Behavioral Reactivity Associated With Electronic Monitoring of Environmental Health Interventions--A Cluster Randomized Trial with Water Filters and Cookstoves.
Behavioral Reactivity Associated With Electronic Monitoring of Environmental Health Interventions--A Cluster Randomized Trial with Water Filters and Cookstoves.
复制标题
与环境健康干预措施电子监测相关的行为反应——水过滤器和炉灶的集群随机试验。
DOI：
10.1021/acs.est.6b00161
复制
发表时间：
2016
影响因子：
11.4
通讯作者：
C. Nagel
中科院分区：
文献类型：
--
作者：
Evan A. Thomas;Sarita Tellez;Carson A. Wick;M. Kirby;Laura D. Zambrano;Ghislaine Abadie Rosa;T. Clasen;C. Nagel
研究对象的反应性——当研究参与者因被观察而改变他们的行为——已经被记录在案，显示了人类观察者的影响。电子传感器越来越多地用于监测环境健康干预措施，但传感器对行为的影响尚未得到评估。我们在卢旺达对170户家庭（70户不知道传感器的存在，100户开放）进行了一项随机对照试验，测试在为期四周的监测期内，了解电子监测器是否会导致每周使用家庭滤水器和改进炉灶的情况发生变化。在第1周，两组之间每周使用滤水器的次数增加了63%，开放组平均使用4.4次，盲眼组平均使用2.83次，在第4周下降到55%的差异，开放组平均使用2.82次，盲眼组平均使用1.93次。两组人每周使用炉子的次数没有显著差异。对于过滤器和炉灶，在四周的安装期间，两组的使用量都有所下降。这项研究表明，行为监测应该尝试解释对电子监视器持续数周或更长时间的意识的反应。
Subject reactivity--when research participants change their behavior in response to being observed--has been documented showing the effect of human observers. Electronics sensors are increasingly used to monitor environmental health interventions, but the effect of sensors on behavior has not been assessed. We conducted a cluster randomized controlled trial in Rwanda among 170 households (70 blinded to the presence of the sensor, 100 open) testing whether awareness of an electronic monitor would result in a difference in weekly use of household water filters and improved cookstoves over a four-week surveillance period. A 63% increase in number of uses of the water filter per week between the groups was observed in week 1, an average of 4.4 times in the open group and 2.83 times in the blind group, declining in week 4 to an insignificant 55% difference of 2.82 uses in the open, and 1.93 in the blind. There were no significant differences in the number of stove uses per week between the two groups. For both filters and stoves, use decreased in both groups over four-week installation periods. This study suggests behavioral monitoring should attempt to account for reactivity to awareness of electronic monitors that persists for weeks or more.