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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Do savings mediate changes in adolescents’ future orientation and health-related outcomes? Findings from randomized experiment in Uganda</title>
<author><name sortKey="Karimli, Leyla" sort="Karimli, Leyla" uniqKey="Karimli L" first="Leyla" last="Karimli">Leyla Karimli</name>
</author>
<author><name sortKey="Ssewamala, Fred M" sort="Ssewamala, Fred M" uniqKey="Ssewamala F" first="Fred M." last="Ssewamala">Fred M. Ssewamala</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26271162</idno>
<idno type="pmc">4583807</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4583807</idno>
<idno type="RBID">PMC:4583807</idno>
<idno type="doi">10.1016/j.jadohealth.2015.06.011</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">001E66</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E66</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Do savings mediate changes in adolescents’ future orientation and health-related outcomes? Findings from randomized experiment in Uganda</title>
<author><name sortKey="Karimli, Leyla" sort="Karimli, Leyla" uniqKey="Karimli L" first="Leyla" last="Karimli">Leyla Karimli</name>
</author>
<author><name sortKey="Ssewamala, Fred M" sort="Ssewamala, Fred M" uniqKey="Ssewamala F" first="Fred M." last="Ssewamala">Fred M. Ssewamala</name>
</author>
</analytic>
<series><title level="j">The Journal of adolescent health : official publication of the Society for Adolescent Medicine</title>
<idno type="ISSN">1054-139X</idno>
<idno type="eISSN">1879-1972</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
<p id="P1">This present study tests the proposition that an economic strengthening intervention for families caring for AIDS-orphaned adolescents would positively affect adolescent future orientation and psychosocial outcomes through increased asset-accumulation (in this case, by increasing family savings).</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Using longitudinal data from the cluster-randomized experiment we ran generalized estimating equation (GEE) models with robust standard errors clustering on individual observations. To examine whether family savings mediate the effect of the intervention on adolescents’ future orientation and psychosocial outcomes, analyses were conducted in three steps: (1) testing the effect of intervention on mediator; (2) testing the effect of mediator on outcomes, controlling for the intervention; and (3) testing the significance of mediating effect using Sobel-Goodman method. Asymmetric confidence intervals for mediated effect were obtained through bootstrapping—to address the assumption of normal distribution.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Results indicate that participation in a matched Child Savings Account program improved adolescents’ future orientation and psychosocial outcomes by reducing hopelessness, enhancing self-concept, and improving adolescents’ confidence about their educational plans. However, the positive intervention effect on adolescent future orientation and psychosocial outcomes was not transmitted through saving. In other words, participation in the matched Child Savings Account program improved adolescent future orientation and psychosocial outcomes regardless of its impact on reported savings.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Further research is necessary to understand exactly how participation in economic strengthening interventions, for example, those that employ matched Child Savings Accounts, shape adolescent future orientation and psychosocial outcomes: what, if not savings, transmits the treatment effect and how?</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9102136</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1030</journal-id>
<journal-id journal-id-type="nlm-ta">J Adolesc Health</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adolesc Health</journal-id>
<journal-title-group><journal-title>The Journal of adolescent health : official publication of the Society for Adolescent Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1054-139X</issn>
<issn pub-type="epub">1879-1972</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26271162</article-id>
<article-id pub-id-type="pmc">4583807</article-id>
<article-id pub-id-type="doi">10.1016/j.jadohealth.2015.06.011</article-id>
<article-id pub-id-type="manuscript">NIHMS703061</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Do savings mediate changes in adolescents’ future orientation and health-related outcomes? Findings from randomized experiment in Uganda</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Karimli</surname>
<given-names>Leyla</given-names>
</name>
<degrees>PhD</degrees>
<role>Postdoctoral Research Scholar</role>
<aff id="A1">New York University, McSilver Institute for Poverty Policy and Research,<email>lk1706@nyu.edu</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Ssewamala</surname>
<given-names>Fred M.</given-names>
</name>
<degrees>PhD</degrees>
<role>Director, Associate Professor Columbia University</role>
<aff id="A2">Columbia University’s International Center for Child Health and Asset Development; School of Social Work,<email>fs2114@columbia.edu</email>
</aff>
</contrib>
</contrib-group>
<pub-date pub-type="nihms-submitted"><day>28</day>
<month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>11</day>
<month>8</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>10</month>
<year>2015</year>
</pub-date>
<volume>57</volume>
<issue>4</issue>
<fpage>425</fpage>
<lpage>432</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.jadohealth.2015.06.011</pmc-comment>
<abstract><sec id="S1"><title>Purpose</title>
<p id="P1">This present study tests the proposition that an economic strengthening intervention for families caring for AIDS-orphaned adolescents would positively affect adolescent future orientation and psychosocial outcomes through increased asset-accumulation (in this case, by increasing family savings).</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Using longitudinal data from the cluster-randomized experiment we ran generalized estimating equation (GEE) models with robust standard errors clustering on individual observations. To examine whether family savings mediate the effect of the intervention on adolescents’ future orientation and psychosocial outcomes, analyses were conducted in three steps: (1) testing the effect of intervention on mediator; (2) testing the effect of mediator on outcomes, controlling for the intervention; and (3) testing the significance of mediating effect using Sobel-Goodman method. Asymmetric confidence intervals for mediated effect were obtained through bootstrapping—to address the assumption of normal distribution.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Results indicate that participation in a matched Child Savings Account program improved adolescents’ future orientation and psychosocial outcomes by reducing hopelessness, enhancing self-concept, and improving adolescents’ confidence about their educational plans. However, the positive intervention effect on adolescent future orientation and psychosocial outcomes was not transmitted through saving. In other words, participation in the matched Child Savings Account program improved adolescent future orientation and psychosocial outcomes regardless of its impact on reported savings.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Further research is necessary to understand exactly how participation in economic strengthening interventions, for example, those that employ matched Child Savings Accounts, shape adolescent future orientation and psychosocial outcomes: what, if not savings, transmits the treatment effect and how?</p>
</sec>
</abstract>
<kwd-group><kwd>Child Savings Accounts</kwd>
<kwd>AIDS orphans</kwd>
<kwd>Uganda</kwd>
<kwd>Sub-Saharan Africa</kwd>
<kwd>future orientation</kwd>
<kwd>psychosocial outcomes</kwd>
<kwd>adolescents</kwd>
<kwd>economic empowerment</kwd>
<kwd>mediation analyses</kwd>
<kwd>generalized estimating equation model</kwd>
<kwd>randomized controlled trials</kwd>
<kwd>experimental study</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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