Nursing-Led Livelihood Programs and Women's Health

NCT07175064 | Completed DMC

• 1 other identifier: 2024-CON-Faculty-006
• Study Type: observational
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the socioeconomic and health impacts of nursing-led livelihood programs among indigenous women in Sitio Monicayo, Pampanga, Philippines. The programs, initiated in 2016, include bracelet making, rag making, and liquid dishwashing. Using an explanatory sequential mixed methods design, Phase 1 surveys Aeta women to assess changes in household income, employment, and six domains: Program Benefits, Facilitation, Self-Confidence, Resilience, Future Intentions, and Barriers. Nonparametric analyses are used to examine program outcomes. Phase 2 involves semi-structured interviews with a subset of participants to contextualize quantitative results, focusing on nutrition, stress reduction, access to medicines, preventive care, and caregiving. Integration through joint displays is planned to highlight alignment and discordance between survey scores and lived experiences. The study seeks to explore the role of nursing-led livelihood interventions in addressing both economic empowerment and social determinants of health, in alignment with the Sustainable Development Goals on poverty, good health and well-being, and decent work.

Conditions

Nutrition Disorders; Stress, Psychological; Mental Health Issue

Keywords

Community Health Nursing; Women's Health; Indigenous Peoples; Philippines; Empowerment

Outcome Measures

Primary Outcomes (2)

• Household Income Change

  Change in reported monthly household income before and after participation in livelihood programs, measured using self-reported survey data. Analyzed using Wilcoxon signed-rank test.

  (pre-program, recalled) and at enrollment (current, 2024)

• Employment Status Shift

  Change in primary employment status (self-employment, wage work, farming/fishing, or unemployed) before and after program participation, measured using categorical survey data. Analyzed using McNemar-Bowker test.

  From pre-program participation (recalled baseline) to current status at enrollment (2024)

Secondary Outcomes (6)

• Program Benefits Score

  At enrolment (2024)

• Self-Confidence and Skill Development Score

  At enrolment (2024)

• Facilitation and Partnerships Score

  At enrolment (2024)

• Basic Needs and Economic Resilience Score

  At enrolment (2024)

• Future Intentions Score

  At enrolment (2024).

Other Outcomes (1)

• Qualitative Themes on Health and Wellness Description: Semi-structured interviews with 10 participants exploring perceived effects of program participation on nutrition, stress reduction, preventive care, and psychosoc

  At enrolment (2024).

Study Arms (1)

Livelihood Program Participants

Adult Aeta women, aged 18 years and older, residing in Sitio Monicayo, Pampanga, who have been active participants in nursing-initiated livelihood programs for at least six months prior to enrollment. Participants were selected based on their involvement in bracelet making, rag making, or liquid dishwashing initiatives facilitated by nursing faculty in partnership with local community leaders.

Behavioral: Nursing-Led Livelihood Programs

Interventions

Nursing-Led Livelihood Programs BEHAVIORAL

A set of community-based livelihood initiatives introduced in 2016 and facilitated by nursing faculty in partnership with local leaders. Activities included bracelet making, rag making, and liquid dishwashing. The programs aimed to provide sustainable income, build women's confidence and skills, and indirectly improve health outcomes by addressing poverty-related social determinants of health.

Livelihood Program Participants

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Only individuals who self-identify as female are eligible to participate.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants were indigenous Aeta women residing in Sitio Monicayo, Pampanga, Philippines, who engaged in nursing-initiated livelihood programs introduced in the community in 2016. The programs were facilitated by nursing faculty in collaboration with local leaders as part of a long-term community health partnership.

You may qualify if:

• Age 18 years or older
• Member of the Aeta community in Sitio Monicayo, Pampanga, Philippines
• Participation in at least one nursing-initiated livelihood program (bracelet making, rag making, or liquid dishwashing) for a minimum of six months
• Willing and able to provide informed consent

You may not qualify if:

• Not a resident of Sitio Monicayo or not part of the Aeta community
• Did not participate in the livelihood programs or participated for less than six months
• Unwilling or unable to provide informed consent

Sponsors & Collaborators

• Angeles University Foundation: lead

Study Sites (1)

Angeles University Foundation

Angeles City, Pampanga, 2010, Philippines

Location

Related Publications (3)

• Braun V, Clarke V. Thematic analysis: A practical guide. London: Sage Publications; 2022.

  BACKGROUND

• Baker P, Smith JP, Garde A, Grummer-Strawn LM, Wood B, Sen G, Hastings G, Perez-Escamilla R, Ling CY, Rollins N, McCoy D; 2023 Lancet Breastfeeding Series Group. The political economy of infant and young child feeding: confronting corporate power, overcoming structural barriers, and accelerating progress. Lancet. 2023 Feb 11;401(10375):503-524. doi: 10.1016/S0140-6736(22)01933-X. Epub 2023 Feb 7.

  PMID: 36764315 BACKGROUND

• Guliman EA, Uy JH. Financial decision-making and women's empowerment: Evidence from rural livelihood programs in the Philippines. Asian Women. 2021;37(3):67-88. doi:10.14431/aw.2021.09.37.3.67.

  BACKGROUND

MeSH Terms

Conditions

Nutrition Disorders; Stress, Psychological; Empowerment

Condition Hierarchy (Ancestors)

Nutritional and Metabolic Diseases; Behavioral Symptoms; Behavior; Social Behavior

Study Officials

• Rudena A Madayag, MAN

  Angeles University Foundation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: September 7, 2025
• First Posted: September 16, 2025
• Study Start: August 1, 2024
• Primary Completion: September 15, 2024
• Study Completion: December 5, 2024
• Last Updated: September 16, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

PH (1)