Wise Intervention for Reducing Aggressive Behaviors and Promoting Prosocial Behaviors Toward LGB-TNB Individuals
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Wise Intervention LGB-TNB, Values alignment wise intervention.
- Who it may be relevant to
- Registry conditions: Aggression, Adolescence. Basic parameters: 14 years — 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Spain
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This study evaluates the effectiveness of a wise Intervention to reduce aggressive behaviors and promote prosocial behaviors toward LGB-TNB individuals among Spanish adolescents. Half of the participants will receive the experimental intervention, while the other half will receive a control intervention.
Detailed description
Discrimination based on sexual orientation and gender identity is a social problem of great relevance. Sexual orientation is understood as the mechanism that directs affective-sexual attraction and interest, manifesting with varying intensity. Regarding gender identity, it has historically been interpreted under a binary paradigm based on external sexual organs, rendering trans and non-binary identities invisible. However, it is currently understood as the internal feeling about one's own gender, so that trans and/or non-binary people represent those whose gender identity differs from the one assigned at birth.
Despite the growing visibility, public awareness, and recognition of the rights of lesbian, gay, bisexual, trans, and non-binary people (LGB-TNB), discrimination based on sexual orientation and gender identity continues to be a social problem of great relevance with serious consequences for those who suffer it. This reality underlines the need to implement effective interventions aimed at addressing these aggressive behaviors and the mechanisms that sustain them, not only among those who perpetrate acts of violence, but also among people who witness these aggressive behaviors.
In addition, intervening during adolescence is especially relevant, as this stage represents a critical moment in the moral, social, and emotional development of individuals. Moreover, during adolescence, discriminatory behaviors and peer aggression increase, and previous studies show that LGB-TNB people face a higher risk of violence in educational settings. Nevertheless, although adolescence becomes a critical period for the development of risk behaviors, it also involves important transitions and learning opportunities. Furthermore, adolescence is a turning point during which well-designed interventions have a high potential to redirect a person's developmental trajectory in a lasting way. Therefore, it can be an especially favorable moment for implementing interventions.
In this way, numerous interventions have been carried out in educational settings to prevent aggressive behaviors among peers. Although most of these initiatives have mainly focused on more general problems, such as bullying and cyberbullying, in recent years preventive interventions specifically aimed at reducing aggressive behaviors based on sexual orientation and gender identity in both face-to-face and digital contexts have increased. However, most current interventions focus on educating people about issues related to LGB-TNB topics, reaching mixed and contradictory results regarding their effectiveness, and also highlighting that there is little empirical evidence about the robustness of the effects of LGB-TNB interventions and their underlying mechanisms. Therefore, these interventions present areas for improvement that constitute important challenges for scientific psychology.
Recently, interest has grown in social psychology regarding a new approach to interventions, which have been called wise interventions. Many of these interventions have impactful results because they are usually very brief in time and produce lasting changes in people's behavior. Moreover, this type of intervention is of great interest in adolescence, as they allow themselves to be designed in such a way that they are perceived as respectful of students' autonomy and status, so that they feel they are making their own decisions.
Therefore, the aim of this project is to adapt to the LGB-TNB context a wise intervention to reduce online and offline aggression among adolescents, especially based on sexual orientation and gender identity, and to increase the intention to support and prosocial behaviors when participants witness these aggressions, especially those directed at LGB-TNB people.
Interventions
- Behavioral Wise Intervention LGB-TNB
The intervention will be designed to reduce aggressive behaviors based on sexual orientation and gender identity and to promote prosocial behaviors toward these individuals. This intervention will include three components: (1) reading scientific studies about people's ability to change. In addition, they will read other studies about how thoughts and emotions influence behavior through brain pathways, and that these pathways can be modified under certain circumstances; (2) reading testimonials t - Behavioral Values alignment wise intervention
This intervention will be based on the same strategies as the experimental intervention, but it will not address aspects related to prosocial behaviors or aggression toward LGB-TNB individuals; instead, it will be applied to improve adolescents' eating habits.
Primary outcome measures
- Change from baseline in aggression scores toward LGB-TNB individuals, assessed using an adaptation of the Spanish version (Orue et al., 2018) of the Homophobic Bullying Scale (Prati, 2012). [Time frame: Assessments were conducted at baseline and at 3, 6, and 9 months.]
- Change from baseline in online aggression scores toward LGB-TNB individuals, assessed using the Technology-Facilitated Gender- and Sexuality-Based violence (TFGSV; Martínez-Bacaicoa et al., 2023). [Time frame: Assessments were conducted at baseline and at 3, 6, and 9 months.]
- Change from baseline in prosocial behavior scores toward LGB-TNB individuals through an ad hoc measure. [Time frame: Assessments were conducted at baseline and at 3, 6, and 9 months.]
- Change from baseline in bystander intention scores when witnessing aggressive behavior toward LGB-TNB individuals. [Time frame: Assessments were conducted at baseline, immediately after the intervention, and at 3, 6, and 9 months.]
Secondary outcome measures (8)
- Change from baseline in moral disengagement scores, assessed using the mechanisms of moral disengagement described by Bandura (2016) and based on studies with similar characteristics (Martínez-Bacaicoa et al., 2024). [Time frame: Assessments were conducted at baseline and at 3, 6, and 9 months.]
- Change from baseline in justice sensitivity scores, assessed using the Justice Sensitivity Inventory (Schmitt et al., 2010). [Time frame: Assessments were conducted at baseline and at 3, 6, and 9 months.]
- Change from baseline in behaviors supporting LGB-TNB individuals, assessed using the LGBT-Affirming Behavior questionnaire (Poteat, 2015). [Time frame: Assessments were conducted at baseline and at 3, 6, and 9 months.]
- Change from baseline in microaggression scores toward LGB-TNB individuals, assessed using the Sexual Orientation Microaggression Scale (SOMS-P; Botor & Tuliao, 2025) and the Gender Identity Microaggression Scale (GIMS-P; Botor & Tuliao, 2025). [Time frame: Assessments were conducted at baseline and at 3, 6, and 9 months.]
- Change from baseline in offline perpetration scores, assessed using the Spanish adaptation (Ortega-Ruiz et al., 2016) of the European Bullying Intervention Project Questionnaire (Brighi et al., 2012). [Time frame: Assessments were conducted at baseline and at 3, 6, and 9 months.]
- Change from baseline in online perpetration scores, assessed using an adaptation of the Cyberbullying Questionnaire items (Calvete et al., 2010; Gámez-Guadix et al., 2014). [Time frame: Assessments were conducted at baseline and at 3, 6, and 9 months.]
- Change from baseline in healthy and unhealthy food intake scores, assessed using an adaptation of the KIDMED 2.0 questionnaire, validated in a sample of Spanish children and adolescents (López-Gajardo et al., 2022). [Time frame: Assessments were conducted at baseline and at 3, 6, and 9 months.]
- Change from baseline in alignment of healthy eating habits scores, as assessed by the questionnaire developed by Bryan et al. (2019). [Time frame: Assessments were conducted at baseline, immediately after the intervention, and at 3, 6, and 9 months.]
Eligibility criteria
Inclusion criteria
- Informed consent by the adolescents and their families.
- To be fluent in Spanish and/or Euskera.
Exclusion criteria
- Lack of permission by families and the adolescent.
- Lack of understanding of the instructions.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Prevention
Study locations
Spain · 1 center
- Nerea — Bilbao
Identifiers
NCT: NCT07212283 · ETK-90/24-25