices for education

‎2. Student’s reliance on the internet for learning support

‎3. Parents’ perspectives on digital learning and supervision

‎4. Teachers’ perspectives on digital learning and supervision

‎5. Safety concerns and limited peer interaction

‎6. Limited family time and communication

‎7. Scarcity of outdoor play and recreational opportunities

‎8. Unwanted exposure to age-inappropriate contents

‎9. Socioeconomic status and screen time

‎- remember in this subtheme your sample not randomised so you did not find an association?

‎10. Student’s perspective on unwanted content

‎11. Teachers’ perspective on supervision

‎12. Students’ perspective on supervision

‎13. Lack of parental digital literacy

‎14. Recommendations

Response: We agree with this important suggestion. As suggested, we have revised the theme based on the socio-ecological framework and restructured the finding accordingly. Please see pages 13-24 and lines 280-547.

Comment-4: The sub-theme on socioeconomic status should not imply association due to non-random sampling.

Response: Thank you for identifying this issue. As the findings conflict with the methods, we have removed the specific findings to avoid any inconsistencies.

Comment-5: The aim focuses on parental challenges, yet perspectives from teachers and students are also presented. Not only parents’ perspectives are provided, but also teachers and students, nor is it related only to parental challenges is managing SV? Please adapt your aim to represent the evidence you are presenting or adapt the evidence you are presenting?

Response: Thank you for pointing this out. We have now revised the aims, taking into account the perspectives of both teachers and students. Please see page 6 and lines 120-123.

Comment 6: Recommendations are still under a bulleted format, although I do appreciate them being put within a framework. Please describe how you will be presenting these recommendations according to this framework in your methods section and provide a brief review of the framework.

Response: Thanks for this comment and concern. The recommendations section has been rewritten in narrative form, organized according to the socio-ecological framework used. We have added a brief description of the framework in the data analysis sub-section under the methods section and linked the recommendations explicitly to its components in the Results and Discussion. Please see pages: 10-11, 19-24, line: 228-235, 430-547.

Response to comments on the PDF file, which was attached to the email body:

Comments for the Introduction section

Comment: Where are the references for this? (line no 58-60)

Response: We have now added appropriate references. Thank you.

Comment: Add some further references here? (line no 65-67)

Response: Thank you. We have added further reference according to your suggestion.

Comment: putting it this way makes it seem like high SES is an unhealthy behaviour. I would move this to the first one you mention, then add in unhealthy behaviours (line-80)

Response: We agree with your thoughts and rearranged the sentences accordingly. Please see page 4 and line no 78-85.

Comment: I would remove this section and replace it with the current (line no-80)

Response: Thank you, and we have made the suggested change accordingly.

Comment: The grammar here is incorrect - engaged on devices? or engaged in using devices? (line no 81-82)

Response: Thanks for this concern. We have checked the grammar and identified that ‘engaged in using a device’ is correct.

Comment: combining... with use of internet...? (line no 83-85)

Response: We have paraphrased this sentence. Please see page 4 and line no 86-87.

Comment: This is colloquial language (line no 94)

Response: We have paraphrased this sentence.

Comment: Grammar (line no 98)

Response: We have corrected grammar.

Comment: Is there nothing from a more similar context to Bangladesh? (line no 99-105)

Response: Thank you for this suggestion. We have added the literature from Bangladesh and a similar context, including the literature from the developed country context.

Comment: Capital letter (line no 109)

Response: We addressed the issue.

Comment: This whole sentence doesn't make complete sense. (line no 109-111)

Response: We paraphrased this sentence now.

Comment: Please clarify whether you mean formal guidance on device use? (line no 115)

Response: Thank you for the comment. We have revised the respective lines to clear the meaning of formal guidance. Please see pages 24 and lines 531-556.

Response to the comments for the Materials and Methods section

Comment: Please reference this here? (line n0 125)

Response: We have added the appropriate reference.

Comment: to provide? (line no 126)

Response: We have paraphrased this sentence.

Comment: Reference (line no 131-133)

Response: We have provided an appropriate reference for this sentence.

Response to the comments for the Study setting

Comment: There is no information here about these settings, so that we would be able to know if our setting is similar or not to allow for transferability. All we know if that it is a high-seas area? (line no- 136-140)

Response: Thank you for this important comment. We have now provided a brief information about the setting under the method section. And as per the comment, we have made the necessary change throughout the paper.

Comment: this needs to go under participant sampling - not study setting (line no 143-148)

Response: Thanks for your suggestions. We have removed this part from the study setting section and added it to the study participants and sampling section. Please see pages 8 and lines 160-165.

Response to the comments for Study participants and sampling

Comment: Were these parents of the same children, i.e., a dyad, or different parents and children? (line no 151-153)

Response: Thank you for this comment. Parents and students were interviewed independently and were not recruited as parent-child dyads. Please see pages 7 and lines 151-159.

Comment: Also at the school (line no- 175,180)

Response: Thank you for this query. The focus group discussions were conducted on school premises in a quiet, private teacher’s common room with the permission of the school authorities. Participants were seated in a circle to facilitate open discussion and interaction. Only the participants and the research team were present during the FGDs, and all sessions were audio recorded with prior informed consent. This information has been clarified in the methods section under the study participation and sampling. Please see page 8.

Comment: observed the interviews or team, doing what? (line no 182,183)

Response: Thank you for this clarification request. The Mental Health Expert did not observe participants; rather, they observed the interview process and the performance of the interview team. The expert provided methodological feedback on interviewing techniques, probing, neutrality, and ethical conduct during data collection when necessary. This clarification has been incorporated into the Methods section.

Response to the comments for the Operational definition

Comment: This doesn't seem like the right place for this? (line no 188)

Response: Thank you for your guidance. We have moved the operational definition subsection to the right place, following the standard guideline just before the data collection subsection. Please see pages 10.

Response to the comments for the Result section:

Comment: This doesn't add much to the analysis - I would take this out. Please add in here an overview of the themes. I.e., note how many themes were identified, the names of the themes and whose perspectives are represented and why... (line no-249-250)

Response: Thank you for this comment. We have used the socio-ecological framework, which has been mentioned in the data analysis sub-section, and following the framework, we presented the findings under challenges and recommendations. In challenges, we identified four themes under the different levels of the framework, and findings under the recommendation have been presented under the framework components.

Comment: A more appropriate title for this seems to be Lack of guidance on device use for education? (line no 261)

Response: The sub-theme has been renamed to “Educational reliance on digital devices without structured guidance,” which more accurately reflects the identified challenge.

Comment: only one quote per sub-theme (line no 281-289)

Response: We have reduced the number of quotes and retained one representative quote per sub-theme to improve readability and conciseness.

Comment: this is not a challenge though? (line no 290)

Response: We have removed that subtheme, and only four board themes have been kept. The sub-theme has been renamed to “Educational reliance on digital devices without structured guidance,” which more accurately reflects the identified challenge. Please see pages 16 and lines 360-365.

Comment: how, when this sample is not randomised? The association between SES and screen time cannot be inferred, given the non-random sample. (line no 370-379)

Response: Thank you for highlighting this issue. We have now removed the particular findings to avoid methodological inconsistency.

Comment: Why is this section described with bullet points? If you want to include bullet points rather put this in a text box in a shortened manner and describe these recommendations here. (line no- 433)

Response: We have rewritten this section in narrative form and integrated participant recommendations into thematic paragraphs, while retaining clarity and coherence. Please see pages 19-24 and lines 431-540.

Response to the comments for the Discussion section

Comment: My problem is that the results haven't been presented as challenges, but as perspectives, influencing factors, and concepts. These subthemes need to be reworked into 3-4 major overarching themes that are consistent and do not have any overlapping concepts with other (line no 516)

Response: We have revised the result section with highlighted specific 4 subthemes into challenges. All discussion points now directly correspond to findings presented earlier, avoiding the introduction of new or unsupported themes. Please see pages 13-19 and lines 281-422.

Comment: But where have you presented these two themes in the evidence above? (line no 529-534)

Response: Thanks for your suggestion. We have rewritten this sentence to remove the inconsistency from the discussion part. We have mentioned this topic in the challenges section as well. Please see pages 16-17 and lines 359-384.

Comment: This appears to be an overarching theme - barriers to engaging in non-SV-based activities? (line no- 535-536)

Response: Thank you for this insightful observation. We agree that parents’ concerns about social safety, particularly for girls, reflect a broader barrier to children’s engagement in non-screen-based activities. This captures parental safety concerns, limited outdoor opportunities, and social restrictions that influence children’s activity patterns. This ensures consistency with the other themes and highlights the contextual factors affecting screen use in the challenges section. Please see pages 18-19 and lines 406-428.

Comment: How is this a challenge to managing SV use, though? Concerns over SV, yes, but not experienced challenges in managing SV. (line no 546,547)

Response: Thank you for this important comment. We acknowledge that concern about exposure to inappropriate content reflects perceived risks of screen viewing rather than a direct challenge in managing screen time. To address this, we have clarified in the manuscript that these concerns were reported as part of the broader contextual factors influencing parents’ monitoring strategies, rather than as operational difficulties in enforcing screen time limits. This distinction helps to differentiate between challenges in managing screen use and the perceived risks associated with content exposure.

Kind regards,

Dr. Shahria Hafiz Kakon

On behalf of Nahian Sultana, Bidhan Krishna Sarker, Tanjir Rashid Soron, Rashidul Haque, Fahmida Tofail

Attachment

Submitted filename: Response to Reviewers.pdf

pone.0359518.s007.pdf (144.9KB, pdf)

Decision Letter 2

Derebe Madoro Bunte

14 Jul 2026

PLOS One

Dear Dr.  Kakon,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by Aug 28 2026 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

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If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

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Academic Editor

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Additional Editor Comments:

Thank you for revising the manuscript. The reviewers acknowledge improvements; however, further revision is required before acceptance.

Required for acceptance:  Ensure a consistent study aim throughout the manuscript; clarify the qualitative methods and thematic analysis; align the results and discussion with the stated aim; address the data availability concern; and revise the manuscript for grammar, tense, formatting, acronym consistency, citations, and academic language, including a discussion of the study's strengths and limitations.

Recommended:  Improve the organization of the discussion to better reflect the results and strengthen the integration of findings with the literature. Where reviewer comments differ, prioritize the required revisions above and provide a detailed point-by-point response to all comments.

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

Reviewer #1: (No Response)

Reviewer #2: All comments have been addressed

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2. Is the manuscript technically sound, and do the data support the conclusions??>

Reviewer #1: Partly

Reviewer #2: Partly

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3. Has the statistical analysis been performed appropriately and rigorously? -->?>

Reviewer #1: N/A

Reviewer #2: N/A

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4. Have the authors made all data underlying the findings in their manuscript fully available??>

The PLOS Data policy

Reviewer #1: Yes

Reviewer #2: Yes

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5. Is the manuscript presented in an intelligible fashion and written in standard English??>

Reviewer #1: No

Reviewer #2: No

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Reviewer #1: Thank you for the responses to comments and adaptions made to the article which have increased clarity in terms of representation of the results. Although many of the comments were addressed, some have not yet been fully or only partly addressed namely grammatical, acronymization and formatting challenges; the overview of the themes; and the link between the aim and the data presented in the results section. Please see general comments below, as well as the file uploaded referring to specific lines in the article.

Overall comments:

- I am in general concerned with the way that the qualitative methods and analysis are discussed and described, these need to be clearly described according to commonly used mechanisms and constructs (i.e. not tools, but data collection methods)

- Check SV acronym use and make sure it is consistent over the document and only

- Please in general review grammar and choice of specific words (i.e. overindulgence vs excessive SV; sole vs key factor)

- Sections are written in a mixture on current and past tense at times, please review

- Ensure that the information presented matches the heading (i.e. data collection methods are only discussed under data collection, not design or sampling)

Aim

The aim is not consistent within the document and presents a lack of clarity in terms of what exactly the study is aiming to explore, here are the four versions with the differences bolded. There needs to be clarity in your aim and the reporting of your results if you are presenting challenges with regulating adolescent SV or parental challenges specifically:

• “the challenges parents face when their students engage in excessive use of electronic digital screens. Additionally, it sought to capture participants’ recommendations for the best use of digital devices among students”

• “to understand parental experience in regulating screen use and strategies adopted to manage its duration and quality”

• “to explore the challenges parents face in supervising and restricting children’s screen viewing (SV), including the perspective of teachers and students in urban Dhaka, Bangladesh, and to gather their feedback on strategies that may help achieve a healthier balance between digital engagement and overall child well-being.”

• This study aimed to understand the challenges parents face when their children use electronic screens excessively and to gather parents’ suggestions on how digital devices can be used more healthily and effectively for students.

Data analysis:

• This section describing thematic analysis in general is concerning for me as I feel like it the description of the process could represent the need for further engagement with the analysis method and its underlying principles.

• This section requires further clarity and linking to thematic analysis principles. It seems that you have used thematic analysis using both an inductive and deductive approach. A codebook was created inductively. Then were those codes and subthemes created inductively or using the SES framework? Or were these themes then arranged under the SES framework?

Results

- The paragraphs remain bulleted

- Some evidence presented does not match the description preceeding the quote and there are instances where evidence referred to in the discussion is not presented in the results section.

Discussion

• It might be easier to follow the discussion if the results/challenges parents face are discussed in the same order that they are presented? And in separated paragraphs?

• Other evidence also needs to be synthesised and clearly linked to this study’s findings rather than just reported in the discussion, as it doesn’t always feel clear.

Reviewer #2:

1. I believe the last two sentences in the conclusion (lines 641-644) should be in the present tense. Line 85 should omit the extraneous word “even” to avoid sentiment. Line 86 should be “It is popular…”. Line 115 should be “the UK, parents….”. Line 121 should be “…aims to…”.

2. Please provide the necessary citations for lines 161-165 to support the statement.

3. Please proofread line 208 to follow the previous tense and check this “…and maintains

confidentiality” because it seems to be incoherent in the sentence.

4. Please proofread lines 558-560 to make it more readable and sound academic.

5. Please provide a citation for the sentence at the end of line 618.

6. You might want to discuss the strengths and limitations of this study in the discussion section.

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Reviewer #1: No

Reviewer #2: No

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Attachment

Submitted filename: Reviewer comments.docx

pone.0359518.s006.docx (17.9KB, docx)
PLoS One. 2026 Oct 5;21(10):e0359518. doi: 10.1371/journal.pone.0359518.r006

Author response to Decision Letter 3


10 Aug 2026

August 5, 2026

To

Derebe Madoro Bunte

Academic Editor

PLOS ONE

Subject: Responses to Editor and Reviewer comments on the manuscript [PONE-D-25-02782R2]

Dear Editor,

Thank you for allowing us the opportunity to improve and resubmit our manuscript titled “Parental monitoring challenges and recommendation for managing excessive screen use among students aged 12–14 years in Dhaka, Bangladesh: a qualitative exploration”. We sincerely thank the Editor and the Reviewer for their careful evaluation of our manuscript and for providing thoughtful and constructive comments. We greatly appreciate the time and effort devoted to reviewing our work. The comments and suggestions have been invaluable in improving the quality, clarity, and scientific rigor of the manuscript. We have carefully considered each comment and revised the manuscript accordingly. A detailed point-by-point response is provided below, and all corresponding changes have been incorporated into the revised manuscript. For ease of review, the revisions have been highlighted in the manuscript.

Reviewer Comment 1 (Line 27): Consider replacing "overindulgence" with a more appropriate word.

Response: Thank you for this helpful suggestion. We agree that the term "overindulgence" was not the most appropriate in this context. We have replaced it with "excessive use" throughout the manuscript to improve clarity and ensure consistency with the terminology used in the literature. [See the line no. 24]

Reviewer Comment 2 (Lines 29 and 48): Specify whose specific recommendations you are getting rather than saying participants or population; you have three different types of participants in your study or three populations

Response: Thank you for this valuable comment. We have revised the manuscript to clearly specify that the recommendations were provided by parents, teachers, and students, rather than using the general terms "participants" or "population." This improves the precision and clarity of the findings. [See the line no. 26]

Reviewer Comment 3 (Line 36): What different types of in-depth interviews?

Response: Thank you for the suggestion. We have clarified that separate in-depth interviews (IDIs) were conducted with parents, teachers, and students to capture the perspectives of each stakeholder group. [See the line no. 32-34]

Reviewer Comment 4 (Line 36): “A thematic analysis was performed using an inductive approach based on the socio-ecological model framework” – an inductive approach cannot be base specifically on a model or framework, this is a deductive approach as a framework is being applied?

Response: Thank you for this valuable comment. We agree that applying the socio-ecological model represents a deductive framework. We have revised the manuscript to clarify that themes were first generated inductively from the data and were subsequently organized and interpreted using the socio-ecological model as an analytical framework, rather than stating that the inductive approach was based on the framework. [See the line no. 35-37]

Reviewer Comment 5 (Line 47): Parental challenges – please be more specific.

Response: Thank you. We have revised the sentence to specify the key parental challenges identified in this study, including monitoring children's screen viewing, supervising age-specific online content, balancing educational and recreational device use, promoting alternative offline activities, and lack of digital literacy among parents. [See the line no. 47]

Reviewer Comment 6 (Line 55): Do you mean inescapable?

Response: Thank you for pointing this out. We have replaced the original wording with "inescapable" to improve the accuracy of the sentence. [See the line no. 53]

Reviewer Comment 7 (Line 60): Four factors related to SES were noted but only one described.

Response: Thank you for your observation. We have revised this section to clearly describe the four socioeconomic factors identified in the literature, including parenting practices, digital skill expectations, access to digital resources, and opportunities for alternative recreational activities. [See the line no. 58-60]

Reviewer Comment 8 (Line 65): In adolescents?

Response: Yes, thank you; we have revised the sentence to specify that the evidence refers to adolescents. [See the line no. 69]

Reviewer Comment 9 (Line 70): In addition to what?

Response: We agree with the reviewer and have removed the phrase to improve readability. [See the line no. 72-74]

Reviewer Comment 10 (Line 72): Continue using the term "screen viewing" rather than screen time.

Response: Thank you for this suggestion. We have standardized the terminology throughout the manuscript and consistently use screen viewing (SV) except where referring directly to established international guidelines that specifically use the term "screen time."

Reviewer Comment 11 (Lines 75–77): Does this not belong better in the first paragraph where you are talking about what influences technology habits? This second paragraph is about the outcomes of high SV so it doesn’t really align with the argument

Response: We agree. The relevant information has been relocated to the preceding paragraph discussing determinants of technology use, resulting in a more logical flow of the Introduction. [See the line no. 64-66]

Reviewer Comment 12 (Line 81): Increased compared to what? Historical use? The WHO recommendations?

Response: Thank you. We have revised the sentence with “ A study found that approximately 79% of adolescents exceeded the WHO recommended recreational screen viewing.” [See the line no. 79-81]

Reviewer Comment 13 (Line 84): SV acronym described again.

Response: Thank you for pointing this out. We have removed the repeated definition of the acronym "SV" and retained its definition only at its first appearance in the manuscript.

Reviewer Comment 14 (Lines 87–91): Surely the AAP guidelines should be discussed together with the WHO guidelines in the paragraph above? Or bring the WHO guideline here?

Response: We appreciate this suggestion. We have reorganized the Introduction to discuss the WHO and American Academy of Pediatrics recommendations together, providing a clearer comparison of international guidance. [See the line no. 81-85]

Reviewer Comment 15 (Lines 93–108): This section seems to be about the challenge’s parents face in managing SV in adolescents if I am right – please look at the evidence presented in this section and synthesize fully? For example, evidence from Canda is presented, then Bangladesh, then HIC contexts – with Canada also being a HIC context, that literature should be synthesised with the latter.

Response: Thank you for this valuable recommendation. We have substantially revised this section by synthesizing evidence from high-income and low- and middle-income countries rather than presenting studies sequentially. This revision provides a more coherent overview of parental challenges in managing adolescents' screen viewing. [See the line no. 94-115]

Reviewer Comment 16 (Line 96): SV restrictions can limit opportunities and development. This only really talks to part of what the paper says – HICs are described as more restrictive, and restrictions can reduce opportunity but also increase risk.

In what circumstances? LMIC’s?

Response: Thank you for this valuable comment. We have revised the text to provide a more balanced interpretation, clarifying that while overly restrictive screen-viewing practices may limit opportunities for digital learning and development, insufficient restrictions may increase the risk of excessive screen use and its associated adverse outcomes.

We have clarified that the statement refers to low- and middle-income countries experiencing rapid expansion of digital technology, including Bangladesh. [See the line no. 98-103]

Reviewer Comment 17 (Line 100): "The sole challenge" should be "a key challenge."

Response: We agree and have revised the wording accordingly. [See the line no. 106]

Reviewer Comment 18 (Line 108): The Indian study is not referenced.

Response: Thank you for identifying this omission. The appropriate reference has now been added to both the text and the reference list and the sentence has been paraphrased for better understanding for the reader. [See the line no. 119]

Reviewer Comment 19 (Line 108 onwards): The ongoing section of this paragraph is a new argument and should be a new paragraph I think this seems to be about strategies to manage SV, no longer the challenges that parents face in trying to manage SV in their adolescents?

Response: We agree. The paragraph has been divided into two separate paragraphs to distinguish between parental challenges and potential management strategies, thereby improving readability and logical progression. [See the line no. 120-124]

Reviewer Comment 20 (Line 122): From the perspectives of parents, teachers, and 12-14 years old adolescents (not only teachers and adolescents?)

Response: Thank you. We have revised the sentence to specify that the study explored the perspectives of parents, teachers, and students aged 12–14 years. [See the line no. 130]

Reviewer Comment 21 (Line 133): A combination of multiple data collection methods (not tools). Data collection methods, not study design, and therefore should not be discussed under this section. Please rather describe the qualitative study here to provide further background to the study design and how the qualitative work fits into this.

Response: Thank you for this valuable comment. We have revised this section accordingly by removing the description of the data collection methods from the Study Design section. Instead, we now provide additional background on the qualitative study, explaining its purpose, rationale, and how it complements the previous quantitative study. The description of the in-depth interviews (IDIs) and focus group discussions (FGDs) has been moved to the Data Collection Methods section, and the term "data collection methods" has replaced "tools" throughout the manuscript. [See the line no. 134-155]

Reviewer Comment 22 (Line 138-144): There are no references for this section?

Responses: Thank you for this comment. We have carefully reviewed this section and added the appropriate references to support the statements and methodological approach described. This revision ensures that all relevant information is adequately referenced in the revised manuscript. The following reference has been added as Reference 22. [See the line no. 138]

Reviewer Comment 23 (Line 145): Start off this section with precisely who your different samples were. This section is on the whole very ‘wordy’ and this makes it a little difficult to follow.

Response: Thank you for this helpful suggestion. We have revised the Study participants and sampling section to begin with a clear description of the three participant groups (parents, students, and teachers), their eligibility criteria, and recruitment strategy. We also edited the section to improve clarity and reduce unnecessary detail, making it more concise and easier to follow. [See the line no. 156-183]

Reviewer Comment 24 (Line 167-171): Remove data collection methods from this section, as this related to data collection not sampling.

Response: Thank you. We have removed descriptions related to data collection procedures from the sampling section and relocated them to the Data collection and quality checking section to improve the organization of the Methods. [See the line no. 206-231]

Reviewer Comment 25 (Line 208–209, 212–213): Check sentences for clarity/grammar.

Response: Thank you. We carefully revised these sentences to improve grammar, readability, and overall clarity while preserving the intended meaning. [See the line no. 180-181 and 226-228]

Reviewer Comment 26 (Line 217–220): This information relates to data analysis and sampling; please rather place in the correct sections, rather than data collection methods.

Response: Thank you for pointing this out. The relevant text has been moved from the data collection method to the Study participants and sampling and data analysis section, where it more appropriately belongs. [See the line no. 158 and Data analysis section 232-257]

Reviewer Comment 27 (Line 227): You can describe thematic analysis here already, as familiarization is a part of the process so you effectively already started thematic analysis with familiarization?

Response: Thank you. We have revised the Data analysis section to clearly state that thematic analysis began during data familiarization, following Braun and Clarke's approach, and have described the subsequent coding and theme development process accordingly. [See the line no. 238-245, reference no 24]

Reviewer Comment 28 (Line 237-241): Still limited discussion of reflexivity, specifically important when using an inductive approach, and how this relates to rigour.

Response: Thank you for this important suggestion. We have expanded the Data analysis section by describing measures taken to enhance rigor, including collaborative coding, triangulation, and acknowledgment of the research team's role during analysis. We have also strengthened the discussion on reflexivity and its contribution to trustworthiness in the inductive analytical process. [See the line no. 246-250]

Reviewer Comment 29 (Line 255): The term ‘gift’ doesn’t sit well in terms of possible coercion and potential for social desirability bias – it would be better to talk about compensation for their time.

Response: Thank you. We agree and have replaced the term "gift" with "compensation for their time and transportation expenses" to better reflect the ethical purpose of the reimbursement and avoid any implication of coercion. [See the line no. 270]

Reviewer Comment 30 (Line 281): The description of the themes do not relate to your actual themes.

Response: Thank you for identifying this inconsistency. We have revised the introductory paragraph of the Results section so that the descriptions accurately correspond to the final themes presented in the manuscript, including "Challenges faced by parents in monitoring children's screen use." [See the line no. 282-296]

Reviewer Comment 31(Line 298): Is the quote more about a lack of opportunities for family engagement than adolescent preferences for engaging with friends than family?

Response: Thank you. We agree and have revised the accompanying narrative to accurately reflect that the quotation illustrates limited family engagement and parental availability rather than adolescents' preference for peers. [now the line no is 313-321]

Reviewer Comment 32 (Line 316): What is eve-teasing?

Response: Thank you. We have clarified the term by replacing "eve-teasing" with "sexual harassment in public spaces" to improve clarity for an international readership. [See the line no. 330-333]

Reviewer Comment 33 (Line 318): The quote is not about a lack of availability of peers/cousins, but lack of engagement when they are together?

Response: Thank you. We have revised the interpretation to better reflect that the quotation illustrates reduced engagement among peers and cousins due to device use, rather than their absence. [See the line no. 329-333]

Reviewer Comment 34 (Line 331): This quote is about digital device usage – not unsupervised access, so I’m not sure if it is good evidence?

Response: Thank you. We have replaced the interpretation so that it accurately reflects the content of the quotation. We also selected a more appropriate supporting quotation where necessary to better align with the theme of parental monitoring and supervision. [See the line no. 341-344]

Reviewer Comment 35 (Line 338): Is this not a recommendation?

Response: Thank you for this insightful comment. We agree that the original wording was presented as a recommendation rather than a finding. We have revised the text to describe teachers' observations regarding children's exposure to age-inappropriate online content and the challenges related to parental digital literacy and monitoring capacity. The revised narrative now accurately reflects the supporting quotation and is presented as a study finding rather than a recommendation. [See the line no. 341-344]

Reviewer Comment 36 (Line 386): This is the impact of excessive SV and not related to the theme?

Response: Thank you. We have revised the text to ensure that only findings directly related to the theme are presented. The discussion of the impacts of excessive screen viewing has been relocated to a more appropriate section. [See the line no. 382-389]

Reviewer Comment 37 (Line 440 onwards): Recommendations are still presented as bullet points with limited quotes attached as evidence?

Response: Thank you. We have substantially revised the Recommendations section by presenting the findings in narrative form under the socio-ecological framework and integrating illustrative participant quotations to support each recommendation. [See the line no. 451-456, 464-669, 472-475, 477-478]

Reviewer Comment 38 (Line 462, 509): Choose one of the quotes and cut them shorter or put under the appropriate section above.

Response: Thank you. We have cut and shortened the quotations by retaining only the most relevant excerpts and relocated them to the most appropriate thematic sections to improve readability and avoid repetition.

Reviewer Comment 39 (Line 558-560): This does not link to the preceding or proceeding paragraph?

Response: Thank you. We revised this paragraph to improve its logical flow and ensure that it clearly connects with the surrounding discussion. [See the line no. 579-583]

Reviewer Comment 40 (Line 585): “Many parents reported feeling unprepared to discuss sexual development, which compounded the challenges of supervision.” I don’t think that this was presented in the results?

Response: Thank you for your careful observation. We agree that this statement was insufficiently supported by the qualitative findings presented. Therefore, we have removed this statement from the Discussion to ensure that all interpretations are directly grounded in the study results. [See the line no. 608-609]

Kind regards,

Dr. Shahria Hafiz Kakon

On behalf of Nahian Sultana, Bidhan Krishna Sarker, Tanjir Rashid Soron, Rashidul Haque, Fahmida Tofail

Attachment

Submitted filename: Response to Reviewers Comments 05.08.2026.docx

pone.0359518.s008.docx (32.2KB, docx)

Decision Letter 3

Derebe Madoro Bunte

16 Sep 2026

Parental monitoring challenges and recommendation for managing excessive screen use among students aged 12–14 years in Dhaka, Bangladesh: a qualitative exploration

PONE-D-25-02782R3

Dear Dr. Shahria Hafiz Kakon,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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Kind regards,

Derebe Madoro Bunte

Academic Editor

PLOS One

Additional Editor Comments (optional):

Reviewers' comments:

Acceptance letter

Derebe Madoro Bunte

PONE-D-25-02782R3

PLOS One

Dear Dr. Kakon,

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS One. Congratulations! Your manuscript is now being handed over to our production team.

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on behalf of

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PLOS One

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Supplementary Materials

    Attachment

    Submitted filename: PONE-D-25-02782_reviewer notes.pdf

    Attachment

    Submitted filename: PONE-D-25-02782_reviewer_comments_SS.docx

    pone.0359518.s002.docx (28.8KB, docx)
    Attachment

    Submitted filename: Point by point response for editor and reviewers.pdf

    pone.0359518.s005.pdf (379.2KB, pdf)
    Attachment

    Submitted filename: PONE-D-25-02782_R1_Reviewed.pdf

    pone.0359518.s004.pdf (3.6MB, pdf)
    Attachment

    Submitted filename: Response to Reviewers.pdf

    pone.0359518.s007.pdf (144.9KB, pdf)
    Attachment

    Submitted filename: Reviewer comments.docx

    pone.0359518.s006.docx (17.9KB, docx)
    Attachment

    Submitted filename: Response to Reviewers Comments 05.08.2026.docx

    pone.0359518.s008.docx (32.2KB, docx)

    Data Availability Statement

    The data from this study are not publicly available due to ethical restrictions and icddr,b’s data sharing policy. The study involved in-depth interviews and focus group discussions. Although the data were anonymized and participants provided consent after being informed about confidentiality safeguards, there remains a risk of identification because of the level of detail in the responses. The data are held by icddr,b. For any requests during peer review, please contact Sabina Shahnaz (sabina.shahnaz@icddrb.org). Data may also be made available upon reasonable request for research purposes through Shiblee Sayeed (shiblee_s@icddrb.org), Head of Research Administration at icddr,b, in accordance with the institution’s data policy.


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