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Abstract Migration is central to economic mobility among many of the world’s poor, opening the door to higher wages and human capital accumulation. Yet, rates of migration are much lower than predicted given the substantial wage premium available in urban areas (Roy 1951; Young 2013; Akram et al. 2017; Beegle et al. 2011; Bryan & Morten 2015). Many potential reasons for this puzzle have been examined, but much of the gap remains unexplained (Clemens 2014; Bryan et al. 2014; Munshi & Rosenzweig 2016; Morten 2016). In this project, we aim to increase the economic opportunities of young female migrants in India by addressing an additional growing global concern that may limit migration: loneliness and social isolation. We implement a low-cost scalable program delivered in garment factories to address loneliness and social isolation and thereby improve both the mental health and economic outcomes of the young female employees. We pair employees that recently migrated to work in those factories ("juniors") with seasoned employees who have been there for at least 7 months ("seniors"). Pairs of junior and senior buddies will be randomly assigned to a control arm (no intervention) or a treatment arm: social support, in which juniors and seniors are asked to meet regularly. During the meetings, the pair is prompted to discuss and perform activities intended to foster a closer emotional bond and a source of emotional comfort in a challenging new environment. The study will rigorously evaluate the effectiveness of these interventions on: a) loneliness and depression, b) social networks, including new links and their mental health, c) labor market outcomes, d) female empowerment, and e) self reported physical health and wellbeing. In measuring the flow of mental health through social networks, we aim to quantify the pathways through which the intervention operates and spillover effects. We plan to enroll 500 pairs (1000 participants) (in the RCT sample and up to 3 contacts per RCT participant (3000 total) in the social network sample. Migration is central to economic mobility among many of the world’s poor, opening the door to higher wages and human capital accumulation. Yet, rates of migration are much lower than predicted given the substantial wage premium available in urban areas (Roy 1951; Young 2013; Akram et al. 2017; Beegle et al. 2011; Bryan & Morten 2015). Many potential reasons for this puzzle have been examined, but much of the gap remains unexplained (Clemens 2014; Bryan et al. 2014; Munshi & Rosenzweig 2016; Morten 2016). In this project, we aim to increase the economic opportunities of young female migrants in India by addressing an additional growing global concern that may limit migration: loneliness and social isolation. We implement a low-cost scalable program delivered in garment factories to address loneliness and social isolation and thereby improve both the mental health and economic outcomes of the young female employees. We pair employees that recently migrated to work in those factories ("juniors") with seasoned employees who have been there for at least 6 months ("seniors"). Pairs of junior and senior buddies will be randomly assigned to a control arm (no intervention) or a treatment arm: social support, in which juniors and seniors are asked to meet regularly. During the meetings, the pair is prompted to discuss and perform activities intended to foster a closer emotional bond and a source of emotional comfort in a challenging new environment. The study will rigorously evaluate the effectiveness of these interventions on: a) loneliness and depression, b) social networks, including new links and their mental health, c) labor market outcomes, d) female empowerment, and e) self reported physical health and wellbeing. In measuring the flow of mental health through social networks, we aim to quantify the pathways through which the intervention operates and spillover effects. We plan to enroll 500 pairs (1000 participants) (in the RCT sample and up to 3 contacts per RCT participant (3000 total) in the social network sample.
Trial Start Date March 01, 2022 January 28, 2023
Last Published March 13, 2023 12:27 PM March 19, 2023 05:01 PM
Intervention Start Date March 15, 2022 January 29, 2023
Intervention End Date September 01, 2023 March 01, 2025
Primary Outcomes (End Points) The primary mental well-being outcome is loneliness, and the primary economic outcome is retention at the factory. The primary mental well-being outcome is loneliness, the primary economic outcome is retention at the factory. Additionally, we will measure social network link creation.
Primary Outcomes (Explanation) Loneliness will be measured using the UCLA Loneliness Scale, Version 3. Retention at the factory will be measured using firm administrative records. Loneliness will be measured using the UCLA Loneliness Scale, Version 3. Retention at the factory will be measured using firm administrative records. Participant social network outcomes will be measured using surveys of the participant and some of their contacts. Social network measurement will be assisted using a newly developed tablet-based application, which we will test during piloting activities.
Experimental Design (Public) RCT participants will be randomized to one of two experimental arms: Control - Participants in this arm would receive no intervention. Pairs are not introduced by the study. Treatment - Juniors will be introduced to a senior living in the same hostel and speaking the same language. This senior will meet with the junior for eight weeks and provide social support – The pair will be asked to do weekly activities that provide them with opportunities to form a friendship. They will be guided to discuss both practical topics (which can be very mentally costly when new to an environment -- e.g., where to buy medicine) and questions intended to create a closer bond (e.g. what would be a perfect day for you and why?) We plan to enroll 500 pairs of juniors and seniors (1000 participants) in the experiment. Juniors and seniors in the treatment and control arms will complete surveys at baseline, weeks 2, 4, 6, and 8 (intervention endline), and 3 and 6 months post-intervention. A comprehensive plan to track participants who leave the factory and return to their villages through phone surveys is in place. Three baseline contacts of each RCT participant will be enrolled in the social network sample (3000 participants). Social network participants will complete brief surveys at baseline and endline. RCT participants will be randomized to one of two experimental arms: Control - Participants in this arm would receive no intervention. Pairs are not introduced by the study. Treatment - Juniors will be introduced to a senior living in the same hostel and speaking the same language. This senior will meet with the junior for eight weeks and provide social support – The pair will be asked to do weekly activities that provide them with opportunities to form a friendship. They will be guided to discuss both practical topics (which can be very mentally costly when new to an environment -- e.g., where to buy medicine) and questions intended to create a closer bond (e.g. what would be a perfect day for you and why?) We plan to enroll 500 pairs of juniors and seniors (1000 participants) in the experiment. Juniors and seniors in the treatment and control arms will complete surveys at baseline, weeks 2, 4, 6, and 8 (intervention endline), and 3 and 6 months post-intervention. A comprehensive plan to track participants who leave the factory and return to their villages through phone surveys is in place. Up to three baseline contacts of each RCT participant will be enrolled in the social network sample (i.e. up to 3000 participants). Social network participants will complete brief surveys at baseline and endline.
Randomization Method Randomization will be conducted using Stata. Randomization will be conducted using R.
Randomization Unit First, junior and senior migrants will be paired randomly, conditional on language and hostel. Pairs are then randomized across experimental arms. The randomization of pairs will be stratified by above/below-median baseline loneliness of the junior as well as the arrival “batch” of the junior. We stratify on loneliness because it is both a crucial “first-stage” outcome and our pilot suggested heterogeneous effects by baseline loneliness. We will also stratify by the “batch” of junior migrants arriving from the same training center given the temporal and geographic clustering. As pairs are randomized, analyses will be clustered at the pair level, with the exception of analyses of the junior and senior separately. After baseline, outcomes may be measured once per participant (e.g. retention, mental health of social network contacts, etc) or at multiple points (e.g. loneliness, productivity, attendance, etc). Analyses of outcomes with multiple measurements after baseline will be clustered at the individual level. First, junior and senior migrants will be paired randomly, conditional on language and hostel. Pairs are then randomized across experimental arms. As pairs are randomized, analyses will be clustered at the pair level, with the exception of analyses of the junior and senior separately. After baseline, outcomes may be measured once per participant (e.g. retention, mental health of social network contacts, etc) or at multiple points (e.g. loneliness, productivity, attendance, etc). Analyses of outcomes with multiple measurements after baseline will be clustered at the individual level.
Public analysis plan No Yes
Secondary Outcomes (End Points) Secondary mental well-being outcomes are depression, self-reported well-being, and an index combining mental health outcomes. Secondary economic outcomes are productivity and attendance. We will also measure female empowerment, self-reported physical health, and participant social networks, including new links and their mental well-being. Secondary mental well-being outcomes are depression, self-reported well-being, and an index combining mental health outcomes. Secondary economic outcomes are productivity and attendance. In addition we will create an index based on participants' social networks. We will also measure female empowerment and self-reported physical health.
Secondary Outcomes (Explanation) Depression will be measured using the Patient Health Questionnaire. Self reported well-being will be measured using the Gallup life satisfaction survey question and the Cantril Ladder. Productivity and attendance will be measured using firm administrative records. Female empowerment and self-reported physical health will be measured using survey questions informed by J-PAL’s “A Practical Guide to Measuring Women’s and Girls’ Empowerment in Impact Evaluations” and the Longitudinal Survey of Aging in India (LASI). Participant social network outcomes will be measured using surveys of the participant and some of their contacts. Social network measurement will be assisted using a newly developed tablet-based application, which we will test during piloting activities. After assessing whether the new application and mapping protocol can accurately measure networks in the study context at scale, we may write a second paper with social network measures as the primary outcomes. In addition, further outcomes and analyses have been proposed in a related but distinct funding application. If that work is funded, we will register that work on clinicaltrials.gov. Depression will be measured using the Patient Health Questionnaire. Self reported well-being will be measured using the Gallup life satisfaction survey question. Productivity and attendance will be measured using firm administrative records. Female empowerment and self-reported physical health will be measured using survey questions informed by J-PAL’s “A Practical Guide to Measuring Women’s and Girls’ Empowerment in Impact Evaluations” and the Longitudinal Survey of Aging in India (LASI).
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Analysis Plans

Field Before After
Document
pap_loneliness_20230319.pdf
MD5: 2076672a06cb94f8416dc5c619f2937c
SHA1: b77840543f968d49fbbdab80b3457846b4cccb38
Title Loneliness and Migration Pre-Analysis Plan
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