Impact of Graduating to Resilience on Child Development in Uganda

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.

Study Overview

• Status: Completed
• Conditions: Child Development
• Intervention / Treatment: Other: G2R with individual coaching; Other: G2R with group coaching

• Study Type: Interventional
• Enrollment (Actual): 1515
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Uganda
  • Kampala, Uganda
    • Innovations for Poverty Action Uganda

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 1 year to 1 week (Child)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

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

Exclusion Criteria:

• None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control
Experimental: G2R with individual coaching	Other: G2R with individual coaching; Consumption support in the form of a monthly cash transfer for 12 months, totaling US$280-$320;; A one-time "asset" transfer of US$300 delivered ~7 months into the program;; Enrollment, training, and support to participate in a Village Savings and Loans Association (VSLA) or similar group;; 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.
Experimental: G2R with group coaching	Other: G2R with group coaching; Consumption support in the form of a monthly cash transfer for 12 months, totaling US$280-$320;; A one-time "asset" transfer of US$300 delivered ~7 months into the program;; Enrollment, training, and support to participate in a Village Savings and Loans Association (VSLA) or similar group;; 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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 Outcome Measures

Outcome Measure	Measure Description	Time Frame
Caregiver Reported Early Development Instruments (CREDI) cognitive z-score	The CREDI long-form will be administered. Raw item data will be converted to norm-referenced z-scores using the CREDI scoring procedure (Waldman et al. 2021).	Assessed once approximately 43 months after launch of the intervention in February 2019
CREDI language z-score	The CREDI long-form will be administered. Raw item data will be converted to norm-referenced z-scores using the CREDI scoring procedure (Waldman et al. 2021).	Assessed once approximately 43 months after launch of the intervention in February 2019
CREDI motor z-score	The CREDI long-form will be administered. Raw item data will be converted to norm-referenced z-scores using the CREDI scoring procedure (Waldman et al. 2021).	Assessed once approximately 43 months after launch of the intervention in February 2019
CREDI social-emotional z-score	The CREDI long-form will be administered. Raw item data will be converted to norm-referenced z-scores using the CREDI scoring procedure (Waldman et al. 2021).	Assessed once approximately 43 months after launch of the intervention in February 2019

Collaborators and Investigators

• Sponsor: Doug Parkerson
• Collaborators: United States Agency for International Development (USAID); AVSI Foundation
• Investigators: Principal Investigator: Peter Rockers, ScD, Boston University; Principal Investigator: Dean Karlan, PhD, Northwestern University; Principal Investigator: Lasse Brune, PhD, Northwestern University; Principal Investigator: Nathanael Goldberg, MPA, Innovations for Poverty Action; Principal Investigator: Christopher Udry, PhD, Northwestern University; Principal Investigator: Doug Parkerson, MA, Innovations for Poverty Action

Publications and helpful links

General Publications

• 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

Study record dates

Study Major Dates

• Study Start (Actual): September 14, 2022
• Primary Completion (Actual): October 18, 2022
• Study Completion (Actual): October 18, 2022

Study Registration Dates

• First Submitted: August 26, 2022
• First Submitted That Met QC Criteria: September 2, 2022
• First Posted (Actual): September 8, 2022

Study Record Updates

• Last Update Posted (Actual): October 2, 2023
• Last Update Submitted That Met QC Criteria: September 29, 2023
• Last Verified: September 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: IPA-2022-UG; 14649-ECD (Other Identifier: Innovations for Poverty Action)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Study data will be published in a public repository
• IPD Sharing Time Frame: Study data will be published concurrent with the publication of the manuscript describing the study results.
• IPD Sharing Access Criteria: All interested researchers will be able to access and download study data without restrictions.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No