Alliance for Family Strengthening: Improved Early Childhood Development in Rwanda

NCT03455127 | Completed DMC

• 1 other identifier: IRB-16 1570_Activity B
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

Preliminary pilot testing of the home-based FSI-ECD intervention as delivered by community based lay workers.

Conditions

Child Development

Keywords

Child Development; Home Visiting; Parenting Program; Social Protection; Public Works

Outcome Measures

Primary Outcomes (1)

• Ages Stages Questionnaire-3

  Change in Child Communication, Fine Motor, Gross Motor, Problem Solving, and Personal Social Development

  12 months/18 months

Secondary Outcomes (10)

• Hopkins Symptoms Check List

  12 months/18 months

• Multiple Indicator Cluster Survey 5

  12 months/18 months

• Rwanda Comprehensive Food Security and Vulnerability Analysis and Nutrition Survey

  12 months/18 months

• Local Derived Scale

  12 months/18 months

• System for Observing Family Therapy Alliances

  12 months

Study Arms (2)

Classic Public Works as Usual

NO INTERVENTION

Half of the sample will be eligible to receive or be receiving the Government of Rwanda's (GOR) flagship social protection programming, Vision 2020 Program (VUP). One component of this program is to provide cash for work opportunities for labor endowed vulnerable households, i.e. one able bodied adult. Vulnerable households are those in Poverty Level 1 category, the GOR's poverty classification system. Furthermore, this study will require households in the control group receiving classic public works as usual to have at least one child between the ages of 6 months to 36 months.

Classic Public Works + FSI ECD

EXPERIMENTAL

Half of the sample will receive the FSI ECD home visiting parenting program alongside the GOR's classic public works programming. These households will be in Poverty Level 1 with an able-bodied adult, thus eligible to receive or be received the GORs public works programming. They will have a child between 6 and 36 months at enrollment. Households will be visited by a trained community based lay worker on a weekly to biweekly basis to deliver the 15 module curriculum covering a range of topics from nutrition, water and sanitation, hygiene, early stimulation, conflict management, to good communication. The intervention seeks to promote healthy child development via active coaching to individual beneficiary households, delivering modules on a one on one basis and engaging all family members.

Other: FSI ECD

Interventions

FSI ECD OTHER

Households will be visited by a trained community based lay worker on a weekly to biweekly basis to deliver the 15 module curriculum covering a range of topics from nutrition, water and sanitation, hygiene, early stimulation, conflict management, to good communication. The intervention seeks to promote healthy child development via active coaching to individual beneficiary households, delivering modules on a one on one basis and engaging all family members.

Also known as: Family Strengthening Intervention for ECD

Classic Public Works + FSI ECD

Eligibility Criteria

• Age: 6 Months - 36 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

Sponsors & Collaborators

• Boston College: lead
• World Bank: collaborator
• United States Agency for International Development (USAID): collaborator
• Network of European Foundations: collaborator
• The ELMA Foundation: collaborator

Study Sites (1)

Rwamagana District

Rubona, Rwanda

Location

Study Officials

• Theresa Betancourt, Sc.D., M.A.

  Boston College School of Social Work

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Salem Professor in Global Practice

Study Record Dates

• First Submitted: November 9, 2017
• First Posted: March 6, 2018
• Study Start: March 10, 2017
• Primary Completion: March 10, 2018
• Study Completion: March 10, 2018
• Last Updated: May 31, 2018

Record last verified: 2018-05

Locations

RW (1)