Evaluating an economic empowerment intervention to improving caregiver wellbeing post-COVID-19

Phase 3

Recruiting

• Conditions: HIV/AIDS

• Registration Number: PACTR202311618532061
• Lead Sponsor: IDRC Women RISE

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-11-10
• Last Update Posted: 4 March 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: Female
• Target Recruitment: 240

Inclusion Criteria

Cluster:
•A public sector HIV clinic within the eThekwini municipality

Participant:
•A female carer (18-58 years of age) caring for a CALHIV aged 5 to 19 years
•A female carer (18-58 years of age) receiving child support grant
•A caregiver who is currently not receiving the Social Relief of Distress government grant and meets the eligibility criteria for this grant
•A caregiver who has access to a mobile phone
•Caregiver who is able to provide verbal informed consent.

Exclusion Criteria

Cluster:
•A public sector HIV-clinic currently participating in a mental health or GBV CRT

Participant:
•A caregiver who is not the primary caregiver of the CALHIV
•A caregiver that will be aged 60 years by follow-up and will be receiving state pension or a caregiver receiving state pension at the time of enrolment
•A caregiver who is currently receiving a Social Relief of Distress grant, is in full-time employment or whose household income is above average household poverty threshold
•A caregiver who is unable to comprehend the nature of the study (during the information session) in either English or isiZulu
•A caregiver currently experiencing suicidal ideation, intoxication, and requiring urgent medical attention

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1.Psychological wellbeing- percentage change in caregiver wellbeing scores between baseline and endline the intervention versus control arm. 2. Depressive symptoms- percentage change in depressive symptom scores between baseline and endline in the intervention versus control arm 3.Intimate Partner Violence Difference in mean scores at end-line between intervention and control

Secondary Outcome Measures

Name	Time	Method
•Gender attitudes- we will use the 10-item Gender Role’s Belief scale that measure individual perceptions about gender roles (Brown and Gladstone, 2012). <br>•Gender equality index- examines self-perceived gender equality in the relationship (e.g. sharing of time and responsibilities for household and work with partner) (Sörlin et al., 2011)<br>•Earnings in the past month- mean log of income generated from paid work at baseline versus end-line in the intervention versus control arm<br>•Economic empowerment- scales addressing financial self-efficacy, savings, control over assets, economic coercion (Yount et al., 2021)<br>•Acceptability: participant’s perceptions on the intervention package and delivery in the intervention versus control arm<br>•Total provider cost related to intervention delivery <br>•Total participant-side cost- total direct and indirect costs associated with caregiving<br>•Average cost per participant with an increase in wellbeing score in each arm<br><br>