Stepping Stones and Creating Futures Intervention Pilot

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.

Study Overview

• Status: Completed
• Conditions: Sexual Violence; Physical Violence; Livelihoods
• Intervention / Treatment: Behavioral: Stepping Stones and Creating Futures

• Study Type: Interventional
• Enrollment (Actual): 232
• Phase: Phase 2

Contacts and Locations

Study Locations

• South Africa
  • KwaZulu-Natal
    • Durban, KwaZulu-Natal, South Africa, 4001
      • Gender and Health Research Unit, South African Medical Research Council

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 30 years (Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

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

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: University of KwaZulu
• Collaborators: Medical Research Council, South Africa; Project Empower

Publications and helpful links

General Publications

• Gibbs A, Willan S, Jama-Shai N, Washington L, Jewkes R. 'Eh! I felt I was sabotaged!': facilitators' understandings of success in a participatory HIV and IPV prevention intervention in urban South Africa. Health Educ Res. 2015 Dec;30(6):985-95. doi: 10.1093/her/cyv059.
• Jewkes R, Gibbs A, Jama-Shai N, Willan S, Misselhorn A, Mushinga M, Washington L, Mbatha N, Skiweyiya Y. Stepping Stones and Creating Futures intervention: shortened interrupted time series evaluation of a behavioural and structural health promotion and violence prevention intervention for young people in informal settlements in Durban, South Africa. BMC Public Health. 2014 Dec 29;14:1325. doi: 10.1186/1471-2458-14-1325.

Study record dates

Study Major Dates

• Study Start (Actual): May 2, 2012
• Primary Completion (Actual): July 30, 2013
• Study Completion (Actual): July 30, 2013

Study Registration Dates

• First Submitted: August 7, 2017
• First Submitted That Met QC Criteria: August 17, 2017
• First Posted (Actual): August 22, 2017

Study Record Updates

• Last Update Posted (Actual): August 22, 2017
• Last Update Submitted That Met QC Criteria: August 17, 2017
• Last Verified: August 1, 2017

More Information

Terms related to this study

• Other Study ID Numbers: HSS/0789/011

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No