Francine Dehue; Trijntje Völlink; Nicole Gunther; Niels Jacobs Open University of the Netherlands, Heerlen, Netherlands
This chapter describes the development and content of “Stop Online Bullies,” a Dutch online tailored intervention for low-educated (cyber)bully victims, aimed to teach victims how to cope with cyberbullying and with the negative effects of cyberbullying. The theoretical insights and evidence-based methods, which are used in the intervention are described, as well as the tools used to reach these insights and to perform these methods. Since it was not possible to perform the planned randomized longitudinal control trial to investigate the effectiveness of the intervention, a process evaluation was conducted. The chapter provides the results of this process evaluation and ends with an overview of benefits and drawbacks of “Stop Online Bullies” and of online standalone interventions in general.
Online; Tailored; Standalone; Coping; Guidance
Cyberbullying intervention resources can be divided into school-based programs and individual standalone interventions. School-based interventions are programs containing for example, lessons, videos, presentations, discussions, and workshops, which are used in classrooms or whole schools. Standalone interventions are programs that can be used independently of schools and classrooms. Most standalone interventions are psychoeducational websites. There are many such sites containing tips, topics, and recommendations regarding cyberbullying. The problem is, however, that many of these standalone programs and materials, while well intentioned, lack research evidence. They are based on practical beliefs or common sense (Snakenborg, Van Acker, & Gable, 2011) and hence do not have a theoretical base, nor have the effectiveness of their materials been investigated (Völlink, Dehue, Mc Guckin, & Jacobs, 2016). There are some exceptions, however. In this chapter the development and content of the Dutch theory-based tailored intervention “Online Pestkoppenstoppen” or “Stop Online Bullies” will be described. The intervention is aimed at low academically achieving students of 12–15 years old who have experienced cybervictimization.
In their narrative review, Gunther, DeSmet, Jacobs, and De Bourdeaudhuij (2016) suggest a need to address victimization of traditional and cyberbullying simultaneously in intervention programs. Such combined intervention approaches may be most effective for three reasons: (1) the experience of combined traditional and cyberbullying victimization appears to be more strongly related to mental health problems than the experience of only traditional or only cyber victimization, (2) there is a large overlap between involvement in these two types of bullying behaviors, and (3) previous research indicates that targeting only one form of bullying causes an increase in another type of bullying (Campbell, Spears, Slee, Butler, & Kift, 2012; Dempsey, Sulkowski, Nichols, & Storch, 2009; Elledge et al., 2013; Erdur-Baker & Tanrikulu, 2010; Gradinger, Strohmeier, & Spiel, 2009; Juvonen & Gross, 2008; Raskauskas, 2010; Schneider, O'Donnell, Stueve, & Coulter, 2012; Steffgen, Vandebosch, Völlink, Deboutte, & Dehue, 2011). Therefore, Stop Online Bullies focuses on victims of traditional bullying as well as cyberbullying. The aim of the intervention is to decrease their victimization, to increase psychological well-being, and to decrease problem behavior, school problems, and truancy.
Both traditional- and cyberbullying-victimization peaks during the transition from middle to high school (Wade & Beran, 2011; Williams & Guerra, 2007). Moreover, low academically achieving adolescents tend to experience cyberbullying the most (Tokunaga, 2010; Walrave & Heirman, 2011). Therefore, Stop Online Bullies is developed for low academically achieving (cyber)bullying victims from 12 to 14 years old. It is a Dutch online computer-tailored intervention that is developed according to the Intervention Mapping protocol, which is a planned, systematic, and theory-based approach, an approach needed to increase the effectiveness of an intervention (Brug, Oenema, Kroeze, & Raat, 2005). Intervention mapping has proven to be very successful in the systematic development and planning of theory- and evidence-based health promotion interventions (Bartholomew, Parcel, Kok, & Gottlieb, 2006; Riper et al., 2007). The protocol emphasizes that intervention development should be based on a thorough understanding of the problem behavior and the determinants related to this behavior. The development of an intervention according to the Intervention Mapping protocol is an iterative process that consists of six steps (Bartholomew, Parcel, Kok, Gottlieb, & Fernández, 2011). The results of each step form the input of the next step. In the first step, a need assessment is conducted of the target group, their behavior, their situational conditions, and their mental health problems. The results of this step are the input of the second step. In this second step, anticipated changes as a result of the intervention are specified, by defining performance objectives and determinants, which are combined into change objectives. In the third step, these change objectives are combined with theory-based methods. These methods are translated into practical applications to effect changes in behavior of the target group and environmental agents, and in the fourth step all these theory-based practical applications are integrated in intervention components. The fifth and the sixth steps are on adoption and implementation of the intervention and on the process and effect evaluation. A thorough description of the results of the Intervention Mapping protocol for Stop Online Bullies is provided by Jacobs, Völlink, Dehue, and Lechner (2014a).
The input for the need assessment stems from a literature review. This need assessment forms the basis of the research on determinants of (cyber)bullying in the second step. The research in the second step consists of a three-round online Delphi study among 70 (inter)national experts on (cyber)bullying (most of them participants of the COST action IS0801), and a qualitative study among 66 adolescents. The Delphi study appeared to be effective in finding new and relevant determinants related to (cyber)bullying, such as self-efficacy related to adjusting one's behavior based on feedback, self-esteem, and communication style (Jacobs, Völlink, Dehue, & Lechner, 2014b). The first round yielded 171 determinants, predicting ineffective coping behavior (91) and improvement of coping behavior (80) regarding (cyber)bullying among adolescents. The result of the second and third rounds was a list of 62 relevant determinants of ineffective coping and 53 relevant determinants of improvement in coping (Jacobs et al., 2014b).
In the qualitative study, 66 low-academically achieving Dutch adolescents between 12 and 15 years old who attended secondary vocational education, participated in 10 focus group interviews, with the aim to gather in-depth information on performance objectives of (cyber)bullying. This study searched for answers on five research questions: (1) What kind of experiences do Dutch low-academically achieving cyberbullying victims have with cyberbullying victimization and perpetration, and what do they look like? (2) How do Dutch low-academically achieving cyberbullying victims perceive/consider experiences with cyberbullying and what is perceived as worse (traditional bullying, cyberbullying, different forms)? (3) Why do Dutch low-academically achieving cyberbullying victims think people (cyber)bully each other, who becomes/is a victim and who is a bully? (4) Which attitudes do Dutch low-academically achieving cyberbullying victims have toward (cyber)bullying? (5) How do Dutch low-academically achieving cyberbullying victims cope with (cyber)bullying, and how do they perceive these coping strategies? (Jacobs, Goossens, Dehue, Völlink, & Lechner, 2015). Most importantly, the study showed that not all the behaviors that are mentioned in the literature as cyberbullying are perceived as such by victims and that these perceptions often depends on the context (anonymity, characteristics of the bully, being in a fight or not). A complete overview of the results is described in Jacobs et al. (2015).
The theory-based methods and practical applications of step 3, used to change the objectives of step 2, are based on the principles of Rational Emotive (Behavioral) Therapy (RE(B)T) (Ellis, 2001). According to RE(B)T, evaluative thoughts influence the perception of events and the emotional, behavioral, and inferential reactions to these events (Ellis, 1995, 2001; MacInnes, 2004). Several theoretical and evidence-based methods are selected for the intervention. For example, consciousness raising is used to increase awareness of the relation between thoughts, feelings and behavior (Ringrose & Nijenhuis, 1986), modeling and guided practice are used to increase self-efficacy (Bandura, 1997), arguments and persuasive communication are used to increase knowledge and to influence attitudes (Bartholomew et al., 2011), and coping plans are used to link concrete, suitable, and effective responses to future risk situations (Sniehotta, Scholz, & Schwarzer, 2005).
In the fourth step, intervention components are developed, using all the theory-based methods and practical applications of step three. This resulted in an intervention consisting of three web-based topics in sessions delivered over 3 months. Topic 1 is called “Think strong, feel better.” In this topic, the focus is on the 5G-schema (Ringrose & Nijenhuis, 1986), which gives insight in the relation between an event (Gebeurtenis), the thoughts (Gedachten) evoked by the event, the emotions (Gevoelens) evoked by the thoughts, the behavior (Gedrag) evoked by the emotions, and the resulting consequences (Gevolg). The schema is explained in a video by a famous Dutch actor, and demonstrated by comics and digital guides. Adolescents learn to work with this schema by performing several tasks, in order to recognize and replace irrational thoughts into rational thoughts, and to examine emotions in response to events. They also form action plans to use the 5G-schema in the future. Topic 2 is called “Stop the bully now,” and is mainly concentrated on effective and ineffective coping behavior. The adolescents receive information on the dynamics of (cyber)bullying, are provided with video models demonstrating examples of ineffective and effective coping strategies and become aware of ineffective strategies, and learn effective strategies. In this topic, coping plans are formulated including assertive reactions. Topic 3 is called “You are doing great, can you do better?” In this topic, the plans made in Topics 1 and 2 are evaluated on usability and are adjusted, if necessary. The skills learned in topics 1 and 2 are summarized into three steps (Think, Act, and Closure), which form the skill conflict resolution. Moreover, based on this skill conflict resolution and tailored on progress, adolescents receive written and spoken feedback on their irrational thoughts and coping. Tailored additional lessons are provided in working with the 5G-schema, in recognizing and replacing irrational thoughts, and rehearsing social skills and coping behavior. Finally, in topic 3 adolescents learn to use the Internet and the mobile phone in a safe and secure manner. Each topic is preceded by several questionnaires that take about half an hour to complete. The questionnaires measure, for example, personality, irrational thoughts, coping, self-efficacy, psychological well-being, behavioral problems and experiences with traditional bullying, and are used to tailor the topics and to measure the effects of each topic. The topics were developed in close cooperation with the members of the target group and were adapted after the pre- and pilot tests with the target group.
Several tools are used throughout the intervention such as general and tailored information, digital guides (4), video clips (41), pictures (27), comics (11), and animations (4). The amount of text was kept as short as possible and was also delivered as spoken text by the digital guides, two of them in the age of the target group, and two of them several years older. These guides provide information, ask questions, demonstrate and explain desired skills, provide opportunities to practice these skills, and provide feedback. The gender and contexts of the four guides are matched to the gender of adolescents. Furthermore, in the video clips, models demonstrate and explain effective and ineffective problem-solving behavior, recognize and replace irrational thoughts. These videos were professionally recorded at a schoolyard, in a classroom, in the school's canteen, and in a studio, which was decorated as a boy's and girl's bedroom, using a professional adult actor and several young actors.
A personal page provides access to the questionnaires, topics, and additional lessons, and contains a summary of all important information, the video clips, pictures and comics used in each topic, as well as the elaboration of all tasks and exercises and feedback.
“Stop Online Bullies” is a fully automated online standalone intervention, which should be completed individually. Adolescents can complete the intervention independently; involvement of teachers or other adults is not necessary. No training is needed. Each topic takes approximately 45 min to complete; the three topics should be completed within 3 months. Based on research findings that an explicit selection approach underestimates the problem (Vandebosch & van Cleemput, 2009; Walrave & Heirman, 2011), an implicit approach selects the victims of cyberbullying. Individuals indicate the frequency of experiences with 17 different cyberbullying behaviors and are included in the intervention when they experience at least one behavior once a month.
To test the effectiveness of “Stop Online Bullies,” a randomized controlled trial was conducted, in which the outcomes of the experimental condition at baseline, and 1, 2, 6, and 12 months later were compared with the outcomes of a control group, which received general information, and the outcomes of a control group, which received no information. All secondary vocational education schools in the Netherlands were approached via about 600 contact persons. They were told that their participation could help reduce cyberbullying and associated problems, and information on cyberbullying and a description and screenshots of the intervention were provided. The researchers visited the schools that indicated willingness to participate and gave a short introductory presentation to all students. Since the first recruitment round did not generate enough participants, a second recruitment round was conducted, in which teachers introduced the intervention and the study to their students by means of videos developed by the research team. Students received a written information letter and informed consent, which had to be signed by both the participant and his or her parent(s). In this first round, students were included as a victim when they experienced at least three of 17 forms of cyberbullying acts at least once a month, or at least one form two or three times a month during the past 6 months (Vandebosch & van Cleemput, 2009). In the second round, it was decided to broaden these inclusion criteria by also including students who experienced one or two cyberbullying acts once a month, because a single action (e.g., uploading an embarrassing video or picture) can result in repeated humiliation (Dooley, Pyzalski, & Cross, 2009). About 56% of the students (> 2000) of participating schools clicked the “I participate” button on the website of the intervention. Instead of the expected 25%, only 18% of the students (360) matched the criteria of being a victim of cyberbullying. Half of these students, 183, completed the informed consent, and 170 started the first measurement, a number that declined to 59 by the second measurement. Unfortunately, throughout the intervention the dropout continued to remain very high, which meant that an effectiveness study was not possible. To understand the processes responsible for the unsuccessfulness of the intervention (e.g., high dropout) and to provide guidelines for future interventions, a process evaluation was conducted (Baranowski & Stables, 2000; Hulscher, Laurant, & Grol, 2003).
In general, adolescents were rather positive about the website. The three topics received overall appreciation scores ranging from 7.3 to 7.7 on a scale from 1 (not appreciated at all) to 10 (very much appreciated). The appreciation related to interestingness, comprehensibility, believability, amount of information, the novelty of information, the helpfulness of information in stopping cyberbullying and personal relevance was relatively high. On a five-point scale (1 = I totally disagree, 5 = I totally agree), scores ranged from 2.8 to 4.3. The first topic, focused on thoughts, was rated as most comprehensible. The second topic was rated as being the most helpful in stopping (cyber)bullying, probably because this session aimed to change actual behavior. The information in the third topic was rated as the most novel. The majority watched the movies, pictures, and comics completely and did the exercises of the three sessions. The personal page however was not used frequently: some adolescents indicated they did not look at this page and half of them looked only once or twice.
In addition to questionnaires, qualitative data were gathered by email and phone calls. It appeared that the questionnaires preceding the topics were perceived as too long, tedious and difficult, which explains part of the dropout. Moreover, some of the adolescents mentioned that they simply forgot to return to the website, despite automatically and manually sent emails and text messages.
Monitoring and regulating the usage on the Internet by adults can be difficult, since there can be a generational divide in Internet usage. Children and young people may feel that parents are often less than experts in the new communication technologies (Subrahmanyam & Greenfield, 2008; Wong, 2010). Moreover, children and young people value their privacy and therefore often exclude their parents from their Internet activities (Subrahmanyam & Greenfield, 2008). So, parents are frequently unaware of the activities of their children on the Internet, and even worse, they are frequently unaware of their child being involved in cyberbullying (Dehue, Bolman, & Vollink, 2008; Hoff & Mitchell, 2009; Perren et al., 2012). Victims of cyberbullying are reluctant to report to their parents that they are involved in cyberbullying because of the fear of losing computer privileges and hence being isolated from peers (Bath, 2008; Kraft & Wang, 2009; Mishna, Saini, & Solomon, 2009). Literature shows that children and young people prefer to get anonymous help (Webb, Burns, & Collin, 2008) and report a need for help through the Internet (Havas, de Nooijer, Crutzen, & Feron, 2011). Therefore, the best method to deliver cyberbullying interventions seems to be over the Internet. The most important benefit of Stop Online Bullies therefore is related to the fact that it is a web-based standalone intervention that can be completed without the help of adults.
Web-based interventions such as Stop Online Bullies have several advantages. For example, they can reach a lot of people in a relatively inexpensive way and can be used whenever and wherever the individual prefers. But most importantly they can be tailored to the individual, which appears to be a successful health promotion technique (Krebs, Prochaska, & Rossi, 2010; Noar, Benac, & Harris, 2007). To be effective, first of all, interventions should fit the personality of the student. Several personality traits have been linked to coping strategies. For example, prior research has shown that children and young people who are resilient, tend toward a problem-solving approach of coping, such as deleting unwelcome messages, blocking contacts in the context of cyberbullying, seeking social support from peers and adults, or confronting the bully online (D'Haenens, Vandoninck, & Donoso, 2013; Hunter, Boyle, & Warden, 2004; Machmutow, Perren, Sticca, & Alsaker, 2012; Matsunaga, 2011; Perren et al., 2012). Those who are not resilient, tend to use an emotion-solving approach of coping, such as ignoring the bully or bullying the bully, using aggression, reacting submissively, avoiding the situation or acting helpless (Acirak, 2009; Dehue et al., 2008; Perren et al., 2012; Riebel, Jäger, & Fischer, 2009). Furthermore, research in biology and epidemiology shows that optimism is also linked to coping. Optimism can be defined as the general tendency to have positive rather than negative outcome expectancies. Ursin and Eriksen (2010) showed that individuals who generally have positive outcome expectancies use active coping strategies, whereas individuals who generally have negative outcome expectancies perceive the situation as uncontrollable and their possible actions as useless and hence use passive coping strategies. Indeed, research has shown that compared to general information, interventions that fit the personality of the user are perceived as more personal and relevant, are more often read, saved, remembered, and discussed (Brug, Oenema, & Campbell, 2003), and result in more improvement in behavior (Krebs et al., 2010). However, not only personality characteristics influence the use of coping strategies. Contextual features like the kind of relationship between victims and perpetrators (Vandebosch & van Cleemput, 2009) and the kind of emotion evoked by the cyberbullying experience also influence coping. Threats may evoke anxiety, humiliating pictures may evoke shame and name calling, or gossiping may evoke anger. So, the effectiveness of a coping strategy may depend on the specific experience. The importance of tailored topics is reflected in the results of the process evaluation of Stop Online Bullies. The second topic of the intervention, dedicated to effective and ineffective coping behavior, was tailored to the individual's experiences with coping strategies and was perceived as most relevant and interestingly, being the most helpful in stopping cyberbullying. Thus, the most important advantage of Stop Online Bullies is the fact that the intervention provides tailored advice.
Paradoxically, the fact that Stop Online Bullies is a web-based standalone intervention that can be completed without the help of adults also shows the most important drawback: the lack of guidance. The target group seems to need guidance in regulation and motivation activities (De Boer, Reinards, & Reubel, 1993; Den Boer, Mittendorff, & Sjenitzer, 2004). Indeed, Jacobs, Völlink, Dehue, and Lechner (2014c) concluded that their target group lacked the motivation and discipline to complete the intervention on an individual basis, and that more guidance and structure in using the intervention is needed. The lack of guidance by adults, such as explaining to children and young people the usefulness and the benefits of the intervention, and reminding them to return to the intervention, can partly explain the large dropout.
Another factor that may have influenced this dropout was the design of the intervention, which had some drawbacks. Previous research shows that program length and the number of sessions decrease the use of interventions (Bouwer et al., 2009; Glasgow, 2007). As well, interest in returning to interventions seems to decrease over time and revisits are uncommon in interventions (Gustafson et al., 2001; Schulz et al., 2014). Intervention website visits should not be longer than 17 min (Verheijden, Jans, & Hildebrandt, 2008), whereas Stop the Bully contains three topics of 45 min each, to be completed at fixed times with a time interval of at least 1 month. Furthermore, the number and negative content of the measurements, which are necessary to tailor and to measure the effectiveness of the intervention, may have influenced the dropout rate (Bunker, Howell, & Weaver, 2007; Jacobs et al., 2014c). In addition, the login procedure was too complicated and the procedure at the start of Stop Online Bullies was different from the procedure at the follow up sessions.
Although all materials were positively evaluated, some other drawbacks were related to the presentation of the content of the intervention. Low academically achieving students, and thus our target group, do not like to read and need teaching methods that use a concrete manner of working (De Boer et al., 1993; Den Boer et al., 2004). The first topic “Think strong, feel better” does not use a concrete manner of working since it mostly focuses on thoughts and feelings and concerns the understanding of the relation between the 5Gs, and hence may be too abstract.
As described, Stop Online Bullies provides online tailored information for victims of both traditional and cyberbullying to decrease their victimization, but also provides topics to increase psychological well-being, and to decrease problem behavior, school problems, and truancy.
The intervention was based on the assumption that victims of bullying behavior prefer to get anonymous help delivered via the Internet, without the intervention of adults. Although all three topics were evaluated as rather positive, personally relevant, and helpful, an online approach to combat cyberbullying appeared to be less effective than expected. The experience with the delivering of the intervention and the process evaluation, however, provided many important insights and several recommendations for future interventions.
First of all, the several studies and the process evaluation of Stop Online Bullies clearly suggest that it is of utmost importance that information and topics in future cyberbullying online standalone interventions are tailored for the individual.
Second, the many advantages of online standalone interventions like Stop Online Bullies seem not to fit the ability of victims to independently use the intervention. Low-academically achieving adolescents seem to need more guidance and external motivation to continue and finish such an intensive online intervention. Therefore, for future intervention, it is important to deliver anonymous help via the Internet, but at the same time researchers should face the challenge to incorporate some assistance and structure provided by adults. An online blended approach meets these criteria, by providing an online standalone intervention in combination with face-to-face classroom methods provided by teachers, for example feedback on the exercises done in the standalone intervention.
Third, victims probably need freedom to obtain help when needed, without interruptions and several sessions. Multisession interventions have been found to have a low reach (Glasgow, 2007), and interest in returning to intervention websites appears to decrease over time (Gustafson et al., 2001). Revisits are uncommon in interventions (Schulz et al., 2014), as was experienced in testing Stop Online Bullies. Despite the emails and text messages, participants did not return. The three topics of Stop Online Bullies could only be completed at fixed times, with a month interval, although the Internet provides 24-h access. So the challenge for future online interventions is to target different areas without the requirement of multiple sessions.
This leads to the fourth recommendation: standalone interventions should be kept as short as possible, especially for low-academically achieving adolescents. This implies that the questionnaires needed for tailoring and research purposes should be short. The number and length as well as the negative content of measurements could be one reason that the young people dropped out (Bunker et al., 2007). However, reducing the number of questions can influence the validity of the measurement. Hence, for future researchers, it is a challenge to develop interventions with a balance between the number of questions and the validity of the measurements.
The fifth recommendation concerns the login procedure. Online interventions should have an easy login procedure (Bouwer et al., 2009; Schneider, van Osch, Schulz, Kremers, & de Vries, 2012).
Finally, the acceptability of the materials appeared to depend on how helpful it was. This also emphasizes the importance of tailoring the interventions. Moreover, the acceptability of the material also depended on the novelty of the information. This implies that for future interventions it is important to keep the information up to date, especially when it concerns information on using specific social media in a safe way, since the popularity of these specific media rapidly changes over time. Therefore, it is probably easier to incorporate links to sites on the Internet that provide these safety tips. Finally, future interventions should pay less attention to abstract concepts, and instead use more concrete information, as low academically achieving adolescents do not like to read and need concrete teaching methods (De Boer et al., 1993; Den Boer et al., 2004). Although all materials of Stop Online Bullies were evaluated as positive by the young people, and almost all indicated that they read the texts, watched the movies, pictures, and comics, and did the exercises of the three sessions, earlier research found that the use of and exposure to the content of online interventions is often less than optimal (Campbell et al., 2002; Cunningham, Gulliver, Farrer, Bennett, & Carron-Arthur, 2014; Leslie, Marshall, Owen, & Bauman, 2005; Mañanes & Vallejo, 2014). Games have been found to improve attractiveness of the sites and consequently longer visits (Vandelanotte & Mummery, 2011). Future interventions should therefore pay less attention to abstract concepts, and instead use more novel and concrete information. Standalone online tailored interventions should be restricted to effective coping strategies, social skills, insights in social norms, behavior, and manners, and differences between online and offline contacts. Abstracts concepts like the five G-scheme, the effects and restructure of irrational thoughts, and the negative effects of harassments on self-esteem are probably more suitable when more guidance is possible, as in a face-to-face classroom part of a blended approach, linked to safety programs in schools. In a study among 309 primary and secondary Flanders schools, it was found that 92% of the teachers consider it their duty to inform young people about cyberbullying. However, 87% reported to receive insufficient professional support and 85% reported to receive insufficient guidelines to prevent and combat cyberbullying (Vandebosch, Poels, & Deboutte, 2014). Materials of Stop Online Bullies that are too abstract for an online standalone approach could be redeveloped in a blended approach for teachers in school.
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