NCT07212374

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

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 2,100 (estimated)
• Sponsor: Innovations for Poverty Action · Academic / Other
• Sex: All
• Age: 6 Months – 119 Months
• Healthy volunteers: Accepted

Summary

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

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

• Child Development
• Under Nutrition
• School Readiness
• Anemia

Interventions

Type	Name	Description
OTHER	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.

Timeline

• Start date: 2025-08-20
• Primary completion: 2025-11-01
• Completion: 2025-11-01
• First posted: 2025-10-08
• Last updated: 2025-10-08

Locations

1 site across 1 country: Uganda