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Completed

NCT Number: NCT07683858

School Program for Resilience and Bullying Prevention

This study evaluated whether a school-based psychoeducational program could improve psychological resilience and reduce bullying victimization among high school students in Hatay, Türkiye, following the 2023 earthquake. The intervention consisted of a 10-week psychological resilience program followed by a 5-week peer bullying awareness program delivered in weekly group sessions. A single-group pretest-posttest mixed-methods design was used. Psychological resilience and bullying victimization were assessed before the intervention and three months after program completion using validated self-report scales. Qualitative data were also collected to explore students' experiences and perceived benefits of the program.

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Key information

Age range

14 year–18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Antakya High School

Hatay, Turkey (Türkiye)

About this study

Adolescents living in disaster-affected regions may experience increased psychological distress, reduced resilience, and greater vulnerability to peer bullying. School-based psychoeducational interventions may strengthen coping skills, improve emotional regulation, and promote healthier peer relationships.

This study was conducted in Hatay, Türkiye, following the February 2023 earthquakes to examine changes in psychological resilience and bullying victimization after participation in a structured psychoeducational intervention.

The study used a single-group pretest-posttest mixed-methods design. High school students participated in a 15-week intervention consisting of two sequential components. The first component was a 10-week psychological resilience program designed to improve self-awareness, emotional regulation, coping skills, self-efficacy, goal setting, and social support. The second component was a 5-week peer bullying awareness program developed by the Ministry of National Education with educational support from UNICEF, focusing on recognizing bullying, empathy, bystander intervention, and prevention strategies.

Quantitative outcomes were measured using the Child and Youth Resilience Measure-12 (CYRM-12) and the Child-Adolescent Bullying Scale-9 Short Form (CABS-9). Assessments were performed before the intervention and three months after completion of the program. Qualitative data were collected using open-ended written questions to explore participants' perceptions of the intervention and its effects.

The primary objective was to evaluate changes in psychological resilience and bullying victimization following participation in the program. Secondary objectives included exploring students' experiences of the intervention and identifying perceived changes in personal development, peer relationships, and school climate.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

**Inclusion Criteria:**

  • Students enrolled in grades 9, 10, or 11 at the participating high school in Hatay, Türkiye.
  • Aged between 14 and 18 years.
  • Able to understand and complete the study questionnaires.
  • Willing to participate in the school-based intervention.
  • Written informed consent obtained from parents or legal guardians, and assent obtained from the student where applicable.

**Exclusion Criteria:**

  • Students who did not provide informed consent or whose parents/legal guardians did not provide consent.
  • Students who were absent from the majority of intervention sessions.
  • Students who did not complete both the baseline and follow-up assessments.
  • Students who withdrew from the study at any time during the intervention period.

Treatment and study plan

Psychological Resilience Program

Behavioral

The Psychological Resilience Program was a structured, school-based psychoeducational intervention delivered in weekly group sessions over 10 consecutive weeks. The program was designed to strengthen adolescents' psychological resilience following the 2023 earthquakes in Türkiye. The curriculum included activities aimed at improving self-awareness, emotional awareness and regulation, stress management, problem-solving, coping strategies, communication skills, self-efficacy, goal setting, optimism, social support, and adaptive responses to challenging life events. Sessions were conducted using interactive methods, including group discussions, experiential activities, role-playing, reflection exercises, and practical skill-building tasks. The intervention was delivered by trained professionals according to a standardized program protocol.

Peer Bullying Awareness Program

Behavioral

The Peer Bullying Awareness Program was delivered immediately after completion of the resilience program and consisted of five weekly school-based group sessions. The program was developed by the Turkish Ministry of National Education with educational support from UNICEF and was designed to increase awareness of peer bullying and promote healthy peer relationships. Session topics included the definition and types of bullying, recognition of bullying behaviors, empathy development, emotional awareness, effective communication, bystander responsibilities, conflict resolution, reporting mechanisms, and strategies for preventing bullying in school settings. Interactive discussions, scenario-based learning, group activities, and reflective exercises were used to encourage active participation and application of the concepts in everyday school life.

Primary outcomes

  1. Psychological Resilience

    Time frame: Baseline and 3 months after completion of the intervention.

    Psychological resilience will be assessed using the Child and Youth Resilience Measure-12 (CYRM-12), a validated self-report instrument that evaluates individual, relational, and contextual resilience resources among adolescents. The total CYRM-12 score will be used to determine changes in participants' resilience following the intervention. Higher scores indicate greater psychological resilience and adaptive coping capacity.

  2. Peer Bullying victimization

    Time frame: Baseline and 3 months after completion of the intervention.

    Peer bullying victimization will be assessed using the Child-Adolescent Bullying Scale-9 Short Form (CABS-9), a validated self-report instrument that measures the frequency and severity of bullying experiences among adolescents. Total CABS-9 scores will be compared before and after the intervention to evaluate changes in peer bullying victimization. Lower scores indicate reduced exposure to peer bullying and improved school social experiences.

Secondary outcomes

  1. Participants' Experiences of the Intervention

    Time frame: 3 months after completion of the intervention.

    Participants' experiences and perceptions of the intervention will be explored using open-ended qualitative questions administered three months after completion of the program. Responses will be analyzed using thematic content analysis to identify perceived changes in psychological resilience, coping strategies, emotional well-being, peer relationships, bullying awareness, and the overall usefulness of the intervention.

Sponsors and collaborators

Lead sponsor

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Other

Collaborators

  • Mustafa Kemal University

Registry information

Official study title

School-Based Intervention to Enhance Psychological Resilience and Bullying Awareness Among High School Students: A Mixed-Methods Study

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jul 6, 2026
Registry last updated
Jul 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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