A randomized controlled parallel-group trial was conducted to investigate the effectiveness of two 10-week early childhood education and care (ECEC) interventions “SAGA” and “Pikkuli” for supporting social-emotional and verbal development. All children above the age of 4 were invited from 15 Finnish volunteer ECEC groups (n SAGA = 52, n Pikkuli = 56, n control group = 42). The children and caregivers, but not the personnel (who carried out the intervention), were blinded to the group assignment. Children in the SAGA intervention advanced in prosocial behavior and social orientation and had fewer internalizing and externalizing problems after the intervention. Children in the Pikkuli intervention advanced in prosocial behavior and had fewer internalizing problems after the intervention. There were no significant changes in any of the aforementioned outcomes in the control group. The results suggest that both interventions have good potential in supporting children’s social-emotional development in the ECEC environment.

Augmenting online interpersonal communication with biosignals, often in the form of heart rate sharing, has shown promise in increasing affiliation, feelings of closeness, and intimacy. Increasing empathetic awareness in the professional domain and in the customer interface could benefit both customer and employee satisfaction, but heart rate sharing in this context needs to consider issues around physiological monitoring of employees, appropriate level of intimacy, as well as the productivity outlook. In this study, we explore heart rate sharing at the workplace and study its effects on task performance. Altogether, 124 participants completed a collaborative visual guidance task using a chat box with heart rate visualization. Participants’ feedback about heart rate sharing reveal themes such as a stronger sense of human contact and increased self-reflection, but also raise concerns around unnecessity, intimacy, privacy and negative interpretations. Live heart rate was always measured, but to investigate the effect of heart rate sharing on task performance, half of the customers were told that they were seeing a recording, and half were told that they were seeing the advisor’s live heart beat. We found a negative link between awareness and task performance. We also found that higher ratings of usefulness of the heart rate visualization were associated with increased feelings of closeness. These results reveal that intimacy and privacy issues are particularly important for heart rate sharing in professional contexts, that preference modulates the effects of heart rate sharing on social closeness, and that heart rate sharing may have a negative effect on performance.

Objective: Medical doctors’ empathy is known to support patients’ health status after face-to-face clinical visits. However, the role of doctors’ empathy in chat-based encounters is not yet well understood. This study investigates whether patients’ evaluations of doctors’ empathy are associated with their health perceptions after a meeting at an online clinic and whether experiences of empathy could be enhanced by augmenting an automated anamnesis questionnaire completed before the visit. Methods: A total of 209 adult patients agreed to participate in the study. First 103 patients filled out the regular version of the questionnaire (June–August 2019) and then 106 filled out the augmented version of the online anamnesis questionnaire (August–November 2019). Patients’ perceptions of doctors’ empathy were measured with the Consultation and Relational Empathy questionnaire. Patients’ self-perceived health status, potential confounders, and demographic background information were measured via questionnaires. Results: Patients’ perceptions of doctors’ empathy during a chat-based encounter were associated with patients being less concerned about their symptoms (estimated odds ratios varied between 0.45 and 0.55 depending on the model, p values < .003) and considering their symptoms as less severe (estimated odds ratios = 0.54–0.61, p values < .007), as well as a higher probability of alleviation of symptoms as rated by the patients (estimated odds ratios = 2.16–2.24, p values < .001). Augmenting the anamnesis questionnaire did not affect patient reports on doctors’ overall empathy, but it did have positive effects on specific areas of doctors’ empathy covered by the questionnaire. Conclusions: These results show that patients’ experience of doctors’ empathy not only is important during face-to-face encounters but also supports patients’ perceptions of health when the interaction is text based. The results also encourage further development of means to support patients’ experiences of empathy during online interaction with medical doctors.

Empathic responding matters in face-to-face medical consultations. We have previously shown that patients' perceptions of doctor empathy also support positive experiences at an online clinic. However, there is still little knowledge about what types of communication influence patients’ online experiences of empathy. In this study we investigated text-based patient-doctor discourse at an online clinic using an adaptation of the Roter Interaction Analysis System (RIAS). Our aims were 1) to assess the reliability of the adapted RIAS 2) to investigate what characteristics are common during the text-based consultations and 3) to examine how the doctor’s discourse relates to the patients’ experience of empathy online. Based on the inter-rater reliability analyses the conversational clusters of Social (ρ = 0.950), Biomedical (ρ = 0.939), and Technology related talk (ρ = 0.833), Procedural statements (ρ = 0.693) and Agreement (ρ = 0.687) were rated with acceptable reliability. Biomedical topics were most common in both patients’ and doctors’ communication. Patients’ experience of doctors’ empathy was positively correlated with the amount of doctor’s psychosocial talk and procedural statements although the effect sizes were small (ρ < 0.30 for all models). These results encourage the use of personal talk and giving clear instructions to patients about the care process at a text-based online clinic focusing on brief consultations.

Studies implementing a multimethod perspective in evaluating the acoustics of early childhood education and care (ECEC) spaces both quantitatively and qualitatively are still scarce. In this study the acoustic environments (noise levels and reverberation times) of seven Finnish ECEC group’s premises were examined in association with personnel’s (N = 22) and children’s (N = 71) well-being. Personnel’s well-being and vocal health and children’s well-being were assessed with questionnaires. The findings were further elaborated by documentation of the ECEC spaces and semi-structured interviews with the ECEC personnel detailing their views on the acoustic environment of the daycare buildings and how and if the acoustics should be improved. The results showed that noise exceeding 70 dB affected personnel’s vocal health negatively, whereas no associations were found regarding acoustics and children’s or personnel’s well-being. Based on the interviews, sound spreading, poor insulation, and hard surfaces add to negative experiences of noisiness. ECEC groups need spaces that can be closed and acoustically separated from each other and from other groups. The possibility to close a space supports the perceived well-being of the users and provides a more varied and individualized use of the spaces.