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Stepwise Development a Text Messaging-Based Bullying Prevention Program for Middle School Students (BullyDown).

Michele L Ybarra1, Tonya L Prescott, Dorothy L Espelage

  • 1Center for Innovative Public Health Research, San Clemente, CA, United States. Michele@InnovativePublicHealth.org.

JMIR Mhealth and Uhealth
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Summary
This summary is machine-generated.

Mobile health (mHealth) bullying prevention via text messaging is feasible and acceptable for middle schoolers. This study developed BullyDown, an evidence-based program, showing promising results for youth intervention.

Keywords:
bullyingmhealthpreventiontext messagingyouth

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Area of Science:

  • Public Health
  • Adolescent Psychology
  • Digital Health Interventions

Background:

  • Bullying presents a significant public health challenge for middle school youth.
  • Existing prevention programs demonstrate only moderate effectiveness.
  • Mobile health (mHealth) via text messaging offers a potential solution to overcome structural limitations in current interventions.

Purpose of the Study:

  • To detail the development of BullyDown, a novel text messaging-based bullying prevention program.
  • To align the program's design with the principles of Social-Emotional Learning (SEL).
  • To address the gap in literature regarding empirically-based mHealth bullying prevention programs.

Main Methods:

  • Conducted national focus groups with 37 youth to assess program component acceptability.
  • Developed and refined program content based on youth feedback.
  • Utilized a national Content Advisory Team of 9 youth to ensure appropriate content tone.
  • Performed internal software testing and a beta test with 22 youth to evaluate feasibility and acceptability.

Main Results:

  • Facebook advertising was less effective for recruitment than a dedicated firm; school-based recruitment for pilot testing was feasible.
  • Youth advisory team preferred 2-4 brief daily text messages.
  • BullyDown demonstrated feasibility and acceptability in beta testing, with 100% survey completion and 86% program liking.

Conclusions:

  • Text messaging is a viable and well-received delivery method for bullying prevention programs targeting middle school students.
  • The BullyDown program development provides a model for future mHealth interventions in youth.
  • Further research can build upon these findings to scale effective digital health solutions for adolescent well-being.