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Gender-Transformative Interventions and Normative Beliefs About Reproductive Decision-Making (Beyond)

2026年7月27日 更新者：Technical University of Munich

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

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).

調査の概要

状態

積極的、募集していない

条件

介入・治療

研究の種類

介入

入学 (推定)

2276

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

  • インド
      • Pune、インド
        • Maharashtra; Rajasthan; Andhra Pradesh

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

  • 大人

健康ボランティアの受け入れ

はい

説明

Inclusion Criteria:

  • 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.

Exclusion Criteria:

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

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか？

デザインの詳細

  • 主な目的：防止
  • 割り当て：ランダム化
  • 介入モデル：並列代入
  • マスキング：なし（オープンラベル）

武器と介入

参加者グループ / アーム
介入・治療
実験的：Let Us Grow Together: Economic Wellbeing for Families
The ECOVI intervention "Let Us Grow Together: Economic Wellbeing for Families" integrates financial literacy education with gender-transformative content on equitable household roles, communication skills, and joint decision-making, delivered in six structured community-based sessions for couples. 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 fifteen couples, approximately every 2-4
他の：Let Us Grow Together: Economic Wellbeing for Families
The ECOVI intervention "Let Us Grow Together: Economic Wellbeing for Families" integrates financial literacy education with gender-transformative content on equitable household roles, communication skills, and joint decision-making, delivered in six structured community-based sessions for couples.
介入なし：Control
Married couples in clusters assigned to the control arm do not receive the special couples training during the study period. Participants in control group continue with standard activities and resources available in the community but without the structured sessions provided to the intervention arm. This control condition represents the status quo against which the added effect of the intervention can be measured. After the conclusion of the study, control clusters may be offered the intervention materials or sessions via the NGO partners in case investigators find overall positive treatment effects, ensuring ethical considerations are me

この研究は何を測定していますか？

主要な結果の測定

結果測定
メジャーの説明
時間枠
Intergenerational Normative Beliefs Items
時間枠：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.
T2 = endline (~6 months after intervention, approx. 1.5 years after baseline))

その他の成果指標

結果測定
メジャーの説明
時間枠
Internalized Gender Norms:
時間枠：T1 = baseline (prior to session 1); T2 = endline (~6 months after intervention, approx. 1.5 years after baseline))
Women's own gender norm attitudes are measured using five items assessing personal beliefs about gender roles: (1) boys should have more educational opportunities than girls; (2) a man should have the final word about decisions in his home; (3) a wife should eat after her husband and children; (4) daughters should have equal inheritance rights as sons; and (5) it would be a good idea to elect a woman as village leader. Responses use a five-point agree/disagree scale. Items 1-3 are coded 1 if the respondent agrees or strongly agrees (traditional response); items 4-5 are reverse-coded so that disagreeing is coded 1 (traditional response). The score is the mean of available items, ranging from 0 to 1, with higher values indicating more traditional gender attitudes. The mediating variable is the endline score, with baseline score included as a covariate.
T1 = baseline (prior to session 1); T2 = endline (~6 months after intervention, approx. 1.5 years after baseline))
Perceived Community Gender Norms:
時間枠：T1 = baseline (prior to session 1); T2 = endline (~6 months after intervention, approx. 1.5 years after baseline))
Perceived norms are measured using the same five items, but respondents are asked to estimate how many out of ten community members would agree with each statement. Items 1-3 are summed directly; items 4-5 are subtracted (reversed), yielding an additive index where higher scores indicate more traditional perceived community norms. The mediating variable is the endline score, with baseline score included as a covariate.
T1 = baseline (prior to session 1); T2 = endline (~6 months after intervention, approx. 1.5 years after baseline))
Household Decision-Making Participation:
時間枠：T1 = baseline (prior to session 1); T2 = endline (~6 months after intervention, approx. 1.5 years after baseline))
Women's decision-making power is assessed across seven domains: healthcare or medication for herself; number of children and timing; contraception and family planning; children's marriage, healthcare, education, and rearing; major household purchases; spending on food and groceries; and spending on her own clothing. Each item is scored 1 (sole decision) to 4 (someone else decides), with responses 92 (not applicable) and 98 (prefer not to say) treated as missing. The composite score is the mean across available items, with higher values indicating less decision-making power. For interpretability, the scale is reverse-coded in all analyses so that higher scores indicate greater participation. The mediating variable is the endline score, with baseline score included as a covariate.
T1 = baseline (prior to session 1); T2 = endline (~6 months after intervention, approx. 1.5 years after baseline))
Covariates
時間枠：T1 = baseline (prior to session 1); T2 = endline (~6 months after intervention, approx. 1.5 years after baseline))
  • Respondent age
  • Respondent education
  • Respondent socioeconomic status
  • Household economic strain
  • Residential type (rural vs. urban)
  • Living arrangement (co-residing with in-laws vs. not)
  • State fixed effects (Maharashtra, Andhra Pradesh, Rajasthan)
T1 = baseline (prior to session 1); T2 = endline (~6 months after intervention, approx. 1.5 years after baseline))

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

Technical University of Munich

協力者

Sambodhi Research and Communication Pvt., Ltd.

捜査官

  • 主任研究者：Janina I Steinert, Dr.、Technical University of Munich

出版物と役立つリンク

研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。

一般刊行物

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2025年7月15日

一次修了 (推定)

2026年11月30日

研究の完了 (推定)

2026年11月30日

試験登録日

最初に提出

2026年7月9日

QC基準を満たした最初の提出物

2026年7月27日

最初の投稿 (実際)

2026年7月29日

学習記録の更新

投稿された最後の更新 (実際)

2026年7月29日

QC基準を満たした最後の更新が送信されました

2026年7月27日

最終確認日

2026年7月1日

詳しくは

本研究に関する用語

キーワード

その他の研究ID番号

  • 101115963

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

IPD プランの説明

Individual participant data (IPD) will not be shared. However, fully anonymized datasets may be shared with project partners and qualified researchers working on related topics (e.g., gender norms and economic violence) for secondary analyses, including cross-country or pooled analyses, subject to data sharing agreements and ethical approvals.

Access Criteria:

Available on request upon approval by overall study PI Prof. Dr. Steinert

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米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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