Sustainable antibullying program implementation: School profiles and predictors

We examined the sustainability of the KiVa antibullying program in Finland from its nationwide roll‐out in 2009 to 2016. Using latent class analyses, we identified four different patterns of implementation. The persistent schools (43%) maintained a high likelihood of participation throughout the study period. The awakened (14%) had a decreasing trend during the first years, but then increased the likelihood of program participation. The tail‐offs (20%) decreased in the likelihood of participating after the third year, and the drop‐offs (23%) already after the first year. The findings suggest that many schools need support during the initial years to launch and maintain the implementation of evidence‐based programs; yet a large proportion of schools manage to sustain the program implementation for several years. The logistic regression analyses showed that large schools persisted more likely than small schools. Lower initial level of victimization was also related to the sustainability of the program. Finally, persistent program participation was predicted by several school‐level actions during the initial years of implementing the program. These results imply that the sustainability of evidence‐based programs could be enhanced by supporting and guiding schools when setting up the program during the initial implementation.</p

Zdravstveno obrazovanje i informiranje koje provode službe medicine rada u Finskoj

This article discusses health education and communication in Occupational Health Services (OHS) based on a questionnaire study conducted in Finnish OHS in 2005. The study focused on educational activities carried out by OH professionals and directed at individual employees, work communities and groups, and representatives of client organisations. The questionnaire was sent to 1132 OH professionals - physicians, nurses, physiotherapists and psychologists - working in 130 OHS units, and representing different OHS providers in Finland. 635 respondents (162 physicians, 342 nurses, 96 physiotherapists, 35 psychologists) returned the questionnaire. The overall response rate was 58 %. There were statistically significant differences in educational activities by different professional groups; differences were also related to the length of working experience in OHS. For all OH professionals, individual employees were the primary clients of health education and communication. Education was less often directed at work communities and representatives of client organisations. However, many issues related to health and well-being at work are not within the reach of individual employees. The impact of health education would be more evident if it also reached those organisational stakeholders with discretion in decision-making. Furthermore, OH personnel should pay attention to the social aspect of learning and work more with groups and work communities.U ovome se članku raspravlja o zdravstvenom obrazovanju i informiranju koje provode službe medicine rada, a na temelju istraživanja provedenog među tim službama 2005. U središtu su ispitivanja bile obrazovne aktivnosti medicinara rada usmjerene na radnike kao pojedince, radne zajednice i skupine te predstavnike korisničkih organizacija. Upitnik su dobila 1132 medicinara rada, uključujući liječnike, medicinske sestre, fizioterapeute i psihologe zaposlene u 130 jedinica koje pružaju usluge medicine rada u Finskoj. Ispunjene je upitnike vratilo 635 sudionika (162 liječnika, 342 sestre, 96 fizioterapeuta te 35 psihologa). Ukupni odgovor iznosio je 58 %. Zamijećene su statistički značajne razlike u obrazovnim aktivnostima između pojedinih zanimanja, a one su bile povezane i sa stažem u medicini rada. Svim medicinarima rada pojedinačni radnici primarni su korisnici zdravstvenoga obrazovanja i informiranja. Obrazovanje se rjeđe usmjeravalo na radne zajednice i predstavnike korisničkih organizacija. Međutim, mnoga otvorena pitanja vezana uz zdravlje i dobrobit na radu nisu u nadležnosti pojedinačnih zaposlenika. Utjecaj zdravstvenoga obrazovanja bio bi stoga svrhovitiji kada bi ono obuhvatilo i one strukture koje donose odluke. Osim toga, osoblje medicine rada treba obratiti pozornost na socijalni aspekt učenja te treba više raditi sa skupinama i radnim zajednicama

Going to Scale: A Nonrandomized Nationwide Trial of the KiVa Antibullying Program for Grades 1-9

Item does not contain fulltextObjective: The effects of school-based antibullying programs have typically been examined on small samples, with number of schools ranging from 1 to 78 (Farrington & Ttofi, 2009). This study investigated the effectiveness of the KiVa antibullying program in the beginning of its nationwide implementation in Finland. Method: At each time point, the participants included 888 schools with approximately 150,000 students in 11,200 classrooms in Grades 1-9 (8-16 years of age; 51% boys and 49% girls). Victims and bullies were identified with the global questions from the Revised Olweus Bully/Victim Questionnaire (Olweus, 1996), utilizing the criteria suggested by Solberg and Olweus (2003). The program effects were examined by calculating odds ratios based on a cohort-longitudinal design, correcting the standard errors for clustering. Results: During the first 9 months of implementation, the KiVa program reduced both victimization and bullying, with a control/intervention group odds ratio of 1.22 (95% CI [1.19, 1.24]) for victimization and 1.18 (95% CI [1.15, 1.21]) for bullying. Conclusions: Generalized to the Finnish population of 500,000 students, this would mean a reduction of approximately 7,500 bullies and 12,500 victims.10 p

Effectiveness of the KiVa Antibullying Program: Grades 1-3 and 7-9

Item does not contain fulltextThis study investigated the effectiveness of the KiVa Antibullying Program in two samples of students, one from Grades 1-3 (7-9 years old, N = 6,927) and the other from Grades 7-9 (13-15 years old, N = 16, 503). The Grades 1-3 students were located in 74 schools and Grades 7-9 students in 73 schools that were randomly assigned to intervention and control conditions. Multilevel regression analyses revealed that after 9 months of implementation, the intervention had beneficial effects in Grades 1-3 on self-reported victimization and bullying (odds ratios approximate to 1.5), with some differential effects by gender. In Grades 7-9, statistically significant positive results were obtained on 5 of 7 criterion variables, but results often depended on gender and sometimes age. The effects were largest for boys' peer reports: bullying, assisting the bully, and reinforcing the bully (Cohen's ds 0.11-0.19). Overall, the findings from the present study and from a previous study for Grades 4-6 (Karna, Voeten, Little, Poskiparta, Kaljonen, et al., 2011) indicate that the KiVa program is effective in reducing bullying and victimization in Grades 1-6, but the results are more mixed in Grades 7-9

The support group approach in the Dutch KiVa anti-bullying programme: effects on victimisation, defending and well-being at school

Background: School bullying is a wide-spread problem with severe consequences for victims, bullies and bystanders. Schools are strongly encouraged to implement both schoolwide, preventive interventions and reactive measures to handle existing bullying situations. In the Dutch implementation of the KiVa anti-bullying programme, pervasive-bullying situations are addressed according to the support group approach. The support group approach is widely used for addressing bullying situations, but little is known about its effectiveness. Purpose: We investigated the effectiveness of the support group approach in reducing victimisation, increasing defending and improving the victim’s well-being over the course of a school year, over and beyond of the effects of the universal KiVa intervention. Programme description: The support group approach is a non-punitive, problem-solving strategy to address pervasive-bullying situations. In this intervention, trained teachers form a support group that consists of 6–8 children, including the bullies and their assistants, defenders or friends of the victim and prosocial classmates. The purpose of the support group is to create mutual concern for the well-being of the victim and to trigger the bullies’ willingness to alter their behaviour. Sample: We used data from 66 Dutch elementary schools that participated in the KiVa intervention study. Data were collected in October 2012 and 2013, and May 2013 and 2014. The sample used in the analyses consisted of 38 victims for whom a support group intervention was organised (44.7% boy, Mage = 9.24; SDage = 1.20). Design and method: To get insight into the effects above and beyond those of the KiVa programme itself, victims with a support group (N = 38) were matched to similar victims without a support group (N = 571). Statistical analyses were undertaken to examine whether the changes in victimisation, defending and well-being at school differed between the two groups. Result: Victims reported positive effects of the support group approach in reducing victimisation in the short term, but this decrease in victimisation was not lasting over the course of a school year. The intervention also did not improve the victims’ well-being at school in the longer term. Victims with a support group, however, were found to have more defenders at the end of the school year than victims without a support group. Conclusion: The effectiveness of the support group approach in tackling bullying situations appears to fade over time. The findings of this study illustrate that for future evaluations of anti-bullying interventions it is essential to investigate longer term effects