Community Mobilization for Improved Clean Cookstove Uptake, Household Air Pollution Reduction, and Hypertension Prevention

NYU Langone Health

Status: Active, not recruiting

Conditions: Hypertension

Treatments: Behavioral: Community Mobilization

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05048147

21-00586

R01HL157091 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

Full 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.

Enrollment: 1,280 patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,280 participants in 2 patient groups

CM Intervention Group

Experimental group

Description:

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

Treatment:

Behavioral: Community Mobilization

Self-Directed Group

No Intervention group

Description:

Receive information on CFCS use and education on HAP in 16 urban and rural communities; will not receive the CM intervention