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Feasibility intervention trial of two types of improved cookstoves in three resource-limited settings: Study protocol for a randomized controlled trial

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dc.contributor.author Klasen, Elizabeth
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Khatry, Subarna
dc.contributor.author Menya, Diana
dc.contributor.author Gilman, Robert Hugh
dc.contributor.author Tielsch, JamesM.
dc.contributor.author Kennedy, Caitlin
dc.contributor.author Dreibelbis, Robert
dc.contributor.author Naithani, Neha
dc.contributor.author Kimaiyo, Sylvester
dc.contributor.author Chiang, Marilu
dc.contributor.author Carter, E.Jane
dc.contributor.author Sherman, Charles B.
dc.contributor.author Breysse, Patrick N.
dc.contributor.author Checkley, William
dc.contributor.author Huaman, A.
dc.contributor.author Levano, M.
dc.contributor.author Haustein, D.
dc.contributor.author Rhodes, E.
dc.contributor.author Grajeda, L.
dc.contributor.author Levy, S.
dc.contributor.author LeClerq, S.
dc.contributor.author Wise, R.
dc.contributor.author Mosol, P.
dc.contributor.author Ogaro, F.
dc.contributor.author Apaka, C.
dc.contributor.author Baliddawa, J.
dc.date.accessioned 2022-01-04T20:33:21Z
dc.date.available 2022-01-04T20:33:21Z
dc.date.issued 2013
dc.identifier.uri https://hdl.handle.net/20.500.12866/10781
dc.description.abstract Background: Exposure to biomass fuel smoke is one of the leading risk factors for disease burden worldwide. International campaigns are currently promoting the widespread adoption of improved cookstoves in resource-limited settings, yet little is known about the cultural and social barriers to successful improved cookstove adoption and how these barriers affect environmental exposures and health outcomes. Design: We plan to conduct a one-year crossover, feasibility intervention trial in three resource-limited settings (Kenya, Nepal and Peru). We will enroll 40 to 46 female primary cooks aged 20 to 49 years in each site (total 120 to 138). Methods: At baseline, we will collect information on sociodemographic characteristics and cooking practices, and measure respiratory health and blood pressure for all participating women. An initial observational period of four months while households use their traditional, open-fire design cookstoves will take place prior to randomization. All participants will then be randomized to receive one of two types of improved, ventilated cookstoves with a chimney: a commercially-constructed cookstove (Envirofit G3300/G3355) or a locally-constructed cookstove. After four months of observation, participants will crossover and receive the other improved cookstove design and be followed for another four months. During each of the three four-month study periods, we will collect monthly information on self-reported respiratory symptoms, cooking practices, compliance with cookstove use (intervention periods only), and measure peak expiratory flow, forced expiratory volume at 1 second, exhaled carbon monoxide and blood pressure. We will also measure pulmonary function testing in the women participants and 24-hour kitchen particulate matter and carbon monoxide levels at least once per period. Discussion: Findings from this study will help us better understand the behavioral, biological, and environmental changes that occur with a cookstove intervention. If this trial indicates that reducing indoor air pollution is feasible and effective in resource-limited settings like Peru, Kenya and Nepal, trials and programs to modify the open burning of biomass fuels by installation of low-cost ventilated cookstoves could significantly reduce the burden of illness and death worldwide. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries Trials
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Health Knowledge en_US
dc.subject Middle Aged en_US
dc.subject Peru en_US
dc.subject household en_US
dc.subject risk factor en_US
dc.subject Risk Factors en_US
dc.subject Developing Countries en_US
dc.subject self report en_US
dc.subject Time Factors en_US
dc.subject lung function en_US
dc.subject spirometry en_US
dc.subject biomass en_US
dc.subject blood pressure en_US
dc.subject Blood Pressure en_US
dc.subject environmental exposure en_US
dc.subject Smoke en_US
dc.subject Adoption en_US
dc.subject cooking en_US
dc.subject Cooking en_US
dc.subject Cultural Characteristics en_US
dc.subject Equipment Design en_US
dc.subject Household Articles en_US
dc.subject Kenya en_US
dc.subject Nepal en_US
dc.subject article en_US
dc.subject intervention study en_US
dc.subject Air Pollution, Indoor en_US
dc.subject indoor air pollution en_US
dc.subject mortality en_US
dc.subject feasibility study en_US
dc.subject Research Design en_US
dc.subject Air Pollutants en_US
dc.subject Carbon Monoxide en_US
dc.subject forced expiratory volume en_US
dc.subject Biomass fuel en_US
dc.subject carbon monoxide en_US
dc.subject Environmental Monitoring en_US
dc.subject particulate matter en_US
dc.subject behavior change en_US
dc.subject Housing en_US
dc.subject Lung Diseases en_US
dc.subject Exhalation en_US
dc.subject Lung en_US
dc.subject chronic respiratory tract disease en_US
dc.subject Feasibility Studies en_US
dc.subject adoption en_US
dc.subject Behavior change en_US
dc.subject Cross-Over Studies en_US
dc.subject DLCO en_US
dc.subject environmental change en_US
dc.subject Forced Expiratory Volume en_US
dc.subject improved cookstove en_US
dc.subject Improved cookstove en_US
dc.subject Indoor air pollution en_US
dc.subject Inhalation Exposure en_US
dc.subject peak expiratory flow en_US
dc.subject Peak Expiratory Flow Rate en_US
dc.subject semi structured interview en_US
dc.subject Spirometry en_US
dc.subject Ventilated cookstove en_US
dc.title Feasibility intervention trial of two types of improved cookstoves in three resource-limited settings: Study protocol for a randomized controlled trial en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/1745-6215-14-327
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#2.09.03
dc.relation.issn 1745-6215


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