Impact of Graduation on Child Development in Uganda - Wave 2 (Ancillary/Extension)

NCT ID: NCT07212374

Last Updated: 2025-10-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

2100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-20

Study Completion Date

2025-11-30

Brief Summary

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This ancillary/extension study ("Wave 2") measures child development and school readiness outcomes among children residing in households within host communities that participated in the Graduation to Resilience (G2R) randomized controlled trial in Uganda (G2R trial: AEARCTR-0004080 \[AEA RCT Registry\]; Wave 1 child assessments: NCT05531812). No new randomization or intervention assignment occurs in Wave 2; rather, we assess outcomes in children linked to households in communities previously randomized in the parent study.

Wave 2 expands the eligible child age range (0-9 years) and includes age-appropriate outcomes (e.g., IDELA for school readiness; Raven's Progressive Matrices and executive function tasks for older children). We will compare children in households assigned to receive the Graduation program in the parent RCT (T1) to children in pure ("spillover") control households (C2) in host communities. Primary completion is anticipated in October 2025. Pre-analysis plans for Wave 1 and Wave 2 are posted.

Detailed Description

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Parent RCT \& groups: The G2R trial used staged randomization at the community level. In Wave 2 we sample host-community households only, comparing:

T1 (Graduation): households in host communities assigned to receive the Graduation program in the parent trial;

C2 (pure "spillover" control): households in host control communities.

Wave 2 purpose: To measure child development and school readiness outcomes in an expanded age range (0-9 years) using validated, age-appropriate instruments.

Design note: Wave 2 is observational with exposure defined by prior random assignment in the parent RCT; there is no new assignment of interventions in Wave 2.

Documents: The Pre-Analysis Plan (PAP) for this Wave 2 is available under Study Documents and cross-references the PAP from Wave 1 (NCT05531812).

Linkage to parent study: This record is explicitly linked to NCT05531812 and AEARCTR-0004080 \[AEA RCT Registry\].

Conditions

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Child Development Under Nutrition School Readiness Anemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Pure ("Spillover") Control (C2)

Children aged 0-9 years living in host-community households in pure control communities (no Graduation program) from the parent RCT

Group Type NO_INTERVENTION

No interventions assigned to this group

Graduation (T1)

Children aged 0-9 years living in host-community households assigned to receive the Graduation program in the parent RCT (no new assignment in Wave 2).

Group Type EXPERIMENTAL

Graduation

Intervention Type OTHER

"Graduation" is a multifaceted approach that aims to support ultra-poor households in permanently escaping poverty traps. The standard version of Graduation tested in this study includes: a one-time asset transfer; monthly cash transfers; life skills coaching on topics like health and nutrition; technical skills training on topics like financial literacy; and access to savings services.

Interventions

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Graduation

"Graduation" is a multifaceted approach that aims to support ultra-poor households in permanently escaping poverty traps. The standard version of Graduation tested in this study includes: a one-time asset transfer; monthly cash transfers; life skills coaching on topics like health and nutrition; technical skills training on topics like financial literacy; and access to savings services.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Child aged 0-9 years at time of Wave 2 assessment.
* Resides in a host-community household within the G2R trial sample
* Caregiver provides informed consent; child provides assent where applicable.

Exclusion Criteria

* Caregiver declines consent or child declines assent.
* Not resident in the study communities at time of assessment.
Minimum Eligible Age

6 Months

Maximum Eligible Age

119 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Innovations for Poverty Action

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lasse Brune, PhD

Role: PRINCIPAL_INVESTIGATOR

Northwestern University

Nathanael Goldberg, MPA

Role: PRINCIPAL_INVESTIGATOR

Innovations for Poverty Action

Dean Karlan, PhD

Role: PRINCIPAL_INVESTIGATOR

Northwestern University

Christopher Udry, PhD

Role: PRINCIPAL_INVESTIGATOR

Northwestern University

Peter Rockers, ScD

Role: PRINCIPAL_INVESTIGATOR

Boston University

Doug Parkerson, MA

Role: PRINCIPAL_INVESTIGATOR

Innovations for Poverty Action

Locations

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Innovations for Poverty Action Uganda

Kampala, , Uganda

Site Status

Countries

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Uganda

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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NCT05531812 (IPA-2022-UG)

Identifier Type: REGISTRY

Identifier Source: secondary_id

AEARCTR-0004080

Identifier Type: REGISTRY

Identifier Source: secondary_id

IPA-2025-UG-Wave2

Identifier Type: -

Identifier Source: org_study_id

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