Suzy Clarkson

Dr. Suzy Clarkson

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Research Focus & Metrics

Academic Career Length

12Years (2015-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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1 July 2020 in Prevention Science
Verified
Journal Article
Open access
PDF file
NANick Axford
Nick Axford
GBGretchen Bjornstad
Gretchen Bjornstad
SCSuzy Clarkson
Suzy Clarkson
OUObioha C. Ukoumunne
Obioha C. Ukoumunne
ZWZoe Wrigley
Zoe Wrigley
JHJudy Hutchings
Judy Hutchings
The study evaluated the implementation fidelity and effectiveness of KiVa, an evidence-based program that aims to prevent and address bullying in schools, with a particular emphasis on changing the role of bystanders. The study was a two-arm waitlist control cluster randomized controlled trial in which 22 primary schools (clusters) (N = 3214 students aged 7–11) were allocated using a 1:1 ratio to intervention (KiVa; 11 clusters,n = 1588 students) and a waitlist control (usual school provision; 11 clusters,n = 1892 children)). The trial statistician (but not schools or researchers) remained blind to allocation status. The outcomes were as follows: student-reported victimization (primary outcome) and bullying perpetration; teacher-reported child behavior and emotional well-being; and school absenteeism (administrative records). Implementation fidelity was measured using teacher-completed online records (for class lessons) and independent researcher observations (for school-wide elements). Outcome analyses involved 11 intervention schools (n = 1578 children) and 10 control schools (n = 1636 children). There was no statistically significant effect on the primary outcome of child-reported victimization (adjusted intervention/control OR 0.76; 95% CI 0.55 to 1.06;p = 0.11) or on the secondary outcomes. The impact on victimization was not moderated by child gender, age, or victimization status at baseline. Lesson adherence was good but exposure (lesson length) was lower than the recommended amount, and there was considerable variability in the implementation of whole school elements. The trial found insufficient evidence to conclude that KiVa had an effect on the primary outcome. A larger trial of KiVa in the UK is warranted, however, with attention to issues regarding implementation fidelity. Trial registration: Current Controlled Trials ISRCTN23999021 Date 10-6-13

21 September 2015 in Journal of Children's Services
Verified
Journal Article
Closed access
NANick Axford
Nick Axford
DFDavid P Farrington
David P Farrington
SCSuzy Clarkson
Suzy Clarkson
GBGretchen J Bjornstad
Gretchen J Bjornstad
ZWZoe Wrigley
Zoe Wrigley
JHJudy Hutchings
Judy Hutchings
Purpose: – The purpose of this paper is to describe how and why school-based programmes to prevent or reduce bullying involve parents, and what impact involving parents has on bullying.Design/methodology/approach: – A review of relevant literature, in particular systematic reviews and meta-analyses.Findings: – The logic of involving parents in school-based bullying prevention programmes is that this increases the likelihood of parents first, telling schools that their child is being bullied, which in turn enables the school to act appropriately, and second, being able to address bullying-related issues effectively at home. Parent involvement is associated with a reduction in bullying but further research is needed to determine if it is a causal factor. Programmes tend not to include a parenting education and support element, despite negative parenting behaviour being associated with children being a victim or a bully/victim.Practical implications: – There is good reason to involve parents in school-based bullying prevention. Given the parenting risk factors for bullying perpetration and victimisation, bullying prevention programmes could also usefully offer parenting education and support.Originality/value: – The paper focuses exclusively on the role of parents in school-based bullying prevention programmes. It articulates the logic of involving parents and summarises the impact of parent involvement.

20 April 2019 in School Psychology International
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Journal Article
Closed access
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SCSuzy Clarkson
Suzy Clarkson
JCJoanna M. Charles
Joanna M. Charles
CSChristopher W. N. Saville
Christopher W. N. Saville
GBGretchen J. Bjornstad
Gretchen J. Bjornstad
JHJudy Hutchings
Judy Hutchings
Bullying is an internationally recognized problem and school-based bullying is particularly pervasive. KiVa is a robustly evidenced school-based antibullying programme developed and evaluated at Turku University, Finland, and subsequently disseminated across Finland. Following a positive UK trial of Unit 2 (for 10- to 12-year-olds), further UK dissemination has taken place. This study presents (a) pupil self-reported levels of victimization and bullying prior to, and after, one year of KiVa implementation (Units 1 and 2) with 7- to 11-year-olds from 41 schools, and (b) programme training and delivery costs. Data from 41 primary schools were analysed using a linear mixed model effects analysis. Results revealed statistically significant reductions in victimization and bullying after one year of programme implementation. Ongoing costs were small, at £2.84 per Key Stage 2 pupil per annum. These promising results highlight the need for further more rigorous evaluation of KiVa in the UK, including the exploration of factors associated with effective implementation, and the importance for educators and policy makers of evaluating both impact and costs when implementing programmes to prevent and reduce bullying.

1 December 2015 in BMC Public Health
Verified
Journal Article
Open access
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SCSuzy Clarkson
Suzy Clarkson
NANick Axford
Nick Axford
VBVashti Berry
Vashti Berry
RERhiannon Tudor Edwards
Rhiannon Tudor Edwards
GBGretchen Bjornstad
Gretchen Bjornstad
JHJudy Hutchings
Judy Hutchings
Bullying refers to verbal, physical or psychological aggression repeated over time that is intended to cause harm or distress to the victims who are unable to defend themselves. It is a key public health priority owing to its widespread prevalence in schools and harmful short- and long-term effects on victims’ well-being. There is a need to strengthen the evidence base by testing innovative approaches to preventing bullying. KiVa is a school-based bullying prevention programme with universal and indicated elements and an emphasis on changing bystander behaviour. It achieved promising results in a large trial in Finland, and now requires testing in other countries. This paper describes the protocol for a cluster randomised controlled trial (RCT) of KiVa in Wales. The study uses a two-arm waitlist control pragmatic definitive parallel group cluster RCT design with an embedded process evaluation and calculation of unit cost. Participating schools will be randomised a using a 1:1 ratio to KiVa plus usual provision (intervention group) or usual provision only (control group). The trial has one primary outcome, child self-reported victimisation from bullying, dichotomised as ‘victimised’ (bullied at least twice a month in the last couple of months) versus ‘not victimised’. Secondary outcomes are: bullying perpetration; aspects of child social and emotional well-being (including emotional problems, conduct, peer relations, prosocial behaviour); and school attendance. Follow-up is at 12 months post-baseline. Implementation fidelity is measured through teacher-completed lesson records and independent school-wide observation. A micro-costing analysis will determine the costs of implementing KiVa, including recurrent and non-recurrent unit costs. Factors related to the scalability of the programme will be examined in interviews with head teachers and focus groups with key stakeholders in the implementation of school-based bullying interventions. The results from this trial will provide evidence on whether the KiVa programme is transportable from Finland to Wales in terms of effectiveness and implementation. It will provide information about the costs of delivery and generate insights into factors related to the scalability of the programme. Current Controlled Trials ISRCTN23999021 Date 10-6-13

25 November 2023 in Children
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Journal Article
Open access
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Julia BadgerJulia Badger
Julia Badger
MZMirela Zaneva
Mirela Zaneva
RHRichard Hastings
Richard Hastings
MBMatthew R. Broome
Matthew R. Broome
RHRachel Hayes
Rachel Hayes
LBLucy Bowes
Lucy Bowes
Bullying is a modifiable risk factor for poor mental health across childhood and adolescence. It is also socially patterned, with increased prevalence rates in more disadvantaged settings. The current study aimed to better understand whether school-level disadvantage is associated with different types of bullying roles, and whether it is a moderator in the association between bullying and children’s mental health. Cross-sectional data were used from 4727 children aged 6–11 years, from 57 primary schools across England and Wales. The child data included previous bullying involvement and bullying role characteristics (bully, victim, bully–victim, reinforcer, defender, outsider), and the teacher-reported data included each child’s mental health (emotional symptoms and externalizing) problems. School-level disadvantage was calculated from the proportion of children in the school eligible to receive free school meals (an indicator of disadvantage). Children in more disadvantaged schools were more likely to report being bully perpetrators, bully–victims, and engage less in defending behaviors during a bullying incident. Children from more disadvantaged schools who reported bullying others showed fewer emotional symptoms than those from less disadvantaged schools. There was no other evidence of moderation by school-level disadvantage between bullying roles and emotional and externalizing problems. The findings highlight the potential for school-based interventions targeting children’s emotional and social development, targeting bullying, and promoting defending behaviors, particularly in more disadvantaged settings.

19 February 2025 in Behavioral Sciences
Verified
Journal Article
Open access
PDF file
JHJudy Hutchings
Judy Hutchings
RPRuth Pearson
Ruth Pearson
MBMalavika Babu
Malavika Babu
SCSuzy Clarkson
Suzy Clarkson
MWMargiad Williams
Margiad Williams
LBLucy Bowes
Lucy Bowes
This paper describes the social architecture model of school-based bullying behavior. The model proposes that the behavior of all students affects rates of bullying. Alongside self-reported victims and bullies, the model identified four bystander roles: assistant, reinforcer, outsider, and defender. The level of support for bullies varies based on school policies that address bullying and promote school connectedness. The universal components of the KiVa school-based anti-bullying program designed to teach pupils to stand against bullying are described. The Stand Together trial, a UK-based randomized controlled trial, recruited 11,000+ students from 118 schools across the UK, half of whom received the KiVa program whilst the remainder delivered usual practice to address bullying. The main trial results reported a significant reduction in victimization in favor of KiVa. This paper examines data collected on the pupil-reported Participant Role Questionnaire (PRQ), one of the secondary measures used to explore whether significant reductions in victimization were accompanied by changes in bystander behavior. The results showed reductions in the student response rates of self-identified roles as bullies, assistants, and reinforcers in favor of KiVa, but outsider roles increased, and defender roles reduced. This provides tentative support for the social architecture model as taught in the Stand Together KiVa trial but also suggests that further work needs to be conducted to support the development of defender behaviors and address this important public health challenge.