Community-based Participatory Research: A Tool to Advance Cookstove Interventions

基于社区的参与性研究：推进炉灶干预的工具

• 批准号: 9418545
• 负责人: Maggie Lynn Clark
• 金额: $ 14.52万
• 依托单位: COLORADO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9418545
• 关键词: Accounting; Address; Adoption; Air Pollution; Behavioral; Biomass; Blood Pressure; Carbon Monoxide; Cardiovascular Diseases; Cardiovascular system; Cessation of life; Communities; Community Surveys; Complex; Cookstove; Developing Countries; Development; Educational Models; Enrollment; Environment; Epidemiology; Evaluation; Exhalation; Family; Fostering; Goals; Government; Health; Health Status; Honduran; Honduras; Household; Human; Impact evaluation; Individual; Indoor Air Pollution; Inflammation; Intervention; Intervention Studies; Intervention Trial; Interview; K-Series Research Career Programs; Knowledge; Latin America; Lead; Measurement; Measures; Mentors; Methodology; Methods; Monitor; Nicaragua; Nitric Oxide; Obesity; Participant; Pathway interactions; Phase; Policy Maker; Population; Postdoctoral Fellow; Prevention Research; Process; Questionnaires; Randomized; Reactive Oxygen Species; Research; Research Design; Risk Factors; Role; Shapes; Smoke; Social Change; Social Environment; Target Populations; Techniques; Technology; Time; Training; Trees; Vent; Water; Woman; Work; arm; base; behavior change; biomass smoke; burden of illness; cardiovascular health; career; community based participatory research; community burden; design; experience; fine particles; follow-up; improved; innovation; insight; novel; novel strategies; pollutant; post intervention; premature; program dissemination; programs; response; rural area; skills; social; solid fuel; tool; two-arm study

Project Summary/Abstract The goal of this Career Development Award is to initiate an independent research program in air pollution epidemiology, exploring the dynamic relationship between environmental and social/behavioral risk factors on cardiovascular disease. The additional training she will receive in social and behavior change methodologies will be essential for furthering the field of cookstove research and will uniquely provide her with the skills necessary to develop an independent research career focused on the development of these novel approaches to intervention research. Nearly 3 billion people rely on biomass combustion to meet basic domestic energy needs. Many households use traditional cookstoves to meet these energy needs, which can result in extremely high indoor air pollution concentrations. Indoor air pollution from biomass combustion accounts for an estimated 1.6 million premature deaths per year, representing about 3% of the global disease burden. Improved stove designs have the potential to substantially reduce indoor air pollution exposures. However, there are few randomized intervention trials, and previous stove intervention studies have been plagued by low improved stove adoption and sustained use, severely limiting interpretations of these studies. This research proposes to conduct community surveys and in-depth interviews among Honduran cookstove users to gain insight into the complex pathways surrounding barriers to and predictors of sustained improved cookstove adoption (Aim 1, K99-phase, among the target population for the proposed intervention in Aims 2-3). This information will be used to conduct and enhance a randomized improved cookstove intervention among 300 Honduran families, incorporating qualitative and quantitative measures of cookstove use and measuring pre- to post-intervention changes in pollutant exposures and subclinical indicators of cardiovascular health (Aims 2-3, R00-phase). The primary goals are twofold: to incorporate Community-Based Participatory Research (CBPR) approaches throughout all aspects of the research and to maximize sustained stove use (thereby maximizing the health impact of the intervention) to achieve valid exposure-response estimates. Both objectives utilize innovative strategies to fill knowledge gaps. The Candidate will have the extensive support of a mentoring and research team with expertise in air pollution epidemiology, exposure assessment techniques, and community- based approaches to conduct research. The research team will build upon previous studies in Latin America that have focused on identifying and validating appropriate field techniques for exposure and health assessments in rural areas of developing countries. The Candidates post-doctoral research conducting a multiyear stove intervention in Nicaragua and doctoral research experience conducting a cross-sectional cookstove study in Honduras is directly relevant to the proposed project. Over the past 8 years, the Candidate and mentoring team have worked closely and successfully with the community partners (Trees, Water & People [TWP], Fort Collins, CO; AHDESA, Tegucigalpa, Honduras). Additionally, a new relationship with the Honduran academic partner (Zamorano Univeristy, Tegucigalpua, Honduras), who has an ongoing and productive relationship with TWP and AHDESA, has been cultivated. These partners will form the proposed Community and Academic Advisory Board to further develop the methods and conduct of the research plan. In summary, the proposed training and research plan is a logical follow-up to the research teams previous cookstove studies conducted in Latin America. It will provide insight regarding barriers/predictors of sustained cookstove adoption, an issue impeding research in this field; assess the relationship between stove use and indicators of cardiovascular health, a substantial and quickly growing disease burden in developing countries; result in a more comprehensive and valid assessment of the impact of a cookstove intervention; and provide the Candidate with the tools necessary to develop a vibrant independent research career, impacting the field of air pollution epidemiology by conducting research integrating the dynamic relationship between the physical and the social environment.

项目概要/摘要 该职业发展奖的目标是启动空气污染方面的独立研究计划 流行病学，探索环境和社会/行为风险因素之间的动态关系 心血管疾病。她将接受社交和行为改变方法方面的额外培训 对于进一步推进炉灶研究领域至关重要，并将为她提供独特的技能 有必要发展专注于开发这些新方法的独立研究事业 来进行干预研究。近30亿人依靠生物质燃烧来满足基本的生活能源 需要。许多家庭使用传统炉灶来满足这些能源需求，这可能会导致极其严重的能源消耗。 室内空气污染浓度高。生物质燃烧造成的室内空气污染 据估计，每年有 160 万人过早死亡，约占全球疾病负担的 3%。 改进的炉灶设计有可能大幅减少室内空气污染暴露。然而， 随机干预试验很少，之前的炉灶干预研究一直受到低水平的困扰 改进炉灶的采用和持续使用，严重限制了对这些研究的解释。这项研究 建议对洪都拉斯炉灶用户进行社区调查和深度访谈，以获得 深入了解持续改进炉灶的障碍和预测因素的复杂途径 采用（目标 1，K99 阶段，目标人群中建议的目标 2-3 干预措施）。这 信息将用于在 300 名参与者中进行和加强随机改进的炉灶干预措施 洪都拉斯家庭，结合炉灶使用的定性和定量测量以及使用前的测量 干预后污染物暴露和心血管健康亚临床指标的变化（目标 2-3， R00相）。主要目标有两个：纳入基于社区的参与性研究（CBPR） 方法贯穿研究的各个方面，并最大限度地持续使用炉灶（从而最大限度地 干预措施对健康的影响），以实现有效的暴露反应估计。两个目标都利用 填补知识空白的创新战略。候选人将得到指导和的广泛支持 研究团队在空气污染流行病学、暴露评估技术和社区方面拥有专业知识 基于方法进行研究。该研究小组将以之前在拉丁美洲的研究为基础 重点是确定和验证暴露和健康的适当现场技术 发展中国家农村地区的评估。候选人的博士后研究进行 尼加拉瓜多年的炉灶干预和博士研究经验进行横断面研究 洪都拉斯的炉灶研究与拟议项目直接相关。过去8年里，候选人 和指导团队与社区合作伙伴（树木、水和 人们 [TWP]，科罗拉多州柯林斯堡； AHDESA，特古西加尔巴，洪都拉斯）。此外，与 洪都拉斯学术合作伙伴（洪都拉斯特古西加尔普阿萨莫拉诺大学）， 与 TWP 和 AHDESA 建立了富有成效的关系。这些合作伙伴将组成拟议的 社区和学术咨询委员会进一步制定研究计划的方法和实施。在 总之，拟议的培训和研究计划是研究团队之前的合理后续计划 在拉丁美洲进行的炉灶研究。它将提供有关持续的障碍/预测的见解 炉灶的采用，是阻碍该领域研究的一个问题；评估炉灶使用与 心血管健康指标，这是发展中国家严重且迅速增长的疾病负担； 对炉灶干预的影响进行更全面、更有效的评估；并提供 候选人拥有发展充满活力的独立研究事业所需的工具，影响领域 空气污染流行病学，通过整合物理之间的动态关系进行研究 和社会环境。

项目成果

Integrating behavior change theory and measures into health-based cookstove interventions: a proposed epidemiologic research agenda.

• DOI: 10.1080/10810730.2014.989346
• 发表时间: 2015
• 期刊: Journal of health communication
• 影响因子: 4.4
• 作者: Clark ML;Heiderscheidt JM;Peel JL
• 通讯作者: Peel JL

Estimating long-term average household air pollution concentrations from repeated short-term measurements in the presence of seasonal trends and crossover.

• DOI: 10.1097/ee9.0000000000000188
• 发表时间: 2022-03
• 期刊: Environmental epidemiology (Philadelphia, Pa.)
• 作者: Keller JP;Clark ML
• 通讯作者: Clark ML

Impact of the wood-burning Justa cookstove on fine particulate matter exposure: A stepped-wedge randomized trial in rural Honduras.

• DOI: 10.1016/j.scitotenv.2020.144369
• 发表时间: 2021-05-01
• 期刊: The Science of the total environment
• 作者: Benka-Coker ML;Young BN;Keller JP;Walker ES;Rajkumar S;Volckens J;Good N;Quinn C;L'Orange C;Weller ZD;Africano S;Osorto Pinel AB;Peel JL;Clark ML
• 通讯作者: Clark ML

Effects of household and participant characteristics on personal exposure and kitchen concentration of fine particulate matter and black carbon in rural Honduras.

• DOI: 10.1016/j.envres.2022.113869
• 发表时间: 2022-11
• 期刊: ENVIRONMENTAL RESEARCH
• 影响因子: 8.3
• 作者: Witinok-Huber, Rebecca;Clark, Maggie L.;Volckens, John;Young, Bonnie N.;Benka-Coker, Megan L.;Walker, Ethan;Peel, Jennifer L.;Quinn, Casey;Keller, Joshua P.
• 通讯作者: Keller, Joshua P.

Comparing regional stove-usage patterns and using those patterns to model indoor air quality impacts.

• DOI: 10.1111/ina.12645
• 发表时间: 2020-05
• 期刊: Indoor air
• 影响因子: 5.8
• 作者: Piedrahita R;Johnson M;Bilsback KR;L'Orange C;Kodros JK;Eilenberg SR;Naluwagga A;Shan M;Sambandam S;Clark M;Pierce JR;Balakrishnan K;Robinson AL;Volckens J
• 通讯作者: Volckens J