Innovative Smartwatch System Developed to Manage Children’s Emotional Outbursts
Researchers at Mayo Clinic have unveiled a groundbreaking smartwatch-based alert system designed to notify parents at the earliest indications of tantrums in children grappling with emotional and behavioral disorders. This technology empowers parents to intervene promptly, mitigating the escalation of such incidents.
In a recently published study in JAMA Network Open, the alerts enabled parents to respond within a mere four seconds, effectively reducing the duration of severe tantrums by an average of 11 minutes—approximately half the time associated with conventional therapy methods.
This avant-garde system employs a smartwatch worn by the child to detect physiological stress markers, including elevated heart rates and alterations in movement or sleep patterns.
The data is transmitted to an artificial intelligence-driven application on the parent’s smartphone, which analyzes the information in real time and dispatches alerts, prompting parental engagement.
The results underscore the potential of smartwatch technology in addressing a crucial gap in pediatric mental healthcare, offering parents tangible support when professional intervention might not be immediately accessible.
The need for such resources is substantial, with nearly 20% of U.S. children diagnosed with a mental, behavioral, or emotional health disorder, as reported by the Centers for Disease Control and Prevention.
This initiative exemplifies how wearable technology, supplemented by a patient-centered AI design, can extend support to families beyond the confines of clinical settings.
Study Design and Outcomes
In this randomized clinical trial, 50 children aged 3 to 7 undergoing Parent-Child Interaction Therapy at Mayo Clinic participated over a span of 16 weeks. Half were equipped with the smartwatch system, while the other half adhered to standard therapeutic methods.
The study assessed both the intended usage of the technology by families and its impact on parental response times and children’s behaviors.
Remarkably, children utilized the smartwatch for approximately 75% of the study duration, indicating both feasibility and strong family involvement.
Dr. Magdalena Romanowicz, a Mayo Clinic child psychiatrist and co-leader of the study, remarked, “This study shows that even minor, well-timed interventions can alter the trajectory of a child’s emotional dysregulation episode.
Such opportunities allow parents to step in with supportive actions, including approaching their child, offering reassurance, identifying emotions, and redirecting focus before a tantrum escalates.”
Advancements from Prior Research
This research builds upon the team’s previous work that employed a machine learning algorithm to scrutinize smartwatch data, encompassing heart rates, sleep, and movement, to predict disruptive behaviors in hospitalized children receiving psychiatric care.
That earlier study, published in the Journal of Child and Adolescent Psychopharmacology, demonstrated that the algorithm could anticipate a child’s behavioral state with 81% accuracy, providing warnings ranging from 30 to 60 minutes prior to potential outbursts.
Dr. Arjun Athreya, who co-led the study and serves on the engineering faculty at Mayo Clinic’s Department of Molecular Pharmacology and Experimental Therapeutics, stated, “This work illustrates the convergence of basic science and clinical research in transforming patient care.
We’ve translated inpatient insights into outpatient applications, showcasing how data from commonplace smart devices can assist families in real time.”
Empowering Families through Data-Driven Solutions
Dr. Paul Croarkin, a Mayo Clinic child and adolescent psychiatrist and co-author of the study, emphasized the significance of data-driven care.

“While a smartwatch may appear simple, its integration with evidence-based treatments and sophisticated analytics transforms it into a crucial resource for families managing severe behavioral symptoms at home.”
Dr. Julia Shekunov, medical director of Mayo Clinic’s Child and Adolescent Psychiatry Inpatient Unit and co-author, highlighted the urgent need this system addresses: We are witnessing an increase in the number of children in crisis, along with escalating severity.
This system equips parents with immediate tools, enabling them to assist their children in regaining control, even outside of clinical environments.
Future Directions
Upcoming studies aim to enhance the system’s predictive accuracy, evaluate its efficacy in larger cohorts, and explore its long-term benefits in routine outpatient care.
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