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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Psychol.</journal-id>
<journal-title>Frontiers in Psychology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Psychol.</abbrev-journal-title>
<issn pub-type="epub">1664-1078</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpsyg.2023.1205973</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Psychology</subject>
<subj-group>
<subject>Systematic Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Early triadic interactions in the first year of life: a systematic review on object-mediated shared encounters</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Mendoza-Garc&#x00ED;a</surname> <given-names>Ana</given-names></name><uri xlink:href="https://loop.frontiersin.org/people/2150014/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Moreno-N&#x00FA;&#x00F1;ez</surname> <given-names>Ana</given-names></name><xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref><uri xlink:href="https://loop.frontiersin.org/people/449695/overview"/>
</contrib>
</contrib-group>
<aff><institution>Departamento de Psicolog&#x00ED;a Evolutiva y de la Educaci&#x00F3;n, Universidad Aut&#x00F3;noma de Madrid</institution>, <addr-line>Madrid</addr-line>, <country>Spain</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Aleksander Veraksa, Lomonosov Moscow State University, Russia</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Vera Yakupova, Lomonosov Moscow State University, Russia; Alessio Porreca, University of Padua, Italy</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Ana Moreno-N&#x00FA;&#x00F1;ez, <email>ana.moreno@uam.es</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>17</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1205973</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>04</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>01</day>
<month>08</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Mendoza-Garc&#x00ED;a and Moreno-N&#x00FA;&#x00F1;ez.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Mendoza-Garc&#x00ED;a and Moreno-N&#x00FA;&#x00F1;ez</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Infants&#x2019; early interactions with adults and everyday objects are key to socio-communicative development, but their emergence and development are still under debate. Aiming at describing the diversity of theoretical and methodological approaches on triadicity during the first year of life, we conducted a systematic and qualitative review of recent literature. Following PRISMA 2020 guidelines, we explored the scientific production of recent decades on triadic interactions up to 12&#x2009;months of age. We initially screened 1943 items from which we obtained a final sample of 51 publications. Studies are usually conducted in laboratory settings, while ecological research is becoming increasingly common, especially in home settings. According to a thematic analysis of the data, we discussed the different perspectives on the origin and conceptualization of triadic interactions, and how they contribute to structuring and facilitating other developmental phenomena, such as the children&#x2019;s communicative gestures and uses of objects. Prior to the origin of intentional communication, adults facilitate early forms of triadicity based on fostering opportunities for infants&#x2019; communication and engagement with both adults and materiality. However, there is a need for further research that explore the potential of early triadic interactions for parenting and early childhood education practises.</p>
</abstract>
<kwd-group>
<kwd>triadic interactions</kwd>
<kwd>referential communication</kwd>
<kwd>joint action</kwd>
<kwd>materiality</kwd>
<kwd>early development</kwd>
</kwd-group>
<contract-num rid="cn2">PRE2020-094773</contract-num>
<contract-num rid="cn2">PID2019-108845GA-I00/AEI/10.13039/501100011033</contract-num>
<contract-sponsor id="cn1">the State Research Agency (Ministry of Science and Innovation, Spain)</contract-sponsor>
<contract-sponsor id="cn2">European Social Fund (ESF)<named-content content-type="fundref-id">10.13039/501100004895</named-content></contract-sponsor>
<counts>
<fig-count count="3"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="125"/>
<page-count count="12"/>
<word-count count="11046"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Developmental Psychology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1.</label>
<title>Introduction</title>
<p>The first social experiences of infants take place, from the first months of life, through interactions with their caregivers and with everyday objects (<xref ref-type="bibr" rid="ref69">Moreno-N&#x00FA;&#x00F1;ez et al., 2021a</xref>). This is consistent with the cultural-historical approach and, more specifically, with the postulates of activity theory developed from Vygotskian proposals. From this perspective, individuals act collectively based on shared activities and communicative exchanges that allow us to appropriate cultural tools (<xref ref-type="bibr" rid="ref122">Vygotsky, 1978</xref>; <xref ref-type="bibr" rid="ref46">Foot, 2014</xref>). According to this, social interactions, especially with adults, are essential during early childhood as they favour an inter-communicative space of mediation and collaboration that facilitates the child&#x2019;s learning and development (<xref ref-type="bibr" rid="ref800">Vygotsky, 1984</xref>; <xref ref-type="bibr" rid="ref117">Veraksa and Veraksa, 2018</xref>).</p>
<p>Adult mediation refers to the guided process of equipping children, through shared activities, with the psychological tools necessary to operate in a specific sociocultural context. It enables children to progressively internalise their learning and, consequently, to develop in the world in an increasingly autonomous way (<xref ref-type="bibr" rid="ref121">Vygotsky, 1934/1986</xref>). Throughout the first year, infants&#x2019; relationship with their environment is modified by the intervention of the adult (<xref ref-type="bibr" rid="ref120">Vygotsky, 1932/1996</xref>; <xref ref-type="bibr" rid="ref65">McCune and Zlatev, 2015</xref>), who responds to their first signals and attempts to communicate while sharing bouts of attention and action on specific objects or events (<xref ref-type="bibr" rid="ref10">Bakeman and Adamson, 1984</xref>; <xref ref-type="bibr" rid="ref101">Solovieva and Quintanar, 2021</xref>). This process does not, therefore, occur in a vacuum, but within the framework of early interactions that take place in a given socio-material context. In these interactions, objects are incorporated not as mere material realities, but as communicative vehicles that encourage joint action based on their social and cultural properties (<xref ref-type="bibr" rid="ref89">Rodr&#x00ED;guez, 2012</xref>; <xref ref-type="bibr" rid="ref23">Burner and Svendsen, 2020</xref>). Thus, it is in these interactions where the conventional meanings and uses of objects are transmitted (<xref ref-type="bibr" rid="ref88">Rodr&#x00ED;guez, 2006</xref>; <xref ref-type="bibr" rid="ref100">Solovieva et al., 2020</xref>). This enables progressive sophistication in infants&#x2019; actions, by turning these into social acts directed to, and coordinated with, the other person (<xref ref-type="bibr" rid="ref27">Carpendale et al., 2021</xref>).</p>
<p>The role of these triadic encounters (adult-infant-object) in socio-communicative development has been the focus of much debate, especially over their origin. Traditionally, it has been considered that babies relate first to adults, during the first months of life, and somewhat later, also to objects. This has given rise to the differentiation between primary intersubjectivity, referring to early dyadic exchanges between adults and infants, and secondary intersubjectivity, in which interactions incorporate external referents, acquiring a triadic character (<xref ref-type="bibr" rid="ref115">Trevarthen and Hubley, 1978</xref>; <xref ref-type="bibr" rid="ref28">Carpenter et al., 1998</xref>; <xref ref-type="bibr" rid="ref110">Tomasello et al., 2005</xref>; <xref ref-type="bibr" rid="ref103">Striano and Reid, 2006</xref>). The transition from one stage to the other is usually considered to take place at around nine months of age, when the infants&#x2019; first intentional communicative acts towards the adult emerge in what <xref ref-type="bibr" rid="ref109">Tomasello (2013)</xref> called the &#x201C;nine-month revolution.&#x201D; From then on, the complexity of the infants&#x2019; socio-communicative behaviours increases, as they can share experiences with others through, for example, the use of gestures and the diversification of communicative functions (<xref ref-type="bibr" rid="ref12">Bates et al., 1975</xref>).</p>
<p>However, more recent work questions whether the emergence of infants&#x2019; first triadic experiences is limited to the end of the first year (<xref ref-type="bibr" rid="ref88">Rodr&#x00ED;guez, 2006</xref>). Some authors have characterised this process as a continuous and gradual development, mediated by the adult from birth (<xref ref-type="bibr" rid="ref84">Reddy, 2010</xref>). In this sense, early communication would develop from the beginning of life according to interactional dynamic processes (<xref ref-type="bibr" rid="ref45">Fogel and Thelen, 1987</xref>; <xref ref-type="bibr" rid="ref44">Fogel, 1993</xref>; <xref ref-type="bibr" rid="ref107">Thelen and Smith, 1994</xref>) in which what is shared is not transmitted unidirectionally, from one mind to another, but is jointly created between adult and child (<xref ref-type="bibr" rid="ref44">Fogel, 1993</xref>; <xref ref-type="bibr" rid="ref116">Trevarthen and Reddy, 2017</xref>) or within the family dynamics with more than one primary caregiver (<xref ref-type="bibr" rid="ref42">Fivaz-Depeursinge and Corboz-Warnery, 1999</xref>; <xref ref-type="bibr" rid="ref61">Le&#x00F3;n and Olhaberry, 2020</xref>). Communicative intentionality, therefore, is gradually co-constructed and integrated as part of the infant&#x2019;s repertoire of skills, thanks to the adult-mediated encounters that take place over time (<xref ref-type="bibr" rid="ref82">R&#x0105;czaszek-Leonardi et al., 2019</xref>) and in which they often incorporate objects to communicate about&#x2014;and through&#x2014;the material world (<xref ref-type="bibr" rid="ref89">Rodr&#x00ED;guez, 2012</xref>).</p>
<p>Precisely, the lack of consideration given to objects in early interactions is another of the problems underlying their conceptualisation. From classical positions, triadic interactions with objects are based on episodes of joint attention, which can be understood from different perspectives (<xref ref-type="bibr" rid="ref47">Gabouer and Bortfeld, 2021</xref>). On the one hand, from an associative perspective they would depend on the infant&#x2019;s visual orientation system and its ability to follow the gaze of the other (<xref ref-type="bibr" rid="ref24">Butterworth, 1991</xref>), which is considered to occur in the absence of interactive processes from six to 18&#x2009;months of age (<xref ref-type="bibr" rid="ref25">Butterworth and Jarrett, 1991</xref>; <xref ref-type="bibr" rid="ref31">Corkum and Moore, 1998</xref>). On the other hand, from a social perspective, this highlights the coincidence of gazes between adults and infants on a referent (e.g., objects) in the framework of a dynamic interaction process that begins early in the first year of life (<xref ref-type="bibr" rid="ref104">Striano and Stahl, 2005</xref>) but continues to develop throughout the second year (<xref ref-type="bibr" rid="ref111">Tomasello and Farrar, 1986</xref>). Indeed, some studies emphasise the attentional, communicative, and co-regulatory processes between adults and infants in relation to an object of mutual interest, that unfold between 6&#x2009;months and 1.5&#x2009;years old. In this way, they distinguish between &#x201C;coordinated joint engagement,&#x201D; which refers to the multimodal components that occur in intersubjective episodes (e.g., smiles or gestures), and &#x201C;passive joint engagement,&#x201D; which would be limited to the coincidence of attentional focus on the same object (<xref ref-type="bibr" rid="ref10">Bakeman and Adamson, 1984</xref>).</p>
<p>While the joint attention paradigm has occupied a central role in research over the last few decades, recent studies invite us to modify the analytical prism based on the growing interest in the multimodal components that underpin these adult-infant encounters (<xref ref-type="bibr" rid="ref125">Yu and Smith, 2016</xref>, <xref ref-type="bibr" rid="ref126">2017</xref>). For example, adults tend to accompany episodes of joint attention by combining verbal input and tactile stimulation towards the infant (<xref ref-type="bibr" rid="ref106">Su&#x00E1;rez-Rivera et al., 2019</xref>). This could be associated with a longer duration of the infant&#x2019;s gaze towards the object, compared to non-multimodal episodes. This evidence has called into question the study of joint attention as an isolated process, as it could be part of a conglomerate of cognitive, social, and communicative phenomena (<xref ref-type="bibr" rid="ref99">Siposova and Carpenter, 2019</xref>; <xref ref-type="bibr" rid="ref57">Jacobson and Degotardi, 2022</xref>) that take place in joint action dynamics between the infant and others (<xref ref-type="bibr" rid="ref83">Reddy, 2005</xref>). In this sense, adopting an interactive and multimodal perspective would make it possible to emphasise not only attentional aspects but also other elements of the interaction such as emotion, touch, or use of objects (<xref ref-type="bibr" rid="ref34">De Barbaro et al., 2013</xref>; <xref ref-type="bibr" rid="ref94">Rossmanith et al., 2014</xref>; <xref ref-type="bibr" rid="ref72">Moreno-N&#x00FA;&#x00F1;ez et al., 2017</xref>).</p>
<p>The lack of an established consensus around triadic interactions, such as how and when they emerge, or the particular characteristics that arise from their conceptualisation has left an open theoretical and methodological debate. As such, there may be reason to identify those inconclusive areas and to explore the different perspectives on their origin, development, and nature of triadic interactions. To this end, we conducted a systematic and qualitative review that explored the scientific production of the last decades and its main findings, discussing their potential implications for the study of early development and early childhood education and care. In doing so, we can inform further empirical exploration of this phenomena.</p>
</sec>
<sec sec-type="methods" id="sec2">
<label>2.</label>
<title>Methods</title>
<p>Following the recommendations of the PRISMA 2020 statement (<xref ref-type="bibr" rid="ref76">Page et al., 2021</xref>), an updated version of PRISMA 2009 (<xref ref-type="bibr" rid="ref67">Moher et al., 2009</xref>), we conducted a comprehensive literature search in eight databases: Web of Science, Scopus, ProQuest, PubMed, ScienceDirect, PsycINFO, Dialnet, and Dimensions. To do so, we started with four keywords, in English and Spanish, which were combined with Boolean operators according to the following search equation: (&#x201C;triadic interactions&#x201D; OR &#x201C;joint engagement&#x201D;) AND object&#x002A; AND child&#x002A;. In addition to the articles recovered from the databases, other relevant studies, retrieved from the references cited in other research, were also included.</p>
<p>The PRISMA flow chart (<xref rid="fig1" ref-type="fig">Figure 1</xref>) illustrates the study selection process performed for this systematic review. The total number of results obtained in the initial search was 1,943 articles, of which 297 duplicates were eliminated. We then collected general information on each study (author, year of publication, title, source database and abstract) and reviewed their appropriateness to the study topic, based on the title and abstract. This resulted in the exclusion of 1,356 articles that were not related to our objectives, as they focussed, for example, on parental mental health, family interventions or research with non-human primates. From the resulting database (<italic>n</italic>&#x2009;=&#x2009;290), full texts were analysed and screened according to the following eligibility criteria:</p>
<list list-type="bullet">
<list-item>
<p><italic>Publication type</italic>: empirical articles published in peer-reviewed scientific journals were selected. Doctoral theses, book chapters, monographs, theoretical articles, and reviews were excluded.</p>
</list-item>
<list-item>
<p><italic>Publication area</italic>: we included studies that provided results in psychological terms (human development or behaviour).</p>
</list-item>
<list-item>
<p><italic>Aim of study</italic>: publications selected were those that explored triadic interactions between adults, objects, and infants during the first months of life. Articles on related topics (joint attention) were included if they referred to the &#x2018;triadicity&#x2019; of the interactions.</p>
</list-item>
<list-item>
<p><italic>Age of participants</italic>: given our interest in early interactions, we have prioritised the inclusion of studies focussing on the first year of life. Nevertheless, longitudinal studies where data collection was extended up to 18&#x2009;months of age of the participants were also considered.</p>
</list-item>
<list-item>
<p><italic>Language</italic>: only articles published in English or Spanish were included.</p>
</list-item>
<list-item>
<p><italic>Date of publication</italic>: to provide an updated analysis, only studies published between 2000 and 2022 were considered.</p>
</list-item>
<list-item>
<p><italic>Access to full text</italic>: articles for which it has not been possible to access the full text for review were also excluded.</p>
</list-item>
</list>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>PRISMA Flow chart.</p>
</caption>
<graphic xlink:href="fpsyg-14-1205973-g001.tif"/>
</fig>
<p>During the decision-making process, discrepancies regarding the inclusion of certain articles were resolved by consensus among the investigators. The screening process resulted in a final sample of 51 publications, which were subjected to a methodological quality analysis using QualSyst (<xref ref-type="bibr" rid="ref59">Kmet et al., 2004</xref>). This tool provides checklists adapted to a wide range of methodologies and topics that allow the critical evaluation of qualitative and quantitative scientific papers. On this basis, it provides an estimate of the methodological quality of studies as a result of a score between 0 and 1, with 1 being the highest possible quality score. It also proposes different cut-off points for deciding on the exclusion of studies, ranging from 0.55 to 0.75. All the studies included in the final sample exceed the highest cut-off point of 0.75 (M&#x2009;=&#x2009;0.925; SD&#x2009;=&#x2009;0.06).</p>
</sec>
<sec sec-type="results" id="sec3">
<label>3.</label>
<title>Results</title>
<p>For the analysis, we first explored the distribution of the scientific production included in the sample in terms of its population characteristics (where the studies were carried out and the context in which the data were collected) and methodological characteristics (type of study, type of design, type of interaction task, and data analysis strategy). Secondly, we carried out a thematic analysis of the results, based on the discussion of findings related to the origin, development, and educational implications of triadic interactions.</p>
<sec id="sec4">
<label>3.1.</label>
<title>Description of recent scientific production</title>
<p>When analysing the data on the location where the studies were conducted (<xref rid="fig2" ref-type="fig">Figure 2</xref>), we observed that studies run in European countries (59%) and North America (25%) predominated. Nonetheless, probably since our review also included texts in Spanish, the sample includes a considerable percentage of studies run in Latin American countries (12%). The limited share of research run in Asian contexts was striking (4%), with only two studies run in Japan and India, respectively. We did not find any work on this subject based on data collected in Australia or New Zealand.</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Sample distribution according to the regions where the studies were conducted.</p>
</caption>
<graphic xlink:href="fpsyg-14-1205973-g002.tif"/>
</fig>
<p>We also looked at recent trends in the study of triadic interactions in different contexts (<xref rid="fig3" ref-type="fig">Figure 3</xref>), as these could lead to different ways of interacting with the environment. To this end, we defined four categories that classify the interactions according to the degree of control of variables: laboratory, home, nursery school and mixed categories (i.e., studies that combined two or more of the above). The laboratory was and is the predominant setting for data collection in most of the research analysed (53%). However, there has been a recent increase in the number of studies using data collected in naturalistic settings, especially the home (41%). This includes studies in which the interactions take place between the child and their mother/father in a familiar environment (e.g., their own home or school). Nonetheless, other everyday interactions in the infants&#x2019; life, such as those with educators and peers at nursery school, are still underrepresented in the scientific literature (4%). Finally, although we found only one such study (2% of the sample), it is important to note that we were able to find mixed studies that combined data from more than one of these contexts, for example, the home and the laboratory (<xref ref-type="bibr" rid="ref32">Danis et al., 2000</xref>). However, this is not an alternative that has been maintained over time, favouring studies focussing on one or the other context.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Sample distribution by year of publication according to the settings in which the interactions were observed.</p>
</caption>
<graphic xlink:href="fpsyg-14-1205973-g003.tif"/>
</fig>
<p>Finally, <xref rid="tab1" ref-type="table">Table 1</xref> shows the distribution of the sample in terms of three elements: first, the type of study; second, the type of empirical design; and third, the data analysis strategy (<xref ref-type="bibr" rid="ref68">Montero and Le&#x00F3;n, 2002</xref>). For comprehensiveness purposes, we also included the type of interaction task used in the studies in our sample. Regarding the type of study, the sample comprises mainly descriptive (71%) and experimental (29%) research. In relation to the type of empirical design, we observed a more homogeneous distribution between longitudinal (55%) and cross-sectional designs (43%), while pre-post test designs in this area are scarce (2%). Studies were most frequently based on free-play interactions between adults (both researchers and parents) and babies (74.5%), followed by experimental interactions (17.5%) aimed at eliciting certain behaviours in infants. We found very few studies based on everyday routines at home such us feeding activities (4%) or teacher-led interactions in nursery schools (4%). Although not all studies provided data on the type of objects utilised, the vast majority of studies in our sample used toys (including musical toys and books) and artifacts (e.g., a spoon) to promote interaction. Finally, according to the data analysis strategy, there is a significant predominance of quantitative studies (78%), compared to qualitative (10%) or mixed methods (12%).</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Frequency and percentage of studies in the sample (<italic>n</italic>&#x2009;=&#x2009;51) by type of study, type of design, type of interaction task, and data analysis strategy.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th/>
<th align="center" valign="top">No. of studies</th>
<th align="center" valign="top">% of sample</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle" rowspan="2">Study type</td>
<td align="left" valign="middle">Descriptive</td>
<td align="center" valign="bottom">36</td>
<td align="center" valign="middle">71%</td>
</tr>
<tr>
<td align="left" valign="middle">Experimental</td>
<td align="center" valign="bottom">15</td>
<td align="center" valign="middle">29%</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="3">Design type</td>
<td align="left" valign="middle">Longitudinal</td>
<td align="center" valign="bottom">28</td>
<td align="center" valign="middle">55%</td>
</tr>
<tr>
<td align="left" valign="middle">Cross-sectional</td>
<td align="center" valign="bottom">22</td>
<td align="center" valign="middle">43%</td>
</tr>
<tr>
<td align="left" valign="middle">Pre-post test</td>
<td align="center" valign="bottom">1</td>
<td align="center" valign="middle">2%</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="4">Interaction task type</td>
<td align="left" valign="middle">Free play</td>
<td align="center" valign="bottom">38</td>
<td align="center" valign="middle">74.5%</td>
</tr>
<tr>
<td align="left" valign="middle">Experimental</td>
<td align="center" valign="bottom">9</td>
<td align="center" valign="middle">17.5%</td>
</tr>
<tr>
<td align="left" valign="middle">Teacher-led</td>
<td align="center" valign="bottom">2</td>
<td align="center" valign="middle">4%</td>
</tr>
<tr>
<td align="left" valign="middle">Everyday routine</td>
<td align="center" valign="bottom">2</td>
<td align="center" valign="middle">4%</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="3">Data analysis strategy</td>
<td align="left" valign="middle">Quantitative</td>
<td align="center" valign="bottom">40</td>
<td align="center" valign="middle">78%</td>
</tr>
<tr>
<td align="left" valign="middle">Qualitative</td>
<td align="center" valign="bottom">5</td>
<td align="center" valign="middle">10%</td>
</tr>
<tr>
<td align="left" valign="middle">Mixed-methods</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="middle">12%</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec5">
<label>3.2.</label>
<title>Thematic analysis of the data</title>
<p>The second part of this study consisted of a thematic analysis of the data (<xref ref-type="bibr" rid="ref20">Braun and Clarke, 2006</xref>), for which we organised the results along four lines of discussion: (1) the phenomena associated with the beginnings of triadicity, (2) the origin of early triadic behaviours, (3) the process of co-construction of adult-infant interaction, and (4) the function of triadic interactions as a shared learning framework.</p>
<sec id="sec6">
<label>3.2.1.</label>
<title>The first triadic encounters: from joint attention to joint action</title>
<p>One of the most studied phenomena on the origin of triadicity in early infancy is joint attention, which is an inherently socio-communicative process based on social cognition and communicative intentionality. While much research has confined its empirical study to aspects related to the infant&#x2019;s visual orientation system, for example, through measures such as gaze fixation and/or visual trajectory tracking between three and 12&#x2009;months of age (<xref ref-type="bibr" rid="ref30">Cleveland and Striano, 2007</xref>; <xref ref-type="bibr" rid="ref80">Parise et al., 2007</xref>; <xref ref-type="bibr" rid="ref113">Tremblay and Rovira, 2007</xref>; <xref ref-type="bibr" rid="ref49">Gattis et al., 2020</xref>), other work proposes that joint attention should be described on the basis of infant and adult socio-communicative skills that mediate interactions with objects throughout the entire first year of life (<xref ref-type="bibr" rid="ref102">Striano and Bertin, 2005</xref>; <xref ref-type="bibr" rid="ref104">Striano and Stahl, 2005</xref>; <xref ref-type="bibr" rid="ref105">Striano et al., 2007</xref>; <xref ref-type="bibr" rid="ref75">Os&#x00F3;rio et al., 2011</xref>). Among these, gaze following seems to emerge as an essential component from the first months after birth (<xref ref-type="bibr" rid="ref81">Perra and Gattis, 2012</xref>), although it is not the only one.</p>
<p>There are more behaviours that make it possible to sustain and participate in the interaction, for example, the visual following of adults&#x2019; pointing gestures that arise around three to 4&#x2009;months of age, and object manipulations in the last third of the first year (<xref ref-type="bibr" rid="ref6">Amano et al., 2004</xref>; <xref ref-type="bibr" rid="ref43">Flom et al., 2004</xref>). Although these studies have made important contributions to the study of early perceptual-attentional development, their point of view is limited in that they do not incorporate other variables of the psychological relationships between adults, objects, and infants, such as their multimodal characteristics or the construction of shared meanings in the interaction.</p>
<p>This problem, in part, derives from the lack of attention from this approach to the role played by referents in triadic interactions. Objects and their cultural norms of use favour and catalyse interactions by constituting a shared referent and are, therefore, essential when analysing triadic exchanges, especially at a very early age (<xref ref-type="bibr" rid="ref37">Dimitrova and Moro, 2013</xref>; <xref ref-type="bibr" rid="ref77">Palacios and Rodr&#x00ED;guez, 2015</xref>; <xref ref-type="bibr" rid="ref39">Dupertuis and Moro, 2016</xref>; <xref ref-type="bibr" rid="ref72">Moreno-N&#x00FA;&#x00F1;ez et al., 2017</xref>; <xref ref-type="bibr" rid="ref5">Alessandroni et al., 2020</xref>; <xref ref-type="bibr" rid="ref118">Vietri et al., 2021</xref>). In a study based on shared reading situations, <xref ref-type="bibr" rid="ref94">Rossmanith et al. (2014)</xref> described how adults, from the age of 3&#x2009;months of the baby, turn the object into an element both to be attended to (for example, by showing the book and using sounds, vocalisations, and verbalisations) and acted upon together (turning pages, opening fold-out flaps, touching different textures, or pointing to pictures). From this point of view, attention and joint action are two inseparable parts of complex, multimodal, socio-communicative exchanges, in which objects act as communicative vehicles between adults and babies (<xref ref-type="bibr" rid="ref70">Moreno-N&#x00FA;&#x00F1;ez et al., 2021b</xref>). At the beginning, it is the adult who endows these encounters with a triadic character, by progressively facilitating the infants&#x2019; learning about how to relate to and operate in the world.</p>
</sec>
<sec id="sec7">
<label>3.2.2.</label>
<title>The origins of the development of triadicity</title>
<p>Given the different perspectives on when the first triadic interactions emerge, we considered that this could be reflected in the designs represented in the sample. For example, considering that the interaction is only triadic from the age of 9&#x2009;months onwards, this might have an impact on the age selection of participants, resulting in a lower volume of evidence in earlier months. To this end, we explored the distribution of studies according to the ages analysed (in months). Since some studies addressed a particular age range, each age was considered as a non-mutually exclusive category. Thus, <xref rid="tab2" ref-type="table">Table 2</xref> shows that there is a higher proportion of studies in the sample as the infants&#x2019; age increases, especially during the last third of the first year of life, where 53% of the total observations were concentrated (<xref ref-type="bibr" rid="ref43">Flom et al., 2004</xref>; <xref ref-type="bibr" rid="ref2">Abels and Hutman, 2015</xref>; <xref ref-type="bibr" rid="ref1">Abels, 2020</xref>). These studies provide relevant information from the time when infants already possess some skill in triadic communication (<xref ref-type="bibr" rid="ref80">Parise et al., 2007</xref>; <xref ref-type="bibr" rid="ref75">Os&#x00F3;rio et al., 2011</xref>; <xref ref-type="bibr" rid="ref66">Mendive et al., 2013</xref>). Nevertheless, by focussing only on when infants acquire this achievement, they leave unresolved how these skills are developed at earlier stages.</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Frequency and percentage of studies in the sample (<italic>n</italic>&#x2009;=&#x2009;51) according to participants&#x2019; age in months.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th rowspan="2"/>
<th align="center" valign="top" colspan="13">Months of age</th>
</tr>
<tr>
<th align="center" valign="top">1</th>
<th align="center" valign="top">2</th>
<th align="center" valign="top">3</th>
<th align="center" valign="top">4</th>
<th align="center" valign="top">5</th>
<th align="center" valign="top">6</th>
<th align="center" valign="top">7</th>
<th align="center" valign="top">8</th>
<th align="center" valign="top">9</th>
<th align="center" valign="top">10</th>
<th align="center" valign="top">11</th>
<th align="center" valign="top">12</th>
<th align="center" valign="top">&#x003E; 12</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="bottom">No. studies</td>
<td align="center" valign="bottom">1</td>
<td align="center" valign="bottom">6</td>
<td align="center" valign="bottom">12</td>
<td align="center" valign="bottom">17</td>
<td align="center" valign="bottom">15</td>
<td align="center" valign="bottom">18</td>
<td align="center" valign="bottom">16</td>
<td align="center" valign="bottom">19</td>
<td align="center" valign="bottom">29</td>
<td align="center" valign="bottom">25</td>
<td align="center" valign="bottom">24</td>
<td align="center" valign="bottom">29</td>
<td align="center" valign="bottom">15</td>
</tr>
<tr>
<td align="left" valign="bottom">% sample</td>
<td align="center" valign="bottom">2%</td>
<td align="center" valign="bottom">12%</td>
<td align="center" valign="bottom">24%</td>
<td align="center" valign="bottom">33%</td>
<td align="center" valign="bottom">29%</td>
<td align="center" valign="bottom">35%</td>
<td align="center" valign="bottom">31%</td>
<td align="center" valign="bottom">37%</td>
<td align="center" valign="bottom">57%</td>
<td align="center" valign="bottom">49%</td>
<td align="center" valign="bottom">47%</td>
<td align="center" valign="bottom">57%</td>
<td align="center" valign="bottom">29%</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Despite the above, in recent decades there has been an increase in studies that specifically focus on early social-communicative skills (<xref ref-type="bibr" rid="ref6">Amano et al., 2004</xref>; <xref ref-type="bibr" rid="ref102">Striano and Bertin, 2005</xref>; <xref ref-type="bibr" rid="ref105">Striano et al., 2007</xref>; <xref ref-type="bibr" rid="ref113">Tremblay and Rovira, 2007</xref>). For example, <xref ref-type="bibr" rid="ref104">Striano and Stahl (2005)</xref> already suggested that triadic skills develop progressively over the first months of life, based on a comparative study on the duration of infants&#x2019; gaze. Two experimental conditions were designed to run this: in the first, the adult presented an object to the infant accompanied by affectionate comments, while coordinating visual attention between the object and the infant; in the second, the adult presented the object in the same way, but this time only directing the gaze towards the object. They found that, already at 3&#x2009;months, infants&#x2019; gaze duration was longer in the first experimental condition, which may indicate some early sensitivity to relevant communicative cues, such as eye contact with the adult in relation to the object.</p>
<p>This highlights the role played by the adult in the infant&#x2019;s daily exchanges and routines in the environment and, specifically, in relation to the material world. Recently, other studies suggested that the adult actively involves the infant and the object in the same communicative act from the first months of life (<xref ref-type="bibr" rid="ref34">De Barbaro et al., 2013</xref>, <xref ref-type="bibr" rid="ref35">2016</xref>; <xref ref-type="bibr" rid="ref94">Rossmanith et al., 2014</xref>; <xref ref-type="bibr" rid="ref72">Moreno-N&#x00FA;&#x00F1;ez et al., 2017</xref>), producing early triadic interactions even when infants are not yet able to initiate them on their own (<xref ref-type="bibr" rid="ref72">Moreno-N&#x00FA;&#x00F1;ez et al., 2017</xref>). From birth, adults and infants habitually engage in interactions based on iterative actions with objects, which provide a defined and facilitating structure (<xref ref-type="bibr" rid="ref71">Moreno-N&#x00FA;&#x00F1;ez et al., 2015</xref>; <xref ref-type="bibr" rid="ref5">Alessandroni et al., 2020</xref>). The reiterative and organised environment in which the first triadic interactions take place also favours attunement and understanding actions between infants and adults (<xref ref-type="bibr" rid="ref38">Dimitrova et al., 2015</xref>). Redundancies created, for example, through stimulation by touch, may occur in response to situations where the affective mediation of the adult becomes more necessary. This may occur, either because of the very young age of infants (<xref ref-type="bibr" rid="ref5">Alessandroni et al., 2020</xref>), or the difficulty of the task, where adults accompany infants in their attempts (<xref ref-type="bibr" rid="ref97">Serra et al., 2020</xref>).</p>
</sec>
<sec id="sec8">
<label>3.2.3.</label>
<title>Co-constructing the interaction: the role of the adult in the infant&#x2019;s developing agency</title>
<p>In line with this idea of early triadic interactions, i.e., before the age of 9&#x2009;months, more research seeks to describe the role of the adult in establishing the first shared references jointly with the child (<xref ref-type="bibr" rid="ref32">Danis et al., 2000</xref>; <xref ref-type="bibr" rid="ref54">Hobson et al., 2004</xref>; <xref ref-type="bibr" rid="ref72">Moreno-N&#x00FA;&#x00F1;ez et al., 2017</xref>). This has enabled us to identify some interactive strategies that the adult uses during triadic exchanges (<xref ref-type="bibr" rid="ref37">Dimitrova and Moro, 2013</xref>; <xref ref-type="bibr" rid="ref38">Dimitrova et al., 2015</xref>) as shown in <xref rid="tab3" ref-type="table">Table 3</xref>. In the light of results, some strategies might be more effective in engaging infants in shared activities with objects (<xref ref-type="bibr" rid="ref112">Trautman and Rollins, 2006</xref>; <xref ref-type="bibr" rid="ref97">Serra et al., 2020</xref>). For example, <xref ref-type="bibr" rid="ref66">Mendive et al. (2013)</xref> found that following and reinforcing an infant&#x2019;s interest with an object (which they call <italic>action maintenance</italic>) favours the occurrence of coordinated episodes of triadic interaction. However, other strategies, such as proposing a new activity to the infant (<italic>introduction</italic>) or one different from the ongoing action (<italic>redirection</italic>), often result in passive observation or individual exploration of the object by the infant. This suggests that adult mediation should be adjusted to the infant&#x2019;s developmental progress (<xref ref-type="bibr" rid="ref36">De Schuymer et al., 2011</xref>; <xref ref-type="bibr" rid="ref127">Zuccarini et al., 2018</xref>; <xref ref-type="bibr" rid="ref49">Gattis et al., 2020</xref>), this also being key to observing the course of the action to provide responses that are consistent with the child&#x2019;s actions and expressions of interest.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>Studies that reported adults&#x2019; verbal and/or behavioural strategies during triadic interactions (<italic>n</italic>&#x2009;=&#x2009;13).</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Reference</th>
<th align="left" valign="top">Topic</th>
<th align="center" valign="top">Infants&#x2019; age (in months)</th>
<th align="left" valign="top">Adults&#x2019; verbal strategies</th>
<th align="left" valign="top">Adults&#x2019; behavioural strategies</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref32">Danis et al. (2000)</xref></td>
<td align="left" valign="middle">Description of adults&#x2019; mediation in the emergence of prehension in infants.</td>
<td align="center" valign="middle">2&#x2013;4</td>
<td align="left" valign="middle">Comments</td>
<td align="left" valign="middle">Gestures</td>
</tr>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref72">Moreno-N&#x00FA;&#x00F1;ez et al. (2017)</xref></td>
<td align="left" valign="middle">Characterisation of adults&#x2019; communicative actions in home interactions.</td>
<td align="center" valign="middle">2&#x2013;4</td>
<td align="left" valign="middle">Comments</td>
<td align="left" valign="middle">Gestures and use of objects</td>
</tr>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref52">Guevara et al. (2020)</xref></td>
<td align="left" valign="middle">Depiction of adults and infants use of gestures in nursery schools.</td>
<td align="center" valign="middle">4&#x2013;11</td>
<td align="left" valign="middle">Verbal utterances (not specified)</td>
<td align="left" valign="middle">Gestures and use of objects</td>
</tr>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref49">Gattis et al. (2020)</xref></td>
<td align="left" valign="middle">Exploration of the emergence of attention sharing in infants.</td>
<td align="center" valign="middle">5</td>
<td align="left" valign="middle">Comments and directive speech</td>
<td align="left" valign="middle">Gestures, use of objects and responsive actions</td>
</tr>
<tr>
<td align="left" valign="middle"><xref ref-type="bibr" rid="ref60">Legerstee et al. (2007)</xref></td>
<td align="left" valign="middle">Examination of affective attunement between adults and infants.</td>
<td align="center" valign="middle">5&#x2013;10</td>
<td align="left" valign="middle">Comments, questions and responses to infants&#x2019; actions</td>
<td align="left" valign="middle">Affective behaviour</td>
</tr>
<tr>
<td align="left" valign="middle"><xref ref-type="bibr" rid="ref37">Dimitrova and Moro (2013)</xref></td>
<td align="left" valign="middle">Illustration of how adults adjust to infants to construct shared knowledge.</td>
<td align="center" valign="middle">8&#x2013;16</td>
<td align="left" valign="middle">N/A</td>
<td align="left" valign="middle">Gestures</td>
</tr>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref38">Dimitrova et al. (2015)</xref></td>
<td align="left" valign="middle">Characterisation of adults&#x2019; responses to infants&#x2019; gestures.</td>
<td align="center" valign="middle">8&#x2013;16</td>
<td align="left" valign="middle">Questions and responses to infants&#x2019; actions</td>
<td align="left" valign="middle">N/A</td>
</tr>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref39">Dupertuis and Moro (2016)</xref></td>
<td align="left" valign="middle">Description of adults&#x2019; mediation in infants&#x2019; gesture development.</td>
<td align="center" valign="middle">8&#x2013;16</td>
<td align="left" valign="middle">Comments</td>
<td align="left" valign="middle">Use of objects</td>
</tr>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref66">Mendive et al. (2013)</xref></td>
<td align="left" valign="middle">Identification of adults&#x2019; strategies to promote joint engagement with infants.</td>
<td align="center" valign="middle">9</td>
<td align="left" valign="middle">N/A</td>
<td align="left" valign="middle">Responsive actions</td>
</tr>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref78">Palacios et al. (2018)</xref></td>
<td align="left" valign="middle">Depiction of symbolic use of objects in infants.</td>
<td align="center" valign="middle">9&#x2013;15</td>
<td align="left" valign="middle">N/A</td>
<td align="left" valign="middle">Gestures and use of objects</td>
</tr>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref97">Serra et al. (2020)</xref></td>
<td align="left" valign="middle">Identification of adults&#x2019; haptic patterns during play.</td>
<td align="center" valign="middle">12</td>
<td align="left" valign="middle">N/A</td>
<td align="left" valign="middle">Affective behaviour</td>
</tr>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref112">Trautman and Rollins (2006)</xref></td>
<td align="left" valign="middle">Exploration of the relationship between adults&#x2019; verbal utterances and infants&#x2019; communicative development.</td>
<td align="center" valign="middle">12</td>
<td align="left" valign="middle">Comments</td>
<td align="left" valign="middle">N/A</td>
</tr>
<tr>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref54">Hobson et al. (2004)</xref></td>
<td align="left" valign="middle">Examination of adults&#x2019; sensitivity to infant&#x2019;s engagement cues.</td>
<td align="center" valign="middle">12&#x2013;14</td>
<td align="left" valign="middle">N/A</td>
<td align="left" valign="middle">Responsive actions</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>These adjustments also appear to follow a dynamic development over time, which is reflected in different interaction behaviours. For example, <xref ref-type="bibr" rid="ref32">Danis et al. (2000)</xref> observed variations in the content of maternal speech to the infant as a function of the infant&#x2019;s progressively more sophisticated motor skills between the second and fourth month of life. While messages related to the physical properties of the object tended to decrease, in contrast, verbalisations referring to the infant&#x2019;s hands, manipulative actions, and invitations to grasp the object increased. This is consistent with the findings of <xref ref-type="bibr" rid="ref37">Dimitrova and Moro (2013)</xref>, who observed how adults adapt their communicative action to the degree of knowledge they perceive in infants in relation to the use of the object: the more knowledge they attributed to the infant, the less gestural support they gave, and the less repetitive and exaggerated production of movements they made. In this way, the co-construction of communicative dynamics with these babies favoured development towards new learning.</p>
<p>While adult mediation is key to creating spaces for early interaction, the infants&#x2019; progressively more active participation favours the dynamic interactive patterns that both co-construct (<xref ref-type="bibr" rid="ref93">Rollins and Greenwald, 2013</xref>; <xref ref-type="bibr" rid="ref96">Schneider et al., 2022</xref>). Some studies suggest that, in situations of triadic interaction with objects, a symmetrical co-regulation prevails between both participants (<xref ref-type="bibr" rid="ref9">Aureli et al., 2017</xref>). This is not observed in conditions of dyadic interaction (i.e., without objects), in which it is the adult who tends to attract, maintain, and redirect the infant&#x2019;s attention. Likewise, certain routines such as shared reading activities appear to favour the active and dynamic involvement of both participants (<xref ref-type="bibr" rid="ref94">Rossmanith et al., 2014</xref>).</p>
<p>Although it is true that both start from different levels of attention and coordination, the fluency and sophistication of their exchanges increases progressively over time. In this process, the episodes of individual exploration and social initiatives related to the first conventional uses of the object also tend to increase. This is further influenced by factors such as affective attunement (<xref ref-type="bibr" rid="ref60">Legerstee et al., 2007</xref>; <xref ref-type="bibr" rid="ref93">Rollins and Greenwald, 2013</xref>). This, combined with the fact that the infant is increasingly effective in combining a variety of communicative resources, seems to increase the likelihood of the adult&#x2019;s response, who may more easily identify the child&#x2019;s actions as &#x201C;something to react to&#x201D; (<xref ref-type="bibr" rid="ref70">Moreno-N&#x00FA;&#x00F1;ez et al., 2021b</xref>). Moreover, in recent years, several studies have been interested in how family socioeconomic status could be related to different conceptions and socialisation goals, which could influence the degree of initiative and interactional agency of infants (<xref ref-type="bibr" rid="ref2">Abels and Hutman, 2015</xref>; <xref ref-type="bibr" rid="ref1">Abels, 2020</xref>) and the development of triadic coordination skills (<xref ref-type="bibr" rid="ref48">Gago-Galvagno and Elgier, 2020</xref>; <xref ref-type="bibr" rid="ref98">Simaes et al., 2022</xref>).</p>
</sec>
<sec id="sec9">
<label>3.2.4.</label>
<title>Triadic interactions as a shared learning framework</title>
<p>In addition to the analysis of how and when children&#x2019;s first intentional behaviours emerge, the study of triadic interactions may help to understand other important developmental milestones and their social nature. For example, from the age of 6&#x2009;months, the number of episodes of triadic interaction in which children engage is positively related to their anticipatory response to adult action (<xref ref-type="bibr" rid="ref18">Brandone et al., 2019</xref>). This may be evidence of a progressive identification of others as intentional agents. In addition, recent research also proposes to approach the development of intentional understanding from enactive and embodied perspectives, which differ from the classical cognitivist paradigm: &#x201C;It seeks to attend to the practical aspect of social cognition, that is, what subjects do when they intentionally understand others&#x201D; (<xref ref-type="bibr" rid="ref118">Vietri et al., 2021</xref>, p. 4).</p>
<p>According to these positions, infants&#x2019; own bodily activity and its congruence with adult action would constitute a basic form of intentional understanding. Infants&#x2019; anticipatory bodily adjustments during every-day routines, for example, when at mealtimes they lean forward and open their mouths to facilitate adults&#x2019; deliberate action with the spoon, appear to point to an early &#x201C;understanding&#x201D; of certain intentions. This lays the foundation for the origin of communicative intentionality in the child, from the first references shared with others. In this process, triadic interactions constitute a fundamental setting for the origin and development of various communicative mediators, such as gestures. In this sense, the pointing gesture has traditionally been considered one of the first communicative milestones. It allows Infants, towards the end of the first year, to interact with others and to communicate intentions, feelings, and requests about present but distant referents.</p>
<p>Notwithstanding, some studies included in this review question whether the establishment of shared reference is associated only with the pointing gesture, suggesting that ostensive gestures (e.g., giving and showing) also permit sharing interest in an object with the other, and could therefore contribute to the child&#x2019;s understanding of the referent (<xref ref-type="bibr" rid="ref17">Boundy et al., 2016</xref>; <xref ref-type="bibr" rid="ref52">Guevara et al., 2020</xref>; <xref ref-type="bibr" rid="ref73">Moreno-N&#x00FA;&#x00F1;ez et al., 2020</xref>). In ostensive gestures, the referent occupies the hand itself and, therefore, these present less semiotic complexity than distal gestures. Children often address these gestures to themselves (<xref ref-type="bibr" rid="ref39">Dupertuis and Moro, 2016</xref>), in a self-presentation of the object with exploratory and gradually reflexive functions. The transition between individual exploration of the object and the emergence of communicative behaviours directed to others would take place within the framework of triadic interactions. This enables the semiotic complexity of the interaction to be increased from the gradual distancing of the referent and the construction of socio-cultural meanings around the uses of objects (<xref ref-type="bibr" rid="ref73">Moreno-N&#x00FA;&#x00F1;ez et al., 2020</xref>).</p>
<p>Precisely, in the interaction with infants, adults rely on diverse repertoires of actions that include how they act with objects (<xref ref-type="bibr" rid="ref15">Bialek et al., 2014</xref>). Thus, children receive a great deal of information about their environment, for example, mediated by the incorporation of musical elements and dynamics that organise the interaction and contribute to attracting the child&#x2019;s attention and interest (<xref ref-type="bibr" rid="ref71">Moreno-N&#x00FA;&#x00F1;ez et al., 2015</xref>). This promotes the establishment of shared activity niches and favours affective and communicative harmony with the adult. These proposals have given rise to new methodological designs, which include the combination of software and analysis procedures that make it possible to detect patterns and variations in the musical resources present in the interactions (<xref ref-type="bibr" rid="ref5">Alessandroni et al., 2020</xref>). Although adults readjust their mediation as the child gains in agency, they continue to support the acquisition of later skills such as evoking events or objects that are not present (<xref ref-type="bibr" rid="ref77">Palacios and Rodr&#x00ED;guez, 2015</xref>; <xref ref-type="bibr" rid="ref79">Palacios et al., 2016</xref>, <xref ref-type="bibr" rid="ref78">2018</xref>) or language (<xref ref-type="bibr" rid="ref123">West and Iverson, 2017</xref>). In relation to the latter, some studies have observed that adults&#x2019; verbal utterances during the child&#x2019;s manipulative periods contain a higher proportion of labels, which facilitate object-word association and encourage interaction based on specific proposals for action (e.g., while playing with a phone and commenting: &#x201C;Are you talking to Daddy? Say hello to Daddy&#x201D;) (<xref ref-type="bibr" rid="ref123">West and Iverson, 2017</xref>, p. 198).</p>
</sec>
</sec>
</sec>
<sec id="sec10">
<label>4.</label>
<title>Discussion and conclusions</title>
<p>The scientific literature on early social-communicative development has dealt extensively with the study of infants&#x2019; first triadic interactions with adults and objects, giving rise to different theoretical and methodological perspectives for their empirical study. The aim of this paper was to analyse some relevant issues on which there is still no consensus. To this end, recent scientific projects were explored, describing their methodological characteristics and discussing their results based on a thematic analysis. With respect to the distribution of the studies, we have been able to verify that most of the studies have been carried out in Western regions, mainly Europe and North America, thus reproducing a common bias in psychological research based on the study of WEIRD (Western, Educated, Industrialised, Rich, and Democratic) population samples. From a gender perspective, while this is not a study focused on gender disparities, it is striking that in most of the studies in our sample (except for those in which no details on gender were provided), adult data came from female participants, including mothers, educators, and researchers. Thus, to obtain a true picture of early socio-communicative development in everyday routines, it would be interesting for future research to explore the reasons behind this imbalance, as well as to promoting the participation of male adults in interaction studies with young children.</p>
<p>Moreover, the laboratory has been the predominant context for data collection, although there is a growing trend towards research in naturalistic contexts, such as the home. In this regard, technological advances in recent decades have led to the use of activity recording instruments that impact on the degree of ecological validity of the data. For example, some studies use head-mounted camera and eye-tracker systems to record infants&#x2019; field of vision and their visual trajectory during certain activities (<xref ref-type="bibr" rid="ref124">Yu and Smith, 2013</xref>, <xref ref-type="bibr" rid="ref125">2016</xref>). However, we have not found studies that analyse triadic interactions by using <italic>wearable</italic> sensors, which could add accurate and relevant information about infants&#x2019; autonomy and/or motor activity when interacting in their environment (<xref ref-type="bibr" rid="ref33">De Barbaro, 2019</xref>).</p>
<p>In relation to the methodological characteristics of the studies in our sample, there is a greater representation of descriptive studies as opposed to experimental designs, which are mainly longitudinal and cross-sectional. We consider this to be an important factor, especially at an early age, as longitudinal research allows for a better definition over time of the dynamic and changing processes related to the phenomena studied (<xref ref-type="bibr" rid="ref51">Grimm et al., 2017</xref>). Finally, we have been able to observe how, in this sample, the use of quantitative strategies for data analysis prevails over qualitative or mixed methods approaches. Nonetheless, in qualitative studies, it should be noted that some of the techniques used could be particularly useful in the study of adult-infant interactions. For example, microgenetic procedures allow for in-depth and systematic analyses of the subtle changes that occur on a small scale in early development (<xref ref-type="bibr" rid="ref5">Alessandroni et al., 2020</xref>; <xref ref-type="bibr" rid="ref63">Louren&#x00E7;o et al., 2021</xref>). Furthermore, ethnographic studies such as that of <xref ref-type="bibr" rid="ref1">Abels (2020)</xref>, enrich observational data through researchers&#x2019; manual annotations during the continuous accompaniment of participants in their daily activities.</p>
<p>Subsequently, thematic analysis of the results has allowed us to identify different dilemmas about the nature of infants&#x2019; early experiences with adults and objects. First, research on joint attention and, specifically, on visual trajectories, has enabled us to approach the origins of adult-infant referential communication (<xref ref-type="bibr" rid="ref80">Parise et al., 2007</xref>; <xref ref-type="bibr" rid="ref113">Tremblay and Rovira, 2007</xref>; <xref ref-type="bibr" rid="ref81">Perra and Gattis, 2012</xref>; <xref ref-type="bibr" rid="ref124">Yu and Smith, 2013</xref>, <xref ref-type="bibr" rid="ref125">2016</xref>, <xref ref-type="bibr" rid="ref126">2017</xref>). Even when infants are limited by biological constrictions that prevent them from sustaining prolonged gaze, following the other&#x2019;s gaze enables them to share references about the world (<xref ref-type="bibr" rid="ref43">Flom et al., 2004</xref>; <xref ref-type="bibr" rid="ref30">Cleveland and Striano, 2007</xref>; <xref ref-type="bibr" rid="ref75">Os&#x00F3;rio et al., 2011</xref>).</p>
<p>Nonetheless, more recent work considers that joint attention goes beyond a simple coincidence of the gaze of two participants on the same object: during the interaction, they must also be attentive to the interlocutor&#x2019;s behaviours and accommodate them, which implies understanding themselves and the other as intentional agents (<xref ref-type="bibr" rid="ref108">Tomasello, 1995</xref>). For example, the adult takes advantage of the child&#x2019;s bouts of attention to prolong exchanges by using various mediators, such as facial expression or language. This has led to an increasingly important role being given to exploration and communicative interaction, rethinking the study of phenomena associated with the beginnings of triadicity, based on the possibilities offered by materiality (<xref ref-type="bibr" rid="ref50">Gibson, 1979</xref>). Accordingly, perception (attention) and action are part of the same process of active knowledge construction (<xref ref-type="bibr" rid="ref83">Reddy, 2005</xref>; <xref ref-type="bibr" rid="ref53">Heras Escribano, 2012</xref>). In this, attentional encounters would constitute the basis on which to establish instances of communication and joint action with others. These usually take place through objects and their cultural meanings (<xref ref-type="bibr" rid="ref70">Moreno-N&#x00FA;&#x00F1;ez et al., 2021b</xref>; <xref ref-type="bibr" rid="ref4">Alessandroni, 2023</xref>), promoting learning that will gradually enable the child to operate coherently with the socio-material environment that surrounds them (<xref ref-type="bibr" rid="ref22">Bruner, 1983</xref>; <xref ref-type="bibr" rid="ref92">Rogoff, 1990</xref>; <xref ref-type="bibr" rid="ref28">Carpenter et al., 1998</xref>).</p>
<p>This has led us to analyse other dilemmas surrounding the origin of the first triadic behaviours, such as when they emerge in the child&#x2019;s development. In this regard, numerous studies agree that infants&#x2019; social-communicative skills become more sophisticated from the age of 9&#x2009;months to a year (<xref ref-type="bibr" rid="ref115">Trevarthen and Hubley, 1978</xref>; <xref ref-type="bibr" rid="ref110">Tomasello et al., 2005</xref>), so a greater proportion of studies focussed on this period was expected (<xref ref-type="bibr" rid="ref43">Flom et al., 2004</xref>; <xref ref-type="bibr" rid="ref80">Parise et al., 2007</xref>; <xref ref-type="bibr" rid="ref75">Os&#x00F3;rio et al., 2011</xref>; <xref ref-type="bibr" rid="ref66">Mendive et al., 2013</xref>; <xref ref-type="bibr" rid="ref2">Abels and Hutman, 2015</xref>; <xref ref-type="bibr" rid="ref1">Abels, 2020</xref>). Despite this, it seems unlikely that infants&#x2019; communicative intentionality would suddenly emerge; on the contrary, it may emerge from early triadic encounters that adults organise around the object well before the age of 9&#x2009;months (<xref ref-type="bibr" rid="ref102">Striano and Bertin, 2005</xref>; <xref ref-type="bibr" rid="ref113">Tremblay and Rovira, 2007</xref>).</p>
<p>Accordingly, the coordination of the processes necessary for triadic interaction would take place on the basis of the adult action (<xref ref-type="bibr" rid="ref6">Amano et al., 2004</xref>; <xref ref-type="bibr" rid="ref30">Cleveland and Striano, 2007</xref>) and infants&#x2019; early sensitivity to communicative cues, such as the exchange of glances at others and the object (<xref ref-type="bibr" rid="ref104">Striano and Stahl, 2005</xref>). Consequently, before the infant can actively participate in triadic exchanges, the adult promotes their participation in a continuous process (<xref ref-type="bibr" rid="ref91">Rodr&#x00ED;guez and Moro, 1999</xref>) involving various semiotic mediators. On the one hand, they often resort to reiterative actions that favour the predictability of exchanges, making it easier for adults and infants to mutually &#x201C;read&#x201D; each other&#x2019;s intentions over time (<xref ref-type="bibr" rid="ref5">Alessandroni et al., 2020</xref>). On the other hand, adult mediation frequently relies on the use of objects and gives rise, as the infant acquires greater communicative tools, to actions which respond to the other&#x2019;s behaviours and the cultural functionality of objects (<xref ref-type="bibr" rid="ref94">Rossmanith et al., 2014</xref>; <xref ref-type="bibr" rid="ref71">Moreno-N&#x00FA;&#x00F1;ez et al., 2015</xref>, <xref ref-type="bibr" rid="ref72">2017</xref>; <xref ref-type="bibr" rid="ref26">C&#x00E1;rdenas et al., 2020</xref>; <xref ref-type="bibr" rid="ref52">Guevara et al., 2020</xref>).</p>
<p>Thus, aligned with a socio-constructivist and externalist approach to development, children build a shared &#x201C;fund of knowledge,&#x201D; which facilitates the learning of numerous skills (e.g., intentional understanding) and enables them to behave in a culturally situated manner (<xref ref-type="bibr" rid="ref11">Barresi and Moore, 1996</xref>; <xref ref-type="bibr" rid="ref87">Rochat, 2007</xref>; <xref ref-type="bibr" rid="ref18">Brandone et al., 2019</xref>, <xref ref-type="bibr" rid="ref19">2020</xref>). Notwithstanding, these results must be considered in the light of some limitations. On the one hand, the underrepresentation of studies run in certain environments familiar to the child (e.g., nursery schools) and populations beyond the Western context, implies a bias that prevents extrapolation of some of the results. Future research aimed at a global understanding of early communicative processes (<xref ref-type="bibr" rid="ref7">Amir and McAuliffe, 2020</xref>) should adopt an ecological perspective that responds to the everyday social, material, and cultural circumstances in which triadic interactions take place (<xref ref-type="bibr" rid="ref58">Keller et al., 2009</xref>; <xref ref-type="bibr" rid="ref95">Rowe and Goldin-Meadow, 2009</xref>; <xref ref-type="bibr" rid="ref1">Abels, 2020</xref>).</p>
<p>Furthermore, the diversity of theoretical and conceptual interpretations of the origin and development of triadic interactions has made it necessary to adopt a qualitative approach in this review, aimed at describing and discussing the different positions. In contrast, a quantitative review (meta-analysis) would enable further exploration of some of the specific questions that arise from this study, such as the extent to which triadic interactions benefit early communicative development, or the relationship between different factors and children&#x2019;s experiences of triadic interaction. For example, family socioeconomic status may be linked to different degrees of exposure to triadic interaction (<xref ref-type="bibr" rid="ref48">Gago-Galvagno and Elgier, 2020</xref>), while atypical developmental trajectories (such as prematurity at birth, Down syndrome or high-risk for ASD) may result in difficulties over social participation (<xref ref-type="bibr" rid="ref29">Chiang et al., 2008</xref>; <xref ref-type="bibr" rid="ref3">Adamson et al., 2009</xref>; <xref ref-type="bibr" rid="ref14">Benassi et al., 2016</xref>; <xref ref-type="bibr" rid="ref119">Vilaseca et al., 2022</xref>) which can be improved through early intervention (<xref ref-type="bibr" rid="ref74">Olafsen et al., 2006</xref>; <xref ref-type="bibr" rid="ref13">Bejarano-Mart&#x00ED;n et al., 2022</xref>; <xref ref-type="bibr" rid="ref64">Mattie and Fanta, 2023</xref>).</p>
<p>Further study of the development of early triadic interactions (i.e., from birth) could also provide possible improvements in early childhood education and care practises. For example, in the family context, some studies suggest that infants&#x2019; early communicative behaviours are not always effective in eliciting adult responses (<xref ref-type="bibr" rid="ref38">Dimitrova et al., 2015</xref>; <xref ref-type="bibr" rid="ref17">Boundy et al., 2016</xref>). Therefore, further exploration of infants&#x2019; cues in the context of early interactions around materiality could lead to the promotion of low-cost daily stimulation activities, such as shared reading practises (<xref ref-type="bibr" rid="ref16">Black et al., 2017</xref>). This could also be relevant for exploring the impact of parental mental health in the development of early triadic interactions (e.g., in cases of postpartum depression or parental stress), as parental emotional regulation may affect their interactive and communicative styles (<xref ref-type="bibr" rid="ref8">Apter and Devouche, 2019</xref>). In this sense, interventions aimed at accompanying parents by enhancing their interactive skills through video-feedback have been shown to boost caregivers&#x2019; self-perceived efficacy (<xref ref-type="bibr" rid="ref41">Fisher et al., 2016</xref>) and contribute to improving parental mental health (<xref ref-type="bibr" rid="ref56">Izett et al., 2021</xref>). In addition, they have also been shown to benefit infants&#x2019; development, for example, by fostering expressive and receptive communication skills (<xref ref-type="bibr" rid="ref55">Imhof et al., 2023</xref>) or reducing behavioural problems (<xref ref-type="bibr" rid="ref62">Liu et al., 2021</xref>).</p>
<p>Additionally, given the importance of the early years in psychological development and the importance of school as a socialising context, the findings synthesised in this review could be relevant for educators, as they could permeate educational processes to promote infants&#x2019; engagement with others and their environment. This requires further transferences between research and school, based on processes of joint reflection between professionals on their own educational practise. As is observed with parents at home, educators frequently mediate children&#x2019;s participation in shared activities loaded with socio-cultural meanings and tools (<xref ref-type="bibr" rid="ref21">Brossard, 2001</xref>; <xref ref-type="bibr" rid="ref90">Rodr&#x00ED;guez and De los Reyes, 2021</xref>). This takes place, again, through a multimodal prism in which objects, materials, language, gestures, and emotional expressions are usually involved (<xref ref-type="bibr" rid="ref40">Estrada, 2021</xref>). Although these types of interactions are part of children&#x2019;s everyday lives, it is surprising how little scientific literature to date has explored the educational practises at these early stages (0&#x2013;3&#x2009;years), particularly the role that material culture plays in shaping early development in various contexts.</p>
<p>The results of this review suggest that early triadic interactions: (1) are characterised as multimodal communicative exchanges that are structured in sequences of joint attention and action through materiality, (2) are built from the first months of life and develop thanks to adult mediation, and (3) constitute a privileged context for the construction of sociocultural meanings, which are fundamental for infants&#x2019; engagement with others and their environment.</p>
</sec>
<sec id="sec150">
<title>Author&#x2019;s note</title>
<p>A Spanish-language version of this article can be found online in the <xref ref-type="sec" rid="sec15">Supplementary material</xref>.</p>
</sec>
<sec sec-type="data-availability" id="sec11">
<title>Data availability statement</title>
<p>Publicly available datasets were analysed in this study. This data can be found here: <ext-link xlink:href="https://doi.org/10.5281/zenodo.8134795" ext-link-type="uri">https://doi.org/10.5281/zenodo.8134795</ext-link>.</p>
</sec>
<sec id="sec12">
<title>Author contributions</title>
<p>AM-G: conceptualization, methodology, data curation, analysis, investigation, and writing &#x2013; original draft. AM-N: conceptualization, writing &#x2013; original draft, writing &#x2013; review &#x0026; editing, and supervision. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec sec-type="funding-information" id="sec13">
<title>Funding</title>
<p>This study was supported by the Predoctoral Contract Scholarship for PhD Training (call 2020), granted to AM-G [reference PRE2020-094773], and project PID2019-108845GA-I00/AEI/10.13039/501100011033, both co-funded by the State Research Agency (Ministry of Science and Innovation, Spain) and the European Social Fund (ESF).</p>
</sec>
<sec sec-type="COI-statement" id="sec14">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec34" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
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</body>
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<sec sec-type="supplementary-material" id="sec15">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1205973/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1205973/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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