Evidence map›Paper›PMID 40261538›Full record

Trial reportAIDS and behavior2025

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.

Caroline Kuo, Abigail Harrison, Lindsay M Orchowski, Yandisa Sikweyiya, Alan Berkowitz, Haley Adrian, Nandipha Gana, Akhona Rasmeni, Tracy McClinton Appollis, Portia Nevhungoni and 1 more

Erratum issuedAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in AIDS and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Caroline KuoDepartment of Health Studies, College of Arts and Sciences, American University, 4400 Massachusetts Avenue, NW, Washington, DC, 20016, USA. ckuo@american.edu.ORCID http://orcid.org/0000-0002-2009-0504
Abigail HarrisonDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Lindsay M OrchowskiRhode Island Hospital, Providence, RI, USA.
Yandisa SikweyiyaGender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa.
Alan Berkowitz, Mount Shasta, CA, USA.
Haley AdrianDepartment of Health Studies, College of Arts and Sciences, American University, 4400 Massachusetts Avenue, NW, Washington, DC, 20016, USA.
Nandipha GanaHealth Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.
Akhona RasmeniHealth Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.
Tracy McClinton AppollisHealth Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.
Portia NevhungoniBiostatistics Unit, South African Medical Research Council, Cape Town, South Africa.
Catherine MathewsHealth Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.

Funding

Schools Championing Safe South Africa: An Intervention Engaging Teachers and Students in Adolescent Prevention of HIV risk and Intimate Partner ViolenceR34MH124469 · NIMH · BROWN UNIVERSITY · PI HARRISON, ABIGAIL D., KUO, CAROLINE CHIA · 2021 to 2023
$637k
NIMH NIH HHS R34 MH124469NIMH NIH HHS R34MH124469
6 · The paper itself

Abstract

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.

Indexed as

Adolescent BehaviorHIV InfectionsIntimate Partner ViolenceSex OffensesSocial NormsAdolescentCondomsFeasibility StudiesHumansMalePilot ProjectsRisk-TakingSchool Health ServicesSchoolsSexual BehaviorSouth AfricaBystander behaviorHIVHIV riskIntimate partner violencePreventionSouth Africa

Identifiers

PMID40261538
PMCPMC12378842

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.