The words in the brackets are telling the actors what to physically do, meaning it would be a stage direction.
It isn't dialogue because that is a conversation between two people.
It isn't dialect because that is how a person speaks. There is no speaking in the brackets.
It isn't narration because it isn't spoken allowed for the audience.
It isn't a description because that is too broad a term more often used for emotions.
The teddy bear symbolizes Cara's love for her grandfather because that text states that "Now, every time Cara misses her grandfather, she holds on tightly." This statement supports that everytime Cara misses her grandfater she squeezes it tightly to remind her love for him.