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临床试验/NCT07734961
NCT07734961进行中(未招募)不适用

Beyond the Couple: Gender-Transformative Interventions and Normative Beliefs About Reproductive Decision-Making of Newly Married People in India

Technical University of Munich1 个研究点 分布在 1 个国家目标入组 2,276 人开始时间: 2025年7月15日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
2,276
试验地点
1
主要终点
Intergenerational Normative Beliefs Items

研究概览

简要总结

The ECOVI trial is a two-arm cluster randomized controlled trial (cRCT) conducted in rural and urban communities across Maharashtra, Andhra Pradesh, and Rajasthan, India, and funded by the European Research Council (ERC). The trial evaluates the impact of a couples-based financial literacy and gender-transformative intervention ("Let Us Grow Together: Economic Wellbeing for Families") on economic intimate partner violence (IPV), economic decision-making, and economic empowerment among 2,276 married couples across 150 clusters.

This sub-study examines an understudied downstream question: whether such couples-based programs change normative beliefs that extend beyond the treated couple's own relationship to younger generations, particularly their daughters and their sons. Specifically, we ask whether the intervention shifts how treated women and men think about who should have the main say in reproductive decisions for newly married couples, for their daughters and their sons. In an additional analysis, we examine whether respondents apply different standards when reproductive decisions concern their daughter and her husband versus their son and his wife. A difference in the endorsement of women's reproductive autonomy across the two scenarios may indicate an asymmetry in the application of egalitarian norms, whereby respondents are more accepting of autonomy for biological daughters than for daughters-in-law. We further examine whether the intervention reduces this gap by promoting more consistent endorsement of women's reproductive decision-making autonomy across both scenarios.

Items measuring normative beliefs regarding younger generations are added to the ECOVI endline survey before the start of endline data collection. This pre-registration protocol is submitted before any endline data is collected, providing a fully prospective analysis plan. All mediator variables, internalized gender norms, and female household decision-making participation are collected at both baseline and endline as part of the main ECOVI trial.

The sub-study pursues four interconnected objectives: (1) to estimate the causal effect of the intervention on normative beliefs regarding reproductive decision-making; (2) to test whether any such effect operates through a shift in internalized gender norms (the norm internalization channel); (3) to test whether any such effect operates through a shift in perceived community gender norms (the perceived norms channel); and (4) to test whether any such effect operates through an increase in women's participation in household decision-making (the agency channel).

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

  • married and co-habiting husband-wife pairs;
  • women aged 18-49 and men aged 18 and older;
  • primary residence in a study cluster in Maharashtra, Andhra Pradesh, or Rajasthan;
  • completion of at least primary schooling (4th grade);
  • both partners provide written informed consent and agree to participate in six sessions, baseline and endline surveys, and SMS follow-ups;
  • both partners understand the local language used in sessions;
  • no plans for relocation or prolonged absence before endline.

排除标准

  • either partner under 18 years;
  • refusal of consent or unwillingness to participate by either partner;
  • serious physical or mental condition preventing safe active participation.

结局指标

主要结局

Intergenerational Normative Beliefs Items

时间窗: T2 = endline (~6 months after intervention, approx. 1.5 years after baseline))

Normative beliefs regarding reproductive decision-making are assessed using three hypothetical scenario-based items with identical wording and response options. Respondents indicate who should have the main say in deciding whether and when a newly married couple has children in three contexts: (1) a newly married couple in the community, (2) the respondent's daughter and her husband, and (3) the respondent's son and his wife. Response options include wife, joint decision by spouses, husband, other family members, other, and prefer not to say.

次要结局

未报告次要终点

研究者

发起方
Technical University of Munich
申办方类型
Other
责任方
Sponsor

研究点 (1)

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