Trial Outcomes & Findings for BullyDown, a Text Messaging-based Bullying Prevention Program for Middle School-aged Youth (NCT NCT06017050)

NCT ID: NCT06017050

Last Updated: 2025-12-05

Results Overview

If at least 75% of eligible participants assent to participate, this will be supportive of a hypothesis of feasibility. Note that a youth could assent and not be randomized if they did not complete the baseline survey.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

138 participants

Primary outcome timeframe

Recruitment period

Results posted on

2025-12-05

Participant Flow

Participant milestones

Participant milestones
Measure
BullyDown intervention
BullyDown: BullyDown is an 8 week, text messaging-based prevention program aimed to prevent bullying behaviors among middle school-aged youth. Message content is based upon the social-emotional learning model.
Healthy lifestyle control
Attention-matched control: The attention-matched control will receive the messages for the same number of days as the intervention. Content will talk about 'healthy lifestyle' topics, such as fitness and healthy social media use.
Overall Study
STARTED
71
67
Overall Study
COMPLETED
69
66
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

BullyDown, a Text Messaging-based Bullying Prevention Program for Middle School-aged Youth

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BullyDown Intervention
n=71 Participants
BullyDown: BullyDown is an 8 week, text messaging-based prevention program aimed to prevent bullying behaviors among middle school-aged youth. Message content is based upon the social-emotional learning model.
Healthy Lifestyle Control
n=67 Participants
Attention-matched control: The attention-matched control will receive the messages for the same number of days as the intervention. Content will talk about 'healthy lifestyle' topics, such as fitness and healthy social media use.
Total
n=138 Participants
Total of all reporting groups
Age, Categorical
<=18 years
71 Participants
n=37 Participants
67 Participants
n=37 Participants
138 Participants
n=74 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
Age, Categorical
>=65 years
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
Sex/Gender, Customized
Boys
21 Participants
n=37 Participants
16 Participants
n=37 Participants
37 Participants
n=74 Participants
Sex/Gender, Customized
Girls
38 Participants
n=37 Participants
41 Participants
n=37 Participants
79 Participants
n=74 Participants
Sex/Gender, Customized
Nonbinary youth
4 Participants
n=37 Participants
6 Participants
n=37 Participants
10 Participants
n=74 Participants
Sex/Gender, Customized
Declined to answer
8 Participants
n=37 Participants
4 Participants
n=37 Participants
12 Participants
n=74 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
54 Participants
n=37 Participants
50 Participants
n=37 Participants
104 Participants
n=74 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
n=37 Participants
14 Participants
n=37 Participants
31 Participants
n=74 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=37 Participants
3 Participants
n=37 Participants
3 Participants
n=74 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=37 Participants
1 Participants
n=37 Participants
3 Participants
n=74 Participants
Race (NIH/OMB)
Asian
3 Participants
n=37 Participants
0 Participants
n=37 Participants
3 Participants
n=74 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=37 Participants
8 Participants
n=37 Participants
17 Participants
n=74 Participants
Race (NIH/OMB)
White
41 Participants
n=37 Participants
41 Participants
n=37 Participants
82 Participants
n=74 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=37 Participants
6 Participants
n=37 Participants
9 Participants
n=74 Participants
Race (NIH/OMB)
Unknown or Not Reported
13 Participants
n=37 Participants
11 Participants
n=37 Participants
24 Participants
n=74 Participants
Bullying perpetration
9 Participants
n=37 Participants
11 Participants
n=37 Participants
20 Participants
n=74 Participants
Aggression perpetration
24 Participants
n=37 Participants
22 Participants
n=37 Participants
46 Participants
n=74 Participants
Bystander behavior
14.7 units on a scale
STANDARD_DEVIATION 2.4 • n=37 Participants
15.3 units on a scale
STANDARD_DEVIATION 2.7 • n=37 Participants
15.0 units on a scale
STANDARD_DEVIATION 2.5 • n=74 Participants

PRIMARY outcome

Timeframe: Recruitment period

Population: 474 youth were identified as eligible.

If at least 75% of eligible participants assent to participate, this will be supportive of a hypothesis of feasibility. Note that a youth could assent and not be randomized if they did not complete the baseline survey.

Outcome measures

Outcome measures
Measure
Overall Number of Participants Recruited
n=474 Participants
Overall Number of Participants Recruited represent all participants who were determined to be eligible to be included in the study
Healthy lifestyle control
Attention-matched control: The attention-matched control will receive the messages for the same number of days as the intervention. Content will talk about 'healthy lifestyle' topics, such as fitness and healthy social media use.
Feasibility: Recruitment Rate
202 Participants

PRIMARY outcome

Timeframe: Intervention end, 9 weeks after program enrollment

Population: Youth who provided data at the program end survey were included in the analyses.

Youth were asked: "How likely are you to recommend BullyDown to other people your age?" Answers were collected on a 5-point Likert scale. The response option ranged from 1-5, with higher values reflecting greater acceptability. An average score of 4 or higher was deemed supportive of program acceptability.

Outcome measures

Outcome measures
Measure
Overall Number of Participants Recruited
n=59 Participants
Overall Number of Participants Recruited represent all participants who were determined to be eligible to be included in the study
Healthy lifestyle control
n=56 Participants
Attention-matched control: The attention-matched control will receive the messages for the same number of days as the intervention. Content will talk about 'healthy lifestyle' topics, such as fitness and healthy social media use.
Acceptability of the Intervention
3.7 Average score on a 5-point likert scale
Standard Deviation 1.1
3.6 Average score on a 5-point likert scale
Standard Deviation 1.0

PRIMARY outcome

Timeframe: 21 weeks post-randomization, 3 months after the 9-week program ended

A retention rate of 80% or higher was deemed to be supportive of a hypothesis of feasibility

Outcome measures

Outcome measures
Measure
Overall Number of Participants Recruited
n=71 Participants
Overall Number of Participants Recruited represent all participants who were determined to be eligible to be included in the study
Healthy lifestyle control
n=67 Participants
Attention-matched control: The attention-matched control will receive the messages for the same number of days as the intervention. Content will talk about 'healthy lifestyle' topics, such as fitness and healthy social media use.
Feasibility: Retention at 3-month Follow-up
48 Participants
49 Participants

SECONDARY outcome

Timeframe: 9 weeks post-randomization

A retention rate of 80% or higher was deemed supportive of a hypothesis of feasibility.

Outcome measures

Outcome measures
Measure
Overall Number of Participants Recruited
n=71 Participants
Overall Number of Participants Recruited represent all participants who were determined to be eligible to be included in the study
Healthy lifestyle control
n=67 Participants
Attention-matched control: The attention-matched control will receive the messages for the same number of days as the intervention. Content will talk about 'healthy lifestyle' topics, such as fitness and healthy social media use.
Feasibility: Retention Rate at Program End
59 Participants
56 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Reported bullying perpetration behavior in the past 30 days at the end of the 9 week program

Population: Youth who provided data at the program end survey were included in the analyses.

Bullying behaviors towards other youth the same age 3 or more times in the past 30 days

Outcome measures

Outcome measures
Measure
Overall Number of Participants Recruited
n=59 Participants
Overall Number of Participants Recruited represent all participants who were determined to be eligible to be included in the study
Healthy lifestyle control
n=56 Participants
Attention-matched control: The attention-matched control will receive the messages for the same number of days as the intervention. Content will talk about 'healthy lifestyle' topics, such as fitness and healthy social media use.
Rates of Bullying Perpetration in the Intervention Versus Control Group
7 Participants
7 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Reported aggressive behavior in the past 30 days at the end of the 9 week program

Population: Youth who provided data at the program end survey were included in the analyses.

Youth who report aggressive acts towards others 1-2 times in the past 30 days

Outcome measures

Outcome measures
Measure
Overall Number of Participants Recruited
n=59 Participants
Overall Number of Participants Recruited represent all participants who were determined to be eligible to be included in the study
Healthy lifestyle control
n=56 Participants
Attention-matched control: The attention-matched control will receive the messages for the same number of days as the intervention. Content will talk about 'healthy lifestyle' topics, such as fitness and healthy social media use.
Rates of Aggressive Behavior in the Intervention Versus Control Group
15 Participants
14 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Responses provided at the program end survey, 9 weeks after they were randomized

Population: Youth who provided data at the program end survey were included in the analyses.

Bystander intentions are measured using the 5-item University of Illinois Willingness to Intervene scale. Each of the items is measured on a 4-point Likert scale, resulting in a sum that ranges from 5 - 20. A higher score reflects a greater willingness to intervene.

Outcome measures

Outcome measures
Measure
Overall Number of Participants Recruited
n=59 Participants
Overall Number of Participants Recruited represent all participants who were determined to be eligible to be included in the study
Healthy lifestyle control
n=56 Participants
Attention-matched control: The attention-matched control will receive the messages for the same number of days as the intervention. Content will talk about 'healthy lifestyle' topics, such as fitness and healthy social media use.
Scores of Bystanding Behavior in the Intervention Versus Control Group
14.7 units on a scale
Standard Deviation 2.9
15.0 units on a scale
Standard Deviation 3.1

Adverse Events

BullyDown intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Healthy lifestyle control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Michele Ybarra

Center for Innovative Public Health Research

Phone: 8773026858

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place