KiVa Anti-bullying Program in Chile: Evaluation of Effectiveness With and Without the Digital Game Component

Study Overview
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Brief Summary
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Bullying is a major problem worldwide and, with no exception, in Chile. Bullying is defined as a systematic aggressive behavior against a victim who cannot defend himself or herself. Victims suffer many consequences such as social isolation, psychological maladjustment, and self-injury behavior. Additionally, bullies have a higher risk for conduct problems and substance use disorders. These problems appear to last in time, affecting mental health even years later since the experience of bullying. There are few studies in Chile aiming to determine the prevalence of bullying. In one of such studies, 47% of the students reported having been bullied during the last month before the application of the questionnaire. Even though there are many initiatives and guidelines in Chile supported by the government to help schools in order to deal with bullying, there is no any cluster randomized controlled trial (RCT) aiming to assess the effectiveness of an anti-bullying program. KiVa anti-bullying prevention program contains universal and indicated actions. Main universal actions for 5 to 6 graders consist of 10 two-hours lessons given during a year and an online game, which have the aim to raise awareness of the role of the group in bullying, increase empathy and promote strategies to support victims. Indicated actions consist of a set of discussion groups with the victims and with the bullies with proper follow-up. The aims of this study are: 1) To develop a culturally appropriate version of the Kiva material, and 2) to test its effectiveness of KiVa program with and without the online game, to reduce bullying behavior among low-income primary schools in Santiago using a cluster RCT design with three arms: i) KiVa full program group, ii) KiVa without online game program group, and iii) Control group.

Official Title
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KiVa Anti-bullying Program in Chile: Evaluation of Effectiveness With and Without the Digital Game Component

Conditions
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Bullying

Intervention / Treatment
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* Other: KiVa program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria for schools: Primary education Co-educational High vulnerability (measured by the Chilean index IVESINAE >75%) Location: Santiago, Chile. Exact two classes per level (5th Grade and 6th Grade), during the intervention.

Ages Eligible for Study
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Minimum Age: 9 Years
Maximum Age: 14 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: KiVa program full<br>The schools allocated in this arm will receive the Chilean adaptation of KiVa program with all its universal and indicated actions. | Other: KiVa program<br>* KiVa program is an anti-bullying intervention developed in University of Turku, Finland. It is based on the participant role model, where bullying is seen as a group process focused on the bystanders' reactions to the bullying. This program includes universal and indicated actions. Universal actions include ten students lessons given by teachers where pupils learn the role of bystanders in the bullying process, how to increase empathy towards the victim, and safe strategies to supports victims. Indicated actions are delivered by a school team of three staff members, who handle acute cases of bullying.<br>|
| Experimental: KiVa program w/o the digital component<br>The schools allocated in this arm will receive the Chilean adaptation of KiVa program without the digital component (online game) | Other: KiVa program<br>* KiVa program is an anti-bullying intervention developed in University of Turku, Finland. It is based on the participant role model, where bullying is seen as a group process focused on the bystanders' reactions to the bullying. This program includes universal and indicated actions. Universal actions include ten students lessons given by teachers where pupils learn the role of bystanders in the bullying process, how to increase empathy towards the victim, and safe strategies to supports victims. Indicated actions are delivered by a school team of three staff members, who handle acute cases of bullying.<br>|
| No Intervention: Control group<br>The schools allocated in this arm will not receive the KiVa program. If successful, these schools will receive the program the following academic year. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-reported victimisation | Victimisation will be assessed using the corresponding item from the revised Olweus Bully/Victim Questionnaire (OBVQ) | 12 months followup | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-reported bullying | Bullying actions will be assessed using the corresponding item from the revised Olweus Bully/Victim Questionnaire (OBVQ) | 12 months followup | 
| Peer-reported victimisation | Peer-reported victimisation will be assessed using the corresponding item from the revised Olweus Bully/Victim Questionnaire (OBVQ) | 12 months followup | 
| Peer-reported bullying | Peer-reported bullying will be assessed using the corresponding item from the revised Olweus Bully/Victim Questionnaire (OBVQ) | 12 months followup | 
| Self-reported psychological difficulties | The psychological difficulties will be assessed using the total subscale of difficulties of the Adolescent version of The Strengths and Difficulties Questionnaire (SDQ). | 12 months followup | 
| Self-reported psychological strengths | The psychological strengths will be assessed using the total subscale of strengths (prosocial skills) of the Adolescent version of The Strengths and Difficulties Questionnaire (SDQ). | 12 months followup | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Bullying, KiVa program, Primary school students