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: 9117009
• 负责人: Maggie Lynn Clark
• 金额: $ 14.87万
• 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 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9117009
• 关键词: Accounting; Address; Adoption; Air Pollution; Behavioral; Biomass; Blood Pressure; Burn injury; Carbon Monoxide; Cardiovascular Diseases; Cardiovascular system; Cessation of life; Communities; Community Surveys; Complex; Cookstove; Developing Countries; Development; Disease; 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; Particulate Matter; Pathway interactions; Phase; Plague; Policy Maker; Population; Postdoctoral Fellow; Prevention Research; Prevention approach; Process; Questionnaires; Randomized; Reactive Oxygen Species; Research; Research Design; Research Training; Risk Factors; Role; Shapes; Smoke; Social Change; Social Environment; Solutions; Target Populations; Techniques; Technology; Time; Training; Trees; Vent; Water; Woman; Work; abstracting; arm; base; behavior change; biomass smoke; burden of illness; cardiovascular health; career; community based participatory research; design; experience; follow-up; improved; innovation; insight; meetings; novel; novel strategies; pollutant; post intervention; premature; 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.

项目摘要/摘要 该职业发展奖的目标是启动一个独立的空气污染研究计划 流行病学，探索环境与社会/行为风险因素之间的动态关系 心血管疾病。她将在社交和行为改变方法中接受的额外培训 对于促进库克炉研究领域至关重要，并将为她提供技能 开发独立研究职业所必需的，重点是发展这些新颖方法 干预研究。将近30亿人依靠生物质燃烧来满足基本的国内能源 需要。许多家庭使用传统的烹饪炉来满足这些能源需求，这可能会导致极端 高室内空气污染浓度。生物质燃烧的室内空气污染占 估计每年有160万例过早死亡，约占全球疾病负担的3％。 改进的炉灶设计有可能大大减少室内空气污染的暴露。然而， 几乎没有随机干预试验，先前的炉灶干预研究受到低低的困扰 改进的炉灶采用和持续使用，严重限制了对这些研究的解释。这项研究 建议对洪都拉斯厨师用户进行社区调查和深入的访谈以获取 深入了解围绕障碍的复杂途径，并预测持续改进的库克炉灶 采用（AIM 1，K99阶段，在目标2-3中的拟议干预措施中的目标人群中）。这 信息将用于执行和增强300中随机改进的库克炉台干预措施 洪都拉斯家族，结合了厨师使用的定性和定量测量，并测量 干预后的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）。主要目标是双重的：结合基于社区的参与性研究（CBPR） 整个研究的各个方面的方法并最大程度地使用炉灶（从而最大化 干预措施的健康影响）以实现有效的暴露响应估计。两个目标都使用 填补知识空白的创新策略。候选人将得到指导和 具有空气污染流行病学，曝光评估技术和社区的专业知识的研究团队 基于研究的方法。研究小组将基于拉丁美洲以前的研究 专注于识别和验证适当的现场技术以进行暴露和健康 发展中国家农村地区的评估。候选人的博士后研究进行了 尼加拉瓜的多年炉灶干预和进行横断面的博士研究经验 洪都拉斯的Cookstove研究与拟议项目直接相关。在过去的8年中，候选人 指导团队与社区合作伙伴（树木，水与 人[TWP]，Collins Fort，CO； Ahdesa，Tegucigalpa，洪都拉斯）。此外，与 洪都拉斯学术合作伙伴（Zamorano Univeristy，Tegucigalpua，Honduras），他有一个持续的 与TWP和Ahdesa的生产关系已被培养。这些合作伙伴将构成拟议的 社区和学术咨询委员会，以进一步制定研究计划的方法和行为。在 摘要，拟议的培训和研究计划是研究团队以前的逻辑后续行动 在拉丁美洲进行的库克顿研究。它将提供有关持续的障碍/预测指标的见解 采用了库克炉，这是阻碍该领域研究的问题；评估炉子使用之间的关系和 心血管健康的指标，在​​发展中国家，疾病负担很大，迅速增长； 导致对厨师干预的影响进行更全面和有效的评估；并提供 候选人具有开发充满活力的独立研究职业所需的工具，影响了领域 空气污染流行病学通过进行研究整合了物理之间的动态关系 和社会环境。