@article{ref1,
title="Change of school playground environment on bullying: a randomized controlled trial",
journal="Pediatrics",
year="2017",
author="Farmer, Victoria L. and Williams, Sheila M. and Mann, Jim I. and Schofield, Grant and McPhee, Julia C. and Taylor, Rachael W.",
volume="139",
number="5",
pages="e2016-3072",
abstract="OBJECTIVE: To investigate whether increasing risk and challenge in primary school playgrounds influences interactions between children. <br><br>METHODS: In a 2-year cluster-randomized controlled trial, 8 control schools were asked to not change their play environment, whereas 8 intervention schools increased opportunities for risk and challenge (eg, rough-and-tumble play), reduced rules, and added loose parts (eg, tires). Children (n = 840), parents (n = 635), and teachers (n = 90) completed bullying questionnaires at baseline, 1 (postintervention), and 2 (follow-up) years. <br><br>RESULTS: Intervention children reported higher odds of being happy at school (at 2 years, odds ratio [OR]: 1.64; 95% confidence interval [CI]: 1.20-2.25) and playing with more children (at 1 year, OR: 1.66; 95% CI: 1.29-2.15) than control children. Although intervention children indicated they were pushed/shoved more (OR: 1.33; 95% CI: 1.03-1.71), they were less likely to tell a teacher (OR: 0.69; 95% CI: 0.52-0.92) at 2 years. No significant group differences were observed in parents reporting whether children had &quot;ever&quot; been bullied at school (1 year: P =.23; 2 years: P =.07). Intervention school teachers noticed more bullying in break time at 1 year (difference in scores: 0.20; 95% CI: 0.06-0.34; P =.009), with no corresponding increase in children reporting bullying to teachers (both time points, P ≥.26). <br><br>CONCLUSIONS: Few negative outcomes were reported by children or parents, except for greater pushing/shoving in intervention schools. Whether this indicates increased resilience as indicated by lower reporting of bullying to teachers may be an unanticipated benefit.<br><br>Copyright © 2017 by the American Academy of Pediatrics.<p /> <p>Language: en</p>",
language="en",
issn="0031-4005",
doi="10.1542/peds.2016-3072",
url="http://dx.doi.org/10.1542/peds.2016-3072"
}