Acceptability, Feasibility, and Preliminary Efficacy of Schools Championing Safe South Africa, a Social Norms Intervention to Prevent HIV Risk Behavior and Perpetration of Intimate Partner Violence Among Teenage Boys.
Schools Championing Safe South Africa is an intervention to prevent sexual violence perpetration and HIV/STI risk behavior among teenage boys, focusing on correcting misperceived social norms regarding risk behavior and engaging boys, teachers and peers in school. We tested its acceptability, feasib...
| Publicado en: | AIDS & Behavior Vol. 29; no. 8; pp. 2659 - 2674 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187534094&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187534094 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Aug2025 vid: 29 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 187534094 184646412 187534094 187534094 10.1007/s10461-025-04723-w 187534094 ppf: 2659 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Acceptability, Feasibility, and Preliminary Efficacy of Schools Championing Safe South Africa, a Social Norms Intervention to Prevent HIV Risk Behavior and Perpetration of Intimate Partner Violence Among Teenage Boys. aug: au: Kuo, Caroline Harrison, Abigail Orchowski, Lindsay M. Sikweyiya, Yandisa Berkowitz, Alan Adrian, Haley Gana, Nandipha Rasmeni, Akhona McClinton Appollis, Tracy Nevhungoni, Portia Mathews, Catherine affil: https://ror.org/052w4zt36 Department of Health Studies, College of Arts and Sciences, American University, 4400 Massachusetts Avenue, NW, 20016, Washington, DC, USA sug: subj: HIV Infections Risk Factors Risk Taking Behavior Prevention and Control Intimate Partner Violence Prevention and Control School Health Services South Africa Social Norms Program Evaluation Human Male Adolescence South Africa Pilot Studies Personal Satisfaction Descriptive Statistics Confidence Intervals Condoms Utilization Comparative Studies Randomized Controlled Trials Random Assignment Funding Source Adolescent: 13-18 years Male ab: Schools Championing Safe South Africa is an intervention to prevent sexual violence perpetration and HIV/STI risk behavior among teenage boys, focusing on correcting misperceived social norms regarding risk behavior and engaging boys, teachers and peers in school. We tested its acceptability, feasibility, and preliminary efficacy in a pilot RCT (N = 282). 99% of intervention boys reported high satisfaction with content, format, and delivery. There was good facilitator fidelity to the manualized protocol and 99% retention at 6-month follow-up. Among intervention boys, completed acts of any sexual violence perpetration (touching, oral, anal, and/or vaginal sex) decreased from 71% (95% CI: 61%, 80%) at baseline to 55% (95% CI: 44%, 66%) at 1 month follow-up, with a percentage difference of 15% (95% CI: 4%, 26%; p = 0.004). At 6 months, change was not significant (72–68%; p = 0.353). For the intervention group, attempted acts of any sexual violence perpetration reduced from 49% (95% CI: 40%, 58%) at baseline to 25% (95% CI: 17%, 33%) at 1 month, with a percentage difference of 22% (95% CI: 11%, 32%; p < 0.001) but was not sustained at 6 months (47–43%; p = 0.446). Across timepoints, the control group did not show significant changes in completed or attempted perpetration. There were no significant changes in condom use in the intervention or control groups. Behavioral signals of positive change for prevention of sexual violence perpetration combined with high acceptability and feasibility indicate that the intervention should be tested further for efficacy. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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