IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0261148.html
   My bibliography  Save this article

Supporting Ultra Poor People with Rehabilitation and Therapy among families of children with Cerebral Palsy in rural Bangladesh (SUPPORT CP): Protocol of a randomised controlled trial

Author

Listed:
  • Mahmudul Hassan Al Imam
  • Israt Jahan
  • Mohammad Muhit
  • Manik Chandra Das
  • Rosalie Power
  • Arifuzzaman Khan
  • Delwar Akbar
  • Nadia Badawi
  • Gulam Khandaker

Abstract

Introduction: Poverty is a key contributor to delayed diagnosis and limited access to early intervention and rehabilitation for children with cerebral palsy (CP) in rural Bangladesh. 97% of families of children with CP live below the poverty line in Bangladesh. Therefore, in low-and middle-income countries (LMICs), efforts to improve outcomes for children with CP (including health-related quality of life, motor function, communication, and nutritional attainments) should also include measures to improve family economic and social capital. We propose a randomised controlled trial (RCT) to evaluate the effectiveness of an integrated microfinance/livelihood and community-based rehabilitation (IMCBR) program for ultra-poor families of children with CP in rural Bangladesh. Material and methods: This will be a cluster RCT comparing three arms: (a) integrated microfinance/livelihood and community-based rehabilitation (IMCBR); (b) community-based rehabilitation (CBR) alone; and (c) care-as-usual (i.e. no intervention). Seven clusters will be recruited within each arm. Each cluster will consist of 10 child-caregiver dyads totalling 21 clusters with 210 dyads. Parents recruited in the IMCBR arm will take part in a microfinance/livelihood program and Parent Training Module (PTM), their children with CP will take part in a Goal Directed Training (GDT) program. The programs will be facilitated by specially trained Community Rehabilitation Officers. The CBR arm includes the same PTM and GDT interventions excluding the microfinance/livelihood program. The care-as-usual arm will be provided with information about early intervention and rehabilitation. The assessors will be blinded to group allocation. The duration of the intervention will be 12 months; outcomes will be measured at baseline, 6 months, 12 months, and 18 months. Conclusion: This will be the first RCT of an integrated microfinance/livelihood and CBR program for children with CP in LMIC settings. Evidence from the study could transform approaches to improving wellbeing of children with CP and their ultra-poor families.

Suggested Citation

  • Mahmudul Hassan Al Imam & Israt Jahan & Mohammad Muhit & Manik Chandra Das & Rosalie Power & Arifuzzaman Khan & Delwar Akbar & Nadia Badawi & Gulam Khandaker, 2021. "Supporting Ultra Poor People with Rehabilitation and Therapy among families of children with Cerebral Palsy in rural Bangladesh (SUPPORT CP): Protocol of a randomised controlled trial," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-16, December.
    • Handle: RePEc:plo:pone00:0261148
    DOI: 10.1371/journal.pone.0261148
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0261148
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0261148&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0261148?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Rosalie Power & Mohammad Muhit & Eamin Heanoy & Tasneem Karim & Nadia Badawi & Rahena Akhter & Gulam Khandaker, 2019. "Health-related quality of life and mental health of adolescents with cerebral palsy in rural Bangladesh," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-17, June.
    2. Heckman, James J. & Kautz, Tim, 2012. "Hard evidence on soft skills," Labour Economics, Elsevier, vol. 19(4), pages 451-464.
    3. Gautam Rao, 2019. "Familiarity Does Not Breed Contempt: Generosity, Discrimination, and Diversity in Delhi Schools," American Economic Review, American Economic Association, vol. 109(3), pages 774-809, March.
    4. Debashis Sarker, 2015. "Inclusion of disabled people in microfinance institutions: Where does Bangladesh stand?," International Journal of Innovation and Economic Development, Inovatus Services Ltd., vol. 1(1), pages 67-79, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Anandi Mani & Emma Riley, 2019. "Social networks, role models, peer effects, and aspirations," WIDER Working Paper Series wp-2019-120, World Institute for Development Economic Research (UNU-WIDER).
    2. Charlotte Cabane & Adrian Hille & Michael Lechner, 2015. "Mozart or Pelé? The Effects of Teenagers' Participation in Music and Sports," SOEPpapers on Multidisciplinary Panel Data Research 749, DIW Berlin, The German Socio-Economic Panel (SOEP).
    3. Bertoli, Simone & Dequiedt, Vianney & Zenou, Yves, 2016. "Can selective immigration policies reduce migrants' quality?," Journal of Development Economics, Elsevier, vol. 119(C), pages 100-109.
    4. Lea Cassar & Mira Fischer & Vanessa Valero, 2022. "Keep Calm and Carry On: Immediate-vs. Six-Month Effects of Mindfulness Training on Academic Performance," CESifo Working Paper Series 10099, CESifo.
    5. Hendrik Jürges & Luca Stella & Sameh Hallaq & Alexandra Schwarz, 2022. "Cohort at risk: long-term consequences of conflict for child school achievement," Journal of Population Economics, Springer;European Society for Population Economics, vol. 35(1), pages 1-43, January.
    6. Lechner, Michael & Sari, Nazmi, 2015. "Labor market effects of sports and exercise: Evidence from Canadian panel data," Labour Economics, Elsevier, vol. 35(C), pages 1-15.
    7. Szabó-Morvai, Ágnes & Kiss, Hubert János, 2022. "Különböznek-e a roma és nem roma diákok nem kognitív képességeikben? [Do Roma and non-Roma students differ in their non-cognitive abilities?]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(11), pages 1433-1456.
    8. Ilyess Karouni, 2022. "Thinking out stratification: the concept of subalternity," Review of Evolutionary Political Economy, Springer, vol. 3(3), pages 629-642, October.
    9. Estrellado, Emmanuel & Charoensilp, Pimmada & Yamada, Shoko, 2023. "The effects of game-based soft skills training: A quasi-experiment with Ethiopian garment workers," International Journal of Educational Development, Elsevier, vol. 101(C).
    10. Nataliya Kusa, 2018. "Should intra-familial time transfers be compensated financially?," MAGKS Papers on Economics 201802, Philipps-Universität Marburg, Faculty of Business Administration and Economics, Department of Economics (Volkswirtschaftliche Abteilung).
    11. David Deming & Lisa B. Kahn, 2018. "Skill Requirements across Firms and Labor Markets: Evidence from Job Postings for Professionals," Journal of Labor Economics, University of Chicago Press, vol. 36(S1), pages 337-369.
    12. LaFave, Daniel & Thomas, Duncan, 2017. "Extended families and child well-being," Journal of Development Economics, Elsevier, vol. 126(C), pages 52-65.
    13. Fulvia Pennoni & Beata Bal-Domańska, 2022. "NEETs and Youth Unemployment: A Longitudinal Comparison Across European Countries," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 162(2), pages 739-761, July.
    14. Tarun Jain & Abhiroop Mukhopadhyay & Nishith Prakash & Raghav Rakesh, 2022. "Science education and labor market outcomes in a developing economy," Economic Inquiry, Western Economic Association International, vol. 60(2), pages 741-763, April.
    15. Aksoy, Billur & Chadd, Ian & Koh, Boon Han, 2023. "Sexual identity, gender, and anticipated discrimination in prosocial behavior," European Economic Review, Elsevier, vol. 154(C).
    16. Kai Barron & Heike Harmgart & Steffen Huck & Sebastian O. Schneider & Matthias Sutter, 2023. "Discrimination, Narratives, and Family History: An Experiment with Jordanian Host and Syrian Refugee Children," The Review of Economics and Statistics, MIT Press, vol. 105(4), pages 1008-1016, July.
    17. Stephen Yeaple & Chong Xiang, 2017. "Educational Quality along Multiple Dimensions: A Cross-Country Analysis," 2017 Meeting Papers 510, Society for Economic Dynamics.
    18. Leonardo Bursztyn & Thomas Chaney & Tarek Alexander & Hassan Aakaash Rao, 2022. "The Immigrant Next Door: Long-Term Contact, Generosity, and Prejudice," SciencePo Working papers Main hal-03870145, HAL.
    19. Brancatelli,Calogero & Marguerie,Alicia Charlene & Koettl-Brodmann,Stefanie, 2020. "Job Creation and Demand for Skills in Kosovo : What Can We Learn from Job Portal Data?," Policy Research Working Paper Series 9266, The World Bank.
    20. Shubha Chakravarty & Sarah Haddock & Ioana Botea, 2016. "Providing Out-of-School Adolescent Girls with Skills," World Bank Publications - Reports 24571, The World Bank Group.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0261148. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.