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Published in: Trials 1/2017

Open Access 01-12-2017 | Study protocol

The KiVa antibullying program in primary schools in Chile, with and without the digital game component: study protocol for a randomized controlled trial

Authors: Jorge Gaete, Daniela Valenzuela, Cristian Rojas-Barahona, Eduardo Valenzuela, Ricardo Araya, Christina Salmivalli

Published in: Trials | Issue 1/2017

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Abstract

Background

Bullying is a major problem worldwide and Chile is no exception. Bullying is defined as a systematic aggressive behavior against a victim who cannot defend him or herself. Victims suffer social isolation and psychological maladjustment, while bullies have a higher risk for conduct problems and substance use disorders. These problems appear to last over time. The KiVa antibullying program has been evaluated in Finland and other European countries, showing preventive effects on victimization and self-reported bullying. The aims of this study are (1) to develop a culturally appropriate version of the KiVa material and (2) to test the effectiveness of the KiVa program, with and without the online game, on reducing experiences of victimization and bullying behavior among vulnerable primary schools in Santiago (Chile), using a cluster randomized controlled trial (RCT) design with three arms: (1) full KiVa program group, (2) partial KiVa (without online game) program group and (3) control group.

Methods and design

This is a three-arm, single-blind, cluster randomized controlled trial (RCT) with a target enrolment of 1495 4th and 5th graders attending 13 vulnerable schools per arm. Students in the full and partial KiVa groups will receive universal actions: ten 2-h lessons delivered by trained teachers during 1 year; they will be exposed to posters encouraging them to support victims and behave constructively when witnessing bullying; and a person designated by the school authorities will be present in all school breaks and lunchtimes using a visible KiVa vest to remind everybody that they are in a KiVa school. KiVa schools also will have indicated actions, which consist of a set of discussion groups with the victims and with the bullies, with proper follow-up. Only full KiVa schools will also receive an online game which has the aim to raise awareness of the role of the group in bullying, increase empathy and promote strategies to support victimized peers. Self-reported victimization, bullying others and peer-reported bullying actions, psychological and academic functioning, and sense of school membership will be measured at baseline and 12 months after randomization.

Discussion

This is the first cluster RCT of the KiVa antibullying program in Latin America.

Trial registration

ClinicalTrials.gov, Identifier: NCT02898324. Registered on 8 September 2016.
Appendix
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Literature
1.
2.
go back to reference Salmivalli C, Peets K. Bullies, victims, and bully-victim relationships in middle childhood and early adolescence. In: Rubin K, Bukowski WM, Laursen B, editors. Handbook of peer interactions, relationships and groups. New York: Guilford; 2009. p. 322–40. Salmivalli C, Peets K. Bullies, victims, and bully-victim relationships in middle childhood and early adolescence. In: Rubin K, Bukowski WM, Laursen B, editors. Handbook of peer interactions, relationships and groups. New York: Guilford; 2009. p. 322–40.
3.
go back to reference Craig W, Harel-Fisch Y, Fogel-Grinvald H, Dostaler S, Hetland J, Simons-Morton B, Molcho M, de Mato MG, Overpeck M, Due P, et al. A cross-national profile of bullying and victimization among adolescents in 40 countries. Int J Public Health. 2009;54 Suppl 2:216–24.CrossRefPubMedPubMedCentral Craig W, Harel-Fisch Y, Fogel-Grinvald H, Dostaler S, Hetland J, Simons-Morton B, Molcho M, de Mato MG, Overpeck M, Due P, et al. A cross-national profile of bullying and victimization among adolescents in 40 countries. Int J Public Health. 2009;54 Suppl 2:216–24.CrossRefPubMedPubMedCentral
4.
go back to reference Ministerio de Educación (Chile). Encuesta nacional prevención, agresión y acoso escolar. Resultados de 8° Básico. Santiago: Ministerio de Educación, Agencia de Calidad; 2011. Ministerio de Educación (Chile). Encuesta nacional prevención, agresión y acoso escolar. Resultados de 8° Básico. Santiago: Ministerio de Educación, Agencia de Calidad; 2011.
5.
go back to reference Ministerio de Interior (Chile). Tercera Encuesta Nacional de Violencia en el Ámbito Escolar 2009. Santiago: Ministerio de Interior; 2009. Ministerio de Interior (Chile). Tercera Encuesta Nacional de Violencia en el Ámbito Escolar 2009. Santiago: Ministerio de Interior; 2009.
6.
go back to reference Wentzel K. Peers and academic functioning at school. In: Rubin K, Bukowski WM, Laursen B, editors. Handbook of peer interactions, relationships, and groups. New York: Guilford; 2009. p. 531–47. Wentzel K. Peers and academic functioning at school. In: Rubin K, Bukowski WM, Laursen B, editors. Handbook of peer interactions, relationships, and groups. New York: Guilford; 2009. p. 531–47.
7.
go back to reference Card NA, Hodges EVE. Peer victimization among schoolchildren: correlations, causes, consequences, and considerations in assessment and intervention. Sch Psychol Q. 2008;23(4):451–61.CrossRef Card NA, Hodges EVE. Peer victimization among schoolchildren: correlations, causes, consequences, and considerations in assessment and intervention. Sch Psychol Q. 2008;23(4):451–61.CrossRef
8.
go back to reference Ttofi MM, Farrington DP. Effectiveness of school-based programs to reduce bullying: a systematic and meta-analytic review. J Exp Criminol. 2011;7(1):27–56.CrossRef Ttofi MM, Farrington DP. Effectiveness of school-based programs to reduce bullying: a systematic and meta-analytic review. J Exp Criminol. 2011;7(1):27–56.CrossRef
9.
go back to reference Ttofi MM, Farrington DP, Lösel F. School bullying as a predictor of violence later in life: a systematic review and meta-analysis of prospective longitudinal studies. Aggress Violent Behav. 2012;17(5):405–18.CrossRef Ttofi MM, Farrington DP, Lösel F. School bullying as a predictor of violence later in life: a systematic review and meta-analysis of prospective longitudinal studies. Aggress Violent Behav. 2012;17(5):405–18.CrossRef
10.
go back to reference Huitsing G, Veenstra R, Sainio M, Salmivalli C. “It must be me” or “It could be them?”: the impact of the social network position of bullies and victims on victims’ adjustment. Soc Networks. 2012;34(4):379–86.CrossRef Huitsing G, Veenstra R, Sainio M, Salmivalli C. “It must be me” or “It could be them?”: the impact of the social network position of bullies and victims on victims’ adjustment. Soc Networks. 2012;34(4):379–86.CrossRef
11.
go back to reference Rivers I, Poteat VP, Noret N, Ashurst N. Observing bullying at school: the mental health implications of witness status. Sch Psychol Q. 2009;24(4):211–23.CrossRef Rivers I, Poteat VP, Noret N, Ashurst N. Observing bullying at school: the mental health implications of witness status. Sch Psychol Q. 2009;24(4):211–23.CrossRef
12.
go back to reference Ley Nº 20,536: Sobre violencia escolar (2001). Chile. Ley Nº 20,536: Sobre violencia escolar (2001). Chile.
13.
go back to reference Kärnä A, Voeten M, Little TD, Alanen E, Poskiparta E, Salmivalli C. Effectiveness of the KiVa antibullying program: Grades 1–3 and 7–9: correction. J Educ Psychol. 2013;105(2):551.CrossRef Kärnä A, Voeten M, Little TD, Alanen E, Poskiparta E, Salmivalli C. Effectiveness of the KiVa antibullying program: Grades 1–3 and 7–9: correction. J Educ Psychol. 2013;105(2):551.CrossRef
14.
go back to reference Karna A, Voeten M, Little TD, Poskiparta E, Alanen E, Salmivalli C. Going to scale: a nonrandomized nationwide trial of the KiVa antibullying program for grades 1–9. J Consult Clin Psychol. 2011;79(6):796–805.CrossRefPubMed Karna A, Voeten M, Little TD, Poskiparta E, Alanen E, Salmivalli C. Going to scale: a nonrandomized nationwide trial of the KiVa antibullying program for grades 1–9. J Consult Clin Psychol. 2011;79(6):796–805.CrossRefPubMed
15.
go back to reference Karna A, Voeten M, Little TD, Poskiparta E, Kaljonen A, Salmivalli C. A large-scale evaluation of the KiVa antibullying program: grades 4–6. Child Dev. 2011;82(1):311–30.CrossRefPubMed Karna A, Voeten M, Little TD, Poskiparta E, Kaljonen A, Salmivalli C. A large-scale evaluation of the KiVa antibullying program: grades 4–6. Child Dev. 2011;82(1):311–30.CrossRefPubMed
16.
go back to reference Nocentini A, Menesini E. KiVa Anti-Bullying program in Italy: evidence of effectiveness in a randomized control trial. Prev Sci. 2016;17(8):1012–23.CrossRefPubMed Nocentini A, Menesini E. KiVa Anti-Bullying program in Italy: evidence of effectiveness in a randomized control trial. Prev Sci. 2016;17(8):1012–23.CrossRefPubMed
17.
go back to reference Clarkson S, Axford N, Berry V, Edwards RT, Bjornstad G, Wrigley Z, Charles J, Hoare Z, Ukoumunne OC, Matthews J, et al. Effectiveness and micro-costing of the KiVa school-based bullying prevention programme in Wales: study protocol for a pragmatic definitive parallel group cluster randomised controlled trial. BMC Public Health. 2016;16:104.CrossRefPubMedPubMedCentral Clarkson S, Axford N, Berry V, Edwards RT, Bjornstad G, Wrigley Z, Charles J, Hoare Z, Ukoumunne OC, Matthews J, et al. Effectiveness and micro-costing of the KiVa school-based bullying prevention programme in Wales: study protocol for a pragmatic definitive parallel group cluster randomised controlled trial. BMC Public Health. 2016;16:104.CrossRefPubMedPubMedCentral
18.
go back to reference Poskiparta E, Kaukiainen A, Pöyhönen V, Salmivalli C. Anti-bullying computer game as part of the KiVa program: Students’ perceptions of the game. In: The impact of technology on relationships in educational settings. 1 edn. Edited by Costabile A, Spears B. New York: Routledge; 2012: pp. 158-68. Poskiparta E, Kaukiainen A, Pöyhönen V, Salmivalli C. Anti-bullying computer game as part of the KiVa program: Students’ perceptions of the game. In: The impact of technology on relationships in educational settings. 1 edn. Edited by Costabile A, Spears B. New York: Routledge; 2012: pp. 158-68.
19.
go back to reference Lecannelier F, Varela J, Rodriguez J, Hoffmann M, Flores F, Ascanio L. A self administered survey to assess bullying in schools. Rev Med Chil. 2011;139(4):474–9.CrossRefPubMed Lecannelier F, Varela J, Rodriguez J, Hoffmann M, Flores F, Ascanio L. A self administered survey to assess bullying in schools. Rev Med Chil. 2011;139(4):474–9.CrossRefPubMed
20.
go back to reference Nocentini A, Zambuto V, Menesini E. Anti-bullying programs and Information and Communication Technologies (ICTs): a systematic review. Aggression Violent Behav. 2015;23:52–60.CrossRef Nocentini A, Zambuto V, Menesini E. Anti-bullying programs and Information and Communication Technologies (ICTs): a systematic review. Aggression Violent Behav. 2015;23:52–60.CrossRef
21.
go back to reference Ministerio de Educación (Chile). Informe Nacional Resultados Chile PISA 2012. In: Santiago, Chile: Agencia de Calidad de la Educación. División de Estudios, Departamento de Estudios Internacionales. Chile: Ministerio de Educación; 2012. Ministerio de Educación (Chile). Informe Nacional Resultados Chile PISA 2012. In: Santiago, Chile: Agencia de Calidad de la Educación. División de Estudios, Departamento de Estudios Internacionales. Chile: Ministerio de Educación; 2012.
22.
go back to reference Currie C, Zanotti C, Morgan A, Currie D. Social determinants of health and well-being among young people. In. Geneva: World Health Organisation; 2012. Currie C, Zanotti C, Morgan A, Currie D. Social determinants of health and well-being among young people. In. Geneva: World Health Organisation; 2012.
23.
go back to reference Wang J, Iannotti RJ, Nansel TR. School bullying among adolescents in the United States: physical, verbal, relational, and cyber. J Adolesc Health. 2009;45(4):368–75.CrossRefPubMedPubMedCentral Wang J, Iannotti RJ, Nansel TR. School bullying among adolescents in the United States: physical, verbal, relational, and cyber. J Adolesc Health. 2009;45(4):368–75.CrossRefPubMedPubMedCentral
24.
go back to reference Bowllan NM. Implementation and evaluation of a comprehensive, school-wide bullying prevention program in an urban/suburban middle school. J Sch Health. 2011;81(4):167–73.CrossRefPubMed Bowllan NM. Implementation and evaluation of a comprehensive, school-wide bullying prevention program in an urban/suburban middle school. J Sch Health. 2011;81(4):167–73.CrossRefPubMed
25.
go back to reference Hutchings J, Clarkson S. Introducing and piloting the KiVa bullying prevention programme in the UK. Educ Child Psychol. 2015;32(1):49–61. Hutchings J, Clarkson S. Introducing and piloting the KiVa bullying prevention programme in the UK. Educ Child Psychol. 2015;32(1):49–61.
26.
go back to reference Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry. 1997;38(5):581–6.CrossRefPubMed Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry. 1997;38(5):581–6.CrossRefPubMed
27.
go back to reference Goodman R, Meltzer H, Bailey V. The Strengths and Difficulties Questionnaire: a pilot study on the validity of the self-report version. Eur Child Adolesc Psychiatry. 1998;7(3):125–30.CrossRefPubMed Goodman R, Meltzer H, Bailey V. The Strengths and Difficulties Questionnaire: a pilot study on the validity of the self-report version. Eur Child Adolesc Psychiatry. 1998;7(3):125–30.CrossRefPubMed
28.
go back to reference Muris P, Meesters C, Eijkelenboom A, Vincken M. The self-report version of the Strengths and Difficulties Questionnaire: its psychometric properties in 8- to 13-year-old non-clinical children. Br J Clin Psychol. 2004;43(Pt 4):437–48.CrossRefPubMed Muris P, Meesters C, Eijkelenboom A, Vincken M. The self-report version of the Strengths and Difficulties Questionnaire: its psychometric properties in 8- to 13-year-old non-clinical children. Br J Clin Psychol. 2004;43(Pt 4):437–48.CrossRefPubMed
29.
go back to reference Becker A, Steinhausen HC, Baldursson G, Dalsgaard S, Lorenzo MJ, Ralston SJ, Dopfner M, Rothenberger A, ADORE Study Group. Psychopathological screening of children with ADHD: Strengths and Difficulties Questionnaire in a pan-European study. Eur Child Adolesc Psychiatry. 2006;15 Suppl 1:I56–62.CrossRefPubMed Becker A, Steinhausen HC, Baldursson G, Dalsgaard S, Lorenzo MJ, Ralston SJ, Dopfner M, Rothenberger A, ADORE Study Group. Psychopathological screening of children with ADHD: Strengths and Difficulties Questionnaire in a pan-European study. Eur Child Adolesc Psychiatry. 2006;15 Suppl 1:I56–62.CrossRefPubMed
30.
go back to reference Borg AM, Salmelin R, Kaukonen P, Joukamaa M, Tamminen T. Feasibility of the Strengths and Difficulties Questionnaire in assessing children’s mental health in primary care: Finnish parents’, teachers’ and public health nurses’ experiences with the SDQ. J Child Adolesc Ment Health. 2014;26(3):229–38.CrossRefPubMed Borg AM, Salmelin R, Kaukonen P, Joukamaa M, Tamminen T. Feasibility of the Strengths and Difficulties Questionnaire in assessing children’s mental health in primary care: Finnish parents’, teachers’ and public health nurses’ experiences with the SDQ. J Child Adolesc Ment Health. 2014;26(3):229–38.CrossRefPubMed
31.
go back to reference Borg AM, Kaukonen P, Joukamaa M, Tamminen T. Finnish norms for young children on the Strengths and Difficulties Questionnaire. Nord J Psychiatry. 2014;68(7):433–42.CrossRefPubMed Borg AM, Kaukonen P, Joukamaa M, Tamminen T. Finnish norms for young children on the Strengths and Difficulties Questionnaire. Nord J Psychiatry. 2014;68(7):433–42.CrossRefPubMed
32.
go back to reference Curvis W, McNulty S, Qualter P. The validation of the self-report strengths and difficulties questionnaire for use by 6- to 10-year-old children in the U.K. Br J Clin Psychol. 2014;53(1):131–7.CrossRefPubMed Curvis W, McNulty S, Qualter P. The validation of the self-report strengths and difficulties questionnaire for use by 6- to 10-year-old children in the U.K. Br J Clin Psychol. 2014;53(1):131–7.CrossRefPubMed
33.
go back to reference Marzocchi GM, Capron C, Di Pietro M, Duran Tauleria E, Duyme M, Frigerio A, Gaspar MF, Hamilton H, Pithon G, Simoes A, et al. The use of the Strengths and Difficulties Questionnaire (SDQ) in Southern European countries. Eur Child Adolesc Psychiatry. 2004;13 Suppl 2:II40–6.CrossRefPubMed Marzocchi GM, Capron C, Di Pietro M, Duran Tauleria E, Duyme M, Frigerio A, Gaspar MF, Hamilton H, Pithon G, Simoes A, et al. The use of the Strengths and Difficulties Questionnaire (SDQ) in Southern European countries. Eur Child Adolesc Psychiatry. 2004;13 Suppl 2:II40–6.CrossRefPubMed
34.
go back to reference Turi E, Toth I, Gervai J. Further examination of the Strengths and Difficulties Questionnaire (SDQ-Magy) in a community sample of young adolescents. Psychiatr Hung. 2011;26(6):415–26.PubMed Turi E, Toth I, Gervai J. Further examination of the Strengths and Difficulties Questionnaire (SDQ-Magy) in a community sample of young adolescents. Psychiatr Hung. 2011;26(6):415–26.PubMed
35.
go back to reference Woerner W, Fleitlich-Bilyk B, Martinussen R, Fletcher J, Cucchiaro G, Dalgalarrondo P, Lui M, Tannock R. The Strengths and Difficulties Questionnaire overseas: evaluations and applications of the SDQ beyond Europe. Eur Child Adolesc Psychiatry. 2004;13 Suppl 2:II47–54.PubMed Woerner W, Fleitlich-Bilyk B, Martinussen R, Fletcher J, Cucchiaro G, Dalgalarrondo P, Lui M, Tannock R. The Strengths and Difficulties Questionnaire overseas: evaluations and applications of the SDQ beyond Europe. Eur Child Adolesc Psychiatry. 2004;13 Suppl 2:II47–54.PubMed
36.
go back to reference Yao S, Zhang C, Zhu X, Jing X, McWhinnie CM, Abela JR. Measuring adolescent psychopathology: psychometric properties of the self-report strengths and difficulties questionnaire in a sample of Chinese adolescents. J Adolesc Health. 2009;45(1):55–62.CrossRefPubMed Yao S, Zhang C, Zhu X, Jing X, McWhinnie CM, Abela JR. Measuring adolescent psychopathology: psychometric properties of the self-report strengths and difficulties questionnaire in a sample of Chinese adolescents. J Adolesc Health. 2009;45(1):55–62.CrossRefPubMed
37.
go back to reference Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry. 2001;40(11):1337–45.CrossRefPubMed Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry. 2001;40(11):1337–45.CrossRefPubMed
38.
go back to reference Goodenow C. The psychological sense of school membership among adolescents: scale development and educational correlates. Psychol Schools. 1993;30(1):79–90.CrossRef Goodenow C. The psychological sense of school membership among adolescents: scale development and educational correlates. Psychol Schools. 1993;30(1):79–90.CrossRef
39.
go back to reference Ibañez G, Kuperminc G, Jurkovic G, Perilla J. Cultural attributes and adaptations linked to achievement motivation among Latino adolescents. J Youth Adolesc. 2004;33(6):559–68.CrossRef Ibañez G, Kuperminc G, Jurkovic G, Perilla J. Cultural attributes and adaptations linked to achievement motivation among Latino adolescents. J Youth Adolesc. 2004;33(6):559–68.CrossRef
40.
go back to reference Sánchez B, Colón Y, Esparza P. The role of sense of school belonging and gender in the academic adjustment of Latino adolescents. J Youth Adolesc. 2005;34(6):619–28.CrossRef Sánchez B, Colón Y, Esparza P. The role of sense of school belonging and gender in the academic adjustment of Latino adolescents. J Youth Adolesc. 2005;34(6):619–28.CrossRef
41.
go back to reference Booker K. Likeness, comfort, and tolerance: examining African American adolescents’ sense of school belonging. Urban Rev. 2007;39(3):301–17.CrossRef Booker K. Likeness, comfort, and tolerance: examining African American adolescents’ sense of school belonging. Urban Rev. 2007;39(3):301–17.CrossRef
42.
go back to reference Gaete J, Montero-Marin J, Rojas-Barahona CA, Olivares E, Araya R. Validation of the Spanish Version of the Psychological Sense of School Membership (PSSM) Scale in Chilean Adolescents and Its Association with School- Related Outcomes and Substance Use. Front Psychol 2016, 7:1901 Gaete J, Montero-Marin J, Rojas-Barahona CA, Olivares E, Araya R. Validation of the Spanish Version of the Psychological Sense of School Membership (PSSM) Scale in Chilean Adolescents and Its Association with School- Related Outcomes and Substance Use. Front Psychol 2016, 7:1901
43.
go back to reference Moher D, Hopewell S, Schulz KF, Montori V, Gotzsche PC, Devereaux PJ, Elbourne D, Egger M, Altman DG. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;340:c869.CrossRefPubMedPubMedCentral Moher D, Hopewell S, Schulz KF, Montori V, Gotzsche PC, Devereaux PJ, Elbourne D, Egger M, Altman DG. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;340:c869.CrossRefPubMedPubMedCentral
Metadata
Title
The KiVa antibullying program in primary schools in Chile, with and without the digital game component: study protocol for a randomized controlled trial
Authors
Jorge Gaete
Daniela Valenzuela
Cristian Rojas-Barahona
Eduardo Valenzuela
Ricardo Araya
Christina Salmivalli
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Trials / Issue 1/2017
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-017-1810-1

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