About this trial
This study investigates how household communication plays a role in elderly women's take-up of health check-ups in rural Tamil Nadu, India. First, we survey elders and their caretakers to measure demand for check-ups for elders. We measure how interest in check-ups changes when we offer different versions of transportation support, to understand how much interest in check-ups are affected by the degree of caretaker involvement required. Second, we conduct a randomized evaluation of interventions to improve take-up of free health check-ups at a nearby private hospital. We will cross-randomize two interventions. The first randomizes who is informed about the check-up: either only the elder is informed or both the elder and the caretaker are informed about the check-up. The second randomizes whether free transportation is provided to and from the check-up. We will measure take-up of the check-up. We will also measure elders' willingness to mention the check-up to the caretaker.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Elderly women aged 60-75
Disqualifiers
Those with severe hearing, speech, mental, or mobility impairment
Trial design
Factorial
Treatments tested in this trial
Tell both
BehavioralBoth elder and the caretaker are directly informed about the check-up.
Free Transport
BehavioralWe offer to arrange private transportation to and from the hospital at no cost.
Treatment groups
Trial outcomes
Primary outcomes
Sign-up rates for check-up.
This will be a measure of whether the elder is signed up for the check-up by the caretaker. This will be measured either when the caretaker calls to reserve a spot for the elder or when the research team follows up with the household before the check-up.
Secondary outcomes
Elder attendance at check-up.
This is a measure of whether the elder shows up to the health check-up at the end of the week. Attendance at the health check-up will be measured by surveyors at the hospital, about 1 week after the health check-up invitations are shared with households.
Elder willingness to mention check-up to caretaker
This is a measure of whether elder chooses to mention check-up to caretaker when offered. Among elders in households that are randomized into the "Tell elder only" arm, we will offer to inform the caretaker of the check-up on behalf of the elder and record whether the elder was willing to have us mention the check-up as one of our outcomes.
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