Clinical trial NCT03022370: Stepping Stones and Creating Futures Intervention Trial
Official title: Stepping Stones and Creating Futures Intervention Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE3
Conditions: IPV
Sexual Violence
Keywords: informal settlements
poverty
Lead sponsor: University of KwaZulu
Sponsor class: OTHER
Collaborators: name: London School of Hygiene and Tropical Medicine
name: Department for International Development, United Kingdom
name: Project Empower
First posted: 2017-01-16
Enrollment: 1351
Sex: ALL
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This study evaluates whether the behavioural/structural interventions of Stepping Stones and Creating Futures can reduce the incidence of intimate partner violence in urban informal settlements amongst young people. Half the participants will receive the interventions, while the other half will be in a control wait-list, only receiving the intervention after final data collection.


Eligibility criteria: Inclusion Criteria:

* Normally resident in informal settlement cluster
* Not formally employed
* Able to communicate in main study languages (English, isiZulu, iXhosa)

Exclusion Criteria:

* Under 18
* Mental deficit (learning difficulty, mental illness or substance abuse)

Primary outcomes:
measure: Any Past Year Physical Intimate Partner Violence Perpetration (Men) and Experience (Women)
timeFrame: 24 months post baseline
measure: Any Past Year Sexual Intimate Partner Violence Perpetration (Men) and Experience (Women)
timeFrame: 24 months post baseline
measure: Past Year Severe Sexual and/or Physical Intimate Partner Violence Perpetration (Men) and Experience (Women)
timeFrame: 24 months post baseline
measure: Controlling Behaviours
timeFrame: 24 months post baseline
measure: Earnings in Past Month
timeFrame: 24 months post baseline
Secondary outcomes:
measure: Gender Attitudes
timeFrame: 24 months post baseline
measure: Depressive Symptomology
timeFrame: 24 months post baseline
measure: Number of Participants Reporting Suicidal Ideation
timeFrame: 24 months post baseline
measure: Life Circumstances
timeFrame: 24 months post baseline
measure: Problem Alcohol Use
timeFrame: 24 months post baseline
measure: Number of People Quarreling With Partner About Alcohol Use
timeFrame: 24 months post baseline
measure: Last Sexual Partner of Participant is the Main Partner
timeFrame: 24 months post baseline
measure: Transactional Sex Past Year
timeFrame: 24 months post baseline
measure: Shame About Lack of Work
timeFrame: 24 months post baseline
measure: Stress About Lack of Work
timeFrame: 24 months post baseline
measure: Individual's Ability to Mobilise Money in an Emergency
timeFrame: 24 months post baseline
measure: Stolen Because of Hunger in Past Month
timeFrame: 24 months post baseline
Other outcomes:
Locations:
city: Durban
country: South Africa
facility: Gender and Health Research Unit, South African Medical Research Council
state: KwaZulu-Natal
Study officials:
affiliation: Gender and Health Research Unit, South African Medical Research Council (SAMRC); Health Economics and HIV/AIDS Research Division (HEARD), University of KwaZulu Natal
name: Andrew Gibbs, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gibbs A, Washington L, Willan S, Ntini N, Khumalo T, Mbatha N, Sikweyiya Y, Shai N, Chirwa E, Strauss M, Ferrari G, Jewkes R. The Stepping Stones and Creating Futures intervention to prevent intimate partner violence and HIV-risk behaviours in Durban, South Africa: study protocol for a cluster randomized control trial, and baseline characteristics. BMC Public Health. 2017 Apr 20;17(1):336. doi: 10.1186/s12889-017-4223-x.
citation: Gibbs A, Dunkle K, Washington L, Willan S, Shai N, Jewkes R. Childhood traumas as a risk factor for HIV-risk behaviours amongst young women and men living in urban informal settlements in South Africa: A cross-sectional study. PLoS One. 2018 Apr 6;13(4):e0195369. doi: 10.1371/journal.pone.0195369. eCollection 2018.
citation: Gibbs A, Dunkle K, Jewkes R. Emotional and economic intimate partner violence as key drivers of depression and suicidal ideation: A cross-sectional study among young women in informal settlements in South Africa. PLoS One. 2018 Apr 16;13(4):e0194885. doi: 10.1371/journal.pone.0194885. eCollection 2018.
citation: Gibbs A, Washington L, Abdelatif N, Chirwa E, Willan S, Shai N, Sikweyiya Y, Mkhwanazi S, Ntini N, Jewkes R. Stepping Stones and Creating Futures Intervention to Prevent Intimate Partner Violence Among Young People: Cluster Randomized Controlled Trial. J Adolesc Health. 2020 Mar;66(3):323-335. doi: 10.1016/j.jadohealth.2019.10.004. Epub 2019 Nov 26.
citation: Mannell J, Minckas N, Burgess R, Chirwa ED, Jewkes R, Gibbs A. Does experiencing a traumatic life event increase the risk of intimate partner violence for young women? A cross-sectional analysis and structural equation model of data from the Stepping Stones and Creating Futures intervention in South Africa. BMJ Open. 2022 Apr 29;12(4):e051969. doi: 10.1136/bmjopen-2021-051969.
citation: Gibbs A, Dunkle K, Mhlongo S, Chirwa E, Hatcher A, Christofides NJ, Jewkes R. Which men change in intimate partner violence prevention interventions? A trajectory analysis in Rwanda and South Africa. BMJ Glob Health. 2020 May;5(5):e002199. doi: 10.1136/bmjgh-2019-002199.
citation: Gibbs A, Jewkes R, Willan S, Washington L. Associations between poverty, mental health and substance use, gender power, and intimate partner violence amongst young (18-30) women and men in urban informal settlements in South Africa: A cross-sectional study and structural equation model. PLoS One. 2018 Oct 3;13(10):e0204956. doi: 10.1371/journal.pone.0204956. eCollection 2018.