Adapting an evidenced-based intervention to reduce IPV for use among young heterosexual couples in South Africa

采用循证干预措施减少南非年轻异性夫妇使用 IPV

• 批准号: MR/X004090/1
• 负责人: Andrew Robert Gibbs
• 金额: $ 74.71万
• 依托单位: UNIVERSITY OF EXETER
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FX004090%2F1
• 关键词: Adapting; evidenced; based; intervention; reduce

Violence against women is common globally, with an estimate one-third of women experiencing this in their lifetime. In our previous work we have found that young (ages 18-30 years) women living in urban informal settlements experience even higher rates, with around two-thirds experiencing physical and/or sexual IPV in the past year. While there are a growing number of interventions that seek to reduce violence against women, very few of them are successful for young women in urban informal settlements. In this project we seek to take one effective intervention - Stepping Stones and Creating Futures - and strengthen it to make it more effective, through delivering it to heterosexual couples. In a prior study we showed that Stepping Stones and Creating Futures could reduce men's perpetration of IPV. Other studies have shown that working with couples, rather than 'individual' people can strengthen intervention outcomes. Our prior qualitative work supports this, with some men describing how in Stepping Stones and Creating Futures they worked with their female partner (not in the intervention) to improve outcomes. Another project we have just completed, which focused on young women in similar contexts, found that they thought a couples focused intervention would be beneficial for them.In this project we will adapt Stepping Stones and Creating Futures for use with young (18-30) heterosexual couples living in urban informal settlements in Durban, South Africa. We will first undertake qualitative research with young people and local stakeholders to understand relationship dynamics, among young people. We will then adapt the Stepping Stones and Creating Futures theory of change, curriculum and implementation manuals for use with young couples, engaging extensively with young people in this process. Throughout this work a central focus will be on ensuring women's safety in the project and in the revised intervention curriculum and implementation manuals. And we will undertake additional interviews and workshops to ensure this.We will finally pilot the adapted intervention with 100 couples recruited through communities. We will focus on the acceptability, feasibility and safety of the intervention, with follow-up at 6 months. A secondary outcome will be to assess potential effects sizes of the intervention. If the intervention is promising we will write a protocol for a follow up trial to compare the couples intervention with the original intervention. To ensure young people's meaningful engagement we will establish from the beginning of the project a Young People's Advisory Group, comprising of 10 young people (5 women, 5 men) from similar backgrounds to the communities we are targeting. This group will meet regularly and we will discuss the project with them, test sessions and receive feedback, shaping the project as we go through their engagement.

对妇女的暴力行为在全球很普遍，估计三分之一的妇女一生都经历了这种情况。在我们以前的工作中，我们发现，居住在城市非正式住区中的年轻妇女（18-30岁）的妇女经历了更高的比率，过去一年中，大约三分之二的人经历了身体和/或性IPV。尽管越来越多的干预措施试图减少对妇女的暴力行为，但在城市非正式定居点中，很少有年轻女性成功。在这个项目中，我们试图采取一种有效的干预措施 - 踏上石头和创造未来 - 并通过将其交付给异性恋夫妇来增强其有效性。在先前的研究中，我们表明踏上石头和创造未来可以减少男性对IPV的实施。其他研究表明，与夫妻一起工作，而不是“个人”人可以加强干预结果。我们先前的定性工作支持了这一点，其中一些男人描述了如何踏上石头和创造他们与女性伴侣（不是干预中）合作以改善结果的未来。我们刚刚完成的另一个项目是在类似情况下重点介绍年轻女性，他们认为他们认为以夫妻为中心的干预对他们有益。居住在南非德班的城市非正式定居点的异性恋夫妇。我们将首先与年轻人和当地利益相关者进行定性研究，以了解年轻人之间的关系动态。然后，我们将适应垫脚石，并创建与年轻夫妇一起使用的变革，课程和实施手册的未来理论，并在此过程中与年轻人广泛互动。在整个工作中，中心重点将是确保妇女在项目中的安全以及修订的干预课程和实施手册中。我们将进行其他访谈和讲习班以确保这一点。我们最终将与通过社区招募的100对夫妇进行改编的干预。我们将重点关注干预措施的可接受性，可行性和安全性，并进行6个月的随访。次要结果是评估干预措施的潜在影响大小。如果干预有希望，我们将编写一项协议，以进行后续试验，以将夫妻干预与原始干预进行比较。为了确保年轻人的有意义的参与，我们将从项目开始时建立一个年轻人的咨询小组，其中包括10个年轻人（5名女性，5名男性），其背景与我们所针对的社区相似。该小组将定期开会，我们将与他们讨论该项目，测试会议并收到反馈，并在我们进行参与时塑造该项目。