The youngest readers’ dilemma: A review of children’s learning from fictional sources

Empowering and educating the next generation of pharmacists through children's books: A quality assurance initiative

OBJECTIVE

The objective of this quality assurance initiative was to internally measure children's perceptions of the book, "All Aboard the Rx-Express!" and knowledge gained from its content.

METHODS

This pharmacy-focused children's book was read to elementary-age youth at a rural, Pennsylvania elementary school in the Spring of 2022. A brief, optional, anonymous prepost survey was administered to the youth before and after the reading to measure the book's impact on third through fifth graders' perceptions and knowledge of the pharmacy profession. Descriptive statistics, chi squared analysis, independent samples t-tests, and one sample proportions tests were used to analyze survey responses.

RESULTS

One hundred ninety-one students participated in the presurvey to assess baseline knowledge about the pharmacy profession before the book was read. One hundred eighty-five students answered the postsurvey. Prepost respondent demographics were collected in aggregate and were not significantly different between the pre- and postcohorts. Survey results demonstrated an increase in all questions that asked about students' perceptions of pharmacists and the profession, and students reported favorable perceptions of the book itself.

CONCLUSION

Early interventions such as this can increase elementary-age youth's perceptions and knowledge of the roles of pharmacists. Future work in early intervention will be needed to increase interest in the profession and admissions to pharmacy schools.

The immediate impacts of TV programs on preschoolers' executive functions and attention: a systematic review

BACKGROUND

Previous research has presented varying perspectives on the potential effect of screen media use among preschoolers. In this study, we systematically reviewed experimental studies that investigated how pacing and fantasy features of TV programs affect children's attention and executive functions (EFs).

METHODS

A systematic search was conducted across eight online databases to identify pertinent studies published until August 2023. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines.

RESULTS

Fifteen papers involving 1855 participants aged 2-7 years fulfilled all the inclusion criteria for this review and were entered into the narrative synthesis. Despite the challenge of reaching general conclusions and encountering conflicting outcomes, a nuanced analysis reveals distinct patterns within various subgroups. The impact of pacing on attention is discernible, particularly in bottom-up attention processes, although the nature of this effect remains contradictory. Conversely, consistent findings emerge regarding top-down attention, suggesting any impact. Moreover, a subgroup analysis of different EF components yields valuable insights, highlighting the negative effect of fantasy on inhibitory control within the EF framework.

CONCLUSION

The complexity of these outcomes highlights the need for further research, considering factors such as content, child-specific characteristics, environmental factors, and methodological approaches. These findings collectively emphasize the necessity of conducting more comprehensive and detailed research, especially in terms of the underlying mechanisms and their impact on brain function.

Memory of Fictional Information: A Theoretical Framework

Much of the information people encounter in everyday life is not factual; it originates from fictional sources, such as movies, novels, and video games, and from direct experience such as pretense, role-playing, and everyday conversation. Despite the recent increase in research on fiction, there is no theoretical account of how memory of fictional information is related to other types of memory or of which mechanisms allow people to separate fact and fiction in memory. We present a theoretical framework that places memory of fiction in relation to other cognitive phenomena as a distinct construct and argue that it is an essential component for any general theory of human memory. We show how fictionality can be integrated in an existing memory model by extending Rubin's dimensional conceptual memory model. By this means, our model can account for explicit and implicit memory of fictional information of events, places, characters, and objects. Further, we propose a set of mechanisms involving various degrees of complexity and levels of conscious processing that mostly keep fact and fiction separated but also allow information from fiction to influence real-world attitudes and beliefs: content-based reasoning, source monitoring, and an associative link from the memory to the concept of fiction.

Taking the unreal seriously: enriching cognitive science with the notion of fictionality

Fictionality and fictional experiences are ubiquitous in people's everyday lives in the forms of movies, novels, video games, pretense and role playing, and digital technology use. Despite this ubiquity, though, the field of cognitive science has traditionally been dominated by a focus on the real world. Based on the limited understanding from previous research on questions regarding fictional information and the cognitive processes for distinguishing reality from fiction, we argue for the need for a comprehensive and systematic account that reflects on related phenomena, such as narrative comprehension or imagination embedded into general theories of cognition. This is important as incorporating cognitive processing of fictional events into memory theory reshapes the conceptual map of human memory. In this paper, we highlight future challenges for the cognitive studies of fictionality on conceptual, neurological, and computational levels. Taking on these challenges requires an interdisciplinary approach between fields like developmental psychology, philosophy, and the study of narrative comprehension. Our aim is to build on such interdisciplinarity and provide conclusions on the ways in which new theoretical frameworks of fiction cognition can aid understanding human behaviors in a wide range of aspects of people's daily lives, media consumption habits, and digital encounters. Our account also has the potential to inform technological innovations related to training intelligent digital systems to distinguish fact and fiction in the source material.

Does disgust-eliciting propaganda shape children's attitudes toward novel immigrant groups?

Propaganda frequently leverages themes of dirtiness and disease to foster negative attitudes toward marginalized social groups. Although history suggests that this tactic is highly successful, empirical evidence is required to evaluate propaganda's potential efficacy. Inspired by previous evidence that children rapidly form attitudes about social groups, we conducted an exploratory investigation into whether 5- to 9-year-olds' (N = 48) judgments of novel foreign groups could be swayed by visually depicting one of these groups as disgusting in poster-sized illustrations. Across a wide battery of tasks, there was no clear indication that children readily internalize messages from propaganda in evaluating members of novel social groups. This finding held regardless of the type of disgustingness that was depicted in the propaganda, and generalized across the age range we investigated. Overall, our results are encouraging in a practical sense, suggesting that children are not easily swayed by negative misrepresentations of immigrants in propaganda.

A comic-based body image intervention for adolescents in semi-rural Indian schools: Study protocol for a randomized controlled trial

Adolescents in India experience body dissatisfaction, however, empirically supported interventions are lacking. This paper describes the protocol for the development, acceptability testing, and cluster randomized controlled trial (RCT) of a six-session comic-based intervention, which aims to improve body image and related outcomes among adolescents in semi-rural Indian schools. If found to be acceptable and effective, UNICEF will disseminate the intervention across schools in eight states of India. The acceptability study will be conducted with 24 students in Classes 6-8 (age 11-14) and nine teachers from Hindi-medium government schools using interviews and focus groups. The subsequent RCT will be conducted with 2400 students, with schools randomized to either the comic-based intervention or lessons-as-usual (control) groups. The primary outcome is body esteem, and secondary outcomes are disordered eating, appearance ideal internalization, body-image-related life disengagement, self-esteem, negative affect, and positive affect. Additional exploratory outcome measures are skin colour dissatisfaction, body hair dissatisfaction, appearance-based teasing, and endorsement of traditional gender roles. These outcomes will be examined at three timepoints: baseline (T1), 1 week-post-intervention (T2), and 12-weeks follow-up (T3). Analyses will compare outcomes in the intervention with the control group. This will be the first study to evaluate a body image intervention for adolescents in semi-rural Indian schools.

Portrayals of Pain in Children's Popular Media: Mothers' and Fathers' Beliefs and Attitudes

Evidence suggests that children's popular media may model maladaptive and distorted experiences of pain to young children. In a recent study, pain depicted in popular media targeting 4–6-year-olds was frequently and unrealistically portrayed, evoked little response or empathy from observing characters, and perpetuated unhelpful gender stereotypes. Parents play a critical role in both children's pain experiences and children's media consumption. Yet, no study to date has examined parents' beliefs and attitudes regarding how pain is portrayed in media for young children. The present study aimed to fill this gap by examining how parents perceive and appraise painful instances depicted in children's popular media. Sixty parents (48% fathers) of children aged 4 to 6 years completed a semi-structured interview to assess their general beliefs and attitudes toward how pain is portrayed in children's media. Inductive reflexive thematic analysis was conducted to identify and analyze key patterns in the data. Qualitative analyses generated two major themes representing parental beliefs regarding pain that is portrayed in children's media: “entertaining pain” and “valuable lessons”. Findings reveal that parents believe that pain portrayed in popular media serves either a function of entertaining and amusing children or can provide valuable lessons about appropriate emotional responses and empathic reactions. Further, pain portrayals could also instill valuable lessons and provide children with a point of reference and language for their own painful experiences. Parents serve as a primary socialization agent for young children; thus, it is important that parents remain aware of underlying messages about how pain is portrayed in children's popular media so that they can optimally discuss these portrayals, promote their children's pain education and understanding and positively impact future pain experiences.

Do embodiment and fictionality affect young children's learning?

Preschool-aged children can learn from fictional, pretend, and imaginative activities. However, many studies showing this learning involve children as physically passive while consuming fictional narratives rather than as actively, physically engaged. Physical engagement may add to cognitive processes already at play when watching narratives, making children more likely to retain or understand information. Children's natural pretend involves physical movement, role play, and embodiment. To test learning from embodied pretense, we conducted two studies in which we experimentally manipulated whether children were physically passive while consuming narratives or physically actively engaged with them through embodied pretend play using puppets or costumes. In Study 1, children were shown/engaged in television-based narratives, all of which contained fantastical content. In Study 2, children were shown/engaged in lab-created stories, some of which contained fantastical elements. We measured children's learning and perceptions of realism. In Study 1, neither perception of fictionality nor embodiment immediately affected learning, although older preschoolers learned more than younger preschoolers. In Study 2, neither perception nor presence of fantastical content affected learning, but embodiment did. Children learned more from both embodied conditions compared with the physically passive condition. We also included 2-week follow-up tests of recall and found that although children retained very little, embodiment still affected retention in both studies. Overall, children did not use realism judgments to differentiate learning. These findings show the complexity of different elements involved in children's learning from pretense and the need to understand what elements affect learning from fantastical and embodied pretend play and stories.

The Short-Term Impact of Animation on the Executive Function of Children Aged 4 to 7

Research has shown that animation plays an important role in the development of children's executive function (EF), and the development of EF components, inhibitory control, working memory, and cognitive flexibility, is asynchronous. Thus, this study explores the developmental trajectories and animation features (fantasy and pacing) that influence each EF component, by examining 218 children aged 4-7. Pretest information, mainly the childhood EF inventory, was provided by parents: child's age, age of first exposure to animation, animation viewing time on weekdays and weekends, family income, and parents' education. The children in each age group were randomly divided into four groups to watch animations comprised of different animation features. After watching, their EF were measured by a day-night task, backward digit-span task, and flexible item-selection task. The results showed that the children's inhibitory control, working memory and cognitive flexibility levels all improved with age. Highly fantastical animations weakened children's performance on each subsequent EF task. Pacing had no effect on any of the components of children's EF. An interactive effect on inhibitory control was only found with fantasy in younger children; specifically, high-fantastical animations had a more pronounced short-lived weakening effect on inhibitory control in younger children (4-6 years) compared with low-fantastical animations. Future research should explore the long-term impact of content rather than the form of animation on younger children's EF.

Boys Write About Boys: Androcentrism in Children's Reading Experience and Its Emergence in Children's Own Writing

Gender bias exists in our language environment. We investigated personal name usage in two large corpora of language written for and by U.K. children aged 5-13. Study 1 found an overrepresentation of male names in children's books, largely attributable to male authors. In stories written by over 100,000 children, Study 2 found an overall male bias that interacted with age. Younger children wrote more about their own gender. With age, girls became more balanced yet boys continued to show a strong male bias. Our findings demonstrate a male-centered bias in both children's books and their own writing. We consider the power of written language to both shape and be shaped by cultural stereotypes via systematic biases in gender associations.

The Magic School Bus dilemma: How fantasy affects children's learning from stories

Although children's books often include fantasy, research suggests that children do not learn as well from fantastical stories as from realistic ones. The current studies investigated whether the type of fantasy matters, in effect testing two possible mechanisms for fantasy's interference. Across two studies, 110 5-year-olds were read different types of fantastical stories containing a problem and then were asked to solve an analogous problem in a real lab setting. Children who were read a minimally fantastical version of the story, in which the story occurred on another planet "that looked just like Earth," were no more likely to transfer the solution than children who heard a story that was slightly more fantastical in that the story occurred on another planet and that planet looked different from Earth (e.g., orange grass, a green sky). In contrast, significantly higher rates of learning were observed when the story contained those elements and two physically impossible events (e.g., walking through walls). Furthermore, this improvement was obtained only when the impossible events preceded, and not when they followed, the educational content. Although fantasy may sometimes detract from learning (as other research has shown), these new studies suggest that minimal fantasy does not and that particular types of fantasy may even increase learning. We propose that the mechanism for this may be that a small dose of impossible events induces deeper processing of the subsequent events in the story.

Young Children's Inductive Inferences Within Animals Are Affected by Whether Animals Are Presented Anthropomorphically in Films

Children are exposed to anthropomorphized animals in a variety of contexts. The literature that analyzes this phenomenon suggests that exposure to anthropomorphic media may strengthen children's anthropocentric representation of animals. There is an as yet unexplored difference between anthropomorphized and realistic depictions of multiple animal species presented simultaneously in films. The anthropomorphized animals all behave like humans, so they are more behaviorally similar to one another than animals depicted realistically. We asked whether witnessing multiple species depicted anthropomorphically or realistically influences the way 5-year-old children perceive internal commonalities among animals. One group of children (n = 37) watched a cartoon presenting multiple species of anthropomorphized animals, the other group (n = 38) watched a nature documentary that also presented multiple species. Both groups extended a novel internal feature from an animal to a variety of items including diverse animal species. Children watching a cartoon made significantly stronger projections to non-human animals than children watching the documentary. Children's projections to humans and inanimate objects did not differ between the groups and were uniformly low. One of the possible explanations of the results is in terms of children's essentialist expectation that behavior is caused by internal properties.

Preschoolers' learning of information from fantastical narrative versus expository books

This study investigated preschool children's learning from expository and fantastical narrative books and whether the children would show a tendency for learning from expository books in cases of conflicting information. Over three testing sessions, 71 3- and 5-year-olds were individually read one expository book and one fantastical narrative book. These books contained four types of information units: narrative-only, expository-only, conflicting, and consistent. Children were asked questions that tapped these information units. Results showed a main effect of age, with 5-year-olds learning more information from both books than 3-year-olds. When the information in the narrative and expository books conflicted, 5-year-olds showed a tendency to report information from the expository book, but 3-year-olds were at chance level for prioritizing information learned from either book.

Pretending with realistic and fantastical stories facilitates executive function in 3-year-old children

Fictional stories can affect many aspects of children's behavior and cognition, yet little is known about how they might help or hinder children's executive function skills. The current study investigated the role of story content (fantasy or reality) and mode of engagement with the story (pretense or a non-pretense control) on children's inhibitory control, an important component of early executive function. A total of 60 3-year-olds were randomly assigned to hear a fantastical or realistic story and were encouraged to engage in either pretense or a non-pretense activity related to the story. They then completed the Less Is More task of inhibitory control. Story content had no impact on children's inhibitory control; children performed equally well after hearing a fantastical or realistic story. However, children who engaged in story-related pretend play showed greater inhibitory control than those who engaged in a non-pretense activity. We found no interaction between story content and play engagement type. These results held when controlling for baseline inhibitory control, receptive vocabulary, age, gender, affect, and propensity toward pretense. Therefore, mode of play engagement with a story was more important in promoting children's inhibitory control skills than the degree of realism in the story.

Investigating the effectiveness of fantasy stories for teaching scientific principles

Educational media often contain fantastical information. Although some prior research suggests that this information interferes with children's learning, other work shows that fantasy benefits learning under certain circumstances. To investigate this issue and to clarify how different types of fantastical events might affect children's learning, we presented preschoolers (N = 99 in Study 1; N = 101 in Study 2) with stories that contained events that violated real-world physical laws, violated real-world biological laws, or did not violate any real-world laws. Within each story, we embedded two pieces of educational information, one each from the domains of biology and physics, to test (a) whether there are benefits of fantastical information on learning and (b) whether such benefits are domain specific. Across both studies, we found that children generally learned both types of information best from the story with physical violations, suggesting that such events can bolster children's learning.

The effect of object similarity and alignment of examples on children's learning and transfer from picture books

Story picture books with examples can be used to teach young children science concepts. Learners can abstract relational information by comparing the analogical examples in the books, leading to a more abstract transferrable understanding of the concept. The purpose of this study was to determine whether manipulating the content or arrangement of the examples included in a picture book would support children's generalization and transfer of a relational concept, namely color camouflage. In total, 81 3-year-olds and 80 4-year-olds were read one of four books at two visits spaced approximately 1 week apart. Examples were manipulated in a 2 (Object Similarity: high or low) × 2 (Arrangement: interleaved or blocked) design. At each visit, children were asked forced-choice questions with photographs (generalization) and real animals (transfer) and needed to explain their choices. At the first visit, only 3-year-olds who had been read a book with high object similarity displayed generalization and transfer. After they were read the same book again at the second visit, 3-year-olds in all conditions performed above chance on generalization questions but made more correct selections if they had been read the books with blocked examples. The 4-year-olds showed no book-related differences on forced-choice questions at either visit but gave better explanations at the second visit if they had been read interleaved books. Our study provides evidence that picture books with analogical examples can be used to teach children about science but that different types and arrangements of examples may better support children at different ages and with different amounts of prior experience.

You can['t] catch the sun in a net!: Children's misinterpretations of educational science television

Many science television shows feature refutation narratives where characters speculate about the value of scientific misconceptions (e.g., the sun circles the earth) before learning factual information. Previous research suggests that young children misunderstand these stories, and the current study examined whether learning could be improved using interventions previously validated with adults. Children (N = 201) aged 4-7 years viewed a refutation narrative in its original form or in a modified format that lacked misconceptions or that contextualized those misconceptions with additional scaffolds. Although children's comprehension of factual information was high across all conditions, their understanding of misconceptions depended on their prior knowledge. Specifically, children with low prior knowledge mistakenly identified misconceptions as intended factual lessons unless they viewed the story without misconceptions or with two forms of additional scaffolding. Conversely, children with high prior knowledge understood the original story best. These findings suggest that the inclusion of fantasy ideas in children's science programming can disrupt learning for certain children and bolster learning for others.

The moral, or the story? Changing children's distributive justice preferences through social communication

Can social communication alter children's preexisting inclinations toward equality-based or merit-based forms of resource distribution? Six- to eight-year-old children's (N = 248) fairness preferences were evaluated with third-party distribution tasks before and after an intervention. Study 1 indicated that stories about beavers dividing wood had no impact on children's fairness preferences, while Study 2 indicated that brief, direct testimony was highly influential. Study 3 matched storybooks and testimony in content, with each discussing a situation resembling the distribution task, and both formats exerted a significant impact on children's fairness preferences that persisted across several weeks. There were some indications that interventions preaching the superiority of equality-based fairness were particularly effective, but there were no differences between reason-based and emotion-based interventions. Overall, storybooks and testimony can powerfully and enduringly change children's existing distributive justice preferences, as long as the moral lessons that are conveyed are easily transferable to children's real-world contexts.

The "Who" System of the Human Brain: A System for Social Cognition About the Self and Others

Neuroscientists are fond of talking about brain systems for the processing of "what" and "where" information about objects and their locations. What is critically missing is the concept of a "who" system dedicated to the neural processing of information about social agents-both the self and others-and their interactions. I propose here the characterization of such a system, one that functions not only in perception but in production as well, such as when recounting stories about oneself and others. The most human-specific features of the "who" system are two complementary systems that I refer to as the other-as-self mechanism and the self-as-other mechanism. The major function of the other-as-self mechanism is to perceive other people egocentrically as proxies of the self, as occurs through the processes of mentalizing and empathizing in both everyday life and in the experience of the theatrical and literary arts. The major function of the self-as-other mechanism is to overtly depict other people during acts of communication through vocal and gestural processes of mimicry, such as occurs during quotation in conversation and through acting in the theatrical arts. Overall, the "who" system of the human brain mediates both perceptual and behavioral aspects of social cognition, and establishes the existential distinction between self and other in human cognition. I present neural models for the instantiation of the "who" system in the human brain and conclude with a discussion of how narrative serves as a foundation for human cognition more generally, what I refer to as narrative-based cognition.

Reality Status Judgments of Real and Fantastical Events in Children's Prefrontal Cortex: An fNIRS Study

The present study aimed to examine neural mechanisms underlying the ability to differentiate reality from fantasy. Using functional near-infrared spectroscopy (fNIRS), we measured prefrontal activations in children and adults while they performed a reality judgment task. Participants’ task was to judge the reality status of events in fantastical and realistic videos. Behavioral data revealed that, although there was no accuracy difference, children showed significantly longer reaction times in making the judgments than did adults. The fNIRS data consistently revealed higher prefrontal activations in children than in adults when watching the videos and judging the reality of the events. These results suggest that when making judgments of event reality, children may require more cognitive resources and also mainly rely on their own personal experiences.

Children Learn From Both Embodied and Passive Pretense: A Replication and Extension

Research suggests that children can learn new information via pretense. However, a fundamental problem with existing studies is that children are passive receivers of the pretense rather than active, engaged participants. This preregistered study replicates previous learning from pretense findings (Sutherland & Friedman, 2012, Child Development), in which children are passive observers of pretense, and extends to two additional conditions that require children to partially (with puppets) or fully (with costumes) embody a character. Children (N = 144, 24-79 months) learned equally well, and better than those in the control condition, from all three play scenarios. At a 2-week follow-up, learning was equally retained across embodiment conditions for older, but not younger, preschoolers. Future research should consider embodiment's role for more complex material.

The effects of fantastical television content on Chinese preschoolers' executive function

Literature has indicated the mixed impact of television content on the executive function (EF) of preschoolers. This study investigated the short-term impact of TV fantastical events on children's EF performance and whether these impacts were different between boys and girls. This study included 143 preschoolers (M_age  = 5.88 years, SD_age  = 0.32 years) and their parents. Participating children were randomly assigned to three groups to watch cartoons of high-fantasy, mid-fantasy, and low-fantasy, and then requested to perform on a series of EF tasks. The results revealed the nonlinear pattern for the effects of fantasy on inhibitory control and cognitive flexibility. Specifically, children in the mid-fantasy group did worst on inhibitory control and cognitive flexibility and no significant group differences were found in working memory. However, no conclusive evidence existed to prove the moderating role of gender on the relationship between fantastical events and EF. Finally, the implications of the findings and future directions are discussed.

The Role of Book Features in Young Children's Transfer of Information from Picture Books to Real-World Contexts

Picture books are an important source of new language, concepts, and lessons for young children. A large body of research has documented the nature of parent-child interactions during shared book reading. A new body of research has begun to investigate the features of picture books that support children's learning and transfer of that information to the real world. In this paper, we discuss how children's symbolic development, analogical reasoning, and reasoning about fantasy may constrain their ability to take away content information from picture books. We then review the nascent body of findings that has focused on the impact of picture book features on children's learning and transfer of words and letters, science concepts, problem solutions, and morals from picture books. In each domain of learning we discuss how children's development may interact with book features to impact their learning. We conclude that children's ability to learn and transfer content from picture books can be disrupted by some book features and research should directly examine the interaction between children's developing abilities and book characteristics on children's learning.