A Cluster-randomized Trial to Assess a Sexual Assault Prevention Intervention in Adolescents in Nairobi, Kenya

Stanford University

Status: Completed

Conditions: Violence, Non-accidental; Sexual Assault and Rape

Treatments: Behavioral: 12-hr Source of Strength for boys; Behavioral: Life-skills course; Behavioral: 12-hr "IMPower" empowerment self defense course

Study type: Interventional

Funder types: Other

Identifiers

NCT02771132

34706

Details and patient eligibility

About

The primary objective of this study is to compare the effectiveness of classroom-based behavioral interventions (12-hour girls program and 12-hour boys program), to a standard-of care intervention, on reducing the incidence of self-reported sexual assault among girls from baseline.

Secondary objectives of this study is to determine the impact of the interventions on related physical and mental health status/outcomes, STI-risk behaviors, self-efficacy, and self-esteem.

Full description

In Kenya, up to 46% of women report childhood sexual assault. In an implementation research project, a team at Stanford University will be pairing with three Kenyan NGO's to research the effectiveness of an intervention to prevent sexual assault among adolescent girls in the informal settlements around Nairobi, Kenya. The study design will be a cluster-randomized controlled trial with two arms comparing the intervention to a standard of care group. The intervention consists of two side-by-side behavioral and skills-based interventions, one for girls and one for boys, taught in schools. The interventions include identifying and avoiding risky situations, verbal techniques to diffuse situations, as well as bystander intervention techniques for boys and self-defense techniques for girls. Settlements with schools participating in the project include Kibera, Dandora, Huruma, and Mukuru.

This grant is part of the larger "What Works to Prevent Violence: A global program to prevent violence against women and girls" initiative, which is a large international initiative aimed at the prevention of gender-based violence. The initiative includes 18 projects from around the globe, and is supported by the Medical Research Council of South Africa, the London School of Hygiene and Tropical Medicine, and the UK Department for International Development (DFID). The primary contact people at Stanford University for this project are Clea Sarnquist, DrPH, MPH ([e-mail]) and Michael Baiocchi, PhD ([e-mail]).

Enrollment: 4,121 patients

Sex: All

Ages: 11 to 15 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adolescents aged 11-15 years
• Enrolled in the target schools
• Able to communicate in the study languages: English or Kiswahili

Exclusion criteria

• significant mental condition (learning difficulty, mental illness or substance abuse) which would impair their ability to consent to participation in the trial.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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4,121 participants in 2 patient groups

Intervention

Experimental group

Description:

12-hour intervention "IMPower" empowerment self defense course for girls and 12-hour Source of Strength for boys+ 2 refresher sessions (at 2 hrs. per session)

Treatment:

Behavioral: 12-hr Source of Strength for boys

Behavioral: 12-hr "IMPower" empowerment self defense course

Standard of Care

Other group

Description:

1-2 hour course based on Ministry of Education life skills course (no refresher sessions)

Treatment:

Behavioral: Life-skills course