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Journal of Clinical and
            Basic Psychosomatics                                            A hackathon of cooperative play over 1000 km



            design of a structure where age-specific scenes and mixed-  Given the limited number of participants in this study,
            age interactions could be alternated. In addition, a need to   further exploration is needed, considering these limitations,
            devise ways to deepen communication between children   for future instances of infection-related crises that suppress
            who have never met each other before; the need for training   children’s social development. Another limitation of this
            to improve skills in ICT operation, calling each other by   study is its focus on specific regions, and future research
            nicknames, and holding information exchange meetings   should explore intervention designs suitable for diverse
            for all parents and children afterward were suggested.   geographical context.
            Improvement of these issues should be repeated multiple
            times, not just for a single event. Furthermore, because of   Acknowledgments
            the limitations of only obtaining information online, it is   The authors acknowledge all the participants.
            necessary to do about the onsite real space as well.
              This study is limited by the small sample size and   Funding
            subjective description of the behavioral classification.   Yamaguchi University, Tohoku University, and Saitama
            A future study is needed to increase the sample size and   Medical University supported this study.
            to develop image deep learning technology to identify
            different behaviors for reproducible quantification. 2,61  Conflict of interest
              Another limitation is that although the study intended   The authors declare that they have no conflicts of interest.
            for children to propose the play ideas on their own, in
            some cases, the parents proposed the play ideas. Future   Author contributions
            research should incorporate parents’ play ideas as part of   Conceptualization: Fusako Tomoto, Makoto Ota, Mamiko
            the study or ensure the children come to these online play   Koshiba
            groups without their parents.                      Formal analysis: All authors
                                                               Investigation: All authors
            5. Conclusion                                      Methodology: All authors

            This study examined the effectiveness of a new intervention   Writing – original draft: Fusako Tomoto, Mamiko Koshiba
            method using an online conferencing system to enhance   Writing – review & editing: All authors
            social communication among children who experienced
            social suppression due to infection avoidance during the   Ethics approval and consent to participate
            early stages of the COVID-19 pandemic. The intervention   This study protocol was approved by the Yamaguchi
            involved 15 children, who had never met before and were   University Review Committee for Non-Medical Research
            separated by long distances, introducing and playing their   Involving Human Participants (2020-047).
            games together online. The findings of this study showed
            that the intervention successfully promoted collaborative   Consent for publication
            play  among  older  children  from  distant  locations,  and   Informed consent for publication was obtained from the
            the total participation time, the amount they proposed   relevant participants.
            play, the online conversation with each other, and the
            time spent watching the screen with a smiling expression   Availability of data
            increased significantly with higher age. This study outcome
            in younger children was to promote different play in their   The datasets for this study can be found in the main text.
            community as an age-dependent social formation style.  Further disclosure
              Children with ADHD and ASD, who have social disabilities   Part of the findings was reported in the blog of WEB
            and were reportedly more susceptible to COVID-19   magazine of the Association of Children’s Environment
            lockdown, may also benefit from this online intervention   published in May 2020 (https://www.children-env.org/
            method, as they tend to have a high affinity for ICTs.  magazine/blogs/blog_entries/index/23?page_id=4)  for

              As directions for future research, we suggest    helping children and family against COVID-19 lockdown
            improvements in design, primarily with age-dependent   society.
            consideration with additional care of different ICT
            utilization skills. It is also necessary to investigate the   References
            effects of repeating the event as well as one-time events   1.   Prins J, Van der Wilt F, Van der Veen C, Hovinga D. Nature
            going forward.                                        play in early childhood education: A systematic review and


            Volume 2 Issue 4 (2024)                         10                              doi: 10.36922/jcbp.4221
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