Center for Innovative Public Health Research, San Clemente, CA, United States.
JMIR Mhealth Uhealth. 2016 Jun 13;4(2):e60. doi: 10.2196/mhealth.4936.
Bullying is a significant public health issue among middle school-aged youth. Current prevention programs have only a moderate impact. Cell phone text messaging technology (mHealth) can potentially overcome existing challenges, particularly those that are structural (e.g., limited time that teachers can devote to non-educational topics). To date, the description of the development of empirically-based mHealth-delivered bullying prevention programs are lacking in the literature.
To describe the development of BullyDown, a text messaging-based bullying prevention program for middle school students, guided by the Social-Emotional Learning model.
We implemented five activities over a 12-month period: (1) national focus groups (n=37 youth) to gather acceptability of program components; (2) development of content; (3) a national Content Advisory Team (n=9 youth) to confirm content tone; and (4) an internal team test of software functionality followed by a beta test (n=22 youth) to confirm the enrollment protocol and the feasibility and acceptability of the program.
Recruitment experiences suggested that Facebook advertising was less efficient than using a recruitment firm to recruit youth nationally, and recruiting within schools for the pilot test was feasible. Feedback from the Content Advisory Team suggests a preference for 2-4 brief text messages per day. Beta test findings suggest that BullyDown is both feasible and acceptable: 100% of youth completed the follow-up survey, 86% of whom liked the program.
Text messaging appears to be a feasible and acceptable delivery method for bullying prevention programming delivered to middle school students.
欺凌是中学年龄段青少年的一个重大公共卫生问题。目前的预防计划只有适度的影响。手机短信技术（移动健康）有可能克服现有的挑战，特别是那些结构性的挑战（例如，教师用于非教育话题的时间有限）。迄今为止，文献中缺乏基于实证的移动健康实施的欺凌预防计划的开发描述。
描述 BullyDown 的开发，这是一个基于短信的中学生欺凌预防计划，以社会情感学习模型为指导。
我们在 12 个月的时间内实施了五项活动：（1）全国焦点小组（n=37 名青年），以收集对计划组成部分的可接受性；（2）制定内容；（3）一个全国性的内容顾问小组（n=9 名青年），以确认内容语气；以及（4）软件功能的内部团队测试，随后进行测试版测试（n=22 名青年），以确认注册协议以及程序的可行性和可接受性。
招聘经验表明，与使用招聘公司在全国范围内招聘青年相比，Facebook 广告的效率较低，而在学校内部进行试点测试是可行的。内容顾问小组的反馈表明，每天最好发送 2-4 条简短的短信。测试版测试的结果表明，BullyDown 既可行又可接受：100%的青年完成了随访调查，其中 86%的人喜欢该计划。
短信似乎是向中学生提供欺凌预防编程的一种可行且可接受的交付方法。
