NACER II: Reducing Prenatal Exposures to Household Air Pollution in Rural Guatemala Through a Gas Stove/Behavior Intervention to Improve Neonatal Health

NCT ID: NCT02812914

Last Updated: 2017-10-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Study Completion Date

2017-06-19

Brief Summary

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Greater efforts are needed to bring affordable, clean stoves and adaptive behavioral strategies to the millions of households worldwide that continue to burn solid cooking fuels using inefficient stoves. Two of the leading causes of infant mortality, preterm birth and pneumonia, are associated with high exposures to household air pollution during pregnancy and early infancy. The proposed study will assess the feasibility and acceptability of an introduced liquid petroleum gas stove, complemented by two alternative approaches to delivering tailored behavioral change interventions, among pregnant women and their neonates.

Detailed Description

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Conditions

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Premature Birth Fetal Growth Retardation Infections, Respiratory Exposure to Environmental Pollution, Non-occupational Infant, Small for Gestational Age

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Phase 1

In Phase I, 25 pregnant women will receive a low-cost gas stove and will be taught by peer educators in group classes how to safely use gas stoves and how to reduce exposure to air pollution.

Group Type EXPERIMENTAL

Low-cost gas stove

Intervention Type OTHER

Women will be provided with a 3-burner liquid propane gas stove and one year's supply of gas

Peer education classes

Intervention Type BEHAVIORAL

Women will participate in four classes on how to safely use gas stoves and methods to reduce exposure to air pollution

Phase 2

In Phase 2, the investigators will assess a more resource-intensive behavioral intervention approach with a different group of 25 women who will follow the same study procedures described in Phase I.

Group Type EXPERIMENTAL

Low-cost gas stove

Intervention Type OTHER

Women will be provided with a 3-burner liquid propane gas stove and one year's supply of gas

Resource-intensive behavioral intervention approach

Intervention Type BEHAVIORAL

Women will participate in four classes on how to safely use gas stoves and methods to reduce exposure to air pollution. Additionally, peer educators will visit each home after group classes to help the woman, and key decision-makers in her family, identify top priority strategies to reduce air pollution. Using a checklist, peer educators will observe whether household members are adhering to tailored strategies at subsequent home visits, and provide ongoing support to women and their families.

Interventions

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Low-cost gas stove

Women will be provided with a 3-burner liquid propane gas stove and one year's supply of gas

Intervention Type OTHER

Peer education classes

Women will participate in four classes on how to safely use gas stoves and methods to reduce exposure to air pollution

Intervention Type BEHAVIORAL

Resource-intensive behavioral intervention approach

Women will participate in four classes on how to safely use gas stoves and methods to reduce exposure to air pollution. Additionally, peer educators will visit each home after group classes to help the woman, and key decision-makers in her family, identify top priority strategies to reduce air pollution. Using a checklist, peer educators will observe whether household members are adhering to tailored strategies at subsequent home visits, and provide ongoing support to women and their families.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Pregnant woman less than 20 weeks gestation
* Does not smoke cigarettes
* Uses an open fire or deteriorated woodstove for cooking
* Purchases wood
* Intends to stay in the study area for at least one year
* Uses Ministry of Health clinics for routine prenatal care
* Has a mobile phone
* Primary person responsible for cooking in the household
* Able to give Informed Consent

Exclusion Criteria

* Multiple pregnancy (eg twins)
* Identified as a high-risk pregnancy by physician
* Regularly taking prescription medication
* Smokes cigarettes
* Routinely carries a child less than 2 years old on their back
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Universidad del Valle, Guatemala

OTHER

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lisa M Thompson, RN, PhD, FNP

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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San Lorenzo Health Center

San Lorenzo, , Guatemala

Site Status

Countries

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Guatemala

References

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Weinstein JR, Diaz-Artiga A, Benowitz N, Thompson LM. Reductions in urinary metabolites of exposure to household air pollution in pregnant, rural Guatemalan women provided liquefied petroleum gas stoves. J Expo Sci Environ Epidemiol. 2020 Mar;30(2):362-373. doi: 10.1038/s41370-019-0163-0. Epub 2019 Sep 2.

Reference Type DERIVED
PMID: 31477781 (View on PubMed)

Thompson LM, Diaz-Artiga A, Weinstein JR, Handley MA. Designing a behavioral intervention using the COM-B model and the theoretical domains framework to promote gas stove use in rural Guatemala: a formative research study. BMC Public Health. 2018 Feb 14;18(1):253. doi: 10.1186/s12889-018-5138-x.

Reference Type DERIVED
PMID: 29444650 (View on PubMed)

Other Identifiers

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15-17003

Identifier Type: -

Identifier Source: org_study_id