2023-09-28 14:46:10 +00:00
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abstract: 'Introduction: There is little evidence on the impact of livelihood
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interventions amongst people with disabilities. Effective programmes are
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critical for reducing the heightened risk of poverty and unemployment
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facing persons with disabilities. STAR+ is a skills development and job
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placement programme targeted to out-of-school youth with disabilities
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(ages 14-35) living in poverty. It is a disability-targeted adaptation
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to an existing, effective intervention (STAR), which has been designed
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to address barriers to decent work for people with disabilities. This
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protocol describes the design of a cluster randomised controlled trial
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of STAR+ in 39 of the 64 districts of Bangladesh. Methods: BRAC has
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identified 1500 youth with disabilities eligible for STAR+ across its 91
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branch offices (typically a geographical areas covering about 8 km
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radius from local BRAC office) catchment areas (clusters). BRAC has
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limited funding to deliver STAR+ and so 45 of the 91 branches have been
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randomly allocated to implement STAR+ (intervention arm). The remaining
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46 branches will not deliver STAR+ at this time (control arm).
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Participants in the control-arm will receive usual care, meaning they
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are free to enrol in any other livelihood programmes run by BRAC or
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other organisations including standard STAR (being run in 15 control
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branches). The cRCT will assess the impact of STAR+ after 12 months on
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employment status and earnings (primary outcomes), as well as poverty,
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participation and quality of life (secondary outcomes). Analysis will be
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through intention-to-treat, with a random mixed effect at cluster level
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to account for the clustered design. Complementary qualitative research
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with participants will be conducted to triangulate findings of the cRCT,
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and a process evaluation will assess implementation fidelity, mechanisms
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of impact and the role of contextual factors in shaping variations in
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outcomes. Discussion: This trial will provide evidence on the impact of
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a large-scale, disability-targeted intervention. Knowledge on the
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effectiveness of programmes is critical for informing policy and
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programming to address poverty and marginalisation amongst this group.
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Currently, there is little robust data on the effectiveness of
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livelihood programmes amongst people with disabilities, and so this
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trial will fill an important evidence gap.'
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affiliation: 'Banks, LM (Corresponding Author), London Sch Hyg \& Trop Med, Int Ctr
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Evidence Disabil, London, England.
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Banks, Lena Morgon; Davey, Calum; Shakespeare, Tom; Kuper, Hannah, London Sch Hyg
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\& Trop Med, Int Ctr Evidence Disabil, London, England.
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Das, Narayan; Adiba, Afsana, BRAC Univ, BRAC Inst Governance \& Dev, Dhaka, Bangladesh.
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Davey, Calum, London Sch Hyg \& Trop Med, Ctr Evaluat, London, England.
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Ali, M. Mahzuz, BRAC Bangladesh, Dhaka, Bangladesh.
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Fleming, Coral, BRAC UK, London, England.'
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article-number: '1022'
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author: Banks, Lena Morgon and Das, Narayan and Davey, Calum and Adiba, Afsana and
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Ali, M. Mahzuz and Shakespeare, Tom and Fleming, Coral and Kuper, Hannah
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author-email: morgon.banks@lshtm.ac.uk
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author_list:
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- family: Banks
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given: Lena Morgon
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- family: Das
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given: Narayan
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- family: Davey
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given: Calum
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- family: Adiba
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given: Afsana
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- family: Ali
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given: M. Mahzuz
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- family: Shakespeare
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given: Tom
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- family: Fleming
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given: Coral
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- family: Kuper
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given: Hannah
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da: '2023-09-28'
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doi: 10.1186/s13063-022-06987-2
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eissn: 1745-6215
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files: []
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journal: TRIALS
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keywords: Disability; Livelihoods; Randomised control trial; Bangladesh
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language: English
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month: DEC 17
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number: '1'
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number-of-cited-references: '33'
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orcid-numbers: Banks, Lena Morgon/0000-0002-4585-1103
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papis_id: 5966d48a52cf9ec51f071c7a8f6f304f
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ref: Banks2022impactdisabilitytarg
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times-cited: '0'
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title: 'Impact of a disability-targeted livelihoods programme in Bangladesh: study
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protocol for a cluster randomised controlled trial of STAR'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000899954300001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '23'
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web-of-science-categories: Medicine, Research \& Experimental
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year: '2022'
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