跳至主要内容
临床试验/NCT07651670
NCT07651670进行中(未招募)不适用

Does a Couples-Based Financial Literacy and Gender-Transformative Intervention Improve Parenting Practices? Evidence From the ECOVI Cluster-Randomised Controlled Trial in India

Shruti Shukla4 个研究点 分布在 1 个国家目标入组 4,552 人开始时间: 2025年7月29日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
4,552
试验地点
4
主要终点
Parenting practices

研究概览

简要总结

Many families in India experience intimate partner violence (IPV) and financial stress, both of which can harm the way parents interact with and discipline their children. When parents are under stress, they may be more likely to use harsh physical discipline or be less involved and warm with their children. Improving how couples communicate, manage money together, and relate to each other more fairly may help parents raise their children in healthier and more nurturing ways.

This study examines whether a couples-based programme, "Let Us Grow Together: Economic Wellbeing for Families," improves parenting practices among married couples in India. The programme consists of six group sessions attended by husbands and wives together. Sessions cover financial skills such as budgeting, saving, and joint financial planning, alongside topics on respectful relationships, communication, and shared decision-making in the household. Sessions are delivered over approximately five months by trained male and female facilitators, with text message reminders sent between sessions to reinforce key messages.

The study is nested within a larger randomised controlled trial called ECOVI (Disentangling and Preventing Economic Violence against Women), conducted across three Indian states: Maharashtra, Andhra Pradesh, and Rajasthan, involving 2,276 married couples. Villages or community groups are randomly assigned to either receive the programme or continue as usual. This random assignment means the study can reliably measure whether the programme, rather than some other factor, caused any changes in parenting.

Parenting is assessed at the end of the study (endline) using questions from the s-EMBU-P Questionnaire, a widely used and validated tool. These questions ask mothers and fathers separately about three aspects of parenting: rejection/harsh parenting, emotional warmth/positive parenting and overprotection/control.

The study also examines whether any improvements in parenting occur because the programme reduces violence between partners, improves parents' mental health, reduces family financial stress, or improves their relationship. All of these mediators are measured at baseline and endline. Both mothers and fathers are asked about their own parenting practices separately, making this one of the few studies to examine how such a programme affects fathers' and mothers' parenting practices in this context.

详细描述

Study Overview This sub-study is nested within the ECOVI trial (Disentangling and Preventing Economic Violence against Women), a two-arm cluster RCT evaluating a couples-based financial literacy and gender-transformative intervention ("Let Us Grow Together: Economic Wellbeing for Families") across 150 clusters in Maharashtra, Andhra Pradesh, and Rajasthan, India. The sub-study examines parenting practices as an understudied downstream outcome. Parenting questions (s-EMBU-P) are added to the ECOVI endline survey prior to data collection, providing a fully prospective analysis plan. All mediator measures, including IPV types and mental health (GHQ-6), are collected at baseline and endline as part of the main trial. The sub-study pursues four objectives: (1) to estimate whether the intervention effect on parenting operates through relational quality (Relationship channel); (2) through a reduction in IPV (IPV Reduction channel); (3) through improvement in parents' mental health (Mental Health channel); and (4) through financial distress reduction (Financial Distress channel).

Background and Motivation Parenting practices fall into two broad dimensions: negative practices (corporal punishment, inconsistent discipline, poor monitoring) and positive practices (warmth, responsiveness, emotional involvement, active engagement in learning). Negative parenting, particularly harsh physical discipline, is associated with elevated child anxiety, aggression, and long-term deficits in cognitive and socio-emotional functioning. Positive parenting serves as a protective factor, buffering children from the adverse effects of household poverty, conflict, and other adversities.

IPV is well-documented as an important driver of parenting quality. Exposure to IPV is associated with declines in nurturance and communication between parents and children and with increases in aggression toward children. Effects of IPV on harsh parenting are partly mediated by parental depression, establishing mental health as a key mechanism linking couple-level violence to parent-child interactions. Notably, most existing evidence focuses on mothers; relatively little is known about how paternal involvement in IPV affects men's own parenting.

Mental health is a central mediating pathway: depression, anxiety, low self-esteem, and parenting stress are the psychosocial risks most consistently linked to child maltreatment. Experimental evidence indicates that interventions reducing maternal depression can produce lasting improvements in parenting investments and reductions in child physical abuse, and that mental health fully mediates associations between economic empowerment and child maltreatment.

Gender-transformative couples' programmes have demonstrated reductions in both IPV and violent discipline of children. Key programme features include engaging fathers alongside mothers, addressing marital conflict, and transforming attitudes condoning gender inequality. Evidence from multi-site RCTs demonstrates that such programmes even when parenting is not the primary target can produce lasting downstream improvements in parenting, suggesting that skills in equitable communication and joint decision-making transfer to parent-child interactions.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
18 Years 至 49 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Women: 18 - 49 years, Men: 18+
  • Couples: Married and cohabitating, husband-wife pairs, who regard the selected cluster in the states Maharashtra, Andhra Pradesh, or Rajasthan of India as their primary residence for the study period.
  • Consent: Both partners provide written informed consent and agree to six sessions,baseline and endline surveys, and SMS follow-ups.
  • Education: Primary schooling (4th grade) complete
  • Comprehension: Both partners understand the local language used in sessions.
  • Availability: No plans for relocation or prolonged absence before endline.

排除标准

  • Either partner < 18 years
  • Refusal of consent or unwillingness to participate in sessions or data collection byeither partner.
  • Serious physical or mental condition that prevents safe, active participation (e.g., severemental illness, debilitating disease).

研究组 & 干预措施

Let'sGrow Together

Experimental

Married couples in clusters assigned to the intervention receive a structured program of six community-based sessions. Each session lasts between 2.5 and 3 hours and includes participatory activities, discussions, and exercises. All six sessions would be conducted by the same two facilitators - one male and one female. The content integrates financial literacy (e.g., household budgeting, saving practices, joint financial planning) with gender-transformative training (e.g., equitable household roles, communication skills, conflict resolution, and fostering empathy between spouses). Sessions are delivered by trained facilitators in a group setting with 15 couples, approximately every 2-4 weeks. Some sensitive content to address the economic violence context would be done in a gender-segregated manner, separately to encourage reflections, ensure safety, and reduce defensiveness. Between sessions, SMS reminders and tips are sent to participants' mobile phones to reinforce key messages.

干预措施: Let us Grow Together: Economic Wellbeing for Families (Behavioral)

Control

No Intervention

Married couples in clusters assigned to the control arm do not receive the special couples training during the study period. This control condition represents the status quo against which the intervention's added effect can be measured. After the conclusion of the study, control clusters may be offered the intervention materials or sessions via NGO partners if investigators find overall positive treatment effects, ensuring ethical considerations are met.

结局指标

主要结局

Parenting practices

时间窗: 6 months after intervention - at study Endline. Approximate start August 2026

Parenting practices will be assessed using a 10-item subset of the 23-item long s-EMBU P. The following are statements about things that may happen in a family. Please select how often each typically occurs in your home. Think about \[your youngest child\] when answering. Response scale: 1 = No to 4 = Yes, most of the time I get angry with my child without letting him/her know the reason. I use physical punishment to discipline my child. I criticize my child and tell him/her how lazy and useless he/she is in front of others. I punish my child hard, even for small offences. I try to comfort and encourage my child if things go badly for him/her. I use words and gestures to show that I like my child. I praise my child. I am proud when my child succeeds in something he/she has undertaken. I put strict limits on what my child is and is not allowed to do, to which I then adhere rigorously. When my child comes home, he/she has to account for what he/she had been doing to me.

次要结局

未报告次要终点

研究者

发起方
Shruti Shukla
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Shruti Shukla

Postdoc Researcher

Technical University of Munich

研究点 (4)

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