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ABSTRACT
This paper summarises the results of a systematic review and meta-analysis of the effectiveness
of anti-bullying programmes in schools. Extensive searches were carried out in 18 databases and
in 35 journals. The number of reports on anti-bullying programmes increased considerably over
time. Nearly 600 reports were found, but only 59 of these (describing evaluations of 30 different
programmes) were eligible for inclusion in our review because they described a high-quality
Jnl Aggress Conflict Peace Res 2009.1:13-24.
evaluation. We coded the elements of the intervention in these programmes and key features of
the evaluation and related these to the effects of the intervention. These types of figures have never
been presented in any previous systematic review or meta-analysis of anti-bullying programmes.
Our meta-analysis showed that school-based anti-bullying programmes are effective in reducing
bullying and victimisation (being bullied), which were reduced by about 20Ð23% in experimental
schools, compared with control schools. The most important programme components that were
associated with a decrease in bullying were parent training, improved playground supervision,
disciplinary methods, school conferences, videos, information for parents, work with peers,
classroom rules and classroom management.
KEY WORDS
Systematic review; meta-analysis; anti-bullying programmes in schools; intervention components;
evaluation research.
G/'.)/&)37-)2#&2($./#&.)B5-33/2%-N)K)6#G-%3.0)=>>WDQ) M)-(-23%#&/2)4'3'G'.-.)'&4)/&)('&,$',-.)#37-%)37'&)
OH.3-:'3/2)%-A/-N.)'((#N)*#%)'):#%-)#GX-23/A-) c&,(/.7S)2D)2'%%H/&,)#$3):#%-)-Z3-&./A-):-3'F'&'(H.-.)
appraisal of the evidence than traditional narrative (including correlating effect sizes with programme
%-A/-N.Q)Y$%).H.3-:'3/2)%-A/-N)'&'(H.-.)=W)H-'%.)#*) components and study features); and d) focusing
/&3-%A-&3/#&)%-.-'%27)B*%#:) ?M!)3#)37-)-&4)#*)+<%/() only on programmes that are specifically designed
=>>MD)'&4)/.)G'.-4)#&)-Z3-&./A-)(/3-%'3$%-).-'%27-.Q) to reduce bullying and not aggressive behaviour.
Y$%):-3'F'&'(H./.)<%-.-&3.)')[$'&3/3'3/A-).$::'%H) The interested reader should consult our report to
#*)-**-23)./\-.)/&)'&3/FG$((H/&,)<%#,%'::-.)'&4) 37-)ON-4/.7)d'3/#&'()1#$&2/()#&)1%/:-)5%-A-&3/#&)
standardises the evaluation results across studies BJ3#*/0)L'%%/&,3#&)K)C'(4%H0)=>>MD)*#%)'):#%-)4-3'/(-4)
with the aim of making solid inferences about what technical description of our systematic review.
works in preventing bullying, for whom and under
what circumstances.
Criteria for inclusion or exclusion
of studies
Previous research
We aimed to review only the highest quality
]'&H).27##(FG'.-4)/&3-%A-&3/#&)<%#,%'::-.) evaluations. We used the following criteria for
have been devised and implemented in an inclusion of studies in our systematic review.
attempt to reduce school bullying. The most a. The study described an evaluation of a
/&*#%:'3/A-)./&,(-).#$%2-)#*)%-<#%3.)#*)'&3/FG$((H/&,) programme designed specifically to reduce school
Jnl Aggress Conflict Peace Res 2009.1:13-24.
<%#,%'::-.)/.)37-)G##R)-4/3-4)GH)5^)O:/37)'&4) G$((H/&,)'&4e#%)A/23/:/.'3/#&)BG-/&,)G$((/-4DQ
2#((-',$-.)B=>>P'D0)N7/27)2#&3'/&.)4-.2%/<3/#&.) b. The study included a clear definition of bullying
#*) !)<%#,%'::-.)/:<(-:-&3-4)/&) )4/**-%-&3) that was concordant with existing definitions
countries. There are also some reviews containing $.-4)/&)G$((H/&,)%-.-'%27)BL'%%/&,3#&0) ??!S)
.$::'%/-.)#*):'X#%)'&3/FG$((H/&,)<%#,%'::-.)B-,Q) Y(N-$.0) ??!DQ)C$((H/&,)N'.)4-*/&-4)'.)
6/,GH0)=>>=S)O:/370)+&'&/'4#$)K)1#N/-0)=>>!S) including physical, verbal, or psychological
C'(4%H)K)L'%%/&,3#&0)=>>_DQ)J7-):#.3)%-(-A'&3) attack or intimidation that is intended to cause
-Z/.3/&,)%-A/-N.)'%-)GH)"`)O:/370)O27&-/4-%0)O:/37) fear, distress, or harm to the victim, and an
K)+&'&/'4#$)B=>>PD)N7#).$::'%/.-4)-**-23)./\-.) imbalance of power, with a more powerful child
/&) P)N7#(-F.27##()'&3/FG$((H/&,)<%#,%'::-.0) (or children) oppressing less powerful ones.
six of which were uncontrolled; and by Vreeman
c.) )C$((H/&,)N'.):-'.$%-4)$./&,)/&4/A/4$'().-(*F
K)1'%%#(()B=>>_D0)N7#)%-A/-N-4)=a).27##(FG'.-4)
report questionnaires by students.
<%#,%'::-.0) W)#*)N7/27)2#&2-%&-4)G$((H/&,0)N/37)
evaluations restricted to studies published in the d. The effectiveness of the programme was measured
English language. by comparing students who received it (the
These two prior reviews are of high quality. experimental condition) with students who did not
b#N-A-%0)&-/37-%)2'%%/-4)#$3)')*$(():-3'F'&'(H./.) receive it (the control condition). We require that
calculating weighted mean effect sizes and there must have been some control of extraneous
correlations between study features and effect sizes. variables in the evaluation (establishing the
+%-%):-3'F'&'(H3/2)%-A/-N)N'.)<$G(/.7-4)GH) equivalence of conditions) by (i) randomisation, or
L-%,$.#&0)O'&)]/,$-(0)^/(G$%&)K)O'&27-\)B=>>_DQ) B//D)<%-F3-.3):-'.$%-.)#*)G$((H/&,0)#%)B///D)27##./&,)
However, this included searches in one database some kind of comparable control condition.
#&(H0)*#%)'%3/2(-.)<$G(/.7-4)G-3N--&)37-)H-'%.) ??W) Because of low internal validity, we exclude
'&4)=>>a0)N/37).3$4/-.)37'3)/&2($4-4)G#37)G$((H/&,) uncontrolled studies that only had before and
and aggressive behaviour as outcome measures. We after measures of bullying in experimental schools
must emphasise that our research aims to review or classes. However, we include studies that
programmes that are explicitly designed to reduce 2#&3%#((-4)*#%)',-)B',-F2#7#%3)4-./,&.DQ)
bullying and that explicitly measure bullying. e. Published and unpublished reports of research
;&)37-)<%-.-&3).H.3-:'3/2)'&4):-3'F'&'(H3/2) 2#&4$23-4)/&)4-A-(#<-4)2#$&3%/-.)G-3N--&) ?M!)
review, we go way beyond the existing body of and the present are included.
research by: a) doing much more extensive searches f.) );3)N'.)<#../G(-)3#):-'.$%-)37-)-**-23)./\-Q)J7-)
*#%)-A'($'3/#&.0).$27)'.)7'&4F.-'%27/&,)'(()A#($:-.) main measure of effect size is the odds ratio.
#*)!W)X#$%&'(.)*%#:) ?M!)$<)3#)37-)-&4)#*)+<%/() g. The minimum initial sample size (total in
=>>MS)GD).-'%27/&,)*#%)/&3-%&'3/#&'()-A'($'3/#&.)/&) -Z<-%/:-&3'()'&4)2#&3%#()2#&4/3/#&.D)N'.)=>>Q)
N/37)#&(H)!W)G#H.)'&4)!W),/%(.V)37-.-)'%-)A-%H).:'(() 4-./,&.0)'&4)',-F2#7#%3)4-./,&.Q);&)37/.)'%3/2(-)#&(H)
samples (with associated large confidence intervals) one published report for each programme is listed in
for estimating the prevalence of bullying and Figures 1 and 2; this specifies the earliest publication
A/23/:/.'3/#&Q);&)2#&3%'.30)').3$4H)N/37)!>>)27/(4%-&) of the evaluation of the programme (for a full list of
'&4)!>f)'33%/3/#&)N/(()-&4)$<)N/37) >W)G#H.)'&4) %-*-%-&2-.)3#)'(()!>).3$4/-.0).--)J3#*/)et al0)=>>MDQ)
>W),/%(.V)37-.-)'%-):$27):#%-)'4-[$'3-).':<(-.Q)
O:'((-%).3$4/-.)N/(()G-)/&2($4-4)/&)37-)%-A/-N)37'3)
we are preparing for the Campbell Collaboration. Analysis of effect sizes for
bullying and victimisation
Included evaluations of The measure of effect size that we have used is the
anti-bullying programmes weighted mean odds ratio (OR) with its associated
?Wf)2#&*/4-&2-)/&3-%A'()B1;DQ)U7-%-)37-)1;)/&2($4-.)
+)3#3'()#*)W?!)%-<#%3.)37'3)N-%-)2#&2-%&-4)N/37) 37-)27'&2-)A'($-)#*) Q>0)37-)Y6)/.)).3'3/.3/2'((H)
bullying prevention, as indicated by either the title or significant. The calculation of the OR and its
the abstract, were included in our systematic review. '..#2/'3-4)1;)'%-)-Z<('/&-4)/&)37-)3-27&/2'()'<<-&4/Z)
All reports were categorised based on a relevance scale '22#:<'&H/&,)#$%)%-<#%3)3#)37-)ON-4/.7)d'3/#&'()
that we constructed (Table 1). Council on Crime Prevention (Ttofi et al)=>>MDQ
Over all measures of bullying, the weighted 37/.)<%#,%'::-Q);&)Figures 1 and 2, studies are
:-'&)Y6)N'.)G-3N--&) QP )'&4) QP!0)/&4/2'3/&,)') organised according to research design.
substantial effect of these programmes on bullying. Element 1)BN7#(-F.27##()'&3/FG$((H/&,)<#(/2HD)
J#),/A-)')2#&2%-3-)-Z':<(-0)/*)37-%-)N-%-)=>)G$((/-.) /&A#(A-.)37-)<%-.-&2-)#*)')*#%:'()'&3/FG$((H/&,)
'&4)M>)&#&FG$((/-.)/&)37-)-Z<-%/:-&3'()2#&4/3/#&) <#(/2H)/&)37-).27##(Q);&):'&H).27##(.0)'.)/&4/2'3-4)
'&4)=a)G$((/-.)'&4)_P)&#&FG$((/-.)/&)37-)2#&3%#() by researchers, such a policy was already in effect.
2#&4/3/#&0)37-)Y6)N#$(4)G-) QP Q)b-&2-0)Y6)h) Element 2 (classroom rules) refers to the use of rules
QP )2'&)2#%%-.<#&4)3#)!>f):#%-)G$((/-.)/&)37-) against bullying that students were expected to
2#&3%#()2#&4/3/#&)B#%)2#&A-%.-(H)=!f)*-N-%)G$((/-.) *#((#NQ);&):'&H)<%#,%'::-.0)37-.-)%$(-.)N-%-)
in the experimental condition). 37-)%-.$(3)#*)2#F#<-%'3/A-),%#$<)N#%R)G-3N--&)
With regard to victimisation, over all studies, the teachers and the students, usually after some
37-)N-/,73-4):-'&)Y6)N'.)G-3N--&) Q!!)'&4) extent of exposure of the students to the philosophy
Q!W0)/&4/2'3/&,)./,&/*/2'&3)-**-23.)#*)37-.-) #%):-..',-.)#*)37-)'&3/FG$((H/&,)<%#,%'::-Q);&)
programmes on victimisation (being bullied). To many cases the rules were written on a notice
give a further illustrative example, if there were that was displayed in a distinctive place in the
=>)A/23/:.)'&4)M>)&#&FA/23/:.)/&)37-)-Z<-%/:-&3'() classroom. Element 3 (school conferences) refers to
2#&4/3/#&0)'&4)=W)A/23/:.)'&4)_W)&#&FA/23/:.)/&) the organisation of school assemblies during which
37-)2#&3%#()2#&4/3/#&0)37-&)Y6)h) Q!!Q)b-&2-0)#$%) 27/(4%-&)N-%-)/&*#%:-4)'G#$3)G$((H/&,Q);&):'&H)
A'($-.)#*)37-)Y6)2#%%-.<#&4)3#)=Wf):#%-)A/23/:.) programmes, these conferences were organised after
/&)37-)2#&3%#()2#&4/3/#&)B#%)2#&A-%.-(H0)=>f)*-N-%) 37-)<%-F3-.3)4'3')2#((-23/#&)'&4)'/:-4)3#)/&*#%:)
Jnl Aggress Conflict Peace Res 2009.1:13-24.
victims in the experimental condition). students about the extent of bullying in their school.
This was perceived as a way of sensitising students
about bullying and as a means of announcing the
Key elements of the programme formal beginning of the intervention programme
in the school. Element 4 (curriculum materials)
c'27)'&3/FG$((H/&,)<%#,%'::-)/&2($4-4)')A'%/-3H) refers to the use of materials about bullying during
#*)/&3-%A-&3/#&)-(-:-&3.Q);&)#%4-%)3#)/&A-.3/,'3-) 2('..%##:)(-..#&.Q)O#:-)<%#,%'::-.)/&A#(A-4)')&-N)
the relationship between intervention elements and curriculum whereas in others teachers incorporated
effect size in a comparable way, all elements were '&3/FG$((H/&,):'3-%/'(.)/&3#)37-)%-,$('%)2$%%/2$($:Q)
dichotomised (in order to produce roughly equal Element 5 (classroom management) refers
groups of studies, as much as possible). Figure 1 to an emphasis on classroom management
shows the elements of the intervention for each techniques in detecting and dealing with bullying.
.3$4HQ);&)2#&.3%$23/&,)37/.)L/,$%-0)N-)2#&.$(3-4) Element 6)B2#F#<-%'3/A-),%#$<)N#%RD)%-*-%.)3#)37-)
the evaluators of the various programmes, and 2#F#<-%'3/#&)':#&,)4/**-%-&3)<%#*-../#&'(.)B$.$'((H)
sent them our coding of the elements of the among teachers and some other professional
/&3-%A-&3/#&Q)CH):/4F"$(H)=>>M0)N-)7'4)%-2-/A-4) groups) in working with bullies and victims of
*--4G'2R)#&)=P)#$3)#*)!>)<%#,%'::-.)'&4) bullying. Elements 7 and 8 (work with bullies and
relevant changes were made to the coding where victims) concern individualised work, not offered in
appropriate. For instance, even though Bauer, the classroom, with children involved in bullying
E#\'&#)K)6/A'%')B=>>_D)/&2($4-4)'&)'&3/FG$((H/&,) '.)A/23/:.)#%)<-%<-3%'3#%.Q);&):#.3)<%#,%'::-.0)
A/4-#0)37/.)'&3/FG$((H/&,):-37#4)N'.)/:<(-:-&3-4) this service was offered by professionals, such as
in only two out of seven intervention schools, psychologists, who collaborated with teachers in
so we did not code this element as included in the school. Element 9 (work with peers) refers to the
We have also coded the following key aspects of the The Olweus Programme
way the programme was implemented: a) The extent As an example, the programme developed by Dan
to which the programme was or was not inspired by Y(N-$.)/&)d#%N'H)B37-)Y(N-$.)C$((H/&,)5%-A-&3/#&)
the work of Dan Olweus (see later); b) The duration Programme; OBPP) was shown to be effective in
of the programme for children, dichotomised */A-)-A'($'3/#&.V)C-%,-&) )'&4)=0)Y.(#) )'&4)=0)'&4)
/&3#)=P>)4'H.)#%)(-..)A-%.$.)=_>)4'H.)#%):#%-S) ')&'3/#&'()/&/3/'3/A-)/&)d#%N'H)BY(N-$.0)=>>PDQ)
c) The intensity of the programme for children, J7-)YC55)N'.)'):$(3/F(-A-()<%#,%'::-)3'%,-3/&,)
4/27#3#:/.-4)/&3#) ?)7#$%.)#%)(-..)A-%.$.)=>)7#$%.) the individual, the school, the classroom and the
or more; d) The duration of the teacher training, 2#::$&/3H)(-A-(Q)+<'%3)*%#:):'..F:-4/')<$G(/2/3H0)
dichotomised into three days or less versus four days 37-)<%#,%'::-).3'%3-4)N/37)')#&-F4'H).27##()
or more; and e) The intensity of the teacher training, conference during which the problem of bullying was
4/27#3#:/.-4)/&3#) P)7#$%.)#%)(-..)A-%.$.) W)7#$%.) discussed between school staff, students and parents.
or more. This signalled the formal commencement of the
intervention. Two different types of materials were
Key features of the evaluation provided: a handbook or manual for teachers and
Figure 2 also shows key features of the evaluations a folder with information for parents and families.
(eg. sample size, research design, average age etc). J7-)<%#,%'::-)'(.#)/&2($4-4V)'D)')1`F<%#,%'::-)
Research design was dichotomised into randomised that was used for assessing and analysing the data
-Z<-%/:-&3.)<($.)G-*#%-e'*3-%)-Z<-%/:-&3'(F #G3'/&-4)'3)37-)<%-F3-.3)<-%/#40).#)37'3).27##(F.<-2/*/2)
2#&3%#()4-./,&.)A-%.$.)#37-%)-Z<-%/:-&3'(F2#&3%#() interventions could then be implemented; b) a video
Jnl Aggress Conflict Peace Res 2009.1:13-24.
4-./,&.)<($.)',-F2#7#%3)4-./,&.Q)Y37-%)*-'3$%-.) #&)G$((H/&,S)2D)37-)6-A/.-4)Y(N-$.)C$((He9/23/:)
of the evaluation that were investigated were as Questionnaire and d) the book Bullying at School:
*#((#N.V)'D)O':<(-)./\-)B-Z<-%/:-&3'()<($.)2#&3%#() U7'3)N-)R&#N)'&4)N7'3)N-)2'&)4#)BY(N-$.0) ??!DQ)
2#&4/3/#&.D0)4/27#3#:/.-4)/&3#) 0W>>)27/(4%-&)#%) J7-)'&3/FG$((H/&,):-'.$%-.):'/&(H)3'%,-3-4)
:#%-)A-%.$.) 0P??)27/(4%-&)#%)(-..Q)GD)5$G(/2'3/#&) three different levels of intervention: the school, the
4'3-0)4/27#3#:/.-4)/&3#)=>>P)#%)('3-%)A-%.$.)=>>!)#%) classroom and the individual. At the school level, the
earlier; c) Average age of the children, dichotomised intervention included:
/&3#) >)#%)(-..)A-%.$.) )#%):#%-S)4D)E#2'3/#&0)/&)37-) 8) ):--3/&,.)':#&,)3-'27-%.)3#)4/.2$..)N'H.)#*)
iO+)A-%.$.)#37-%)<('2-.S)-D)E#2'3/#&)/&)#37-%)<('2-.) /:<%#A/&,)<--%F%-('3/#&.
A-%.$.)d#%N'HS)*D)E#2'3/#&)/&)#37-%)<('2-.)A-%.$.) 8) .3'**)4/.2$../#&),%#$<.
Europe; g) Outcome measure, dichotomised into
8) )<'%-&3e3-'27-%):--3/&,.)3#)4/.2$..)37-)/..$-)#*)
others versus a dichotomous measure of two or more
bullying
times per month. This latter measure was associated
with larger effect sizes than mean scores or simple 8) )/&2%-'.-4).$<-%A/./#&)/&)37-)<('H,%#$&4)'&4)'3)
prevalences. lunchtime
Most importantly, Figure 2 also shows the 8) /:<%#A-:-&3)#*)<('H,%#$&4)*'2/(/3/-.
odds ratio effect sizes for each programme. These 8) ')[$-.3/#&&'/%-).$%A-H
are given for bullying and victimisation separately. 8) 37-)*#%:'3/#&)#*)')2#F#%4/&'3/&,),%#$<Q
Effect sizes for bullying and victimisation were
./,&/*/2'&3(H)2#%%-('3-4)B%)h)>QWM0)<)jQ>>> D)G$3) At the classroom level the intervention included:
some programmes had more effect on one rather 8) ).3$4-&3.)N-%-),/A-&)/&*#%:'3/#&)'G#$3)G$((H/&,)
37'&)37-)#37-%Q)+.)-Z<('/&-4)-'%(/-%0)'&)Y6)#*) Q>>) and were actively involved in devising class rules
indicates no effect of a programme, while larger against bullying
ORs indicate successful programmes. ORs less 8) )2('..%##:)'23/A/3/-.)*#%).3$4-&3.)g).$27)'.)%#(-F
than 1 indicate harmful programmes, but luckily playing situations that could help students learn
there were very few of these. By comparing ORs in how to deal with bullying more successfully
Figures 1 and 2 with intervention elements, it is
8) 2('..)%$(-.)','/&.3)G$((H/&,
possible to determine what were the most successful
programmes and what were their components. 8) 2('..):--3/&,.)N/37).3$4-&3.
These types of Figures have never been presented 8) :--3/&,.)N/37)<'%-&3.Q
/&)'&H)<%-A/#$.).H.3-:'3/2)%-A/-N)#%):-3'F'&'(H./.)
#*)'&3/FG$((H/&,)<%#,%'::-.0)'&4)N-)7'A-)&-A-%) At the individual level the intervention included:
seen anything like them in any published systematic 8) )3'(R.)N/37)G$((/-.)'&4)37-/%)<'%-&3.)'&4)
review in criminology. -&*#%2-:-&3)#*)&#&F7#.3/(-0)&#&F<7H./2'().'&23/#&.
Design features
Age of children 10- (14) 1.21 11+ (14) 1.57 20.09 .0001
Publication year 04+ (18) 1.31 03- (10) 1.69 18.75 .0001
Outcome measure Other (21) 1.33 2+M (7) 1.74 18.51 .0001
In Norway Rest (21) 1.34 Nor (7) 1.58 7.76 .005
In Europe Rest (12) 1.32 EU (16) 1.53 6.47 .011
Notes: Cat = Category of variable; OR = Weighted mean odds ratio; QB = heterogeneity between groups; Duration in days; Intensity
in hours; Outcome Measure 2+M: two times per month or more (versus other measures)
the heterogeneity between groups or QB (Lipsey & Regarding the design features, the programmes
U/(.#&0)=>> V !Wg !MDQ)L#%)-Z':<(-0)37-):-'&) N#%R-4)G-33-%)N/37)#(4-%)27/(4%-&0)/&)d#%N'H)
Y6)N'.) QW?)*#%)/&3-%A-&3/#&.)/&2($4/&,)<'%-&3) specifically, and in Europe more generally. Older
3%'/&/&,)'&4) Q=M)*#%)/&3-%A-&3/#&.))/&2($4/&,) programmes, and those in which the outcome
<'%-&3)3%'/&/&,0)')./,&/*/2'&3)4/**-%-&2-)B<jQ>>> DQ measure of bullying was two times per month or
The most important programme elements that :#%-0)'(.#)N#%R-4)G-33-%Q)d#)<%#,%'::-)-(-:-&3)
were associated with a decrease in bullying were was significantly associated with an increase in
parent training, improved playground supervision, bullying.
disciplinary methods, school conferences, Table 3 shows the programme elements and
information for parents, classroom rules and design features that were significantly related
classroom management. These correlations do to effect sizes for victimisation (being bullied).
not prove a causal effect of these components on The most important programme elements that
G$((H/&,)G$3)37-H)'%-).$,,-.3/A-Q);&)'44/3/#&0) were associated with a decrease in victimisation
the total number of elements, and the duration were videos, disciplinary methods, work with
and intensity of the programme for children and <--%.0)<'%-&3)3%'/&/&,)'&4)2#F#<-%'3/A-),%#$<)
teachers, were significantly associated with a N#%RQ);&)'44/3/#&0)37-)4$%'3/#&)'&4)/&3-&./3H)
decrease in bullying. Programmes inspired by the of the programme for children and teachers
N#%R)#*)`'&)Y(N-$.)N#%R-4)G-.3Q)O-A-%'()#37-%) were significantly associated with a decrease in
programmes not inspired by the work of Olweus victimisation. Regarding the design features, the
N-%-)'(.#).$22-..*$(V)37-)L/&&/.7)+&3/FC$((H/&,) <%#,%'::-.)N#%R-4)G-33-%)/&)d#%N'H).<-2/*/2'((H)
Jnl Aggress Conflict Peace Res 2009.1:13-24.
Design features
Outcome measure Other (22) 1.18 2+M (7) 1.64 49.19 .0001
In Europe Rest (13) 1.13 EU (16) 1.52 40.90 .0001
Design 12 (19) 1.13 34 (10) 1.53 40.73 .0001
In Norway Rest (22) 1.20 Nor (7) 1.55 30.77 .0001
Not in USA US (8) 1.10 Rest (21) 1.45 27.26 .0001
Publication year 04+ (19) 1.23 03- (10) 1.52 21.04 .0001
Notes: Cat = Category of variable; OR = Weighted mean odds ratio; QB = heterogeneity between groups; Design: 12 = randomised
experiments + before/after / experimental-control versus 34 = other experimental-control + age-cohort designs; Duration in days;
Intensity in hours; Outcome Measure 2+M: two times per month or more (versus other measures)
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m-'('&4Q
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