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

27 lipca 2026 zaktualizowane przez: 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).

Przegląd badań

Status

Aktywny, nie rekrutujący

Warunki

Interwencja / Leczenie

Typ studiów

Interwencyjne

Zapisy (Szacowany)

2276

Faza

  • Nie dotyczy

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

  • Indie
      • Pune, Indie
        • Maharashtra; Rajasthan; Andhra Pradesh

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

  • Dorosły

Akceptuje zdrowych ochotników

Tak

Opis

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.

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Zapobieganie
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: 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
Inny: 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.
Brak interwencji: 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

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Intergenerational Normative Beliefs Items
Ramy czasowe: 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))

Inne miary wyników

Miara wyniku
Opis środka
Ramy czasowe
Internalized Gender Norms:
Ramy czasowe: 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:
Ramy czasowe: 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:
Ramy czasowe: 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
Ramy czasowe: 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))

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

Technical University of Munich

Współpracownicy

Sambodhi Research and Communication Pvt., Ltd.

Śledczy

  • Główny śledczy: Janina I Steinert, Dr., Technical University of Munich

Publikacje i pomocne linki

Osoba odpowiedzialna za wprowadzenie informacji o badaniu dobrowolnie udostępnia te publikacje. Mogą one dotyczyć wszystkiego, co jest związane z badaniem.

Publikacje ogólne

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

15 lipca 2025

Zakończenie podstawowe (Szacowany)

30 listopada 2026

Ukończenie studiów (Szacowany)

30 listopada 2026

Daty rejestracji na studia

Pierwszy przesłany

9 lipca 2026

Pierwszy przesłany, który spełnia kryteria kontroli jakości

27 lipca 2026

Pierwszy wysłany (Rzeczywisty)

29 lipca 2026

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

29 lipca 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

27 lipca 2026

Ostatnia weryfikacja

1 lipca 2026

Więcej informacji

Terminy związane z tym badaniem

Słowa kluczowe

Inne numery identyfikacyjne badania

  • 101115963

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

NIE

Opis planu IPD

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

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Nie

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

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