Poverty Clinical Trial
Official title:
Bridges to the Future: Economic Empowerment for AIDS-Orphaned Children in Uganda
Verified date | October 2018 |
Source | Columbia University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Bridges to the Future: Economic Empowerment for AIDS-Orphaned Children in Uganda, represents the first study that measures medium-term efficacy and cost-effectiveness of a family economic empowerment intervention for AIDS-orphaned children. The usual care provided to AIDS orphans in sub-Saharan Africa consists mainly of informal counseling as well as limited material support (e.g., specifically school lunches, textbooks for the required subjects, and note-books). Given the challenges facing these children and their caregivers, further supports are needed in order to help them successfully make the transition from primary school to secondary school and into adolescence. In the context of resource-poor countries, interventions that improve families' economic capabilities are likely to be particularly consequential. Both theory and prior research indicate that economic instability (including poverty) constitutes one of the primary risk factors for AIDS-orphaned children's risk-taking behaviors (including sexual risk-taking), poor mental health functioning, and poor educational outcomes. Thus, the lack of economic security constitutes an important risk factor for AIDS-orphaned children. Yet, to-date, few interventions aimed at care and support of AIDS-orphaned children have incorporated components to address family-level poverty/economic instability of the children and their caregiving families. Within this context, there is a need for innovative interventions that promote sustainable (more than short-term) economic and behavior change among AIDS-orphaned children and create the supports necessary to sustain these changes.
Status | Completed |
Enrollment | 1410 |
Est. completion date | January 15, 2018 |
Est. primary completion date | January 15, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 11 Years to 17 Years |
Eligibility |
Inclusion Criteria: - An HIV/AIDS-orphaned child (a child who has lost one or both parents to HIV/AIDS) - Enrolled in grade 5 or 6 of primary school - Living within a family Exclusion Criteria: - Any child who does not self-identify as an HIV/AIDS-orphan - Any child who is not enrolled in grade 5 or 6 of primary school - Any child who is not living within a family at the time of enrollment |
Country | Name | City | State |
---|---|---|---|
Uganda | International Center for Child Health and Asset Development | Masaka | Rakai And Masaka Districts |
Lead Sponsor | Collaborator |
---|---|
Columbia University | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) |
Uganda,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Savings and Asset Accumulation | Increased confidence in saving ability and stronger financial stability. Accumulation of formal and informal savings and wealth/assets (e.g. livestock, type of housing, land); and change in attitudes toward saving. | 12-month post-intervention follow-up assessment | |
Primary | Educational Achievement | School enrollment and attendance. Educational attainment, plans, and aspirations. Performance on National Primary Leaving Examinations. | 12-month post-intervention follow-up assessment | |
Primary | Mental Health Functioning | Degree of hopefulness about the future. Ability to identify specific future goals. Level of mental health functioning. Depressive symptoms. | 12-month post-intervention follow-up assessment | |
Primary | Sexual Risk-Taking Behavior | Ability to negotiate safe sex practices. Decreased intentions to engage in sexual risk behavior. Knowledge about and attitude toward HIV/AIDS and other STDs. | 12-month post-intervention follow-up assessment | |
Primary | Savings and Asset Accumulation | Increased confidence in saving ability and stronger financial stability. Accumulation of formal and informal savings and wealth/assets (e.g. livestock, type of housing, land); and change in attitudes toward saving. | 24-month post-intervention follow-up assessment | |
Primary | Educational Achievement | School enrollment and attendance. Educational attainment, plans, and aspirations. Performance on National Primary Leaving Examinations. | 24-month post-intervention follow-up assessment | |
Primary | Mental Health Functioning | Degree of hopefulness about the future. Ability to identify specific future goals. Level of mental health functioning. Depressive symptoms. | 24-month post-intervention follow-up assessment | |
Primary | Sexual Risk-Taking Behavior | Ability to negotiate safe sex practices. Decreased intentions to engage in sexual risk behavior. Knowledge about and attitude toward HIV/AIDS and other STDs. | 24-month post-intervention follow-up assessment | |
Primary | Savings and Asset Accumulation | Increased confidence in saving ability and stronger financial stability. Accumulation of formal and informal savings and wealth/assets (e.g. livestock, type of housing, land); and change in attitudes toward saving. | 36-month post-intervention follow-up assessment | |
Primary | Educational Achievement | School enrollment and attendance. Educational attainment, plans, and aspirations. Performance on National Primary Leaving Examinations. | 36-month post-intervention follow-up assessment | |
Primary | Mental Health Functioning | Degree of hopefulness about the future. Ability to identify specific future goals. Level of mental health functioning. Depressive symptoms. | 36-month post-intervention follow-up assessment | |
Primary | Sexual Risk-Taking Behavior | Ability to negotiate safe sex practices. Decreased intentions to engage in sexual risk behavior. Knowledge about and attitude toward HIV/AIDS and other STDs. | 36-month post-intervention follow-up assessment | |
Primary | Savings and Asset Accumulation | Increased confidence in saving ability and stronger financial stability. Accumulation of formal and informal savings and wealth/assets (e.g. livestock, type of housing, land); and change in attitudes toward saving. | 48-month post-intervention follow-up assessment | |
Primary | Educational Achievement | School enrollment and attendance. Educational attainment, plans, and aspirations. Performance on National Primary Leaving Examinations. | 48-month post-intervention follow-up assessment | |
Primary | Mental Health Functioning | Degree of hopefulness about the future. Ability to identify specific future goals. Level of mental health functioning. Depressive symptoms. | 48-month post-intervention follow-up assessment | |
Primary | Sexual Risk-Taking Behavior | Ability to negotiate safe sex practices. Decreased intentions to engage in sexual risk behavior. Knowledge about and attitude toward HIV/AIDS and other STDs. | 48-month post-intervention follow-up assessment |
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