Nurse-Led ROOTS-Soft Skills Intervention for Bullying Prevention

NCT ID: NCT07261397

Last Updated: 2025-12-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-01

Study Completion Date

2025-10-05

Brief Summary

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This study aims to evaluate the effect of a nurse-led intervention combining the ROOTS program and soft skills training on emotional regulation and bullying prevention among high school students in Bandung, Indonesia. Bullying remains a major concern in schools and is closely linked to emotional difficulties, poor coping skills, and limited empathy. Strengthening students' emotional regulation is an evidence-based strategy to reduce aggressive behaviors and promote safer school environments.

In this study, trained school nurses will deliver an integrated intervention consisting of sessions on identifying emotions, managing stress, developing empathy, communicating effectively, and resolving conflicts. The program is designed to help students better understand their emotions, control impulsive reactions, and build positive relationships with peers. These skills are expected to reduce the risk of bullying-both as perpetrators and as victims.

The research uses a quasi-experimental design involving two high schools in Bandung. One school will receive the nurse-led intervention, while the comparison school will continue routine school activities. Students who meet inclusion criteria and provide consent/assent will participate in pre- and post-intervention assessments. The primary outcome is improvement in emotional regulation scores. Secondary outcomes include bullying behavior, empathy, and student perceptions of the school climate.

All activities will follow ethical guidelines, including confidentiality, voluntary participation, and the right to withdraw at any time. The study seeks to provide evidence on how nurses can contribute to mental health promotion in schools and support sustainable, school-based bullying prevention strategies.

Detailed Description

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This study investigates a structured, nurse-led intervention that integrates the ROOTS program with soft skills training to enhance emotional regulation as a strategy to prevent bullying among adolescents. The intervention consists of multiple structured sessions delivered over several weeks, focusing on emotional awareness, stress management, empathy development, communication strategies, and problem-solving skills. The program was adapted for Indonesian high school students and aligned with the role of school nurses in mental health promotion.

A quasi-experimental non-randomized design will be used. Two high schools in Bandung will participate: one serving as the intervention site and the other as the comparison site. Participants will be students in grades 10-11 who consent to join the study. Pre-intervention assessments will measure emotional regulation (primary outcome) and bullying behaviors, empathy, and school climate (secondary outcomes). After the intervention sessions are completed, the same measures will be reassessed.

The study aims to generate evidence on the feasibility and effectiveness of a nurse-led emotional and social skills program delivered in school settings. Findings are expected to inform future mental health strategies, support the integration of nurses into school-based preventive services, and contribute practical recommendations for bullying prevention policies.

Conditions

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Bullying Behavior Emotional Regulation Difficulties Adolescent Mental Health

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Students are assigned to either the intervention group receiving the ROOTS and Soft Skills sessions or a control group receiving school-as-usual activities. The intervention lasts 8 weeks with pre- and post-assessments.
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors
Participants and school staff are aware of group allocation, but outcome assessors are blinded to minimize measurement bias.

Study Groups

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Intervention Group

Participants receive the Nurse-Led ROOTS Program combined with Soft Skills Training. This eight-week program, facilitated by the school nurse and a teacher, includes peer-led leadership activities, emotion regulation exercises, assertive communication, cognitive reappraisal, and empathy training to prevent bullying and improve emotional regulation.

Group Type EXPERIMENTAL

Nurse-Led ROOTS Program and Soft Skills Training

Intervention Type BEHAVIORAL

A structured, eight-week program delivered once per week (60-90 minutes/session) by the school nurse and supported by teachers. Core components include:

Program orientation and group norms

Peer leadership and assertive communication

Emotional awareness and labeling

Expression management and self-control

Cognitive reappraisal exercises

Empathy and perspective-taking

Peer-led positive values campaign

Reflection, feedback, and skill consolidation

Control Group

Participants in this arm will receive standard care provided at the school without additional psychological intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Nurse-Led ROOTS Program and Soft Skills Training

A structured, eight-week program delivered once per week (60-90 minutes/session) by the school nurse and supported by teachers. Core components include:

Program orientation and group norms

Peer leadership and assertive communication

Emotional awareness and labeling

Expression management and self-control

Cognitive reappraisal exercises

Empathy and perspective-taking

Peer-led positive values campaign

Reflection, feedback, and skill consolidation

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Adolescents aged 14-18 years
* Enrolled in participating secondary schools
* Willing to provide assent, with parental/guardian consent
* Able to understand and communicate in the local language (e.g., Indonesian or English)

Exclusion Criteria

* Severe psychiatric conditions requiring immediate clinical intervention (e.g., psychosis, severe depression with suicidal intent)
* Currently receiving structured psychological or psychiatric treatment for emotional regulation or mental health conditions
* Cognitive or developmental disabilities that would prevent meaningful participation in group activities
* Non-consent from parent/guardian or the participant
Minimum Eligible Age

14 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitas Padjadjaran

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Iyus Yosep

Role: PRINCIPAL_INVESTIGATOR

Universitas Padjadjaran

Locations

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SMA Al Marwah and MAN Kota Bandung

Bandung, West Java, Indonesia

Site Status

Countries

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Indonesia

Other Identifiers

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NURS-202511.01

Identifier Type: -

Identifier Source: org_study_id

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