Impact of Graduating to Resilience on Child Development in Uganda

Study Overview
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Brief Summary
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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.

Official Title
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Impact of Graduating to Resilience on Child Development in Uganda

Conditions
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Child Development

Intervention / Treatment
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* Other: G2R with individual coaching
* Other: G2R with group coaching


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Child born between April 2019 and June 2020 Household enrolled in G2R intervention trial Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 27 Months
Maximum Age: 42 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: G2R with individual coaching<br> | Other: G2R with individual coaching<br>* 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.<br>|
| Experimental: G2R with group coaching<br> | Other: G2R with group coaching<br>* 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.<br>|
| No Intervention: Control<br> | |

What is the study measuring?
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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 |