{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T03:25:37Z","timestamp":1794367537975,"version":"4.9.0"},"reference-count":55,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:p>Generative artificial intelligence (AI) technologies, capable of producing original text, images, audio, and video, are increasingly embedded in children\u2019s learning, play, and daily life. Pediatric clinicians and parents face the challenge of guiding children toward safe and constructive engagement with these rapidly evolving tools. This state-of-the-art review synthesizes current knowledge regarding opportunities, risks, and best practices related to children\u2019s interactions with generative AI. Developmental considerations are emphasized because the impact of AI varies across early childhood, middle childhood, and adolescence. We highlight potential benefits, including personalized learning, creative expression, and enhanced communication, while also discussing risks such as misinformation, privacy threats, and false perceptions of AI as a friend or caregiver. Evidence-based strategies are proposed to promote AI literacy, critical thinking, and safe integration of AI into pediatric care and education.<\/jats:p>","DOI":"10.1542\/peds.2025-074912","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:02:41Z","timestamp":1772582561000},"source":"Crossref","is-referenced-by-count":11,"title":["Generative Artificial Intelligence: Implications for Families and Pediatricians"],"prefix":"10.1542","volume":"157","author":[{"given":"Robert W.","family":"Grundmeier","sequence":"first","affiliation":[{"name":"1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"},{"name":"2Department of Biomedical and Health Informatics, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"},{"name":"3Clinical Futures, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander G.","family":"Fiks","sequence":"additional","affiliation":[{"name":"1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"},{"name":"2Department of Biomedical and Health Informatics, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"},{"name":"3Clinical Futures, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"},{"name":"4Policy Lab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian P.","family":"Jenssen","sequence":"additional","affiliation":[{"name":"1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"},{"name":"3Clinical Futures, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"},{"name":"4Policy Lab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephon N.","family":"Proctor","sequence":"additional","affiliation":[{"name":"2Department of Biomedical and Health Informatics, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"},{"name":"5Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daria F.","family":"Ferro","sequence":"additional","affiliation":[{"name":"1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"},{"name":"2Department of Biomedical and Health Informatics, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin B.","family":"Johnson","sequence":"additional","affiliation":[{"name":"1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"},{"name":"2Department of Biomedical and Health Informatics, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"},{"name":"6Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"},{"name":"7David L. 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