Condition category
Musculoskeletal Diseases
Date applied
Date assigned
Last edited
Retrospectively registered
Overall trial status
Recruitment status
No longer recruiting
Publication status

Plain English Summary

Background and study aims
People with disability (PWD) amount to 15% of the world population and World Health Organization (WHO) estimates that 80% of them live in developing countries (World Health Organization, 2016; World Health Organization and the World Bank, 2011). In India, there are about 26.8 million persons with disability which is about 2.21% of its population (Government of India, 2011). Evidence suggests that PWDs are more likely to experience adverse socioeconomic outcomes such as less education, poorer health outcomes, lower education achievements, less employment and higher rates of poverty than persons without disability (Government of India, 2011; World Bank, 2009; World Health Organization and the World Bank, 2011). Additionally, People with disability face barriers accessing health and rehabilitation services (World Health Organization, 2018).
This study aims at understanding the potential of Disabled People’s Networks in promoting disability inclusive development in Uttarakhand state, North India.

Who can participate?
Using a lottery system, we randomly allocated 20 villages to the intervention arm and 19 to the control arm. Based on an adapted Key Informant methodology, we identified all people with disability who were not currently involved in a disabled people’s organisation to participate. The minimum age for participation was 15.

What does the study involve?
In the intervention clusters, local non-government organisations (NGOs) facilitated the formation of Disabled People’s Organisations (DPO) and motivated study participants to be involved in the activities of the DPOs. A curriculum and training program was also developed. Five NGOs, each within one of the intervention sites were selected to assist in the intervention study, involving support in DPO formation.
In the non-intervention clusters, no DPOs were facilitated but the ongoing disability work continued. The control group only received referrals for disabilities detected by RAD screening, but no additional assistance. They will receive the interventions at the end of this study.

Possible benefits and risks of participating
Disabled People’s Organisations could promote wellbeing, participation, and rights of people with a disability. DPOs also empowered people with a disability to actively express their priorities and needs.

Location of study centre
The study took place in 39 villages purposively selected from five distinct areas located in New Tehri and Dehradun districts of Uttarakhand.

Source of funding
The study was funded by Christian Blind Mission India.

Main contact
Dr Nathan Grills

Trial website

Contact information



Primary contact

Dr Nathan Grills


Contact details

Associate Prof and Public Health Physician
Nossal Institute for Global Health
University of Melbourne
333 Exhibition Street
+61 3 8344 4299

Additional identifiers

EudraCT number

Nil known number

Nil known

Protocol/serial number


Study information

Scientific title

A randomised controlled trial to assess the impact of DPO formation using the RAD and other evaluation tools



Study hypothesis

Activities and services facilitated by Disabled People's Network (DPN) improve PWD's (people with a disability) well-being, community participation and access to services

Ethics approval

1. Approved 28/01/2015, Community Health Global Network, Uttarakhand Cluster (CHGN Uttarakhand Cluster, Disability Advisory Committee, India; +91 (0) 1360-253323;, ref: n/a
2. Approved 26/06/2015, Indian Institute of Public Health – Hyderabad (ANV Arcade, Plot No.1, Amar Cooperative Society, Kavuri Hills, Madhapur, Hyderabad - 500081, A.P., INDIA; +91 40 49006003;, ref: IIPHH/TRCIEC/10/2014-1

Study design

Cluster randomized interventional trial

Primary study design


Secondary study design

Cluster randomised trial

Trial setting


Trial type

Quality of life

Patient information sheet

Not available in web format, please contact Dr Nathan Grills ( for a PIS.




A cluster randomized interventional trial in the Dehradun district of Uttarakhand state in North India to evaluate the impact of DPOs (Disabled People's Organisations) on inclusion, wellbeing and participation.

Intervention arm: Participants in the intervention group would receive services faciliated by Disabled People's Networks. DPNs is a participatory model and participants were encouraged to ultimately determine the activities they undertake.

Uttarakhand Cluster of NGOs and Public Health Foundation of India would provide training in community mobilisation, advocacy of rights to health and education, bookkeeping, awareness-raising and access to government programs.

Local NGOs facilitated the DPO formation by regular home visits to individual families to motivate them to be involved in the activities of the DPOs. A curriculum and training program were also developed. Five NGOs were selected to assist in the intervention study, involving support in DPO formation.

The DPOs were encouraged to conduct regular disability group meetings to facilitate problem solving, advocacy and planning. As a part of the DPOs, persons with disabilities were encouraged to visit the block and district office and make at least three visits to the disability commissioner.

Control arm: For participants in the control group, current disability work would continue but no DPNs would be facilitated.

Intervention type



Drug names

Primary outcome measure

Well-being, community participation, and access to services assessed at baseline and endline (after DPN implementation) using the rapid assessment of disability (RAD) tool

Secondary outcome measures


Overall trial start date


Overall trial end date


Reason abandoned (if study stopped)


Participant inclusion criteria

1. Have a disability
2. Currently living in the selected villages
3. Aged >= 15 yrs
4. Not currently involved in a disabled people’s organisation

Participant type


Age group




Target number of participants


Total final enrolment


Participant exclusion criteria

1. Guardian unwilling or unable to give consent

Recruitment start date


Recruitment end date



Countries of recruitment

British Indian Ocean Territory, India

Trial participating centre

Community Health Global Network KHW, Rajpur Rd Rajpur

Sponsor information


Nossal Institute for Global Health

Sponsor details

University of Melbourne
333 Exhibition Street
+61 3 8344 4299

Sponsor type




Funder type


Funder name

CBM India

Alternative name(s)

Funding Body Type

Funding Body Subtype


Results and Publications

Publication and dissemination plan

Target journal for publication: BMC Public Health.

IPD sharing statement:
All data generated or analysed during this study will be included in the subsequent results publication

Intention to publish date


Participant level data

Available on request

Basic results (scientific)

Publication list

2020 results in (added 03/02/2020)

Publication citations

Additional files

Editorial Notes

03/02/2020: Publication reference added. 08/10/2019: Trial’s existence confirmed by Community Health Global Network, Uttarakhand Cluster.