Valla Lisbeth, Sparboe-Nilsen Bente, Kvarme Lisbeth G, Bjerketveit Therese Haugerud, Hagen Milada, Winje Brita Askeland
Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
Section for Infant Mental Health, Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway.
PLoS One. 2025 May 20;20(5):e0323794. doi: 10.1371/journal.pone.0323794. eCollection 2025.
Bullying is a pervasive public health issue that significantly affects the mental and physical well-being of children, often leading to long-term consequences that persist into adulthood, such as mental health disorders, social isolation, and economic challenges. Despite numerous interventions implemented in schools, bullying remains a persistent problem. The Support Group intervention, based on a solution-focused approach (SFA), aims to address bullying by enhancing peer support and empowering children within the school environment. This study seeks to evaluate the effectiveness of this intervention in reducing bullying and improving class environment, mental health, quality of life, and self-efficacy among 5th-7th grade Norwegian schoolchildren compared to usual care. This cluster randomized controlled trial (RCT) will be conducted in 26 primary schools across three municipalities in central-eastern Norway. Schools will be randomized to either the intervention group, which will implement the Support Group intervention, or the control group, which will continue with usual care based on national guidelines. Data will be collected at baseline, post-intervention, and at 6- and 9-month thereafter. A parallel process evaluation will be conducted to assess the fidelity and quality of the intervention's implementation and to identify factors associated with its success. The intervention will be compared with usual care using generalised mixed models for repeated measures. This study will provide crucial insights into the effectiveness of the Support Group intervention in reducing bullying and promoting mental health among schoolchildren. The findings are expected to inform best practices in bullying prevention and contribute to the development of more effective, evidence-based interventions in school settings. The trial outcomes will be pivotal in shaping future strategies for creating safer and more supportive school environments in Norway. The study is registered in Clinical trial registration: Trial registration (NCT) 06578260.
欺凌是一个普遍存在的公共卫生问题，严重影响儿童的身心健康，常常导致持续到成年期的长期后果，如心理健康障碍、社会孤立和经济挑战。尽管学校实施了众多干预措施，但欺凌仍然是一个持续存在的问题。基于聚焦解决方案的方法（SFA）的支持小组干预旨在通过加强同伴支持和增强学校环境中的儿童权能来解决欺凌问题。本研究旨在评估与常规护理相比，这种干预措施在减少挪威五至七年级学童的欺凌行为、改善课堂环境、心理健康、生活质量和自我效能方面的有效性。这项整群随机对照试验（RCT）将在挪威中东部三个市镇的26所小学进行。学校将被随机分为干预组，实施支持小组干预，或对照组，继续按照国家指南提供常规护理。将在基线、干预后以及此后6个月和9个月收集数据。将进行平行过程评估，以评估干预措施实施的保真度和质量，并确定与其成功相关的因素。将使用广义混合模型对重复测量数据将干预措施与常规护理进行比较。本研究将为支持小组干预在减少学童欺凌行为和促进心理健康方面的有效性提供关键见解。研究结果有望为欺凌预防的最佳实践提供参考，并有助于在学校环境中开发更有效、基于证据的干预措施。试验结果对于制定挪威创建更安全、更具支持性的学校环境的未来战略至关重要。该研究已在临床试验注册中心注册：试验注册（NCT）06578260。
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