The role of local meaning in infants' fixations of natural scenes.

As infants view visual scenes every day, they must shift their eye gaze and visual attention from location to location, sampling information to process and learn. Like adults, infants' gaze when viewing natural scenes (i.e., photographs of everyday scenes) is influenced by the physical features of the scene image and a general bias to look more centrally in a scene. However, it is unknown how infants' gaze while viewing such scenes is influenced by the semantic content of the scenes. Here, we tested the relative influence of local meaning, controlling for physical salience and center bias, on the eye gaze of 4- to 12-month-old infants (N = 92) as they viewed natural scenes. Overall, infants were more likely to fixate scene regions rated as higher in meaning, indicating that, like adults, the semantic content, or local meaning, of scenes influences where they look. More importantly, the effect of meaning on infant attention increased with age, providing the first evidence for an age-related increase in the impact of local meaning on infants' eye movements while viewing natural scenes.

Examining infants' visual paired comparison performance in the US and rural Malawi.

Measures of attention and memory were evaluated in 6- to 9-month-old infants from two diverse contexts. One sample consisted of African infants residing in rural Malawi (N = 228, 118 girls, 110 boys). The other sample consisted of racially diverse infants residing in suburban California (N = 48, 24 girls, 24 boys). Infants were tested in an eye-tracking version of the visual paired comparison procedure and were shown racially familiar faces. The eye tracking data were parsed into individual looks, revealing that both groups of infants showed significant memory performance. However, how a look was operationally defined impacted some-but not other-measures of infant VPC performance. RESEARCH HIGHLIGHTS: In both the US and Malawi, 6- to 9-month-old infants showed evidence of memory for faces they had previously viewed during a familiarization period. Infant age was associated with peak look duration and memory performance in both contexts. Different operational definitions of a look yielded consistent findings for peak look duration and novelty preference scores-but not shift rate. Operationalization of look-defined measures is an important consideration for studies of infants in different cultural contexts.

Expanded carrier screening for reproductive risk assessment: An evidence-based practice guideline from the National Society of Genetic Counselors.

Expanded carrier screening (ECS) intends to broadly screen healthy individuals to determine their reproductive chance for autosomal recessive (AR) and X-linked (XL) conditions with infantile or early-childhood onset, which may impact reproductive management (Committee Opinion 690, Obstetrics and Gynecology, 2017, 129, e35). Compared to ethnicity-based screening, which requires accurate knowledge of ancestry for optimal test selection and appropriate risk assessment, ECS panels consist of tens to hundreds of AR and XL conditions that may be individually rare in various ancestries but offer a comprehensive approach to inherited disease screening. As such, the term "equitable carrier screening" may be preferable. This practice guideline provides evidence-based recommendations for ECS using the GRADE Evidence to Decision framework (Guyatt et al., BMJ, 2008, 336, 995; Guyatt et al., BMJ, 2008, 336, 924). We used evidence from a recent systematic evidence review (Ramdaney et al., Genetics in Medicine, 2022, 20, 374) and compiled data from peer-reviewed literature, scientific meetings, and clinical experience. We defined and prioritized the outcomes of informed consent, change in reproductive plans, yield in identification of at-risk carrier pairs/pregnancies, perceived barriers to ECS, amount of provider time spent, healthcare costs, frequency of severely/profoundly affected offspring, incidental findings, uncertain findings, patient satisfaction, and provider attitudes. Despite the recognized barriers to implementation and change in management strategies, this analysis supported implementation of ECS for these outcomes. Based upon the current level of evidence, we recommend ECS be made available for all individuals considering reproduction and all pregnant reproductive pairs, as ECS presents an ethnicity-based carrier screening alternative which does not rely on race-based medicine. The final decision to pursue carrier screening should be directed by shared decision-making, which takes into account specific features of patients as well as their preferences and values. As a periconceptional reproductive risk assessment tool, ECS is superior compared to ethnicity-based carrier screening in that it both identifies more carriers of AR and XL conditions as well as eliminates a single race-based medical practice. ECS should be offered to all who are currently pregnant, considering pregnancy, or might otherwise biologically contribute to pregnancy. Barriers to the broad implementation of and access to ECS should be identified and addressed so that test performance for carrier screening will not depend on social constructs such as race.

Understanding developmental cascades and experience: Diversity matters.

This Presidential Address is aimed at considering how infant development can be understood in terms of developmental cascades. Adopting a developmental cascades approach may be especially useful for understanding development in infancy, when changes occur in multiple domains over relatively short time spans. Thinking about change in terms of developmental cascades highlights the role of the input in development, both in terms of how the input changes with development and in terms of how differences in the input lead to different developmental pathways. I reflect on how a developmental cascade perspective can help us understand the role of input and how development builds as the emergence and refinement of abilities changes the input and shapes the developmental pathways. Further, I emphasize that infants develop despite differences in the input, and that when studying infant development we should seriously consider the diversity of experience that infants encounter and how differences in experience (and input) shape the developmental cascade.

The impact of face masks on infants' learning of faces: An eye tracking study.

This preregistered study examined how face masks influenced face memory in a North American sample of 6- to 9-month-old infants (N = 58) born during the COVID-19 pandemic. Infants' memory was tested using a standard visual paired comparison (VPC) task. We crossed whether or not the faces were masked during familiarization and test, yielding four trial types (masked-familiarization/masked-test, unmasked-familiarization/masked-test, masked-familiarization/unmasked-test, and unmasked-familiarization/unmasked-test). Infants showed memory for the faces if the faces were unmasked at test, regardless of whether or not the face was masked during familiarization. However, infants did not show robust evidence of memory when test faces were masked, regardless of the familiarization condition. In addition, infants' bias for looking at the upper (eye) region was greater for masked than unmasked faces, although this difference was unrelated to memory performance. In summary, although the presence of face masks does appear to influence infants' processing of and memory for faces, they can form memories of masked faces and recognize those familiar faces even when unmasked.

Diversity and representation in infant research: Barriers and bridges toward a globalized science of infant development.

Psychological researchers have become increasingly concerned with generalized accounts of human behavior based on narrow participant representation. This concern is particularly germane to infant research as findings from infant studies are often invoked to theorize broadly about the origins of human behavior. In this article, we examined participant diversity and representation in research published on infant development in four journals over the past decade. Sociodemographic data were coded for all articles reporting infant data published in Child Development, Developmental Science, Developmental Psychology, and Infancy between 2011 and 2022. Analyses of 1682 empirical articles, sampling approximately 1 million participants, revealed consistent under-reporting of sociodemographic information. For studies that reported sociodemographic characteristics, there was an unwavering skew toward White infants from North America/Western Europe. To address a lack of diversity in infant studies and its scientific impact, a set of principles and practices are proposed to advance toward a more globally representative science.

The association between plasma choline, growth and neurodevelopment among Malawian children aged 6-15 months enroled in an egg intervention trial.

Choline is an essential micronutrient that may influence growth and development; however, few studies have examined postnatal choline status and children's growth and development in low- and middle-income countries. The aim of this observational analysis was to examine associations of plasma choline with growth and development among Malawian children aged 6-15 months enrolled in an egg intervention trial. Plasma choline and related metabolites (betaine, dimethylglycine and trimethylamine N-oxide) were measured at baseline and 6-month follow-up, along with anthropometric (length, weight, head circumference) and developmental assessments (the Malawi Developmental Assessment Tool [MDAT], the Infant Orienting with Attention task [IOWA], a visual paired comparison [VPC] task and an elicited imitation [EI] task). In cross-sectional covariate-adjusted models, each 1 SD higher plasma choline was associated with lower length-for-age z-score (-0.09 SD [95% confidence interval, CI -0.17 to -0.01]), slower IOWA response time (8.84 ms [1.66-16.03]) and faster processing speed on the VPC task (-203.5 ms [-366.2 to -40.7]). In predictive models, baseline plasma choline was negatively associated with MDAT fine motor z-score at 6-month follow-up (-0.13 SD [-0.22 to -0.04]). There were no other significant associations of plasma choline with child measures. Similarly, associations of choline metabolites with growth and development were null except higher trimethylamine N-oxide was associated with slower information processing on the VPC task and higher memory scores on the EI task. In this cohort of children with low dietary choline intake, we conclude that there were no strong or consistent associations between plasma choline and growth and development.

Linking patterns of infant eye movements to a neural network model of the ventral stream using representational similarity analysis.

Little is known about the development of higher-level areas of visual cortex during infancy, and even less is known about how the development of visually guided behavior is related to the different levels of the cortical processing hierarchy. As a first step toward filling these gaps, we used representational similarity analysis (RSA) to assess links between gaze patterns and a neural network model that captures key properties of the ventral visual processing stream. We recorded the eye movements of 4- to 12-month-old infants (N = 54) as they viewed photographs of scenes. For each infant, we calculated the similarity of the gaze patterns for each pair of photographs. We also analyzed the images using a convolutional neural network model in which the successive layers correspond approximately to the sequence of areas along the ventral stream. For each layer of the network, we calculated the similarity of the activation patterns for each pair of photographs, which was then compared with the infant gaze data. We found that the network layers corresponding to lower-level areas of visual cortex accounted for gaze patterns better in younger infants than in older infants, whereas the network layers corresponding to higher-level areas of visual cortex accounted for gaze patterns better in older infants than in younger infants. Thus, between 4 and 12 months, gaze becomes increasingly controlled by more abstract, higher-level representations. These results also demonstrate the feasibility of using RSA to link infant gaze behavior to neural network models. A video abstract of this article can be viewed at https://youtu.be/K5mF2Rw98Is.

Early Child Development Outcomes of a Randomized Trial Providing 1 Egg Per Day to Children Age 6 to 15 Months in Malawi.

BACKGROUND: Eggs are a rich source of nutrients important for brain development, including choline, riboflavin, vitamins B-6 and B-12, folate, zinc, protein, and DHA. OBJECTIVE: Our objective was to evaluate the effect of the consumption of 1 egg per day over a 6-mo period on child development. METHODS: In the Mazira Project randomized controlled trial, 660 children aged 6-9 mo were randomly allocated into an intervention or control group. Eggs were provided to intervention households during twice-weekly home visits for 6 mo. Control households were visited at the same frequency. At enrollment, blinded assessors administered the Malawi Developmental Assessment Tool (MDAT), and 2 eye-tracking tasks using a Tobii-Pro X2-60 eye tracker: a visual paired comparison memory task and an Infant Orienting with Attention task. At endline, 6-mo later, blinded assessors administered the MDAT and eye-tracking tasks plus an additional elicited imitation memory task. RESULTS: At endline, intervention and control groups did not significantly differ in any developmental score, with the exception that a smaller percentage of children were delayed in fine motor development in the intervention group (10.6%) compared with the control group (16.5%; prevalence ratio: 0.59, 95% CI: 0.38-0.91). Among 10 prespecified effect modifiers for the 8 primary developmental outcomes, we found 7 significant interactions demonstrating a consistent pattern that children who were less vulnerable, for example, those with higher household wealth and maternal education, showed positive effects of the intervention. Given multiple hypothesis testing, some findings may have been due to chance. CONCLUSION: The provision of 1 egg per day had no overall effect on child development in this population of children, however, some benefits may be seen among children in less vulnerable circumstances. This trial was registered at clinicaltrials.gov as NCT03385252.

Robust data and power in infant research: A case study of the effect of number of infants and number of trials in visual preference procedures.

As in many areas of science, infant research suffers from low power. The problem is further compounded in infant research because of the difficulty in recruiting and testing large numbers of infant participants. Researchers have been searching for a solution and, as illustrated by this special section, have been focused on getting the most out of infant data. We illustrate one solution by showing how we can increase power in visual preference tasks by increasing the amount of data obtained from each infant. We discuss issues of power and present work examining how, under some circumstances, power is increased by increasing the precision of measurement. We report the results of a series of simulations based on a sample of visual preference task data collected from three infant laboratories showing how more powerful research designs can be achieved by including more trials per infant. Implications for infant procedures in general are discussed.

Visual short-term memory for overtly attended objects during infancy.

We investigated limitations in young infants' visual short-term memory (VSTM). We used a one-shot change detection task to ask whether 4- and 8.5-month-old infants (N = 59) automatically encode fixated items in VSTM. Our task included trials that consisted of the following sequence: first a brief (500 ms) presentation with a sample array of two items, next a brief (300 ms) delay period with a blank screen, and finally a test array (2,000 ms) identical to the sample array except that the color of one of the two items is changed. In Experiment 1, we induced infants to fixate one item by rotating it during the sample (the other item remained stationary). In Experiment 2, none of the items rotated. In both experiments, 4-month-old infants looked equally at the fixated item when it did and did not change color, providing no evidence that they encoded in VSTM the fixated item. In contrast, 8.5-month-old infants in Experiment 1 preferred the fixated item when it changed color from sample to test. Thus, 4-month-old infants do not appear to automatically encode fixated items in VSTM.

Habit2: A stand-alone software solution for presenting stimuli and recording infant looking times in order to study infant development.

Many aspects of infant development are assessed using infant looking times to visual and audiovisual stimuli. In this article, we describe a stand-alone software package that allows simultaneous stimulus presentation to infants and recording of their looking times via a keypress by a human observer. The software was developed to run both on 64-bit Intel-based Macs running Mac OS/X 10.10 (Yosemite) or later and on 64-bit Windows 7 and 10. It can present a variety of visual and/or auditory stimuli; is customizable with respect to how trials are initiated, how trial lengths are defined, and the phases of the experiment; and can be used to record looking times online or after the fact, as well as to assess the reliability of coding. The software is freely available at http://habit.ucdavis.edu.

Scanning of own- versus other-race faces in infants from racially diverse or homogenous communities.

We examined the role of community face experience on 6- and 8-month-old Caucasian infants' scanning of own- and other-race face scanning. We measured infants' proportional fixation time and scan path amplitudes as indices of face processing. Proportional fixation time to informationally rich face regions varied as a function of age and face race for infants living in a racially homogeneous community, whereas scan path amplitudes varied as a function of age and face race for infants living in a racially diverse community. In both communities 6-month-old infants did not show different responding to own- and other-race faces, whereas 8-month-old infants responded differently to own- and other-race faces. However, 8-month-old infants from the two communities showed different patterns of cross-race face scanning. Therefore, experience in the community beyond the home appears to contribute to the development of differential scanning of own- versus other-race faces between 6 and 8 months of age.

Plasticity may change inputs as well as processes, structures, and responses.

Significant work has documented neuroplasticity in development, demonstrating that developmental pathways are shaped by experience. Plasticity is often discussed in terms of the results of differences in input; differences in brain structures, processes, or responses reflect differences in experience. In this paper, I discuss how developmental plasticity also effectively changes input into the system. That is, structures and processes change in response to input, and those changed structures and processes influence future inputs. For example, plasticity may change the pattern of eye movements to a stimulus, thereby changing which part of the scene becomes the input. Thus, plasticity is not only seen in the structures and processes that result from differences in experience, but also is seen in the changes in the input as those structures and processes adapt. The systematic study of the nature of experience, and how differences in experience shape learning, can contribute to our understanding of neuroplasticity in general.

Visual selective attention biases contribute to the other-race effect among 9-month-old infants.

During the first year of life, infants maintain their ability to discriminate faces from their own race but become less able to differentiate other-race faces. Though this is likely due to daily experience with own-race faces, the mechanisms linking repeated exposure to optimal face processing remain unclear. One possibility is that frequent experience with own-race faces generates a selective attention bias to these faces. Selective attention elicits enhancement of attended information and suppression of distraction to improve visual processing of attended objects. Thus attention biases to own-race faces may boost processing and discrimination of these faces relative to other-race faces. We used a spatial cueing task to bias attention to own- or other-race faces among Caucasian 9-month-old infants. Infants discriminated faces in the focus of the attention bias, regardless of race, indicating that infants remained sensitive to differences among other-race faces. Instead, efficacy of face discrimination reflected the extent of attention engagement.

Visual short-term memory for complex objects in 6- and 8-month-old infants.

Infants' visual short-term memory (VSTM) for simple objects undergoes dramatic development: Six-month-old infants can store in VSTM information about only a simple object presented in isolation, whereas 8-month-old infants can store information about simple objects presented in multiple-item arrays. This study extended this work to examine the development of infants' VSTM for complex objects during this same period (N = 105). Using the simultaneous streams change detection paradigm, Experiment 1 confirmed the previous developmental trajectory between 6 and 8 months. Experiment 2 showed that doubling the exposure time did not enhance 6-month-old infants' change detection, demonstrating that the developmental change is not due to encoding speed. Thus, VSTM for simple and complex objects appears to follow the same developmental trajectory.

The development of visual attention in infancy: A cascade approach.

Visual attention develops rapidly and significantly during the first postnatal years. At birth, infants have poor visual acuity, poor head and neck control, and as a result have little autonomy over where and how long they look. Across the first year, the neural systems that support alerting, orienting, and endogenous attention develop, allowing infants to more effectively focus their attention on information in the environment important for processing. However, visual attention is a system that develops in the context of the whole child, and fully understanding this development requires understanding how attentional systems interact and how these systems interact with other systems across wide domains. By adopting a cascades framework we can better position the development of visual attention in the context of the whole developing child. Specifically, development builds, with previous achievements setting the stage for current development, and current development having cascading consequences on future development. In addition, development reflects changes in multiple domains, and those domains influence each other across development. Finally, development reflects and produces changes in the input that the visual system receives; understanding the changing input is key to fully understand the development of visual attention. The development of visual attention is described in this context.

The cascading development of visual attention in infancy: Learning to look and looking to learn.

The development of visual attention in infancy is typically indexed by where and how long infants look, focusing on changes in alerting, orienting, or attentional control. However, visual attention and looking are both complex systems that are multiply determined. Moreover, infants' visual attention, looking, and learning are intimately connected. Infants learn to look, reflecting cascading effects of changes in attention, the visual system and motor control, as well as the information infants learn about the world around them. Furthermore infants' looking behavior provides the input infants use to perceive and learn about the world. Thus, infants look to learn about the world around them. A deeper understanding of development will be gained by appreciating the cascading effects of changes across these intertwined domains.

An investigation of mental rotation in infancy using change detection.

Two experiments were conducted to examine mental rotation in 6- to 12-month-old infants (N = 166) using a change detection task. These experiments were replications of Lauer and Lourenco (Lauer et al., 2015; Lauer & Lourenco, 2016), using identical stimuli and variations of their procedure, including an exact replication conducted in a laboratory setting (Experiment 1), and an online assessment using Lookit (Scott et al.,2017; Scott & Schulz, 2017) (Experiment 2). Both experiments failed to replicate the results of the original study; in neither experiment did infants' behavior provide evidence that they mentally rotated the object. Results are discussed in terms of the robustness of mental rotation in infancy and about limits in our experimental procedures for uncovering perceptual and cognitive abilities in infants.