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Completed

NCT Number: NCT07097090

Improving Emotion Recognition Ability to Support Social Development in Children: A Quasi-Experimental Study

The goal of this quasi-experimental study is to investigate whether enhancing emotion recognition abilities can improve social behavior in primary school children. The study focused on children aged approximately 6 to 9 years (both sexes), attending elementary school, without neurological or psychiatric diagnoses.

The main questions it aims to answer are:

Is there an inverse relationship between children's ability to recognize nonverbal emotional cues and antisocial behavior, as assessed by teachers?

Does nonverbal intelligence (measured through Raven's Colored Progressive Matrices) significantly predict emotion recognition ability (ERA)?

Researchers compared a group of children who received the intervention (experimental group) with a control group that did not, to see whether improvements in ERA relate to higher prosocial behavior and fewer behavioral difficulties.

Participants were asked to:

Complete the DANVA-2-RV, a standardized tool to assess nonverbal emotion recognition, updated and validated on the study sample;

Complete Raven's Colored Progressive Matrices, to measure nonverbal IQ;

Have their behavior assessed via the SDQ - Teacher Version, filled out by their classroom teachers.

A total of 140 children from four schools were enrolled. Participants were assigned non-randomly to an experimental or control group. Six teachers were involved in the behavioral assessments.

The study is concluded. Expected outcomes include:

A negative correlation between prosocial behavior and emotional confusion;

A weak or non-significant relationship between nonverbal intelligence and emotion recognition ability.

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Key information

Age range

4 year–5 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Alessandro De Santis

Foggia, Apulia, 71121, Italy

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Children enrolled in primary school (ages 6-9)
  • Parental/guardian informed consent obtained
  • Teacher agreement to complete SDQ - Teacher Version
  • Availability for participation in both pre- and post-assessment sessions
  • No diagnosed cognitive, psychiatric, or neurological disorders

Exclusion criteria

  • Documented diagnosis of neurodevelopmental disorders (e.g., ASD, ADHD, intellectual disability)
  • Severe visual, auditory, or motor impairments affecting test participation
  • Incomplete parental consent or teacher refusal to collaborate
  • Absence from school during key phases of assessment

Treatment and study plan

Emotion Recognition Training Program: A structured school-based intervention designed to enhance children's ability to recognize emotions through facial expressions, tone of voice, and body language.

Behavioral

Emotion Recognition Training Program Integrated CASEL-based activities with CBT principles and digital tools to enhance emotional attribution and recognition in primary school children.

The intervention consisted of three structured activities based on the CASEL framework (Collaborative for Academic, Social, and Emotional Learning), integrated with cognitive-behavioral principles inspired by the model of Albert Ellis. Sessions included interactive use of digital whiteboards and narrative tools (e.g., emotion-themed interactive stories), aimed at improving children's ability to attribute emotions to others and to emotionally evaluate events.

In addition, a neurostimulative component was included, exposing children to visual stimuli with either neutral or fear-inducing emotional valence. Participants were asked to rate the perceived emotional intensity, supporting the development of self-regulation and emotional differentiation.

No Intervention: Observational Cohort

Behavioral

Control group received no intervention in order to serve as a baseline for comparison, isolating the effects of the emotion recognition training on behavioral and cognitive outcomes.

Primary outcomes

  1. Change in Emotion Recognition Accuracy Between Groups

    Time frame: Pre-test at Month 0, Intervention begins at Month 6, Post-test at 3 months after intervention (Month 9)

    Measured using the DANVA-2-RV. Emotion recognition accuracy scores (correct identification of basic emotions) will be compared between the intervention and control groups.

Secondary outcomes

  1. Cross-Sectional Observation of Behavioral Profiles

    Time frame: Single time point at study entry (Month 0).

    Observation of behavioral difficulties and prosocial behaviors (via SDQ - Teacher Version).

  2. Cross-Sectional Observation of Cognitive Profiles

    Time frame: Single time point at study entry (Month 0).

    Observation of nonverbal intelligence (via Raven's Colored Progressive Matrices).

Sponsors and collaborators

Lead sponsor

University of Foggia

Other

Registry information

Official study title

Inclusion 4 Children (Https://inclusion4children.it)

Acronym: I4C

Important dates

Study start
2023
Primary completion
2023
Study completion
2024
First posted
Jul 31, 2025
Registry last updated
Jul 31, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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