Peer Education for Gender Inclusion and Substance Use in Southern Africa

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age16-24
SponsorUniversity Hospital, Basel, Switzerland

About this trial

The goal of this trial is to test the effectiveness of a brief, behavioral peer group intervention called "PEGISUS" (Peer Education for Gender Inclusion and Substance Use in Southern Africa), on substance use, which will be embedded within existing vocational training programs in Zambia, Zimbabwe, and South Africa. Established peer groups who receive the PEGISUS intervention will complete nine sessions of an adapted intervention for substance use and gender equitable beliefs, embedded into vocational training programs. This will be compared to a standard of care control condition, which involves the vocational training program that is offered through the partner organization and a healthcare referral for substance use. The vocational training program partners are Sozo Foundation (South Africa), BuildIt International (Zambia), and Masvingo Polytechnic (Zimbabwe). Participants in both conditions will complete assessments at baseline, 12-weeks follow-up, and 24-weeks follow-up, consisting of self-reported questionnaires.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adolescents and young adults 16 - 24 years old

At least weekly self-reported alcohol/drug use in a peer group in the past month or at least monthly heavy episodic drinking with peers over the past three months

Comfortable communicating in the predominant local language or English

Lives in the target community and plans to remain in the area for the next 12 months

Disqualifiers

Untreated major mental illness that interferes with study participation, such as active suicidality, or unmanaged bipolar disorder or psychotic disorder

Currently receiving psychological treatment for substance use

Participation in another VT/skills development program or another trial that is judged by the site investigator as non-compatible with this study

Unable to provide informed consent or informed assent

Trial design

Design model

Parallel

Treatments tested in this trial

  • PEGISUS

    Behavioral

    PEGISUS is an 8-session intervention for substance use and gender equitable beliefs.

Treatment groups

264 Participants
are divided into 2 treatment groups
Group A: PEGISUSExperimental treatment 1 intervention
Group B: Standard of CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Self-reported substance use for participants aged 18 and older

Self-report using the Alcohol, Smoking and Substance involvement Screening Test (ASSIST; for participants aged 18 and older). Higher scores indicate more substance use and associated problems.

Time frame
Change from baseline to 12-week follow-up assessment [range ≥8-20 weeks]
2

Self-reported substance use for participants aged 16 and 17

Self-report using the Alcohol, Smoking and Substance Involvement Screening Test for Youth (ASSIST-Y; for participants aged 16 and 17). Higher scores indicate more substance use and associated problems.

Time frame
Change from baseline to 12-week follow-up assessment [range ≥8-20 weeks]

Secondary outcomes

1

Self-reported substance use for participants aged 18 and older

Self-report using the Alcohol, Smoking and Substance involvement Screening Test (ASSIST; for participants aged 18 and older). Higher scores indicate more substance use and associated problems.

Time frame
Change from baseline to 24-week follow-up assessment [range >20-32 weeks]
2

Self-reported substance use for participants aged 16 and 17

Self-report using the Alcohol, Smoking and Substance Involvement Screening Test for Youth (ASSIST-Y; for participants aged 16 and 17). Higher scores indicate more substance use and associated problems.

Time frame
Change from baseline to 24-week follow-up assessment [range >20-32 weeks]
3

Self-reported gender equitable beliefs

Self-report using the adapted 23-item version of the Gender Equitable Men's Scale. Items are scored on a 3-point likert scale with higher scores representing more equitable norms.

Time frame
Change from baseline to 12-week follow-up assessment [range ≥8-20 weeks] and 24-week follow-up assessment [range >20-32 weeks]
4

Attendance at vocational training program

Number of months of attendance in vocational training program.

Time frame
24-week follow-up assessment [range >20-32 weeks]

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University Hospital, Basel, Switzerland

Lead sponsor

SolidarMed

Collaborator

University of Zambia

Collaborator

Medical Research Council, South Africa

Collaborator