Impact of Graduating to Resilience on Child Development in Uganda

NCT05531812 | Completed

• 2 other identifiers: IPA-2022-UG14649-ECD
• Study Type: interventional
• Target: 1,515
• Locations: 1 country
• Sites: 1

Brief Summary

This study is an intervention trial that aims to estimate the impact of the Graduating to Resilience (G2R) program on child development in Uganda. In previous trials, the G2R program has generated large, positive impacts on household assets, consumption, income and food security. The investigators will revisit a sample of households enrolled in a G2R trial conducted in Uganda in 2019-2021 (AEARCTR-0004080) and assess children born during the intervention period.

Conditions

Child Development

Outcome Measures

Primary Outcomes (5)

• Bayley Scale of Infant and Toddler Development version III (BSID-III) cognitive z-score

  Raw item data will be converted to norm-referenced z-scores using the Bayley-III Scoring Assistant software.

  Assessed once approximately 43 months after launch of the intervention in February 2019

• BSID-III language z-score

  Raw item data will be converted to norm-referenced z-scores using the Bayley-III Scoring Assistant software.

  Assessed once approximately 43 months after launch of the intervention in February 2019

• BSID-III motor z-score

  Raw item data will be converted to norm-referenced z-scores using the Bayley-III Scoring Assistant software.

  Assessed once approximately 43 months after launch of the intervention in February 2019

• BSID-III social-emotional z-score

  Raw item data will be converted to norm-referenced z-scores using the Bayley-III Scoring Assistant software.

  Assessed once approximately 43 months after launch of the intervention in February 2019

• BSID-III adaptive behavior z-score

  Raw item data will be converted to norm-referenced z-scores using the Bayley-III Scoring Assistant software.

  Assessed once approximately 43 months after launch of the intervention in February 2019

Secondary Outcomes (4)

• Caregiver Reported Early Development Instruments (CREDI) cognitive z-score

  Assessed once approximately 43 months after launch of the intervention in February 2019

• CREDI language z-score

  Assessed once approximately 43 months after launch of the intervention in February 2019

• CREDI motor z-score

  Assessed once approximately 43 months after launch of the intervention in February 2019

• CREDI social-emotional z-score

  Assessed once approximately 43 months after launch of the intervention in February 2019

Study Arms (3)

G2R with individual coaching

EXPERIMENTAL

Other: G2R with individual coaching

G2R with group coaching

EXPERIMENTAL

Other: G2R with group coaching

Control

NO INTERVENTION

Interventions

G2R with individual coaching OTHER

1. Consumption support in the form of a monthly cash transfer for 12 months, totaling US$280-$320; 2. A one-time "asset" transfer of US$300 delivered \~7 months into the program; 3. Enrollment, training, and support to participate in a Village Savings and Loans Association (VSLA) or similar group; 4. Individual coaching at home from a trained coach using a structured curriculum focused on essential topics, including: child nutrition; infant and young child feeding (IYCF) best practices; Water, Sanitation and Hygiene (WASH) practices and practical solutions; preventative health care; positive parenting and life skills; gender; climate risk mitigation strategies; rights, linkages, and access to services.

G2R with individual coaching

G2R with group coaching OTHER

1. Consumption support in the form of a monthly cash transfer for 12 months, totaling US$280-$320; 2. A one-time "asset" transfer of US$300 delivered \~7 months into the program; 3. Enrollment, training, and support to participate in a Village Savings and Loans Association (VSLA) or similar group; 4. Group coaching in a community setting from a trained coach using a structured curriculum focused on essential topics, including: child nutrition; infant and young child feeding (IYCF) best practices; WASH practices and practical solutions; preventative health care; positive parenting and life skills; gender; climate risk mitigation strategies; rights, linkages, and access to services.

G2R with group coaching

Eligibility Criteria

• Age: 27 Months - 42 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Child born between April 2019 and June 2020
• Household enrolled in G2R intervention trial

You may not qualify if:

• None

Sponsors & Collaborators

• Doug Parkerson: lead
• United States Agency for International Development (USAID): collaborator
• AVSI Foundation: collaborator

Study Sites (1)

Innovations for Poverty Action Uganda

Kampala, Uganda

Location

Related Publications (1)

• Waldman M, McCoy DC, Seiden J, Cuartas J, CREDI Field Team, Fink G. Validation of motor, cognitive, language, and socio-emotional subscales using the caregiver reported early development instruments: an application of multidimensional item factor analysis. International Journal of Behavioral Development 2021;45(4):368-77

  BACKGROUND

Study Officials

• Lasse Brune, PhD

  Northwestern University

  PRINCIPAL INVESTIGATOR

• Nathanael Goldberg, MPA

  Innovations for Poverty Action

  PRINCIPAL INVESTIGATOR

• Dean Karlan, PhD

  Northwestern University

  PRINCIPAL INVESTIGATOR

• Christopher Udry, PhD

  Northwestern University

  PRINCIPAL INVESTIGATOR

• Peter Rockers, ScD

  Boston University

  PRINCIPAL INVESTIGATOR

• Doug Parkerson, MA

  Innovations for Poverty Action

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Senior Research Scientist, Director Path-to-Scale Research

Study Record Dates

• First Submitted: August 26, 2022
• First Posted: September 8, 2022
• Study Start: September 14, 2022
• Primary Completion: October 18, 2022
• Study Completion: October 18, 2022
• Last Updated: October 2, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Study data will be published concurrent with the publication of the manuscript describing the study results.
• Access Criteria: All interested researchers will be able to access and download study data without restrictions.

Locations

UG (1)