Stepping Stones and Creating Futures Plus Pilot
An Inter-disciplinary Approach to Understanding and Intervening on Contextual Factors That Shape HIV-risk for Young Women and Men in South Africa: Phase 2 - the Feasibility, Acceptability and Potential Effect Size of a Pilot Randomised Controlled Trial
1 other identifier
interventional
323
1 country
1
Brief Summary
The goal of this randomised controlled clinical trial is to test the Stepping Stones and Creating Futures Plus (SSCF+) intervention, in young (18-25 years) people living in urban informal settlements in Durban and rural communities in KwaZulu-Natal, South Africa. The main questions it aims to answer are:
- Is the intervention acceptable and feasible
- What is the potential effect size on key outcomes of intimate partner violence Participants will be randomised (1:1) to compare SSCF+ and a control arm to see if there are differences between the two on intimate partner violence.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2023
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 13, 2023
CompletedFirst Posted
Study publicly available on registry
March 24, 2023
CompletedStudy Start
First participant enrolled
May 24, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 28, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 28, 2023
CompletedMay 8, 2024
May 1, 2024
6 months
March 13, 2023
May 7, 2024
Conditions
Outcome Measures
Primary Outcomes (3)
Physical Intimate Partner Violence
Past 6 month experience (women) and perpetration (men) of physical IPV as assessed using WHO measure of IPV (5 items, binary)
6 months
Sexual Intimate Partner Violence
Past 6 month experience (women) and perpetration (men) of sexual IPV as assessed using WHO measure of IPV (3 items)
6 months
Severe Intimate partner violence
Past 6 month experience (women) and perpetration (men) of severe IPV as assessed using WHO IPV scale (8 items, coded into a binary)
6 months
Secondary Outcomes (10)
Depressive symptoms
6 months
Post-traumatic-stress symptoms
6 months
Emotional Dysregulation
6 months
Earnings
6 months
Savings
6 months
- +5 more secondary outcomes
Study Arms (2)
SSCF+
EXPERIMENTALStepping Stones and Creating Futures Plus (SSCF+). Small group intervention, comprising approximately 15 sessions (each session \~3 hours), addressing gender, livelihoods, mental health.
Control
NO INTERVENTIONNo intervention control (wait-list)
Interventions
Group-based intervention delivered to small friendship networks, by a facilitator.
Eligibility Criteria
You may qualify if:
- Normally resident in the community where recruiting
- Aged 18-30 years old
- Not in formal employment, or full-time education
- Able to communicate in the main languages of the study (English, isiXhosa or isiZulu)
- Able to provide informed consent
You may not qualify if:
- Only in the community temporarily
- Unable to provide informed consent
- Under 18 years of age, or over 31 years old at point of recruitment
- Unable to communicate in main study languages
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Exeterlead
- Medical Research Council, South Africacollaborator
- University College, Londoncollaborator
Study Sites (1)
South African Medical Research Council
Durban, South Africa
Related Publications (1)
Gibbs A, Washington L, Mkhwanazi S, Chirwa E, Khaula S, Shai NJ, Willan S, Batura N, Burgess R, Mnandi N, Simelane N, Jewkes R, Mannell J. Stepping Stones and Creating Futures Plus: A pilot randomised controlled trial of a co-developed intervention with young South Africans. PLOS Glob Public Health. 2025 Apr 23;5(4):e0004494. doi: 10.1371/journal.pgph.0004494. eCollection 2025.
PMID: 40267104DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Rachel Jewkes
Medical Research Council, South Africa
- PRINCIPAL INVESTIGATOR
Andrew Gibbs
University of Exeter
- PRINCIPAL INVESTIGATOR
Jenevieve Mannell
University College, London
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Lecturer
Study Record Dates
First Submitted
March 13, 2023
First Posted
March 24, 2023
Study Start
May 24, 2023
Primary Completion
November 28, 2023
Study Completion
November 28, 2023
Last Updated
May 8, 2024
Record last verified: 2024-05
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL
- Time Frame
- 12 months from completion of study
- Access Criteria
- Freely available
Anonymised data will be shared within 12 months of study completion on University of Exeter and South African Medical Research Council data repository.