Trial Outcomes & Findings for Wood Smoke Interventions in Native American Populations (NCT NCT02240069)

NCT ID: NCT02240069

Last Updated: 2022-12-01

Results Overview

Mean of up to two post-intervention measures of forced expiratory volume at one second (FEV1), liters

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

149 participants

Primary outcome timeframe

Each participant was followed during a pre-intervention baseline (Winter 1) and a post-intervention follow-up period (Winter 2). Health measures were collected at two visits during both winter periods with each visit separated by at least three weeks.

Results posted on

2022-12-01

Participant Flow

For this pre/post study recruited and consented participants completed baseline measures during a pre-intervention period (n=149). Randomization to arms occurred after the first (baseline) period and before the second (post-intervention) period. Six participants dropped out of the study before the randomization process. Thus, only 143 participants were randomized to a treatment arm.

Unit of analysis: Household

Participant milestones

Participant milestones
Measure
Education (Tx1)
Education on best burn practices Education (Tx1): Education on best burn practices
Air Filtration Unit Treatment (Tx2)
A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove. Air Filtration Unit Treatment (Tx2): A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove
Placebo Intervention (Tx3)
A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter. Placebo Intervention (Tx3): A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter.
Overall Study
STARTED
49 47
47 46
47 45
Overall Study
COMPLETED
44 43
42 41
45 43
Overall Study
NOT COMPLETED
5 4
5 5
2 2

Reasons for withdrawal

Reasons for withdrawal
Measure
Education (Tx1)
Education on best burn practices Education (Tx1): Education on best burn practices
Air Filtration Unit Treatment (Tx2)
A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove. Air Filtration Unit Treatment (Tx2): A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove
Placebo Intervention (Tx3)
A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter. Placebo Intervention (Tx3): A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter.
Overall Study
Withdrawal by Subject
5
5
2

Baseline Characteristics

Specific age for one participant not disclosed; all participants 55 years or older

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Education (Tx1)
n=49 Participants
Education on best burn practices Education (Tx1): Education on best burn practices
Air Filtration Unit Treatment (Tx2)
n=47 Participants
A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove. Air Filtration Unit Treatment (Tx2): A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove
Placebo Intervention (Tx3)
n=47 Participants
A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter. Placebo Intervention (Tx3): A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter.
Total
n=143 Participants
Total of all reporting groups
Age, Continuous
69.8 years
STANDARD_DEVIATION 9.3 • n=49 Participants • Specific age for one participant not disclosed; all participants 55 years or older
69.8 years
STANDARD_DEVIATION 9.5 • n=47 Participants • Specific age for one participant not disclosed; all participants 55 years or older
68.9 years
STANDARD_DEVIATION 8.7 • n=46 Participants • Specific age for one participant not disclosed; all participants 55 years or older
69.6 years
STANDARD_DEVIATION 9.2 • n=142 Participants • Specific age for one participant not disclosed; all participants 55 years or older
Sex: Female, Male
Female
36 Participants
n=49 Participants
33 Participants
n=47 Participants
31 Participants
n=47 Participants
100 Participants
n=143 Participants
Sex: Female, Male
Male
13 Participants
n=49 Participants
14 Participants
n=47 Participants
16 Participants
n=47 Participants
43 Participants
n=143 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=49 Participants
1 Participants
n=47 Participants
1 Participants
n=47 Participants
5 Participants
n=143 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
46 Participants
n=49 Participants
46 Participants
n=47 Participants
46 Participants
n=47 Participants
138 Participants
n=143 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=49 Participants
0 Participants
n=47 Participants
0 Participants
n=47 Participants
0 Participants
n=143 Participants
Race (NIH/OMB)
American Indian or Alaska Native
48 Participants
n=49 Participants
43 Participants
n=47 Participants
47 Participants
n=47 Participants
138 Participants
n=143 Participants
Race (NIH/OMB)
Asian
0 Participants
n=49 Participants
1 Participants
n=47 Participants
0 Participants
n=47 Participants
1 Participants
n=143 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=49 Participants
0 Participants
n=47 Participants
0 Participants
n=47 Participants
0 Participants
n=143 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=49 Participants
0 Participants
n=47 Participants
0 Participants
n=47 Participants
0 Participants
n=143 Participants
Race (NIH/OMB)
White
0 Participants
n=49 Participants
0 Participants
n=47 Participants
0 Participants
n=47 Participants
0 Participants
n=143 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=49 Participants
3 Participants
n=47 Participants
0 Participants
n=47 Participants
4 Participants
n=143 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=49 Participants
0 Participants
n=47 Participants
0 Participants
n=47 Participants
0 Participants
n=143 Participants
Forced expiratory volume in 1 second (FEV1)
2.1 liters
STANDARD_DEVIATION 0.7 • n=45 Participants • Valid spirometry measures captured for 133 of 143 participants
2.1 liters
STANDARD_DEVIATION 0.6 • n=44 Participants • Valid spirometry measures captured for 133 of 143 participants
2.0 liters
STANDARD_DEVIATION 0.8 • n=44 Participants • Valid spirometry measures captured for 133 of 143 participants
2.0 liters
STANDARD_DEVIATION 0.7 • n=133 Participants • Valid spirometry measures captured for 133 of 143 participants
Forced vital capacity (FVC)
2.6 liters
STANDARD_DEVIATION 0.8 • n=45 Participants • Valid spirometry measures captured for 133 of 143 participants
2.6 liters
STANDARD_DEVIATION 0.7 • n=44 Participants • Valid spirometry measures captured for 133 of 143 participants
2.5 liters
STANDARD_DEVIATION 0.9 • n=44 Participants • Valid spirometry measures captured for 133 of 143 participants
2.6 liters
STANDARD_DEVIATION 0.8 • n=133 Participants • Valid spirometry measures captured for 133 of 143 participants
FEV1/FVC
0.79 ratio
STANDARD_DEVIATION 0.08 • n=45 Participants • Valid spirometry measures captured for 133 of 143 participants
0.80 ratio
STANDARD_DEVIATION 0.07 • n=44 Participants • Valid spirometry measures captured for 133 of 143 participants
0.79 ratio
STANDARD_DEVIATION 0.08 • n=44 Participants • Valid spirometry measures captured for 133 of 143 participants
0.79 ratio
STANDARD_DEVIATION 0.08 • n=133 Participants • Valid spirometry measures captured for 133 of 143 participants
Systolic blood pressure
132 mmHg
STANDARD_DEVIATION 18 • n=42 Participants • Valid blood pressure measures captured for 130 of 143 participants
143 mmHg
STANDARD_DEVIATION 19 • n=45 Participants • Valid blood pressure measures captured for 130 of 143 participants
137 mmHg
STANDARD_DEVIATION 20 • n=43 Participants • Valid blood pressure measures captured for 130 of 143 participants
137 mmHg
STANDARD_DEVIATION 19 • n=130 Participants • Valid blood pressure measures captured for 130 of 143 participants
Diastolic blood pressure
74 mmHg
STANDARD_DEVIATION 11 • n=42 Participants • Valid blood pressure measures captured for 130 of 143 participants
79 mmHg
STANDARD_DEVIATION 10 • n=45 Participants • Valid blood pressure measures captured for 130 of 143 participants
77 mmHg
STANDARD_DEVIATION 14 • n=43 Participants • Valid blood pressure measures captured for 130 of 143 participants
77 mmHg
STANDARD_DEVIATION 12 • n=130 Participants • Valid blood pressure measures captured for 130 of 143 participants

PRIMARY outcome

Timeframe: Each participant was followed during a pre-intervention baseline (Winter 1) and a post-intervention follow-up period (Winter 2). Health measures were collected at two visits during both winter periods with each visit separated by at least three weeks.

Population: Valid post-intervention spirometry measures captured for 127 of 143 participants

Mean of up to two post-intervention measures of forced expiratory volume at one second (FEV1), liters

Outcome measures

Outcome measures
Measure
Education (Tx1)
n=43 Participants
Education on best burn practices Education (Tx1): Education on best burn practices
Air Filtration Unit Treatment (Tx2)
n=40 Participants
A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove. Air Filtration Unit Treatment (Tx2): A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove
Placebo Intervention (Tx3)
n=44 Participants
A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter. Placebo Intervention (Tx3): A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter.
Post-intervention FEV1
1.9 liters
Standard Deviation 0.7
2.1 liters
Standard Deviation 0.6
2.0 liters
Standard Deviation 0.6

PRIMARY outcome

Timeframe: Each participant was followed during a pre-intervention baseline (Winter 1) and a post-intervention follow-up period (Winter 2). Health measures were collected at two visits during both winter periods with each visit separated by at least three weeks.

Population: Valid post-intervention spirometry measures captured for 127 of 143 participants

Mean of up to two post-intervention measures of forced vital capacity (FVC), liters

Outcome measures

Outcome measures
Measure
Education (Tx1)
n=43 Participants
Education on best burn practices Education (Tx1): Education on best burn practices
Air Filtration Unit Treatment (Tx2)
n=40 Participants
A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove. Air Filtration Unit Treatment (Tx2): A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove
Placebo Intervention (Tx3)
n=44 Participants
A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter. Placebo Intervention (Tx3): A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter.
Post-intervention FVC
2.4 liters
Standard Deviation 0.7
2.7 liters
Standard Deviation 0.7
2.5 liters
Standard Deviation 0.7

PRIMARY outcome

Timeframe: Each participant was followed during a pre-intervention baseline (Winter 1) and a post-intervention follow-up period (Winter 2). Health measures were collected at two visits during both winter periods with each visit separated by at least three weeks.

Population: Valid post-intervention spirometry measures captured for 127 of 143 participants

Mean of up to two post-intervention measures of forced expiratory volume at one second (FEV1) / forced vital capacity (FVC)

Outcome measures

Outcome measures
Measure
Education (Tx1)
n=43 Participants
Education on best burn practices Education (Tx1): Education on best burn practices
Air Filtration Unit Treatment (Tx2)
n=40 Participants
A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove. Air Filtration Unit Treatment (Tx2): A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove
Placebo Intervention (Tx3)
n=44 Participants
A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter. Placebo Intervention (Tx3): A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter.
Post-intervention FEV1/FVC Ratio
0.78 ratio
Standard Deviation 0.08
0.79 ratio
Standard Deviation 0.08
0.80 ratio
Standard Deviation 0.08

PRIMARY outcome

Timeframe: Each participant was followed during a pre-intervention baseline (Winter 1) and a post-intervention follow-up period (Winter 2). Health measures were collected at two visits during both winter periods with each visit separated by at least three weeks.

Population: Valid post-intervention blood pressure measures captured for 128 of 143 participants

Mean of up to two post-intervention measures of systolic blood pressure, millimeters of mercury (mmHg)

Outcome measures

Outcome measures
Measure
Education (Tx1)
n=42 Participants
Education on best burn practices Education (Tx1): Education on best burn practices
Air Filtration Unit Treatment (Tx2)
n=41 Participants
A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove. Air Filtration Unit Treatment (Tx2): A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove
Placebo Intervention (Tx3)
n=45 Participants
A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter. Placebo Intervention (Tx3): A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter.
Post-intervention Systolic Blood Pressure
132 millimeters of mercury (mmHg)
Standard Deviation 16
139 millimeters of mercury (mmHg)
Standard Deviation 17
136 millimeters of mercury (mmHg)
Standard Deviation 22

PRIMARY outcome

Timeframe: Each participant was followed during a pre-intervention baseline (Winter 1) and a post-intervention follow-up period (Winter 2). Health measures were collected at two visits during both winter periods with each visit separated by at least three weeks.

Population: Valid post-intervention blood pressure measures captured for 128 of 143 participants

Mean of up to two post-intervention measures of diastolic blood pressure, millimeters of mercury (mmHg)

Outcome measures

Outcome measures
Measure
Education (Tx1)
n=42 Participants
Education on best burn practices Education (Tx1): Education on best burn practices
Air Filtration Unit Treatment (Tx2)
n=41 Participants
A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove. Air Filtration Unit Treatment (Tx2): A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove
Placebo Intervention (Tx3)
n=45 Participants
A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter. Placebo Intervention (Tx3): A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter.
Post-intervention Diastolic Blood Pressure
75 millimeters of mercury (mmHg)
Standard Deviation 11
78 millimeters of mercury (mmHg)
Standard Deviation 11
76 millimeters of mercury (mmHg)
Standard Deviation 13

SECONDARY outcome

Timeframe: Each participant was followed during a pre-intervention baseline (Winter 1) and a post-intervention follow-up period (Winter 2). Indoor 48-hour PM2.5 average concentration was measured at two post-intervention visits separated by at least three weeks.

Population: Valid post-intervention PM2.5 measures captured for 123 of 143 households

Post-intervention average Indoor fine particulate matter (PM2.5) concentration

Outcome measures

Outcome measures
Measure
Education (Tx1)
n=43 Household
Education on best burn practices Education (Tx1): Education on best burn practices
Air Filtration Unit Treatment (Tx2)
n=39 Household
A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove. Air Filtration Unit Treatment (Tx2): A 20" x 18" Filtrete air filtration unit (3M, St. Paul, MN) will be placed in the same room as the wood stove
Placebo Intervention (Tx3)
n=41 Household
A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter. Placebo Intervention (Tx3): A 20" x 18" Filtrete air filtration unit will be installed within the wood stove home. Instead of a high efficiency filter, the units will utilize a placebo filter.
Post-intervention Indoor Fine Particulate Matter (PM2.5)
38.8 microgram/cubic meter
Standard Deviation 33.9
30.5 microgram/cubic meter
Standard Deviation 51.5
41.6 microgram/cubic meter
Standard Deviation 39.2

Adverse Events

Education (Tx1)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Air Filtration Unit Treatment (Tx2)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo Intervention (Tx3)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Curtis Noonan

University of Montana

Phone: 406-243-4957

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place