Child Interaction Research Articles

Investigating the impact of an AI-based play activities intervention on the quality of life of school-aged children with ADHD

BackgroundAttention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder that not only impacts children's behavior, learning, and social interactions but also their quality of life. Advances in artificial intelligence (AI) may provide new opportunities to improve the ADHD symptoms and quality of life of children with ADHD, especially through customized play activities that address their specific needs. AimsThis study examined the impact of AI-based play activities on the quality of life of 61 Saudi children aged between 8 and 12 years who had an ADHD diagnosis. MethodsAI-based play activities intervention consisted of twelve 45-minute sessions, delivered to the experimental group over four weeks (three sessions per week). The control group did not receive any intervention. Children and parents completed the Pediatric Quality of Life Inventory (PedsQL) at pre-test, post-test and follow-up. Results and outcomesThe experimental group exhibited significant improvements in all dimensions and total scores of PedsQL, with moderate to large effect sizes. These improvements were not observed in the control group. The beneficial effects of the AI-based play activities were maintained at the 7-weeks follow-up. ConclusionsAI-based play interventions may enhance quality of life for children with ADHD, with sustained improvements observed after 7-weeks. Incorporating such interventions into educational and therapeutic settings could improve behavioral, social, and cognitive ADHD symptoms. Future research should explore broader applications and long-term effects of AI-based play activities interventions.

Participatory Design of an Embodied Mixed Reality Experience Aimed to Assessing Individual and Collaborative Behaviors of Children

This study is part of a broader project exploring the integration of Mixed Reality (MR) in fostering prosocial behaviors among children, particularly focusing on interpersonal synchrony (IPS) and its impact on collaboration. IPS, the coordination of rhythmic movements among individuals, has been associated with improved group cohesion and prosocial behaviors, such as collaboration. Traditional assessments of prosociality typically involve structured play activities for dyads, making them difficult to adapt to other settings. To address these limitations, this research aims to design a flexible embodied MR experience that allows children to choose between collaborative or individual engagement, reflecting the natural dynamics of children's play interactions. For this purpose, we conducted an embodied participatory design (PD) and usability study with 50 children aged 8-10 years. We provide a detailed account on how the PD process was orchestrated and an evaluation of user-system interaction, children's perceptions of play modes, and experience satisfaction. The results show how the MR experience, codesigned with children, supports a free play environment, allowing children to choose their preferred play mode. This study highlights the potential of MR in psychological research and child development, providing a new avenue for assessing individual and collaborative behaviors in larger groups of children.

Frightening maternal behavior over the first 2 years of life: effects on children’s behavior problems in middle childhood

ABSTRACT Frightening maternal behavior is linked to infant disorganization, which predicts child behavioral problems. We examined continuity in frightening maternal behavior across the first 2 years by developing a new measure of anomalous/frightening (AN/FR) behavior that incorporates changes in parent–child interactions as children acquire symbolic representation. Maternal AN/FR behavior in toddlerhood also was examined in relation to later internalizing and externalizing symptoms. First-time mothers (N = 125) completed the Adult Attachment Interview (AAI) prenatally, and mother–child dyads were observed interacting at 8 months, in Strange Situations at 12–15 months, and playing at 24 months. Teachers rated children’s behavior problems at 7 years. Mothers classified as Unresolved on the AAI displayed more Frightening (FR) behavior at 8 months. Mothers’ FR behavior predicted both attachment disorganization at 12–15 months and maternal AN/FR behavior at 24 months, which then predicted children’s internalizing symptoms at age 7. Infant disorganization was indirectly related to internalizing symptoms, mediated by maternal AN/FR behavior.

Automated Detection of Neurodevelopmental Disorders Using Face-to-Face Mobile Technology Among Typically Developing Greek Children: Randomized Controlled Trial.

Neurodevelopmental disorders (NDs) are characterized by heterogeneity, complexity, and interactions among multiple domains with long-lasting effects in adulthood. Early and accurate identification of children at risk for NDs is crucial for timely intervention, yet many cases remain undiagnosed, leading to missed opportunities for effective interventions. Digital tools can help clinicians assist and identify NDs. The concept of using serious games to enhance health care has gained attention among a growing group of scientists, entrepreneurs, and clinicians. This study aims to explore the core principles of automated mobile detection of NDs in typically developing Greek children, using a serious game developed within the SmartSpeech project, designed to evaluate multiple developmental domains through principal component analysis (PCA). A total of 229 typically developing children aged 4 to 12 years participated in the study. The recruitment process involved open calls through public and private health and educational institutions across Greece. Parents were thoroughly informed about the study's objectives and procedures, and written consent was obtained. Children engaged under the clinician's face-to-face supervision with the serious game "Apsou," which assesses 18 developmental domains, including speech, language, psychomotor, cognitive, psychoemotional, and hearing abilities. Data from the children's interactions were analyzed using PCA to identify key components and underlying principles of ND detection. A sample of 229 typically developing preschoolers and early school-aged children played the Apsou mobile serious game for automated detection of NDs. Performing a PCA, the findings identified 5 main components accounting for about 80% of the data variability that potentially have significant prognostic implications for a safe diagnosis of NDs. Varimax rotation explained 61.44% of the total variance. The results underscore key theoretical principles crucial for the automated detection of NDs. These principles encompass communication skills, speech and language development, vocal processing, cognitive skills and sensory functions, and visual-spatial skills. These components align with the theoretical principles of child development and provide a robust framework for automated ND detection. The study highlights the feasibility and effectiveness of using serious games for early ND detection in children. The identified principal components offer valuable insights into critical developmental domains, paving the way for the development of advanced machine learning applications to support highly accurate predictions and classifications for automated screening, diagnosis, prognosis, or intervention planning in ND clinical decision-making. Future research should focus on validating these findings across diverse populations integrating additional features such as biometric data and longitudinal tracking to enhance the accuracy and reliability of automated detection systems. ClinicalTrials.gov NCT06633874; https://clinicaltrials.gov/study/NCT06633874. RR2-https://doi.org/10.3390/signals4020021.

Parental control and adolescent social anxiety: A focus on emotional regulation strategies and socioeconomic influences in China.

An individual's social adaptation, which is influenced by both internalizing and externalizing factors, depends on social anxiety. We proposed that the connection between parental psychological control and social anxiety among middle school students was mediated by negative emotion response-focused strategies and moderated by socioeconomic status (SES). We collected data from 1343 Chinese students from 12 to 16 years old (M = 13.3, SD = 0.96) by applying the questionnaire of parental psychological control scale, social anxiety scale and negative emotion response-focused strategies scale. The findings demonstrated that parental psychological control, including father and mother psychological control, was positively associated with social anxiety and that the relationship between parental psychological control and children's social anxiety was mediated by negative emotion response-focused strategies. Meanwhile, SES played a moderating role in the relationship between children's negative emotion response-focused strategies and social anxiety. The findings also suggest that we should pay more attention to the psychological status and social interaction of children with lower SES.

The role of behavior-related comments in parent–child interactions with the digital audio learning system Tiptoi®

The role of behavior-related comments in parent–child interactions with the digital audio learning system Tiptoi®

A visual ethnography of parent-child interactions during ‘story-time’ in Chinese family settings

ABSTRACT Story-time serves as an interactive linguistic tool through which parents encourage their children to share narratives. Grounded in sociocultural and narrative theories, this study employed a visual ethnographic approach to explore how parents perceive and engage in story-time interactions within 33 Chinese families. Data were collected through video recordings of story-time sessions and semi-structured interviews. The findings suggest that story-time may function as a play-based educational tool, fostering positive parent–child relationships and supporting child development through activities such as child-centered reading and role-playing. Parent–child interactions were categorized into two primary types: those involving print-based materials and those centered around oral storytelling. Parents emphasized the importance of respecting their children’s preferences by allowing them to choose stories and by developing effective storytelling techniques to maximize the benefits of family story-time. Through these sessions, parents and children engaged in meaningful interactions that strengthened family bonds and contributed to the children’s holistic development.

Does Delivery Format Matter? A Pilot Study Comparing Telehealth Versus Face-to-Face Movement Interventions for Children With Autism Spectrum Disorder.

Children with Autism Spectrum Disorder (ASD) have motor, social communication, and behavioral challenges. During the pandemic, children lost access to face-to-face (F2F) services and had to revert to telehealth (TH) options. We compared the efficacy, fidelity, acceptability, and feasibility of a general motor (GM) intervention using an F2F or telehealth (TH) format. Fifteen children with ASD participated in an 8-week program involving gross motor games to promote motor and social communication skills. Differences across TH and F2F formats for motor and socially directed verbalization as well as stakeholder feedback on formats were collected. Gross motor and socially directed verbalization did not differ between the F2F and TH subgroups, and parents and trainers were satisfied with either format. However, TH interventions were longer, had more technological challenges, and required more parental effort. The findings of this study support the use of TH as a comparable and viable substitute for F2F interactions for children with ASD.

Research on Social Interaction Trends Between Tourists and Children in The Northern Mountain Tourist Areas

Tourism is currently very developed in Vietnam, opening up opportunities to promote culture, sceneries and lives in remote areas to domestic and foreign tourists. Tourists coming to the mountain tourist areas in Northern Vietnam, in addition of the desire to enjoy the majestic and poetic view of the place, also aim to interact with people, especially children, who are said to be innocent and happy. In this research article, the authors studied the current trend of social interactions between tourists and children in northern mountain tourist areas after reviewing the theory of social interaction. In addition, the article also provides assessments and solutions to promote positive trends and limit negative trends of these interactions for authorities and children as well as families and schools in this area

Psychometric properties of the Parenting Stress Index-Short Form in a Peruvian sample

BackgroundThe stress experienced by parents in fulfilling their parental role has consequences for couple dynamics, parent–child interactions, and the mental health of parents. However, studies on the psychometric properties of the PSI-SF, particularly among Latin American parents, are scarce. Therefore, this study aims to evaluate the psychometric properties of the Spanish version of the Parenting Stress Index-Short Form (PSI-SF).MethodsThe participants were Peruvian mothers and fathers with children in early childhood and primary education, with a mean age of 34.4 years (SD = 6.8). The sample was obtained in two phases: 130 participants for the Exploratory Factor Analysis (EFA) and 791 participants for the Confirmatory Factor Analysis (CFA).ResultsThe study results show a modified three-factor structure of the PSI-SF scale, with adequate fit indices (GFI = .99, AGFI = .99, SRMR = .024, CFI = .98, TLI = .98, RMSEA = .074) and loadings above 0.40. Additionally, the three factors of the scale demonstrated high reliability, with Cronbach's alpha and McDonald's omega values for Parental Distress (α = .94; ω = .95), Parent–Child Dysfunctional Interaction (α = .97; ω = .97), and Difficult Child (α = .94; ω = .94). The scale was also found to be invariant with respect to gender.ConclusionIn conclusion, the study results suggest that the modified PSI-SF has adequate psychometric properties and is invariant for assessing parental stress in Peruvian fathers and mothers with children in early childhood and primary education.

Tablet Computers in Early Science Education: Enriching Teacher–Child Interactions

Tablet Computers in Early Science Education: Enriching Teacher–Child Interactions

Video analysis of music therapy interaction for children experiencing neurodevelopment delay

Children experiencing neurodevelopmental delay have motor, linguistic, and cognitive problems that affect their skills in various domains, especially interpersonal ones. Since music therapy is based on musical exchange, these three case studies explore how child–music therapists’ interactions change within and between sessions. Moreover, we evaluated whether the children’s and parents’ musical interaction changed in everyday life. Three children experiencing neurodevelopmental delay participated in 70 psychodynamic music therapy sessions, relying primarily on musical improvisation techniques. The initial (i.e. pre-test) and final sessions (i.e. post-test) were video recorded and codified with the Kategoriensystem Musik Therapie (KAMUTHE) in the 10th and 30th minutes. Videos were analyzed using the Behavioral Observation Research Interactive Software (BORIS). In addition, parents completed the Music in Everyday Life (MEL) Scale to evaluate how they experienced musical activities with their children. Reliable Change Indexes (RCIs) were calculated to assess significant changes in everyday musical activities. Based on video analysis, three children were more active at the 30th minute and the post-test, while Music Therapists stimulated them less. In addition, therapists adapted the activities and stimuli based on the children’s responses. Based on RCIs, parents reported an increased musical engagement with two children. Music therapy might help children experiencing neurodevelopmental delays modify their interaction style and improve motor and interpersonal skills.

Beyond babysitting: an analysis of the quality of childcare service in Ethiopia

ABSTRACT Empirical evidence underscores the importance of investing in early childhood care to ensure its quality. This study examined the quality of child care in day-care centers in Bahir Dar and Gondar cities, Amhara region, Ethiopia, employing an embedded mixed-methods approach. Utilizing descriptive and inferential statistics, including t-tests, regression analysis, and thematic analysis, the research assessed both distal quality – encompassing environmental and staffing conditions – and proximal quality – focusing on caregiver–child interactions. The findings revealed significant deficiencies in distal quality, including inadequate space, activities, and staff qualifications. Proximal quality was also found to be lacking, with government centers exhibiting higher levels of harshness in caregiver interactions compared to private centers. Key factors influencing interaction quality were staff education, experience, and child-to-worker ratios. Despite existing regulatory standards, their enforcement was found to be inadequate. The study recommends that policymakers enhance and enforce regulations, improve staff training and invest in professional development. Further research should explore regulatory enforcement challenges and assess the long-term impacts of training improvements on care quality.

Reciprocal relationships between a child’s engagement with faces and mother–child interaction at 8, 30, and 60 months.

Reciprocal relationships between a child’s engagement with faces and mother–child interaction at 8, 30, and 60 months.

EFL Parents' Empowerment: Using Supplementary Videos for Engaging EFL Parents with Their Children in Meaningful Speaking Tasks at Home

The traditional EFL classroom is no longer enough to provide sufficient possibilities for EFL learners' verbal engagement, which has become one of the most challenging for EFL teachers inside classroom settings. This study aims to extend EFL children's oral interactions outside classroom settings by providing their parents with bilingual explainer videos and video materials designed for this purpose. The study uses interviews, pretests, and posttests as tools for data collection, and participants of the control and experimental groups were taught the same content via the traditional method. However, the supplementary videos (explainer videos & video materials) were only used to be shown to the parents of the experimental group's participants. Data analysis revealed that the experimental group’s participants whose parents employed the supplementary videos outperformed much better than the control group's participants whose parents just depended on the students’ books. Hence, bilingual explainer videos and material videos are useful tools for helping EFL parents extend speaking practices with their children at home. The children's spoken performance in several areas of the language has improved dramatically. The participants progress from nodding their heads to delivering two complex phrases. Thus, it suggests designing supplementary videos to serve as a guide for EFL parents to engage in verbal interactive tasks with their children at home.

Supplemental Material for Reciprocal Relationships Between a Child’s Engagement With Faces and Mother–Child Interaction at 8, 30, and 60 Months

Supplemental Material for Reciprocal Relationships Between a Child’s Engagement With Faces and Mother–Child Interaction at 8, 30, and 60 Months

Pengaruh Interaksi Sosial terhadap Kemampuan Emosi Anak Usia Dini di Raudhatul Athfal Tunas Kualuh Kecamatan Kualuh Hilir Kabupaten Labuhanbatu Utara

This study aims to determine the effect of social interaction on the emotional abilities of early childhood in Raudhatul Athfal Tunas Kualuh, Kualuh Hilir District, North Labuhanbatu Regency and identify the effect of social interaction on children's emotional abilities. This type of research is descriptive quantitative research, the population in this study involved 30 respondents and respondents using instruments that were tested for validity and reliability of sampling techniques using probability techniques, data collection instruments using observation and documentation. As for the formulation of the problem, namely how is the social interaction of children in RA Tunas Kualuh, how is the emotional ability of children in RA Tunas Kualuh, and is there an influence of social interaction on children's emotional abilities in RA Tunas Kualuh? The data analysis techniques used are normality test, and homogeneity test and hypothesis test (T test). Based on the results of the study that the validity test shows that the instruments for social interaction variables (X1) and emotional abilities (Y2) are valid and reliable. Normality test with Kolmogorov-Smirnov shows that the data is normally distributed (Asymp.Sig. = 0.370). The homogeneity test showed that the variance between groups was homogeneous (Sig = 0.517). The results of the hypothesis test (T test) indicated that social interaction has a significant influence on children's emotional abilities (Sig = 0.000), with a Beta coefficient of -0.723. This study concluded that social interaction plays a significant role in influencing children's emotional abilities in RA Tunas Kualuh, with the instruments used being valid and reliable. Thus Ho is rejected and Ha is accepted that social interaction does have a significant influence on children's emotional abilities.

Teacher-related factors associated with teacher–child interaction quality in preschool education

Quality teacher–child interaction is considered one of the primary mechanisms through which educational experience fosters the development of children’s competencies. Teachers’ self-efficacy and beliefs about developmentally appropriate practices influence the quality of classroom interaction. However, the findings are mixed, and more research must be done within the preschool teacher population. The present study investigated teacher-related factors influencing teacher–child interaction quality with preschool children. Two rating scales and one observation measure were used to survey and observe 55 preschool teachers in preschool centres of Arba Minch town, Ethiopia. Statistically significant positive correlations were found between teacher factors (i.e., teacher belief, self-efficacy, teaching experience) and teacher–child interaction quality (emotional support, classroom organization, and instructional support). Teacher belief significantly predicted teachers’ emotional support and classroom organization, while teaching experience significantly predicted instructional support. The findings of this study have implications for concerned bodies striving to achieve the 2030 sustainable development goals aimed at increasing the supply of qualified teachers to ensure all girls and boys have access to quality early childhood development and care so that they are ready for primary education, especially in the least developed countries.

Trajectories of Change in Parent–Child Interaction Therapy Outcomes in Latinx Families: Implications for Cultural Adaptation

ABSTRACT Objective Parent–Child Interaction Therapy (PCIT) is a parenting program in which caregivers must achieve “skill criteria” in using Do Skills and avoiding Don’t Skills to complete treatment. Despite PCIT’s emphasis on these skills, little is known about how Latinx caregivers acquire these Western-based parenting practices and whether cultural mismatches lead to inequities in outcomes. This study compared the trajectories of change in PCIT skills and treatment outcomes of Latinx and non-Latinx White families. Method We analyzed weekly treatment data from 64 families (20.3% Spanish-speaking Latinx, 51.6% English-speaking Latinx, 28.1% non-Latinx White) served in community clinics. Caregivers were mostly females (95.3%), on average 35.13 years old, and lived in poverty (77.6%). PCIT skills were coded using the Dyadic Parent–Child Interaction Coding System, and child behavior problems were reported using the Eyberg Child Behavior Inventory. Results Latinx and non-Latinx White caregivers acquired Do Skills similarly during treatment. In contrast, some Latinx caregivers began treatment using significantly more Don’t Skills and needed more sessions to achieve some aspects of PCIT skill criteria compared with non-Latinx White caregivers. Latinx families also experienced similar or even more pronounced reductions in child behavior problems than non-Latinx White families. There were no significant differences in the percentage of caregivers who achieved PCIT skill criteria or left treatment prematurely. Conclusions This study provides evidence that strictly defined PCIT skill criteria may lead to inequities in treatment length for some Latinx families. Informed by these findings, we propose data-driven adaptations to improve the cultural fit of PCIT for Latinx groups.

Effectiveness of school-based physical activity programs in enhancing attention, academic performance, and social relationships among children with intellectual disabilities: evidence from Pakistani schools.

Physical activity (PA) offers extensive benefits for all children, including those with intellectual disabilities (ID), who face significant challenges in behavioral management and psycho-social well-being. This study investigates the effects of school-based PA on attention, academic performance, and relationships with teachers and parents in children with ID. A 12-week single-blind randomized controlled trial was conducted with 102 children with ID, aged 6 to 12 years (71 boys and 31 girls) from grades 1 to 5. Participants were divided into three groups: MVPA (moderate to vigorous PA), MPA (mild PA), and NPA (no PA). Each group engaged in PA three times a week for 45 min per session, with activities planned by a fitness trainer and supervised by the researcher. Outcome measures were assessed using SNAP-IV, STRS, CPRS, and APRS scales before and after the intervention. The results indicated that MVPA had a more significant positive impact on all outcomes compared to MPA and NPA. MPA also produced notable improvements relative to NPA. These findings underscore the importance of integrating PA into educational settings as a comprehensive strategy to enhance attention, academic performance, and social interactions for children with ID. This research highlights PA as a vital tool for addressing behavioral challenges and fostering better developmental outcomes in this population.