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. 2026 Aug 18;28:e91756. doi: 10.2196/91756

Table 3.

Smile task quality checklist.

Rule/issue Penalty
Idle duration

Idle >5 s before or after the task 1 point

Idle ≥5 s between smiles 2 points
Background contrast and blurriness

Dark/low-contrast background or blurry video, but face remains clearly visible 1 point

Face visibility impaired (unclear face) 2 points
Multiple people in frame

Photos/pictures of other people visible in background 1 point

Another person’s face appears in the recording frame 2 points
Eyeglasses

No glare or negligible glare OK

Glare present, eyes remain partially visible 1 point

Glare severely obstructs visibility of either eye 2 points
Smile count

Exactly 3 smiles OK

4 or 5 smiles 1 point

<3 or >5 smiles 2 points
Expression ambiguity

Smile resembles laughter or executed too quickly 1 point
Body movement

Multiple head/body movements during smiles, but head always in the frame 1 point

Head leaves the frame during the task 2 points
Distance from camera

Head-and-shoulders (headshot) framing OK

Waist visible in frame 1 point

Lower body (eg, knees) visible; too far from camera 2 points
Noncompliance (any of the following)

No smile-task recording; recorded on phone/tablet (instructed to use computer/laptop); face not fully visible; unstable/shaky camera; not forward-facing (bad angle); participant speaks during task 2 points