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Designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the Household Air Pollution Intervention Network (HAPIN) trial

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dc.contributor.author Williams, K.N.
dc.contributor.author Thompson, L.M.
dc.contributor.author Sakas, Z.
dc.contributor.author Hengstermann, M.
dc.contributor.author Quinn, A.
dc.contributor.author Diáz-Artiga, A.
dc.contributor.author Thangavel, G.
dc.contributor.author Puzzolo, E.
dc.contributor.author Rosa, G.
dc.contributor.author Balakrishnan, K.
dc.contributor.author Peel, J.
dc.contributor.author Checkley, W.
dc.contributor.author Clasen, T.F.
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Rosenthal, J.P.
dc.contributor.author Harvey, S.A.
dc.date.accessioned 2020-12-14T16:11:09Z
dc.date.available 2020-12-14T16:11:09Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8856
dc.description.abstract Introduction: Increasing use of cleaner fuels, such as liquefied petroleum gas (LPG), and abandonment of solid fuels is key to reducing household air pollution and realising potential health improvements in low-income countries. However, achieving exclusive LPG use in households unaccustomed to this type of fuel, used in combination with a new stove technology, requires substantial behaviour change. We conducted theory-grounded formative research to identify contextual factors influencing cooking fuel choice to guide the development of behavioural strategies for the Household Air Pollution Intervention Network (HAPIN) trial. The HAPIN trial will assess the impact of exclusive LPG use on air pollution exposure and health of pregnant women, older adult women, and infants under 1 year of age in Guatemala, India, Peru, and Rwanda. Methods Using the Capability, Opportunity, Motivation-Behaviour (COM-B) framework and Behaviour Change Wheel (BCW) to guide formative research, we conducted in-depth interviews, focus group discussions, observations, key informant interviews and pilot studies to identify key influencers of cooking behaviours in the four countries. We used these findings to develop behavioural strategies likely to achieve exclusive LPG use in the HAPIN trial. Results: We identified nine potential influencers of exclusive LPG use, including perceived disadvantages of solid fuels, family preferences, cookware, traditional foods, non-food-related cooking, heating needs, LPG awareness, safety and cost and availability of fuel. Mapping formative findings onto the theoretical frameworks, behavioural strategies for achieving exclusive LPG use in each research site included free fuel deliveries, locally acceptable stoves and equipment, hands-on training and printed materials and videos emphasising relevant messages. In the HAPIN trial, we will monitor and reinforce exclusive LPG use through temperature data loggers, LPG fuel delivery tracking, in-home observations and behavioural reinforcement visits. Conclusion: Our formative research and behavioural strategies can inform the development, implementation, monitoring and evaluation of theory-informed strategies to promote exclusive LPG use in future stove programmes and research studies. en_US
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.relation.ispartofseries BMJ Open
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject behaviour change en_US
dc.subject liquefied petroleum gas stoves en_US
dc.subject Household Air Pollution Intervention Network en_US
dc.subject HAPIN en_US
dc.title Designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the Household Air Pollution Intervention Network (HAPIN) trial en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1136/bmjopen-2020-037761
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00
dc.relation.issn 2044-6055

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