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Digital mediation, parental self-efficacy and social context: a cross-sectional study on parents in Sweden
University of Skövde, School of Health Sciences.
University of Skövde, School of Health Sciences.
University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden. (Research on Citizen Centered Health, University of Skövde (Reacch US))ORCID iD: 0000-0002-4091-3483
University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). (Research on Citizen Centered Health, University of Skövde (Reacch US))ORCID iD: 0000-0002-0663-4712
2026 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 26, no 1, article id 1246Article in journal (Refereed) Published
Abstract [en]

Background: As children’s digital activities begin earlier and grow more complex, parental responsibilities now extend into digital domains. Digital parenting, including digital mediation, ways in which parents communicate and engage with children around digital media use, has become increasingly vital to promote healthy child development. The aim of this study was to investigate the association between parental individual- and social characteristics, including self-efficacy, gender, native language and social networks, and digital mediation strategies among parents of preschool and elementary school children in Sweden.

Methods: A cross-sectional study was conducted in 2024 using baseline data from an evaluation of a universal parenting programme in a small Swedish municipality. The sample included 177 parents of children aged 3–14 years. Data were collected via a digital survey and analyzed using non-parametric tests and logistic regression. Parental mediation strategies were assessed using the Media Parenting Scale for School-Aged children (MEPA-20), and self-efficacy was measured using the validated Tool to measure Parental Self Efficacy (TOPSE).

Results: Higher parental self-efficacy was significantly associated with more frequent use of active (aOR = 1.2, 95% CI 1.1–1.3) and restrictive (aOR = 1.2, 95% CI 1.1–1.2) mediation strategies. A gender difference was identified, with women reporting higher odds of using active mediation compared to men (aOR = 2.6, 95% CI 1.1-6.0). Parents with a non-Swedish native language were more likely to use restrictive (aOR = 2.6, 95% CI 1.2–5.8) and overprotective (aOR = 5.7, 95% CI 2.4–13.6) mediation, independent of self-efficacy. Institutional networks (e.g. schools, health services) were linked to higher odds of both active (aOR = 2.2, 95% CI 1.1–4.3) and overprotective (aOR = 2.6, 95% CI 1.3–5.2) mediation, while personal networks had no significant influence.

Conclusions: Digital parenting is shaped by parental self-efficacy, social context, and institutional support. Findings underscore the importance of culturally responsive public health interventions that enhance parental confidence and promote balanced digital mediation. Institutional actors play a key role in reaching diverse families, supporting equitable digital environments in line with public health and Agenda 2030 goals.

Place, publisher, year, edition, pages
Springer Nature, 2026. Vol. 26, no 1, article id 1246
Keywords [en]
Parental support program, Digital parenting, Digital mediation, Parental self-efficacy, Health promotion
National Category
Public Health, Global Health and Social Medicine
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
URN: urn:nbn:se:his:diva-26290DOI: 10.1186/s12889-026-27351-yISI: 001743070700002PubMedID: 41987166Scopus ID: 2-s2.0-105035820651OAI: oai:DiVA.org:his-26290DiVA, id: diva2:2054744
Funder
University of Skövde
Note

CC BY 4.0

Correspondence: Louise Arvidsson

Open access funding provided by University of Skövde.

Available from: 2026-04-21 Created: 2026-04-21 Last updated: 2026-04-27Bibliographically approved

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Svanholm, SaraArvidsson, Louise

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