Evidence map›Paper›PMID 36527117›Full record

ArticleTrials2022

Impact of a disability-targeted livelihoods programme in Bangladesh: study protocol for a cluster randomised controlled trial of STAR.

Lena Morgon Banks, Narayan Das, Calum Davey, Afsana Adiba, M Mahzuz Ali, Tom Shakespeare, Coral Fleming, Hannah Kuper

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lena Morgon Banks *International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, UK. morgon.banks@lshtm.ac.uk.ORCID http://orcid.org/0000-0002-4585-1103
Narayan Das *BRAC Institute of Governance and Development, BRAC University, Dhaka, Bangladesh.
Calum DaveyInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, UK.
Afsana AdibaBRAC Institute of Governance and Development, BRAC University, Dhaka, Bangladesh.
M Mahzuz AliBRAC Bangladesh, Dhaka, Bangladesh.
Tom ShakespeareInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, UK.
Coral FlemingBRAC UK, London, UK.
Hannah KuperInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, UK.

Funding

United Kingdom Foreign, Commonwealth and Development Office PENDA project, grant PO8073
6 · The paper itself

Abstract

introductionThere is little evidence on the impact of livelihood interventions amongst people with disabilities. Effective programmes are critical for reducing the heightened risk of poverty and unemployment facing persons with disabilities. STAR+ is a skills development and job placement programme targeted to out-of-school youth with disabilities (ages 14-35) living in poverty. It is a disability-targeted adaptation to an existing, effective intervention (STAR), which has been designed to address barriers to decent work for people with disabilities. This protocol describes the design of a cluster randomised controlled trial of STAR+ in 39 of the 64 districts of Bangladesh.

methodsBRAC has identified 1500 youth with disabilities eligible for STAR+ across its 91 branch offices (typically a geographical areas covering about 8 km radius from local BRAC office) catchment areas (clusters). BRAC has limited funding to deliver STAR+ and so 45 of the 91 branches have been randomly allocated to implement STAR+ (intervention arm). The remaining 46 branches will not deliver STAR+ at this time (control arm). Participants in the control-arm will receive usual care, meaning they are free to enrol in any other livelihood programmes run by BRAC or other organisations including standard STAR (being run in 15 control branches). The cRCT will assess the impact of STAR+ after 12 months on employment status and earnings (primary outcomes), as well as poverty, participation and quality of life (secondary outcomes). Analysis will be through intention-to-treat, with a random mixed effect at cluster level to account for the clustered design. Complementary qualitative research with participants will be conducted to triangulate findings of the cRCT, and a process evaluation will assess implementation fidelity, mechanisms of impact and the role of contextual factors in shaping variations in outcomes. DISCUSSION: This trial will provide evidence on the impact of a large-scale, disability-targeted intervention. Knowledge on the effectiveness of programmes is critical for informing policy and programming to address poverty and marginalisation amongst this group. Currently, there is little robust data on the effectiveness of livelihood programmes amongst people with disabilities, and so this trial will fill an important evidence gap.

trial registrationThis study has been registered with the Registry for International Development Impact Evaluations, (RIDIE Study ID: 6238114b481ad ) on February 25, 2022, and the ISRCTN Registry (ID: ISRCTN15742977 ).

Indexed as

Persons with DisabilitiesQuality of LifeAdolescentAdultBangladeshCost-Benefit AnalysisHumansMarriageQualitative ResearchRandomized Controlled Trials as TopicYoung AdultBangladeshDisabilityLivelihoodsRandomised control trial

Identifiers

PMID36527117
PMCPMC9758025

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.