Applied Implementation Research for Clean Cooking in Cambodia

NCT ID: NCT06942715

Last Updated: 2026-01-07

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

RECRUITING

Clinical Phase

NA

Total Enrollment

6150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-13

Study Completion Date

2028-12-31

Brief Summary

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The goal of this study is to learn how to help families in Cambodia switch to using electric induction stoves instead of traditional stoves that burn wood or charcoal. The study will also look at whether this switch is safe, affordable, and sustainable over time.

The main questions researchers want to answer are:

* What strategies work best to encourage families to use induction stoves regularly and stop using traditional cooking methods?
* Does switching to induction cooking reduce household air pollution for primary cooks?
* What are the costs and benefits of these strategies?

To answer these questions, researchers will compare four different strategies across 62 peri-urban villages in Cambodia. They will use data loggers to track when families use induction stoves or traditional stoves, and measure air pollution levels in the home before and after families receive induction stoves.

Participants will:

* Receive an electric induction stove and support based on their group's strategy
* Have their stove use tracked through special devices
* Take part in air pollution measurements in their homes
* Share information about their cooking habits and experiences

Detailed Description

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Around 3 billion people worldwide cook using biomass fuels like wood, charcoal, and animal dung, which creates household air pollution responsible for about 2.3 million premature deaths each year from diseases such as heart disease, respiratory illnesses, diabetes, and cancer. Previous efforts to clean up biomass fuel burning have not sufficiently reduced air pollution or replaced traditional stoves, leading researchers to explore even cleaner alternatives like electric induction cooking.

This study evaluates whether electric induction stoves can effectively lower household air pollution in Cambodia. Using a rigorous, multi-year, cluster-randomized trial in 62 peri-urban villages, the study will:

* Develop and test different strategies (such as direct sales, subsidies, and community promotion) to encourage the purchase and regular use of induction stoves.
* Measure stove usage with cloud-connected data loggers that record cooking times and energy consumption.
* Collect household air pollution data and conduct surveys and interviews with approximately 3,100 households, with a focus on primary cooks.

The study also includes a comprehensive cost-effectiveness analysis to understand the benefits in terms of health, environmental impact, time savings, and equity, especially for women and girls who primarily prepare food. By using established frameworks like (RE-AIM) and Consolidated Framework for Implementation Research (CFIR), the research aims to build a strong evidence base to support the scale-up of clean cooking interventions in Cambodia and other low- and middle-income settings.

Conditions

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Exposure to Environmental Pollution Exposure to Household Air Pollution

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Hybrid type II cluster randomized trial
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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"Standard" implementation delivery

The intervention will be promoted through a combination of (1) digital outreach and (2) community-centered demand generation. This includes:

1. Low-touch awareness raising through geo-targeted social media promotion.
2. In-person, village-level promotion through community engagement and local communication channels to raise awareness and build trust

Group Type EXPERIMENTAL

Electric Induction Cookstoves

Intervention Type OTHER

The intervention consists of high-quality, locally available electric induction cookstoves with one or two burners, each equipped with cloud-connected data loggers, and includes compatible cookware.

"Standard Plus" implementation delivery

The intervention will be promoted through a combination of (1) digital outreach and (2) community-centered demand generation, paired with (3) stove subsidies. This includes:

1. Low-touch awareness raising through geo-targeted social media promotion.
2. In-person, village-level promotion through community engagement and local communication channels to raise awareness and build trust.
3. Lower-value, untargeted stove subsidy for all households and a higher-value, targeted subsidy for low-income households to improve affordability and access.

Group Type EXPERIMENTAL

Electric Induction Cookstoves

Intervention Type OTHER

The intervention consists of high-quality, locally available electric induction cookstoves with one or two burners, each equipped with cloud-connected data loggers, and includes compatible cookware.

"Enhanced" implementation delivery

The intervention will be promoted through a combination of (1) digital outreach, (2) community-centered demand generation, and (3) direct sales. This includes:

1. Low-touch awareness raising through geo-targeted social media promotion.
2. In-person, village-level promotion through community engagement and local communication channels to raise awareness and build trust.
3. Door-to-door and group-based direct sales efforts to engage customers, demonstrate products, and facilitate purchases.

Group Type EXPERIMENTAL

Electric Induction Cookstoves

Intervention Type OTHER

The intervention consists of high-quality, locally available electric induction cookstoves with one or two burners, each equipped with cloud-connected data loggers, and includes compatible cookware.

"Enhanced Plus" implementation delivery

The intervention will be promoted through a combination of (1) digital outreach, (2) community-centered demand generation, and (3) direct sales, paired with (4) stove subsidies. This includes:

1. Low-touch awareness raising through geo-targeted social media promotion.
2. In-person, village-level promotion through community engagement and local communication channels to raise awareness and build trust.
3. Door-to-door and group-based direct sales efforts to engage customers, demonstrate products, and facilitate purchases.
4. Lower-value, untargeted stove subsidy for all households and a higher-value, targeted subsidy for low-income households to improve affordability and access

Group Type EXPERIMENTAL

Electric Induction Cookstoves

Intervention Type OTHER

The intervention consists of high-quality, locally available electric induction cookstoves with one or two burners, each equipped with cloud-connected data loggers, and includes compatible cookware.

"Reference" implementation delivery

The intervention will be promoted through only digital outreach, using low-touch awareness raising through geo-targeted social media promotion.

Group Type ACTIVE_COMPARATOR

Electric Induction Cookstoves

Intervention Type OTHER

The intervention consists of high-quality, locally available electric induction cookstoves with one or two burners, each equipped with cloud-connected data loggers, and includes compatible cookware.

Interventions

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Electric Induction Cookstoves

The intervention consists of high-quality, locally available electric induction cookstoves with one or two burners, each equipped with cloud-connected data loggers, and includes compatible cookware.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

\- A household must:

* Provide consent to participate in our study, with at least one adult household member who identifies as the primary cook consenting to serve as the study participant
* Resides in village selected for implementation
* Household has electricity access
* Household does not already use electricity-based induction cooking technology

Exclusion Criteria

* Household members currently smoke cigarettes or other tobacco products
* Plans to move permanently outside the study area in the next 12 months
* The primary cook prepares food and/or drink for commercial sale
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Environmental Health Sciences (NIEHS)

NIH

Sponsor Role collaborator

Emory University

OTHER

Sponsor Role lead

Responsible Party

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Matthew Freeman

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Matthew Freeman, PhD

Role: PRINCIPAL_INVESTIGATOR

Rollins School of Public Health

Locations

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International Development Enterprises: iDE

Kampong Speu, Kampong Speu Province, Cambodia

Site Status RECRUITING

Countries

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Cambodia

Central Contacts

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Matthew Freeman, PhD

Role: CONTACT

404-712-8767

Jedidiah Snyder, PhD

Role: CONTACT

Facility Contacts

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Jennifer RoglĂ , PhD

Role: primary

SayPhearak Mak

Role: backup

Other Identifiers

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1R01ES035395-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2025P013174

Identifier Type: OTHER

Identifier Source: secondary_id

STUDY00007929

Identifier Type: -

Identifier Source: org_study_id

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