diff --git a/packages/core/src/DdSdkReactNative.tsx b/packages/core/src/DdSdkReactNative.tsx
index aae1422e6..b74605ddb 100644
--- a/packages/core/src/DdSdkReactNative.tsx
+++ b/packages/core/src/DdSdkReactNative.tsx
@@ -530,7 +530,7 @@ export class DdSdkReactNative {
             DdBabelInteractionTracking.config = {
                 trackInteractions,
                 useAccessibilityLabel:
-                    configuration.rumConfiguration?.useAccessibilityLabel ||
+                    configuration.rumConfiguration?.useAccessibilityLabel ??
                     RUM_DEFAULTS.useAccessibilityLabel
             };
 
diff --git a/packages/core/src/__tests__/DdSdkReactNative.test.tsx b/packages/core/src/__tests__/DdSdkReactNative.test.tsx
index a8d975dc7..1b35fc49e 100644
--- a/packages/core/src/__tests__/DdSdkReactNative.test.tsx
+++ b/packages/core/src/__tests__/DdSdkReactNative.test.tsx
@@ -18,6 +18,7 @@ import { ProxyConfiguration, ProxyType, SdkVerbosity } from '../config/types';
 import { DdLogs } from '../logs/DdLogs';
 import { DdRum } from '../rum/DdRum';
 import { DdRumErrorTracking } from '../rum/instrumentation/DdRumErrorTracking';
+import { DdBabelInteractionTracking } from '../rum/instrumentation/interactionTracking/DdBabelInteractionTracking';
 import { DdRumUserInteractionTracking } from '../rum/instrumentation/interactionTracking/DdRumUserInteractionTracking';
 import { DdRumResourceTracking } from '../rum/instrumentation/resourceTracking/DdRumResourceTracking';
 import { PropagatorType, RumActionType } from '../rum/types';
@@ -653,6 +654,50 @@ describe('DdSdkReactNative', () => {
     });
 
     describe('feature enablement', () => {
+        describe('Babel interaction tracking', () => {
+            const originalConfig = DdBabelInteractionTracking.config;
+            const originalPluginFlag =
+                globalThis.__DD_RN_BABEL_PLUGIN_ENABLED__;
+
+            beforeEach(() => {
+                globalThis.__DD_RN_BABEL_PLUGIN_ENABLED__ = true;
+                NativeModules.DdSdk.initialize.mockResolvedValue(null);
+            });
+
+            afterEach(() => {
+                globalThis.__DD_RN_BABEL_PLUGIN_ENABLED__ = originalPluginFlag;
+                DdBabelInteractionTracking.config = originalConfig;
+            });
+
+            it.each([
+                { useAccessibilityLabel: false, expected: false },
+                { useAccessibilityLabel: true, expected: true },
+                { useAccessibilityLabel: undefined, expected: true }
+            ])(
+                'respects useAccessibilityLabel=$useAccessibilityLabel during initialization',
+                async ({ useAccessibilityLabel, expected }) => {
+                    const configuration = new CoreConfiguration('2', 'env');
+                    configuration.rumConfiguration = new RumConfiguration(
+                        '1',
+                        true,
+                        false,
+                        false,
+                        { useAccessibilityLabel }
+                    );
+
+                    await DdSdkReactNative.initialize(configuration);
+
+                    expect(DdBabelInteractionTracking.config).toEqual({
+                        trackInteractions: true,
+                        useAccessibilityLabel: expected
+                    });
+                    expect(
+                        DdRumUserInteractionTracking.startTracking
+                    ).not.toHaveBeenCalled();
+                }
+            );
+        });
+
         it('enables user interaction feature when initialize { user interaction config enabled }', async () => {
             // GIVEN
             const fakeAppId = '1';
diff --git a/packages/core/src/rum/instrumentation/interactionTracking/__tests__/DdBabelInteractionTracking.test.ts b/packages/core/src/rum/instrumentation/interactionTracking/__tests__/DdBabelInteractionTracking.test.ts
index 003d4da27..c74b86ba5 100644
--- a/packages/core/src/rum/instrumentation/interactionTracking/__tests__/DdBabelInteractionTracking.test.ts
+++ b/packages/core/src/rum/instrumentation/interactionTracking/__tests__/DdBabelInteractionTracking.test.ts
@@ -69,7 +69,10 @@ describe('DdBabelInteractionTracking.wrapRumAction', () => {
 
     it('should forward the first handler argument as actionContext to DdRum.addAction', () => {
         const mockAddAction = jest.fn().mockResolvedValue(undefined);
-        DdBabelInteractionTracking.config = { trackInteractions: true };
+        DdBabelInteractionTracking.config = {
+            trackInteractions: true,
+            useAccessibilityLabel: true
+        };
         DdBabelInteractionTracking.attachRumInstance({
             addAction: mockAddAction
         } as any);
@@ -94,4 +97,104 @@ describe('DdBabelInteractionTracking.wrapRumAction', () => {
             event
         );
     });
+
+    describe('action naming precedence', () => {
+        const mockAddAction = jest.fn().mockResolvedValue(undefined);
+        const originalConfig = DdBabelInteractionTracking.config;
+
+        beforeEach(() => {
+            mockAddAction.mockClear();
+            DdBabelInteractionTracking.attachRumInstance({
+                addAction: mockAddAction
+            } as any);
+        });
+
+        afterEach(() => {
+            DdBabelInteractionTracking.config = originalConfig;
+        });
+
+        describe.each([true, false])(
+            'useAccessibilityLabel=%s',
+            useAccessibilityLabel => {
+                it.each([
+                    {
+                        source:
+                            'dd-action-name over custom attribute, accessibility label and content',
+                        attributes: {
+                            'dd-action-name': ['Explicit'],
+                            customName: ['Custom'],
+                            accessibilityLabel: ['Accessible']
+                        },
+                        content: ['Content'],
+                        expected: 'Pressable ("Explicit")'
+                    },
+                    {
+                        source:
+                            'custom attribute over accessibility label and content',
+                        attributes: {
+                            customName: ['Custom'],
+                            accessibilityLabel: ['Accessible']
+                        },
+                        content: ['Content'],
+                        expected: 'Pressable ("Custom")'
+                    },
+                    {
+                        source:
+                            'accessibility label or content according to configuration',
+                        attributes: { accessibilityLabel: ['Accessible'] },
+                        content: ['Content'],
+                        expected: useAccessibilityLabel
+                            ? 'Pressable ("Accessible")'
+                            : 'Pressable ("Content")'
+                    },
+                    {
+                        source:
+                            'accessibility label or component name when there is no content',
+                        attributes: { accessibilityLabel: ['Edit'] },
+                        content: [],
+                        expected: useAccessibilityLabel
+                            ? 'Pressable ("Edit")'
+                            : 'Pressable'
+                    },
+                    {
+                        source: 'content when there are no naming attributes',
+                        attributes: {},
+                        content: ['Content'],
+                        expected: 'Pressable ("Content")'
+                    },
+                    {
+                        source:
+                            'component name when there are no naming attributes or content',
+                        attributes: {},
+                        content: [],
+                        expected: 'Pressable'
+                    }
+                ])('uses $source', ({ attributes, content, expected }) => {
+                    DdBabelInteractionTracking.config = {
+                        trackInteractions: true,
+                        useAccessibilityLabel
+                    };
+                    const wrapped = DdBabelInteractionTracking.wrapRumAction(
+                        jest.fn(),
+                        RumActionType.TAP,
+                        {
+                            options: {
+                                useContent: true,
+                                useNamePrefix: true
+                            },
+                            handlerArgs: [],
+                            componentName: 'Pressable',
+                            getContent: () => content,
+                            ...attributes
+                        } as any
+                    );
+
+                    wrapped();
+
+                    expect(mockAddAction).toHaveBeenCalledTimes(1);
+                    expect(mockAddAction.mock.calls[0][1]).toBe(expected);
+                });
+            }
+        );
+    });
 });