Community Mobilization for Improved Clean Cookstove Uptake, Household Air Pollution Reduction, and Hypertension Prevention
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Sponsor
- NYU Langone Health
- Enrollment
- 1,280
- Locations
- 4
- Primary Endpoint
- Percent of Households Who Have Adopted CF-CS at Baseline
Study Overview
Brief Summary
Using a focused implementation research framework, the EPIS (Exploration, Preparation, Implementation and Sustainment) model in a type-2 hybrid design, the study will be conducted in 3 phases: 1) A pre-implementation phase that will use the Exploration and Preparation domains of EPIS to: a) explore barriers and facilitators of Clean Fuel- Clean- Stove (CF-CS) use, and b) develop a culturally-tailored CM strategy for CF-CS use; 2) An Implementation phase that will use the Implementation domain of EPIS to compare in a cluster RCT of 32 peri-urban communities (640 households), the effect of CM vs. a self-directed condition (i.e. receipt of information on CF-CS use without CM) on adoption of CF-CS use; and systolic BP reduction; 3) A post-implementation phase that will use the Sustainment domain of EPIS to evaluate the effect of CM strategy vs. self-directed condition on sustainability of the CF-CS use in 640 households across the randomly assigned 32 peri-urban communities in Nigeria. The Lagos State University College of Medicine (LASUCOM) working with the MOH will oversee research coordination in Nigeria.
Detailed Description
This study will use CM to engage in the community dialogues, organize outreach facilitation, and advocacy for the adoption of bioethanol-based and liquified petroleum gas (LPG) CF-CS across participating households. The choice of CM strategy is deliberate because, unlike western culture, African cultures are largely based on communal hierarchy.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 85 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Primary adult must be a female cook;
- •Must not have a paid housemaid;
- •Family size must be a minimum of 2 and no more than 7 members;
- •Family must use Kerosene, charcoal, LPG, or firewood as primary cooking fuel;
- •The person spoken to at enrollment must be the home key decision maker;
- •Must have no plans for relocation in the next year.
Exclusion Criteria
- •Does not meet the inclusion criteria
Arms & Interventions
CM Intervention Group
Cluster. RCT of 16 urban and rural communities. Community mobilizers and health education officers will facilitate use of CF-CS (bioethanol and LPG fuels/stoves) and educate households on HAP exposure throughout the intervention period
Intervention: Community Mobilization (Behavioral)
Self-Directed Group
Receive information on CFCS use and education on HAP in 16 urban and rural communities; will not receive the CM intervention
Outcomes
Primary Outcomes
Percent of Households Who Have Adopted CF-CS at Baseline
Time Frame: Baseline
Adoption defined as utilization of the CF-CS for more than 50% of cooking activities based on the metric developed by the Global Alliance for Clean Cookstoves. All traditional stoves and the bioethanol-based CF-CS in the participating households will be equipped with the iButtons SUMs to assess their use. Trained study staff will collect iButton temperature data during household visits.
Percent of Households That Have Adopted CF-CS at Month 12
Time Frame: Month 12
Adoption defined as utilization of the CF-CS for more than 50% of cooking activities based on the metric developed by the Global Alliance for Clean Cookstoves. All traditional stoves and the bioethanol-based CF-CS in the participating households will be equipped with the iButtons SUMs to assess their use. Trained study staff will collect iButton temperature data during household visits.
Secondary Outcomes
- Change in Mean Systolic Blood Pressure From Baseline to Month 12(Baseline, Month 12)
- Percent of Participants Who Have Adopted CF-CS at Month 24(Month 24)