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Phase 3 Completed N=1,351 Randomized Prevention

Stepping Stones and Creating Futures Intervention Trial

Source: ClinicalTrials.gov NCT03022370 ↗
Enrolled (actual)
1,351
Serious AEs
0.4%
Results posted
Jun 2020
Primary outcomePrimary: Any Past Year Physical Intimate Partner Violence Perpetration (Men) and Experience (Women) — 134; 86; 155; 118 Participants — p==0.686
◆ Published Evidence
Highly cited
215citations · ~27 / year
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 · Open access · Likely link

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.

Linked Publications (5)

  • 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 · 215 citations · Open access · Likely link
  • Which men change in intimate partner violence prevention interventions? A trajectory analysis in Rwanda and South Africa.
    BMJ global health · 2020 · 15 citations · Open access · Likely link
  • 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 <i>Stepping Stones and Creating Futures</i> intervention in South Africa.
    BMJ open · 2022 · 6 citations · Open access · Likely link
  • Assessing the role of depression in reducing intimate partner violence perpetration among young men living in urban informal settlements using a mediation analysis of the Stepping Stones and Creating Futures intervention.
    Global health action · 2023 · 3 citations · Open access · Likely link
  • A Prospective Analysis of Associations Between Changes in Mental Health and Men's Perpetration of Intimate Partner Violence: Post-Hoc Analysis of Young Men Involved in the Stepping Stones and Creating Futures Trial.
    Journal of interpersonal violence · 2026 · 0 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Any Past Year Physical Intimate Partner Violence Perpetration (Men) and Experience (Women)
134; 86; 155; 118 =0.686
PRIMARY
Any Past Year Sexual Intimate Partner Violence Perpetration (Men) and Experience (Women)
86; 52; 101; 73 0.555
PRIMARY
Past Year Severe Sexual and/or Physical Intimate Partner Violence Perpetration (Men) and Experience (Women)
151; 99; 171; 135 0.672
PRIMARY
Controlling Behaviours
9.75; 9.96; 9.70; 9.96 0.984
PRIMARY
Earnings in Past Month
565; 988; 385; 817 <0.0001 sig
SECONDARY
Gender Attitudes
21.98; 24.99; 21.65; 25.15 0.718
SECONDARY
Depressive Symptomology
21.95; 19.26; 23.11; 20.35 0.067
SECONDARY
Number of Participants Reporting Suicidal Ideation
83; 49; 72; 65 0.228
SECONDARY
Life Circumstances
10.28; 10.59; 9.88; 10.03 0.679
SECONDARY
Problem Alcohol Use
4.27; 6.81; 4.62; 7.97 0.810
SECONDARY
Number of People Quarreling With Partner About Alcohol Use
39; 54; 47; 79 0.635
SECONDARY
Last Sexual Partner of Participant is the Main Partner
185; 138; 182; 159 0.526
SECONDARY
Transactional Sex Past Year
111; 138; 118; 146 0.691
SECONDARY
Shame About Lack of Work
10.3; 10.7; 10.7; 10.9 0.137
SECONDARY
Stress About Lack of Work
12.0; 11.8; 12.1; 12.0 0.332
SECONDARY
Individual's Ability to Mobilise Money in an Emergency
27; 37; 30; 31 0.174
SECONDARY
Stolen Because of Hunger in Past Month
88; 91; 84; 105 0.174

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)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03022370) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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