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Sexual BehaviorPhase 1NCT02432352

Our Family Our Future: Acceptability and Feasibility Study of a Family Prevention Program for HIV Risk and Depression

A Phase 1 study testing Our Family Our Future in people with Sexual Behavior and Depression, run by Brown University at 1 site in South Africa.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the feasibility and acceptability of a family-based preventive intervention designed to reduce sexual risk behaviors and depressive symptoms among South African adolescents and their parents/guardians/caregivers. Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
Conditions the study is for
Sexual Behavior, Depression
What is being tested?
Our Family Our Future
Could I receive a placebo?
No, everyone receives an active treatment
How many people
146 participants
Where
1 siteSouth Africa
Study dates
May 2015to 31 Jul 2017
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • PARENTS/GUARDIANS/CAREGIVERS
  • 18+ years
  • primary caregiver or the person responsible for childcare in the household on a day to day basis (as identified by the household);
  • when more than one primary caregiver exists in the household, one will be chosen at random;
  • lives in the household at least 4 days a week
  • sub clinical thresholds of depressive symptoms
Show all 12Show fewer
  • Adolescent inclusion criteria are:
  • 13-15 years;
  • concurs that the adult identified is their primary caregiver;
  • when more than one child in the family falls within the eligible age range, one child will be chosen at random;
  • lives in the household at least 4 days a week;
  • sub clinical thresholds of depressive symptoms

Who cannot join

  • PARENTS/GUARDIANS/CAREGIVERS \& Adolescents
  • cognitive impairments that would not allow them to provide informed consent or assent;
  • if they participated in qualitative phases of the study
  • report no or low symptoms or clinically significant thresholds of depression -

Trial locations and contacts

1 site in 1 country.

South Africa1 site
  • Caroline Kuo

    Cape Town, Western Cape, 780

Other trials in South Africa

About this study

Official title: Our Family Our Future: Family Prevention of HIV Risk and Depression in HIV-endemic South Africa

The purpose of this study is to assess the feasibility and acceptability of a family-based preventive intervention designed to reduce sexual risk behaviors and depressive symptoms among South African adolescents and their parents/guardians/caregivers.

Read the detailed description

The Our Family Our Future Program is a preventive intervention program designed to prevent or reduce adolescent sexual risk behavior and to increase mental health resilience against depression onset among adolescents (13-15 years of age). The intervention takes a family approach and addresses HIV risk and depression in an integrated model. HIV and depression are the leading causes of global burden of disease in low and middle income countries. The intervention is being tested in South Africa, the country confronting the largest HIV epidemic in the world and because preliminary studies with South African families identified poor mental health and sexual risk behavior as priority areas for preventive intervention development and testing.

This study is a randomized pilot design, where 152 adolescents and parents will be randomly assigned to an intervention condition or a standard usual care condition and then offered the experimental intervention as on a wait-list. Families will be recruited and screened for eligibility based on systematic house-to-house recruitment in the community. Eligibility is based on dyadic eligibility and includes age criteria, consistent presence in the household, depressive symptoms that fall below clinically significant threshold criteria, and ability to provide informed consent and assent. Eligible families will be randomized and offered a preventive intervention program in a group format, led by program facilitators in a community setting. The intervention program consists of 3 sessions plus an individualized family meeting. In some modules parents/guardians/caregivers and adolescents will have content delivered together and in some modules parents/guardians/caregivers and adolescents will break out to adult-only or adolescent-only groups.

The overall objective of study is to assess the following study questions:

Question 1: Is this study feasible? Question 2: Is this intervention acceptable to the target population? Question 3: Is there preliminary evidence of hypothesized effects of the intervention, that the intervention will reduce or maintaining symptoms that fall below the clinically significant range for depression and reduce or delay actual or intended sexual risk behavior in adolescents?

The study takes a single blind, randomized pilot trial. The study takes a secondary prevention approach. The investigators collect three sets of data. First, the investigators assess feasibility by examining recruitment rates, attendance, completion, and drop-out rates, and fidelity. Second, the investigators assess acceptability by examining satisfaction data. Third, as a secondary aim, the investigators use pilot data to assess hypothesized intervention effects by examining outcomes at baseline, immediately post-intervention (2-4 weeks after the last intervention session is completed), and at four months.

Being tested
Our Family Our Future
Medical subject headings
Sexual Behavior, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Our Family Our FutureBehavioural

    The Our Family Our Future Program is a family preventive intervention that uses resilience and prevention focused strategies to reduce sexual risk behaviors and build mental wellbeing among adolescents.

Study groups in NCT02432352
Study groupRoleWhat they receive
InterventionExperimentalFamilies are randomly allocated to a behavioral intervention arm (called Our Family Our Future) focusing on reducing sexual risk behavior in adolescents and reducing or maintaining symptoms that fall below the clinically significant range for depression. Arms will be allocated using urn randomization.
Receives: Behavioral: Our Family Our Future
ControlNo interventionFamilies are randomly allocated to the control arm (which receives standard usual care, and then offered the intervention after outcome assessments as a wait-list) using urn randomization.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline in sexual behavior or intended sexual behavior at 4 months post-intervention

    as measured through lifetime and past 3 month sexual acts, condom use, HIV and STI status, prior pregnancy

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  2. Change or maintenance of depressive symptoms at sub-clinical range from baseline to 4 months post-intervention measured by CES-D and CES-DC

    Self-reported depressive symptoms

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  3. Intervention acceptability - satisfaction with intervention content, delivery, length using the client satisfaction questionnaire and as measured on a likert scale response and as open-ended response options

    Measured: acceptability will be assessed during the intervention, an expected average timeframe of 4 weeks

  4. Intervention feasibility measured by attendance, retention for outcome assessments, fidelity

    Measured: cceptability will be assessed during the intervention, an expected average timeframe of 4 weeks

Secondary outcomes (20)
  1. Change in resilience from baseline to 4 months post-intervention as measured through CD-RISC

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  2. Change in depression impairment from baseline to 4 months post-intervention as measured through DISP and CPODMV

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  3. Change in perceived HIV risk susceptibility from baseline to 4 months post-intervention using a ranking derived from a 0-100 and as measured on a likert scale response

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  4. Change in HIV knowledge from baseline to 4 months post-intervention as measured through the HIV Knowledge Questionnaire

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  5. Change in HIV stigma from baseline to 4 months post-intervention as measured through the HIV Knowledge Questionnaire

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  6. Change in norms and attitudes about sex from baseline to 4 months post-intervention as measured on a likert scale response

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  7. Change in norms and attitudes about condoms from baseline to 4 months post-intervention as measured through the condom attitudes scale and likert response questions

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  8. Change in sexual behavior self-efficacy from baseline to 4 months post-interventionusing a ranking derived from a 0-100 and as measured on a likert scale response

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  9. Change in anxiety from baseline to 4 months post-interventionas measured through BAI and RCMAS

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  10. Change in psychological distress from baseline to 4 months post-intervention as measured through K6 and SDQ

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  11. Change in trauma symptoms from baseline to 4 months post-intervention as measured through PCL and NSESSS

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  12. Change in substance use from baseline to 4 months post-intervention as measured through AUDIT and DUDIT

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  13. Change in hope from baseline to 4 months post-intervention as measured through BHS

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  14. Change in social support from baseline to 4 months post-intervention as measured through MSPSS

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  15. Change in family relationship from baseline to 4 months post-intervention as measured through Family Relationship Scale

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  16. Change in family communication from baseline to 4 months post-intervention as measured through the Parent-adolescent Communication Scale

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  17. Change in family communication from baseline to 4 months post-intervention as measured through the Parent-adolescent Sex Communication Scale

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  18. Change in family relationship from baseline to 4 months post-intervention as measured through the Inventory of Parent-peer Attachment

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  19. Change in parenting from baseline to 4 months post-interventionas measured through the Parental Monitoring Questionnaire

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

  20. Change in parenting from baseline to 4 months post-intervention as measured through the Parenting Scale

    Measured: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 May 2015 (estimated)
  2. Study startMay 2015
  3. Primary completion31 Jul 2017
  4. Study completion31 Jul 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
146 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02432352
Sponsor's protocol ID
K01MH096646
Status last verified
Jun 2025
First submitted
19 Apr 2015
Last updated
27 Jun 2025
Results posted
No
Data monitoring committee
No

Publications

  • Kuo C, Atujuna M, Mathews C, Stein DJ, Hoare J, Beardslee W, Operario D, Cluver L, K Brown L. Developing family interventions for adolescent HIV prevention in South Africa. AIDS Care. 2016;28 Suppl 1(sup1):106-10. doi: 10.1080/09540121.2016.1146396. Epub 2016 Feb 26.

    PubMed 26916841
  • Kuo C, LoVette A, Stein DJ, Cluver LD, Brown LK, Atujuna M, Gladstone TRG, Martin J, Beardslee W. Building resilient families: Developing family interventions for preventing adolescent depression and HIV in low resource settings. Transcult Psychiatry. 2019 Feb;56(1):187-212. doi: 10.1177/1363461518799510. Epub 2018 Oct 5.

    PubMed 30289374
  • Kuo C, Mathews C, LoVette A, Harrison A, Orchowski L, Pellowski JA, Atujuna M, Stein DJ, Brown LK. Perpetration of sexual aggression among adolescents in South Africa. J Adolesc. 2019 Apr;72:32-36. doi: 10.1016/j.adolescence.2019.02.002. Epub 2019 Feb 13.

    PubMed 30771665
  • Kuo C, LoVette A, Pellowski J, Harrison A, Mathews C, Operario D, Beardslee W, Stein DJ, Brown L. Resilience and psychosocial outcomes among South African adolescents affected by HIV. AIDS. 2019 Jun 1;33 Suppl 1(Suppl 1):S29-S34. doi: 10.1097/QAD.0000000000002177.

    PubMed 31397720
  • Kuo C, Mathews C, Giovenco D, Atujuna M, Beardslee W, Hoare J, Stein DJ, Brown LK. Acceptability, Feasibility, and Preliminary Efficacy of a Resilience-Oriented Family Intervention to Prevent Adolescent HIV and Depression: A Pilot Randomized Controlled Trial. AIDS Educ Prev. 2020 Feb;32(1):67-81. doi: 10.1521/aeap.2020.32.1.67.

    PubMed 32202920

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Our Family Our Future in people with Sexual Behavior and Depression, run by Brown University at 1 site in South Africa.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Africa. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in sexual behavior or intended sexual behavior at 4 months post-intervention (time frame: assessed at baseline, starting within 2-4 weeks of intervention end, and 4 months post-intervention). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02432352, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jun 2025.

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