Importance Although the American Academy of Pediatrics recommends parent-child joint
engagement with digital media, recent evidence suggests this may be challenging when
tablets contain interactive enhancements. Objective To examine parent-toddler social
reciprocity while reading enhanced (eg, with sound effects, animation) and basic tablet-
based books compared with print books. Design, Setting, and Participants This within-
participants comparison included 37 parent-toddler dyads in a counterbalanced crossover …