Stepping Stones and Creating Futures Intervention Pilot

Study Overview
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Brief Summary
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This is a shortened interrupted time series pilot evaluation over a twelve month period to evaluate whether the combined Stepping Stones and Creating Futures intervention can reduce men's perpetration of IPV and women's experience of IPV, strengthen livelihoods and reduce gender inequality.

Official Title
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Stepping Stones and Creating Futures Intervention Pilot

Conditions
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Livelihoods, Physical Violence, Sexual Violence

Intervention / Treatment
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* Behavioral: Stepping Stones and Creating Futures


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Over 18 Mentally competent Able to communicate in English, Zulu, or Xhosa Normally resident in the informal settlement Exclusion Criteria: Over 30 Unable to do informed consent

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Stepping Stones and Creating Futures<br>Receive the 21 session intervention | Behavioral: Stepping Stones and Creating Futures<br>* 21 session intervention, comprising of 10 Stepping Stones sessions focused on gender, relationships and communication. 11 Creating Futures sessions focused on livelihoods.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Past three month physical IPV perpetration (men) and experience (women) | Physical intimate partner violence is assessed using five items based on the WHO VAW scale, asking about perpetration (men) and experience (women) of these five behaviourally specific actions in the past three months. A positive response to any of the five items leads to a person being classified as perpetrating (men) and experiencing (women) physical IPV in the past three months. | 12 months post baseline | 
| Past three month sexual IPV perpetration (men) and experience (women) | Sexual intimate partner violence is assessed using three items based on the WHO VAW scale for sexual IPV. Questions are asked for the past three month perpetration (men) and experience (women). A positive response to any item leads to a person being classified as perpetrating (men) and experiencing (women) in the past three months. | 12 months post baseline | 
| Earnings in past month | A single item question asks Considering all the money you earned from jobs or selling things (excluding grants), how much did you earn last month? Responses are in Rands and a continuous scale. | 12 months post baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Work stress | 4 items ask about work stress because of a lack of work. Responses are on a likert scale. | 12 months post baseline | 
| Feelings about work shame | 4 items ask about shame because of type and lack of work. Responses are on a likert scale. | 12 months post baseline | 
| Gender attitudes | Modified gender equitable men's scale assess participant's gender attitudes. | 12 months post baseline | 
| Controlling behaviours | Controlling behaviours are assessed using a modified Sexual Relationship Power (SRP) scale. Men's control of female sexual partner's and women's experience of controlling behaviours from a male partner. | 12 months post baseline | 
| Condom use at last sex | Single item asking about condom use at last sex | 12 months post baseline | 
| Hunger in the past month | Single item assesses hunger in the past month | 12 months post baseline |