An interventional study of Skhokho Supporting Success for Schools and Skhokho Supporting Success for Families in Partner of Victim of Physical Abuse, sponsored by Medical Research Council, South Africa. Completed. Per ClinicalTrials.gov, last updated 2017-08-01.
Sponsored by Medical Research Council, South Africa · Not applicable, Interventional, and Prevention
Development and evaluation of a multi-faceted school-based intervention to prevent intimate partner violence among Grade 8 high school students in South Africa
Primary prevention of intimate partner violence among young men and women requires an intervention which addresses the underlying driving factors of such violence operating at different ecological levels.That is, interventions need to address factors impacting directly on youth and their family relationships, school as an institutional setting. In the school, holistic interventions strengthen the curriculum and teaching, but also the broader environment of learning, including addressing positive discipline and the culture of the school. In order to prevent violence, interventions need to build gender equality, challenge the normative use of violence in schools and homes (e.g., corporal punishment), strengthen teen-adult relationships and communication, and build negotiation and conflict resolution skills, as well as addressing stress and coping.
A three-arm, cluster randomised controlled trial based in high schools in Gauteng, South Africa is evaluating such a multi-faceted primary prevention intervention. This intervention includes school strengthening components for learners and educators, which includes providing a teaching materials for the grade 8 life orientation (LO) curriculum (which covers gender and violence), training teachers in LO teaching, training staff on positive discipline and establishing learner clubs. A second intervention seeks to strengthen families and is a workshop based intervention delivered over 4 day long sessions for a parent or caregiver and their grade 8 adolescent.
The intervention is being evaluated in a three arm randomised controlled trial, with school-level randomisation involving 24 schools. One is a delayed intervention control arm, two arms have the school strengthening intervention and one arm additionally have the family strengthening intervention.
The outcomes will be addressed using qualitative and quantitative methods with data collected from Grade 8 learners (the primary outcome group), school educators and administrators, and parents/caregivers of Grade 8s. These measures will be conducted pre-intervention and at 6, 12, and 18 month follow up periods. In addition, an economic costing evaluation will be conducted.
Medical Research Council, South Africa is the lead sponsor of 7 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
NONE
Skhokho Supporting Success for Schools: (a) Full year Grade 8 Life Orientation Learner Workbook (following the national curriculum), Educator Guide, and LO Educator support workshops; (b) Educator workshops including values, positive discipline skills, adolescent development, and stress and coping; (c) Learner club workshops (Grade 8s-11s) including creating change for a safe and vibrant school community, human rights at school, communication and conflict resolution skills, and stress and coping.
Behavioral: Skhokho Supporting Success for Schools
Skhokho Supporting Success for Schools: See description above. Skhokho Supporting Success for Families: Participatory four-day workshop for parents/caregivers and their young adolescent children including parallel and joint dialogue sessions. This workshop aims to promote supportive, open relationships between parents/caregivers and their teens and includes communication, negotiation and conflict resolution skills; positive discipline skills; challenging traditional gender constructions; understanding the impact of child abuse; stress and coping.
Behavioral: Skhokho Supporting Success for Schools · Behavioral: Skhokho Supporting Success for Families
This group will continue with "treatment as usual" (i.e: school services, activities, and textbooks without specialised intervention). At the end of primary data collection, these schools will be eligible to receive the Schools Strengthening Intervention.
All information describing each facet of the intervention are included in the arm/group descriptions.
All information describing each facet of the intervention are included in the arm/group descriptions.
The incidence of IPV (perpetration of physical or sexual IPV for boys and victimisation for girls)
Any participant who responds affirmatively to any one of the five questions on physical intimate partner violence or one question on sexual intimate partner violence at the 6, 12 or 18 month data collection points will be deemed to be an incident case of IPV victimisation (if female) or perpetration (if male).
Time frame: Over 18 months of the study
The incidence of severe physical and sexual IPV
Any participant who responds affirmatively to more than one of the five questions on physical intimate partner violence and/or one question on sexual intimate partner violence at the 12 or 18 month data collection points will be deemed to be an incident case of severe IPV victimisation (if female) or perpetration (if male).
Time frame: Over the last 12 months of the study
Child-caregiver communication scores
difference in scores derived through summing 5 questions
Time frame: 18 month follow up
Childhood trauma scale scores
Difference in scores derived through summing 15 items
Time frame: 18 month follow up
The incidence of non-partner rape victimisation and perpetration
Any participant who responds affirmatively to any of the non-partner rape questions (2 for girls and 4 for boys) will be deemed to be an incident case of non-partner rape victimisation (if female) and perpetration (if male)
Time frame: Over 18 months of the study
Childhood trauma exposure incidence
Positive affirmation of teens and environment at home Emotional neglect Physical abuse Sexual abuse
Time frame: 18 month follow up
Bullying at school score
Comparison of scores across 3 items
Time frame: 18 month follow up
Score for communication with girlfriend/boyfriend
Difference in scores measured through summing responses to 5 items
Time frame: 18 month follow up
The incidence of emotional Intimate Partner Violence perpetration (for boys) and victimisation (for girls)
Any participant who responds affirmatively to any one of the three questions on emotional intimate partner violence at the 6, 12 or 18 month data collection points will be deemed to be an incident case of emotional IPV victimisation (if female) or perpetration (if male).
Time frame: 18 months follow up
the incidence of delinquency
Any participant who responds affirmatively to any one of five questions on delinquency at the 6, 12 or 18 months data collection points will be deemed to be an incident case of delinquency
Time frame: 18-month follow up
Depression and anxiety score measured on the Child Depression Inventory
The difference in scores
Time frame: 18-month follow up
Gender attitudes score measured across 5 items
the difference in scores
Time frame: 18-month follow up
No study locations are listed for this record.
This study is completed, as verified in Jul 2017. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Medical Research Council, South Africa