Clinical trial NCT02202824: Measuring Beliefs and Norms About Violence Against Women
Official title: Measuring Beliefs and Norms About Violence Against Women in Rural Uganda: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Domestic Violence
Lead sponsor: Massachusetts General Hospital
Sponsor class: OTHER
Collaborators: name: Mbarara University of Science and Technology
First posted: 2014-07-29
Enrollment: 1557
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL

Brief summary: The objective of our study was to determine the extent to which contextual information about the circumstances of intimate partner violence affects participants' responses to questions about their personal attitudes toward intimate partner violence.

Detailed description: In national studies conducted throughout sub-Saharan Africa, survey data indicate that there is widespread acceptance of intimate partner violence by both men and women (Alio et al., 2011, Mann \& Takyi, 2009, Rani et al., 2004, Uthman et al., 2009). For women, the proximate context of gender-unequal norms has important public health impacts. Men who report beliefs consistent with gender-unequal norms are more likely to be perpetrators of sexual violence (Shannon et al., 2012). Women are more likely to be victimized when they and their partners report concordant beliefs about the acceptability of intimate partner violence (Alio et al., 2011). And finally, women who live in areas characterized by gender-unequal norms about intimate partner violence are at greater risk for having their reproductive health compromised (Hung et al., 2012, Tsai \& Subramanian, 2012). Accurate measurement of norms about intimate partner violence therefore has important implications for understanding the health risk environment for women.

The Demographic and Health Surveys (DHS), which are nationally representative surveys conducted worldwide, have served as an important source of information on norms about intimate partner violence. However, a cross-country analysis of DHS data showed that minor deviations in survey wording may account for substantial cross-country variation in the extent to which women provide survey responses consistent with acceptance of intimate partner violence (Yount et al., 2011). Furthermore, in-depth interviews conducted among Bangladeshi women suggest that affirmative responses to DHS-style questions may better reflect their perceptions of prevailing norms or their individualized assumptions about contextual details rather than true beliefs about their acceptance of intimate partner violence (Schuler \& Islam, 2008, Schuler et al., 2011). Taken together, these lines of inquiry suggest important limitations in the accuracy with which the DHS measure women's attitudes towards intimate partner violence.

Eligibility criteria: Inclusion Criteria:

* Adults aged 18 years and older
* Emancipated minors aged 16-18 years
* Considers Nyakabare Parish their primary place of residence
* Capable of providing informed consent

Exclusion Criteria:

* Minors younger than 18 years, with the exception of emancipated minors
* Does not consider Nyakabare Parish their primary place of residence
* Unable to communicate with research staff, e.g., due to deafness, mutism, or aphasia
* Persons with psychosis, neurological damage, acute intoxication, or an intelligence quotient less than 70, as determined in the field by non-clinical research staff in consultation with a supervisor

Primary outcomes:
measure: Personal attitudes toward intimate partner violence (5-item scale)
timeFrame: Baseline
measure: Perceived norms about intimate partner violence (5-item scale)
timeFrame: Baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Mbarara
country: Uganda
facility: Mbarara University of Science and Technology
Study officials:
affiliation: Massachusetts General Hospital
name: Alexander C Tsai, MD, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Mbarara University of Science and Technology
name: Bernard Kaukhikire, MBA
role: PRINCIPAL_INVESTIGATOR
References:
citation: Tsai AC, Kakuhikire B, Perkins JM, Vorechovska D, McDonough AQ, Ogburn EL, Downey JM, Bangsberg DR. Measuring personal beliefs and perceived norms about intimate partner violence: Population-based survey experiment in rural Uganda. PLoS Med. 2017 May 23;14(5):e1002303. doi: 10.1371/journal.pmed.1002303. eCollection 2017 May.