Economic Empowerment and Health Promotion of Uganda Grandmother-caregivers.

Part of paid clinical trials in Salt Lake City, Utah.

Sponsor
University of Utah
Study ID
NCT07011264
Status
Not Yet Recruiting

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Conditions

  • Financial Burden
  • Health Behavior
  • Social Support

Eligibility Criteria

Sex
FEMALE
Age
50 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • The BAJJAJJA intervention — BEHAVIORAL
    The BAJJAJJA intervention is composed of: The IGA COMPONENT which is intended to promote economic empowerment by improving household income based on available resources. The component will consist of a series of 1-hour sessions with 3 separate GMC participant groups (8 GMCs per group). Two IGA experts will lead these sessions, weekly for the first two months and later monthly for the remaining 10 months of the 12-month intervention period. The HEALTH COACHING COMPONENT will be informed by theChronic Disease Self-Management Education (CDSME) framework.54 This community-based, person-centered care model will be used to empower GMCs to manage their health through goal-setting, problem-solving, and chronic disease self-monitoring. I (PI) will leverage the community networks that I developed during my preliminary work to (1) recruit interventionists (two nurses) and (2) ensure their adequate training and adherence to the intervention manuals and procedures.

Study Details

Background: There are an estimated 163 million children worldwide who are under the care of their grandparents or other relatives. In Uganda, social determinants of health (i.e., poverty, wars, and maternal and perinatal conditions) threaten the middle generation (age 15-49) and leave older adults, especially grandmothers (Bajjajja), to become the safety net. Yet, in this region, knowledge about effective interventions that support the health and wellbeing of these GMCs is limited to nonexistent. As such, Dr. Matovu proposes to refine, adapt, and test her BAJJAJJA intervention that she developed. Specific Aims: Dr. Matovu will achieve this goal through three Specific Aims: 1. Refine and adapt the BAJJAJJA intervention components through a collaborative and iterative feedback process with a diverse community group of 18 members; 2. Test the feasibility, acceptability and preliminary efficacy of the BAJJAJJA intervention in improving economic and health outcomes among 24 Ugandan GMCs; and 3. Explore the barriers and facilitators to (3a) maintenance of the BAJJAJJA individual intervention benefits and (3b) sustainability of the income generating activity at 6 months post-intervention. This innovative study will utilize a community-engaged approach that emphasizes the meaningful involvement of community partners to develop an intervention that targets GMCs. Her outcomes will support her future efficacy clinical trial to test a novel multi-component and community-engaged BAJJAJJA intervention to promote the mental, physical, and economic wellbeing of GMCs.

Key Dates

Start date
Oct 1, 2025
Status verified
May 2025
Primary completion
Aug 30, 2028
Completion
Aug 30, 2029

Study Design

Enrollment
24 participants (estimated)
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION

Arms

  • Experimental: Economic Empowerment and Health Promotion
    In this study, all 24 participants will engage in two intervention components constituting of an income generating activity (e.g. poultry farming) and health coaching (facilitated by visiting nurses).

Primary Outcome Measure

Mental and Physical Health: Short Form Health Survey - 12-Item Version (SF-12) [ Time Frame: Baseline, 12-months, and 6- months post-intervention (18- months) ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of Utah College of NursingSalt Lake CityUtah84112
Schola N Matovu, PhD
[email protected]
8015879196

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By research site
University of Utah College of Nursing· Salt Lake City, UT

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