Screen Time and Reported Motor Skills and Concentration Among Preschool Children in Tripoli, Libya: A Cross-Sectional Study Using Parent and Teacher Reports
DOI:
https://doi.org/10.54361/LJMR.20.3.101Keywords:
screen time, motor development;, preschool children, gross motor skills, fine motor skills, physical activityAbstract
Background: Little is known about screen use and motor development among Libyan preschool children. This study examined the association between parent-reported screen time and parent- and teacher-reported motor skills and concentration in children aged 3–5 years in Tripoli, Libya.
Methods: We conducted a cross-sectional survey from January to March 2026 using structured, researcher-developed questionnaires (not formally validated) completed by 173 parents and 41 preschool teachers, recruited through kindergartens and online parent groups by convenience and purposive sampling. Associations were examined with chi-square tests, Spearman correlations and group comparisons (α = 0.05). Effect sizes with 95% confidence intervals are reported; no correction for multiple testing was applied to the primary analyses, which are exploratory.
Results: Overall, 82.1% of children were reported to use screens for one hour or more per day and 46.8% for three hours or more; television (48.5% of responses) and smartphones (34.6%) were the most frequently used devices. Parent-reported fine and gross motor skills were rated highly and were not significantly associated with screen time. In teacher reports, screen time showed nominally significant (unadjusted) negative correlations of moderate size with gross motor skills (rs = −0.312, 95% CI −0.568 to −0.003, p = 0.047) and concentration (rs = −0.341, 95% CI −0.589 to −0.041, p = 0.029), whereas the correlation with fine motor skills was not significant (rs = −0.287, 95% CI −0.551 to 0.018, p = 0.069). These associations did not remain statistically significant after Holm adjustment for multiple comparisons.Conclusion: Heavy screen use was common, and associations with lower motor skills and concentration appeared in teacher reports (in unadjusted analyses) but not in parent reports. Because of the cross-sectional design, non-validated questionnaires and a small teacher sample, the findings are exploratory and do not establish causality. Studies using validated motor assessments and longitudinal designs are needed.
Downloads
References
1. World Health Organization. Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. WHO; 2019. https://www.who.int/publications/i/item/9789241550536
2. Bakht D, Yousaf F, Alvi Z, et al. Assessing the impact of screen time on the motor development of children: a systematic review. Pediatr Discov. 2025;3(2):e70002. doi:10.1002/pdi3.70002
3. Felix E, Silva V, Caetano M, et al. Excessive screen media use in preschoolers is associated with poor motor skills. Cyberpsychol Behav Soc Netw. 2020;23(6):418-425. doi:10.1089/cyber.2019.0238
4. Mahmoud AM, Al-Tohamy AM, Abd-Elmonem AM. Usage time of touch screens in relation to visual-motor integration and the quality of life in preschool children. J Taibah Univ Med Sci. 2021;16(6):882-888.
5. Martins CML, Bandeira PFR, Lemos NBAG, et al. A network perspective on the relationship between screen time, executive function, and fundamental motor skills among preschoolers. Int J Environ Res Public Health. 2020;17(23):8861. doi:10.3390/ijerph17238861
6. Martzog P, Suggate SP. Screen media are associated with fine motor skill development in preschool children. Early Child Res Q. 2022;60:363-373.
7. Cadoret G, Bigras N, Lemay L, Lehrer J, Lemire J. Relationship between screen-time and motor proficiency in children: a longitudinal study. Early Child Dev Care. 2018;188(2):231-239. doi:10.1080/03004430.2016.1211123
8. Ibrahem MR. The impact of excessive exposure to digital screens on fine motor skills and concentration levels among kindergarten children in El-Beida City - Libya. Compr J Humanit Educ Stud. 2025;1(2):809-824.
9. Sedgwick P. Cross sectional studies: advantages and disadvantages. BMJ. 2014;348:g2276. doi:10.1136/bmj.g2276
10. Setia MS. Methodology series module 3: cross-sectional studies. Indian J Dermatol. 2016;61(3):261-264. doi:10.4103/0019-5154.182410
11. Yuan R, Zhang J, Song P, Qin L. The relationship between screen time and gross motor movement: a cross-sectional study in China. PLoS One. 2024. doi:10.1371/journal.pone.0296862
12. Webster EK, Martin CK, Staiano AE. Fundamental motor skills, screen-time, and physical activity in preschoolers. J Sport Health Sci. 2019;8(2):114-121. doi:10.1016/j.jshs.2018.11.006
13. Ghanamah R. The impact of physical activity and screen time on motor creativity in kindergarteners. Children. 2025;12(2):116.
14. Maria I, Puteh M. Screen time vs. active play: how digital exposure impacts the acquisition of fundamental motor skills in early childhood. Al-Athfal J Pendidik Anak. 2025.
15. Santiago FL, Cardoso DS, Aragão RS, Oliveira DS, Pinheiro IL. Active play interventions on motor skills of preschoolers: a systematic review. Rev Bras Cienc Mov. 2022;29(4).
16. Both questionnaires used closed-ended items with 3- or 4-point ordinal response options, scored numerically (higher scores indicating a higher category), plus a small number of multiple-response items. The domains are summarised below.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Libyan Journal of Medical Research

This work is licensed under a Creative Commons Attribution 4.0 International License.
Open Access Policy
Libyan journal of medical Research (LJMR).is an open journal, therefore there are no fees required for downloading any publication from the journal website by authors, readers, and institution.
The journal applies the license of CC BY (a Creative Commons Attribution 4.0 International license). This license allows authors to keep ownership f the copyright of their papers. But this license permits any user to download , print out, extract, reuse, archive, and distribute the article, so long as appropriate credit is given to the authors and the source of the work.
The license ensures that the article will be available as widely as possible and that the article can be included in any scientific archive.
Editorial Policy
The publication of an article in a peer reviewed journal is an essential model for Libyan journal of medical Research (LJMR). It is necessary to agree upon standards of expected ethical behavior for all parties involved in the act of publishing: the author, the journal editorial, the peer reviewer and the publisher.
Any manuscript or substantial parts of it, submitted to the journal must not be under consideration by any other journal. In general, the manuscript should not have already been published in any journal or other citable form, although it may have been deposited on a preprint server. Authors are required to ensure that no material submitted as part of a manuscript infringes existing copyrights, or the rights of a third party.
Authorship Policy
The manuscript authorship should be limited to those who have made a significant contribution and intellectual input to the research submitted to the journal, including design, performance, interpretation of the reported study, and writing the manuscript. All those who have made significant contributions should be listed as co-authors.
Others who have participated in certain substantive aspects of the manuscript but without intellectual input should only be recognized in the acknowledgements section of the manuscript. Also, one of the authors should be selected as the corresponding author to communicate with the journal and approve the final version of the manuscript for publication in the LJMR.
Peer-review Policy
- All the manuscripts submitted to LJMR will be subjected to the double-blinded peer-review process;
- The manuscript will be reviewed by two suitable experts in the respective subject area.
- Reports of all the reviewers will be considered while deciding on acceptance/revision or rejection of a manuscript.
- Editor-In-Chief will make the final decision, based on the reviewer’s comments.
- Editor-In-Chief can ask one or more advisory board members for their suggestions upon a manuscript, before making the final decision.
- Associate editor and review editors provide administrative support to maintain the integrity of the peer-review process.
- In case, authors challenge the editor’s negative decision with suitable arguments, the manuscript can be sent to one more reviewer and the final decision will be made based upon his recommendations.











https://portal.issn.org/resource/ISSN/2413-6069