{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:57:36Z","timestamp":1791381456425,"version":"4.3.3"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Background<\/jats:title>\n The existing research on children\u2019s art education still has shortcomings in the field of artificial intelligence creation support and lacks an exclusive generation model and systematic evaluation framework that takes into account the characteristics of children\u2019s cognitive development and physical and mental health needs, which limits the practical application of digital aesthetic education in children\u2019s health promotion. Based on the development law of children\u2019s aesthetic cognition and the needs of mental health promotion, this study constructs an artificial intelligence (AI) generation model for children\u2019s artistic creation. By integrating children\u2019s figurative thinking characteristics, creativity development laws and emotional expression needs, it realises accurate support for children\u2019s artistic creation process. At the same time, a multi-dimensional evaluation system covering creativity, aesthetic literacy, mental health, visual health and social development is established to systematically evaluate the impact of AI-assisted aesthetic education on children\u2019s comprehensive health development so as to provide a theoretical basis and practical reference for children\u2019s health-orientated digital aesthetic education model.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n From July 2025 to December 2025, 120 children aged 6\u201314 (divided into three developmental levels: 6\u20138, 9\u201311, and 12\u201314) were selected for a 12-week controlled intervention experiment, and the experimental group (AI man\u2013machine collaborative aesthetic education, using the optimised children-specific improved WGAN-GP creative synthesis model) was set up. In this study, a quasi-experimental design was adopted, and the intervention effect was inferred by the correlation between groups and the changes within groups, without strict causal attribution. In the statistical analysis, age is taken as a covariate into the ANCOVA model, and hierarchical subgroup analysis is carried out according to age levels to test the potential influence of age on the main results. Multidimensional statistical methods such as the independent sample\n t<\/jats:italic>\n -test, paired sample\n t<\/jats:italic>\n -test, two-factor repeated measurement variance analysis, one-way covariance analysis (ANCOVA) with age as a covariate, Pearson correlation analysis, intra-group correlation coefficient (ICC), standardised mean difference (SMD), and determination coefficient (r) were used. Through the Torrance Creative Thinking Test (TTCT), the self-made Children\u2019s Artistic Aesthetic Literacy Rating Scale, which has been systematically developed and verified by reliability and validity, the generated image quality evaluation system, the Children\u2019s Depression and Anxiety Scale (SCARED), the Children\u2019s Perceived Stress Scale (CPSS), the visual fatigue score, the children\u2019s social expression health scale, the naked eye vision difference and the resting heart rate, the multi-dimensional indicators, the observed image quality evaluation system was generated. All health scales are marked with the applicable age range, and the standardised testing procedures of picture-assisted and item-by-item reading are adopted for children aged 6\u20138, and the boundaries of adult assistance are defined.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Compared with the control group, the Fr\u00e9chet dIStance (FID) of the experimental group is 21.15\u202f\u00b1\u202f1.31, the inception score (IS) is 2.87\u202f\u00b1\u202f0.16, and the anti-loss convergence rate is increased by 29.7%, so the model has excellent stability. The results of interpersonal intervention showed that the creativity fluency (79.68\u202f\u00b1\u202f5.82), flexibility (77.35\u202f\u00b1\u202f5.41), and uniqueness (75.46\u202f\u00b1\u202f5.73) of the experimental group were significantly better than those of the control group (67.52\u202f\u00b1\u202f5.13, 65.94\u202f\u00b1\u202f4.87, and 63.15\u202f\u00b1\u202f5.23). After controlling the age covariate, the difference between groups remained significant (\n f<\/jats:italic>\n value ranged from 87.32 to 156.48, all\n p<\/jats:italic>\n &lt;\u202f0.001), and the main effect of age was significant in some indexes but did not change the intervention direction. The scores of aesthetic perception, color matching, and composition creativity in the experimental group (84.36\u202f\u00b1\u202f3.81) were significantly higher than those in the control group (66.28\u202f\u00b1\u202f4.53), in which the scores of works with AI assistance and works without AI were reported separately to distinguish the quality of AI-assisted output from children\u2019s independent aesthetic ability. The scores of anxiety (12.35\u202f\u00b1\u202f2.11), perceived stress (9.62\u202f\u00b1\u202f1.87), and visual fatigue (2.14\u202f\u00b1\u202f0.63) in the experimental group were significantly lower than those in the control group (21.76\u202f\u00b1\u202f3.42, 17.53\u202f\u00b1\u202f2.69, and 4.89\u202f\u00b1\u202f0.92). The fluctuation difference of naked-eye vision after class was 0.12\/0.05 in the experimental group and 0.25\/0.08 in the control group (\n p<\/jats:italic>\n &lt;\u202f0.01). 5\u202fmins after class, the resting heart rate was 77.93\u202f\u00b1\u202f5.26 beats\/min in the experimental group and 86.71\u202f\u00b1\u202f6.22 beats\/min in the control group (\n p<\/jats:italic>\n &lt;\u202f0.01). The score of social health expression (87.41 3.65) was significantly higher than that of the control group (64.33 4.17), and the difference of all health indicators among groups was\n p<\/jats:italic>\n &lt;\u202f0.001. The score consistency within the group was ICC\u202f=\u202f0.84 (\n p<\/jats:italic>\n &lt;\u202f0.001), and the intervention effect amount SMD\u202f=\u202f0.68, which was a large-effect positive intervention. Pearson correlation analysis shows that children\u2019s participation in AI creation is highly positively correlated with the quality of creative output (\n r<\/jats:italic>\n =\u202f0.812,\n p<\/jats:italic>\n &lt;\u202f0.001), which is a cross-sectional correlation and does not constitute causal inference. Tool familiarity, personal preference, and exploration behavior may be potential confounding factors. Stratified subgroups showed that children with high anxiety and stress at baseline had the greatest improvement.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This study shows that the optimized creative synthesis model of the generation confrontation network can adapt to children\u2019s artistic creation thinking, and the improvement of creative thinking and aesthetic quality is observed in both AI-assisted creation and children\u2019s independent creation, accompanied by the reduction of anxiety, psychological pressure, and visual fatigue and the improvement of social expression level. In view of the quasi-experimental design and limited sample size of this study, the above results should be understood as intervention correlation rather than strict causal effect, and the performance of works under AI-assisted conditions should not be directly equivalent to children\u2019s independent aesthetic ability. This study provides a preliminary empirical basis for the scientific and standardized development of digital children\u2019s health aesthetic education.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1945238","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:27:41Z","timestamp":1791379661000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Generative adversarial network-based creative synthesis and AI art creation in children\u2019s art education: effects on health promotion"],"prefix":"10.3389","volume":"14","author":[{"given":"Jing","family":"Chen","sequence":"first","affiliation":[{"name":"College of the Arts Hebei Agricultural University","place":["Baoding, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Zhang","sequence":"additional","affiliation":[{"name":"College of the Arts Hebei Agricultural University","place":["Baoding, 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