Youth Outlook on Life Opportunities Study
Primary Purpose
Childbearing, Delayed, Marriage Age, Educational Problems
Status
Active
Phase
Not Applicable
Locations
Singapore
Study Type
Interventional
Intervention
Information about age-related fertility
Information about policy initiatives
Information about diabetes
Sponsored by
About this trial
This is an interventional other trial for Childbearing, Delayed
Eligibility Criteria
Inclusion Criteria:
- Full-time NUS undergraduate
- Singaporean citizen
- Aged 20-24
- Never been married
- Childless and not currently expecting
- Identify as heterosexual
Exclusion Criteria:
- Student enrolled in faculty where the Dean has not provided approval for recruitment
Sites / Locations
- National University of Singapore
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Placebo Comparator
Experimental
Experimental
Arm Label
Control
Fertility-related information
Policy-related information
Arm Description
Receives a fact sheet on diabetes in Singapore
Receives accurate information on age-related fertility
Receives accurate information on local policy initiatives related to age at marriage and childbearing
Outcomes
Primary Outcome Measures
Ideal age at marriage (both self and future spouse), first birth and number of children
During initial survey: Continuous
Expected age at marriage (both self and future spouse), first birth and number of children
During initial survey: Continuous percent chance by the following ages A. 25 B. 30 C. 35 D. 40
Expected probability of undergoing social egg freezing (only for females respondents)
During initial survey: Continuous percent chance of social egg freezing if available at the following ages:
A. 25 B. 30 C. 35 D. 40
Secondary Outcome Measures
Expected levels of education (both self and future spouse)
During initial survey: Continuous percent chance:
A. Less than Bachelor's Degree B. Bachelor's Degree or higher C. Master's Degree or higher D. Doctoral Degree or higher
Expected earnings (both self and future spouse)
During initial survey: Continuous at the following ages:
A. 25 B. 30 C. 35 D. 40
Expected full-time working status
During initial survey: Continuous percent chance by the following ages A. 25 B. 30 C. 35 D. 40
Expected occupation (self) at age 35
During initial survey: Continuous percent chance:
A. Full-time homemaker B. Manager or administrator in a private company C. Manager or administrator in the government/education sector D. Professional without doctoral degree (e.g. engineer, architect, accountant, social worker, teacher) E. Professional with doctoral degree or equivalent (lawyer, physician, scientist, college professor) F. Sales (e.g. insurance agent, real estate) G. Other (e.g. small business owner, etc.)
Expected contribution to housework and childcare if married with young children
During initial survey: Continuous percentage
Usefulness and anxiety over information presented
During initial survey: Strongly disagree, Disagree, Neither agree nor disagree, Agree, Strongly agree
Cumulative Point Average (CAP)
Measured in the following academic semester and at graduation
Module choices
Whether within the same major, in a different major within the same faculty or in a different faculty, in the following academic semester and at graduation
Graduation and honours
Whether graduated and class of honours
Employment status six months after graduation
Whether employed, full-time status
Starting salary
Continuous
Full Information
NCT ID
NCT05026619
First Posted
August 16, 2021
Last Updated
March 21, 2023
Sponsor
National University of Singapore
1. Study Identification
Unique Protocol Identification Number
NCT05026619
Brief Title
Youth Outlook on Life Opportunities Study
Official Title
Youth Outlook on Life Opportunities Study
Study Type
Interventional
2. Study Status
Record Verification Date
March 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 21, 2021 (Actual)
Primary Completion Date
October 2, 2021 (Actual)
Study Completion Date
December 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
National University of Singapore
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Singapore's fertility rate is currently below 1.2, raising concerns about population ageing and long-term sustainability. The fertility decline is characterized by falling birth rates among women in their 20s with almost no recuperation among women in their 30s. This project explores a) whether informational imperfections help to account for high intended ages at childbearing in Singapore, b) whether informational interventions significantly affect ideal and expected ages at marriage and childbearing, and expected probability of undergoing social egg freezing, and c) whether informational interventions significantly affect expected and actual educational outcomes and labor market outcomes.
Our hypotheses are:
University students have knowledge gaps about age-related onset of infertility, assisted reproductive technologies and local policy initiatives related to age at marriage and childbearing, especially among male students.
Being exposed to accurate information in these domains leads to significantly lower ideal/expected ages at marriage and childbearing, and higher expected probability of undergoing social egg freezing, immediately after the intervention.
Being exposed to accurate information in these domains does not lead to lower educational and labor market expectations immediately after the intervention among either male or female students, or to significant differences in module choices, Cumulative Average Point (CAP), starting salary and employment status of university students in the following academic semester and six months after graduation, among either male or female students.
Detailed Description
The project conducts a randomized controlled trial involving 1000 full-time undergraduate students at NUS. The trial has three stages.
In the first stage, participants will be recruited through campus advertisements.
In the second stage, participants who meet the eligibility criteria will complete a 30-40 minute online survey. The survey includes the following:
a background survey on items including age, race, family income and parental background,
a section on dating history,
questions on ideal/expected ages at marriage, expected probability of undergoing social egg freezing, and fertility and educational and career expectations,
a section on mental wellbeing,
an awareness survey on age-related onset of infertility, assisted reproductive technologies, and local policy initiatives related to age at marriage and childbearing,
an informational intervention. One-third of participants (333 individuals) are randomly assigned to receive accurate information on the age-related fertility survey items. One-third of participants (333 individuals) are randomly assigned to receive accurate information on policy-related survey items. One-third of participants (334 individuals) receives a fact sheet on diabetes in Singapore. Participants are asked to read the information thoroughly,
selected questions from c), which collects data on after-intervention intended ages at marriage and fertility and educational and career expectations, as well as questions about whether the questions were useful or led to anxiety.
In the third stage, the students' responses are linked to the Educational Data Lake managed by ALSET, Provost's Office, NUS, which collects data on students' module choices (whether within the same major, in a different major within the same faculty or in a different faculty) and CAP in the following academic semester and at graduation, graduation status, and starting salary and employment status six months after graduation. All participants are informed and these linkages are mentioned in the consent form.
After the data collection is completed, we will analyse the data using a difference-in-differences econometric model. Our model compares three sets of dependent variables at different points in time:
Ideal/expected ages at marriage and fertility, expected probability of undergoing social egg freezing, and educational and career expectations, compared before and immediately after the intervention,
Module choices and CAP, compared before the survey and in the following academic semester and at graduation, and graduation status,
Starting salary and employment status, compared between the control and treatment groups six months after graduation (multiple regression rather than difference-in-differences model)
The results are compared by gender, faculty, educational and career expectations, and other background characteristics, including dating history and mental wellbeing.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Childbearing, Delayed, Marriage Age, Educational Problems, Anxiety, Age Related Female Infertility
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
1000 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Control
Arm Type
Placebo Comparator
Arm Description
Receives a fact sheet on diabetes in Singapore
Arm Title
Fertility-related information
Arm Type
Experimental
Arm Description
Receives accurate information on age-related fertility
Arm Title
Policy-related information
Arm Type
Experimental
Arm Description
Receives accurate information on local policy initiatives related to age at marriage and childbearing
Intervention Type
Other
Intervention Name(s)
Information about age-related fertility
Intervention Description
The following information is provided:
Age and fertility IVF success rates and side effects
Intervention Type
Other
Intervention Name(s)
Information about policy initiatives
Intervention Description
The following information is provided:
Assisted reproductive technology treatment subsidies Other fertility-related policies
Intervention Type
Other
Intervention Name(s)
Information about diabetes
Intervention Description
The following information is provided:
Diabetes risk factors and treatment Diabetes-related policies
Primary Outcome Measure Information:
Title
Ideal age at marriage (both self and future spouse), first birth and number of children
Description
During initial survey: Continuous
Time Frame
Within one year and two years of initial survey
Title
Expected age at marriage (both self and future spouse), first birth and number of children
Description
During initial survey: Continuous percent chance by the following ages A. 25 B. 30 C. 35 D. 40
Time Frame
Within one year and two years of initial survey
Title
Expected probability of undergoing social egg freezing (only for females respondents)
Description
During initial survey: Continuous percent chance of social egg freezing if available at the following ages:
A. 25 B. 30 C. 35 D. 40
Time Frame
Within one year and two years of initial survey
Secondary Outcome Measure Information:
Title
Expected levels of education (both self and future spouse)
Description
During initial survey: Continuous percent chance:
A. Less than Bachelor's Degree B. Bachelor's Degree or higher C. Master's Degree or higher D. Doctoral Degree or higher
Time Frame
Within one year and two years of initial survey
Title
Expected earnings (both self and future spouse)
Description
During initial survey: Continuous at the following ages:
A. 25 B. 30 C. 35 D. 40
Time Frame
Within one year and two years of initial survey
Title
Expected full-time working status
Description
During initial survey: Continuous percent chance by the following ages A. 25 B. 30 C. 35 D. 40
Time Frame
Within one year and two years of initial survey
Title
Expected occupation (self) at age 35
Description
During initial survey: Continuous percent chance:
A. Full-time homemaker B. Manager or administrator in a private company C. Manager or administrator in the government/education sector D. Professional without doctoral degree (e.g. engineer, architect, accountant, social worker, teacher) E. Professional with doctoral degree or equivalent (lawyer, physician, scientist, college professor) F. Sales (e.g. insurance agent, real estate) G. Other (e.g. small business owner, etc.)
Time Frame
Within one year and two years of initial survey
Title
Expected contribution to housework and childcare if married with young children
Description
During initial survey: Continuous percentage
Time Frame
Within one year and two years of initial survey
Title
Usefulness and anxiety over information presented
Description
During initial survey: Strongly disagree, Disagree, Neither agree nor disagree, Agree, Strongly agree
Time Frame
Within one year and two years of initial survey
Title
Cumulative Point Average (CAP)
Description
Measured in the following academic semester and at graduation
Time Frame
Within two years and six years of initial survey
Title
Module choices
Description
Whether within the same major, in a different major within the same faculty or in a different faculty, in the following academic semester and at graduation
Time Frame
Within two years and six years of initial survey
Title
Graduation and honours
Description
Whether graduated and class of honours
Time Frame
Within six years of initial survey
Title
Employment status six months after graduation
Description
Whether employed, full-time status
Time Frame
Within six years of initial survey
Title
Starting salary
Description
Continuous
Time Frame
Within six years of initial survey
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
24 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Full-time NUS undergraduate
Singaporean citizen
Aged 20-24
Never been married
Childless and not currently expecting
Identify as heterosexual
Exclusion Criteria:
- Student enrolled in faculty where the Dean has not provided approval for recruitment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Poh Lin Tan, PhD
Organizational Affiliation
National University of Singapore
Official's Role
Principal Investigator
Facility Information:
Facility Name
National University of Singapore
City
Singapore
ZIP/Postal Code
119077
Country
Singapore
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
The collected data, data catalogue and research materials (i.e. study protocol, informed consent form, survey items) will be made available to researchers at the National University of Singapore (NUS) through the ALSET Data Lake within five years of the conclusion of the research project. Data will remain available for at least 10 years after any publication making use of the data. The ALSET Data Lake is managed by the NUS Instituted for Applied Learning Sciences and Educational Technology and operated by NUS IT. Questions about accessing the data from parties outside NUS can be sent to the PI or alsdl@nus.edu.sg.
IPD Sharing Time Frame
The research data will be made available through the ALSET Data Lake within five years of the conclusion of the research project. Data will remain available for at least 10 years after any publication that makes use of the data.
IPD Sharing Access Criteria
Approval from ALSET, Provost's Office, NUS-IRB and in compliance with Singapore's Personal Data Protection Act
Learn more about this trial
Youth Outlook on Life Opportunities Study
We'll reach out to this number within 24 hrs