Trial reportThe International journal of social psychiatry2025
Pilot cluster randomised controlled trial of Stepping Stones and Creating Futures Plus to reduce emotional dysregulation among young men in rural areas and urban informal settlements in KwaZulu-Natal Province, South Africa.
Trial report in The International journal of social psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- A Scoping Review of IPV Prevention Curricula and Their Implementation in Low- and Middle-Income Countries: Implications for the Next Generation of Programs.International journal of environmental research and public health · 2026Article
- The relationship between emotional dysregulation and, HIV acquisition risk behaviours and intimate partner violence perpetration among young men in rural areas and urban informal settlements in South Africa.Psychology, health & medicine · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimEmotional dysregulation (ED) - the difficulty to control emotional responses to stressors - is a potential driver of intimate partner violence (IPV) perpetration among young men in HIV endemic resource-limited settings. This two-armed pilot cluster randomised controlled trial investigated the effectiveness of Stepping Stones and Creating Futures Plus (SSCF+), a participatory gender transformative and livelihood strengthening intervention, on the emotional dysregulation (ED) among young men in South Africa (SA).
methodsA total of 163 young men ages 18 to 30 years were recruited in 30 clusters (friendship groups) in urban informal settlements and rural areas in KwaZulu-Natal, SA. Clusters were randomly allocated (1:1) to either the experimental SSCF+ or control arm, stratified urban/rural and participants were followed-up at 5 months. Intention-to-treat analysis based on generalised estimating equations (GEE) were fitted to quantify the impact of SSCF+ on the men's ED using the culturally tested short version of the Difficulties in Emotion Regulation Scale with 16 items (DERS-16).
resultsAt 5 months SSCF+ did not significantly reduce ED in the overall sample. However, SSCF+ had a significant impact on ED among the men at risk of depression at baseline (adjusted odds ratio = 0.12, 95% CI [0.03, 0.46],
conclusionSSCF+, a gender transformative and livelihoods strengthening intervention designed to address poverty and other socio-economic challenges, reduced ED among youth with depression challenges in KwaZulu-Natal Province, South Africa.
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