Abstract
BACKGROUND: In India, preschoolers surpass the proposed one hour of screen time (ST) a day, whereas physical activity (PA) is on the decline and is contributing to childhood obesity. Sensitive periods of psychosocial, cognitive, and neurological development occur during early childhood and are affected by ST and PA. Parenting practices are important, but parental views and practices are not well researched in urban areas like Chennai. METHODS: Phenomenological qualitative research with purposive sampling was undertaken to discuss parents' perceptions of ST and PA in preschool children. Semi-structured, face-to-face interviews were carried out with 11 mothers of preschool children. Transcripts were coded and thematically analysed. RESULTS: Two main themes were revealed: parental perceptions on ST and parental perceptions on PA. Parents acknowledged the dangers of overuse of ST, such as bad behaviour, lower attention span, and disturbed sleep. Screens were frequently employed to regulate tantrums, keep children occupied during domestic chores, or as a didactic aid. Control measures involved observing, setting time, parent locks, and substitutive activities, albeit with inconsistent enforcement. Parents saw PA as imperative to health, socialisation, and emotional regulation, with children playing games, cycling, and playing out-of-doors. Barriers involved safety, restricted play areas, weather, and other competing demands. Family engagement and mutual play were emphasized as efficient strategies. CONCLUSION: Parents acknowledged the danger of ST and utility of PA, but they need assistance and coordinated guidance to apply efficient strategies. Community programs and educational interventions are crucial to advance balanced digital and active lifestyles among preschoolers.