Effectiveness of a Bullying Intervention (Be-Prox) in Norwegian Early Childhood and Education Care Centers: Protocol for a Cluster Randomized Controlled Trial.

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES JMIR Research Protocols Pub Date : 2024-10-24 DOI:10.2196/60626
Ingrid Kvestad, Frode Adolfsen, Renira Corinne Angeles, Oda Lekve Brandseth, Kyrre Breivik, Janne Grete Evertsen, Irene Kvåle Foer, Morten Haaland, Birgit Millerjord Homola, Gro Elisabeth Hoseth, Josefine Jonsson, Egil Kjerstad, Henriette Kyrrestad, Monica Martinussen, Annelene Moberg, Karianne Moberg, Anita Skogstrand, Line Remme Solberg, Merete Aasheim
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Abstract

Background: A new and growing body of research has studied bullying among children in early childhood education and care centers (ECECs). The Bernese Program (Be-Prox) is designed to systematically prevent and handle bullying between children in Swiss ECECs. However, the effectiveness of the Be-Prox intervention has not yet been explored in a Norwegian ECEC setting.

Objective: This study aims to evaluate the effectiveness of Be-Prox in preventing and handling bullying among peers in Norwegian ECECs.

Methods: ECECs from 2 Norwegian municipalities were invited to participate in a cluster randomized controlled trial (RCT) to evaluate the effectiveness of the Be-Prox intervention on peer bullying in Norwegian ECECs. After baseline measures were taken, project ECECs were randomized to either an intervention or a control arm. The Be-Prox intervention was introduced to ECECs in the intervention arm through 6 modules over a 9-month period immediately after the randomization. ECECs in the control arm participated in the data collection and were offered the Be-Prox intervention the following year. The primary outcome of the effect evaluation is the mean sum of negative behavior between peers after the Be-Prox training is completed in the intervention arm. Secondary outcomes include child bystander behavior, teacher self-efficacy, and ECEC's authoritative climate. An extensive implementation and process evaluation, as well as cost-effectiveness analyses, will be conducted alongside the RCT.

Results: Baseline data collection was conducted in September 2023, and the postintervention data collection started in May 2024. At baseline, we collected data on 708 children and 413 personnel from 38 project ECECs in the 2 Norwegian municipalities. The results from the study will be available in late 2024 at the earliest.

Conclusions: The proposed project includes a comprehensive evaluation of the effectiveness of Be-Prox in Norwegian ECECs directly targeting the prevention and handling of bullying, including implementation and cost-effectiveness evaluations. The results from the project have the potential to fill in identified knowledge gaps in the understanding of negative behavior and bullying between peers in ECECs, and how these may be prevented. If proven efficient, our ambition is to offer Be-Prox to Norwegian ECECs as an evidence-based practice to prevent and handle bullying among preschool children.

Trial registration: ClinicalTrials.gov NCT06040437; https://clinicaltrials.gov/study/NCT06040437.

International registered report identifier (irrid): DERR1-10.2196/60626.

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挪威幼儿和教育护理中心欺凌干预措施(Be-Prox)的效果:集群随机对照试验方案》。
背景:对儿童早期教育和保育中心(ECECs)中儿童之间的欺凌行为进行研究的新成果越来越多。伯尔尼计划(Be-Prox)旨在系统地预防和处理瑞士幼儿教育和保育中心儿童之间的欺凌行为。然而,Be-Prox干预措施在挪威幼儿保育和教育中心环境中的有效性尚未得到探讨:本研究旨在评估Be-Prox在挪威幼儿保育和教育中心预防和处理同伴间欺凌行为的有效性:挪威2个城市的幼儿保育和教育中心受邀参加了一项分组随机对照试验(RCT),以评估Be-Prox干预措施对挪威幼儿保育和教育中心同伴间欺凌行为的有效性。在进行基线测量后,项目中的幼儿保育和教育中心被随机分配到干预组或对照组。在随机分组后的9个月内,Be-Prox干预措施通过6个模块介绍给干预组的幼儿保育和教育中心。对照组的幼儿保育和教育机构参与数据收集,并在第二年接受 Be-Prox 干预方案。效果评估的主要结果是干预组完成 Be-Prox 培训后同伴间负面行为的平均总和。次要结果包括儿童旁观者行为、教师自我效能感和幼儿保育和教育中心的权威氛围。在进行 RCT 研究的同时,还将进行广泛的实施和过程评估以及成本效益分析:基线数据收集于 2023 年 9 月进行,干预后数据收集于 2024 年 5 月开始。在基线阶段,我们收集了挪威 2 个城市 38 个项目幼儿保育和教育中心的 708 名儿童和 413 名工作人员的数据。研究结果最早将于 2024 年底公布:拟议的项目包括对Be-Prox在挪威幼儿保育和教育中心直接预防和处理欺凌行为的效果进行全面评估,包括实施情况和成本效益评估。该项目的成果有可能填补在了解幼儿保育和教育中心同伴之间的负面行为和欺凌行为以及如何预防这些行为方面的知识空白。如果证明有效,我们的目标是向挪威的幼儿保育和教育机构提供Be-Prox,作为预防和处理学龄前儿童欺凌行为的循证做法:试验注册:ClinicalTrials.gov NCT06040437;https://clinicaltrials.gov/study/NCT06040437.International 注册报告标识符(irrid):DERR1-10.2196/60626。
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