Cyberbullying Media-Based Prevention Intervention for Adolescents on Instagram: A Pilot Randomized Controlled Trial (Preprint)
BACKGROUND Between 15-70% of adolescents report experiencing cybervictimization; cybervictimization is associated with multiple negative consequences, including depressed mood. Few validated, easily disseminated interventions exist to prevent cybervictimization and its consequences. With over 97% of adolescents using social media (such as YouTube, Facebook, Instagram or Snapchat), recruiting and delivering a prevention intervention through social media and apps may improve accessibility of prevention tools for at-risk youth. OBJECTIVE To evaluate feasibility and acceptability, and to obtain preliminary outcome data, on a brief remote app-based intervention to prevent and reduce the effect of cyberbullying (IMPACT, Intervention Media to Prevent Adolescent Cyber-conflict through Technology). METHODS A national sample of 80 adolescents with a history of past-year cyber-victimization were recruited through Instagram for a randomized control trial (RCT) of the IMPACT a brief remote Research Assistant (RA) lead intervention and fully automated app-based program versus enhanced online resources (control). Feasibility and acceptability were measured by consent, daily use, and validated surveys. Although not powered for efficacy, outcomes (victimization, bystander self-efficacy, wellbeing) were measured using validated measures at 8 and 16 weeks and compared using SAS 9.3. RESULTS Regarding feasibility, 24.5% of eligible participants provided contact information, and of these 70% completed full enrollment procedures. Of the 80 participants enrolled 36 were randomized into the Intervention and 44 into the enhanced online rescores groups. All participants randomized to the intervention condition completed the remote intervention session, and 89% of daily prompts were answered. Retention rate at 8 weeks was 99% and 96% at 16 weeks for all participants. Regarding acceptability, 100% of intervention participants were at least moderately satisfied with IMPACT overall, and 92% were at least moderately satisfied with the app. Well-being among IMPACT users was significantly higher (b=1.17, SE=.87, P=.02 at 8 weeks; b=3.24, SE=.95, P=.001 at 16 weeks) and psychological stress was lower (b=-.66, SE=.08, P=.04 at 8 weeks; b=-.89, SE=.09, P<.01 at 16 weeks) than in controls. Participants in the intervention group attempted significantly more bystander interventions compared to control at 8 weeks (b=.82, SE=.42, P=.02). CONCLUSIONS Remote app-based interventions for victims of cyberbullying are feasible and acceptable, increase overall well-being and bystander effects, and decrease psychological stress. This is especially noteworthy given the increased anxiety reported from adolescents during the current global pandemics. The use of Instagram to recruit adolescents can be a successful strategy to identify and intervene with those at the highest risk of cybervictimization. CLINICALTRIAL ClinicalTrials.gov: NCT04259216