Evidence map›Paper›PMID 24112419›Full record

Trial reportTrials2013

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

Elizabeth Klasen, J Jaime Miranda, Subarna Khatry, Diana Menya, Robert H Gilman, James M Tielsch, Caitlin Kennedy, Robert Dreibelbis, Neha Naithani, Sylvester Kimaiyo and 6 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01686867 (Feasibility Intervention Trial of Two Types of Improved Cookstoves in Three Developing Countries), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01686867 nacompletednot on this map

Feasibility Intervention Trial of Two Types of Improved Cookstoves in Three Developing Countries

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2012 to 2014Enrolled137ConditionsPoisoning by Carbon Monoxide From Domestic Fuels, Respiratory Conditions Due to Other External AgentsArmsImproved, ventilated cookstove
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 4 countries.

Elizabeth KlasenDivision of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, 1800 Orleans Ave, Suite 9121, Baltimore, MD 21205, USA. wcheckl1@jhmi.edu.
J Jaime Miranda
Subarna Khatry
Diana Menya
Robert H Gilman
James M Tielsch
Caitlin Kennedy
Robert Dreibelbis
Neha Naithani
Sylvester Kimaiyo
Marilu Chiang
E Jane Carter
Charles B Sherman
Patrick N Breysse
William Checkley
COCINAS Trial Working Group
Johns Hopkins University · USBrown University · USMoi University · KEPrisma · PEProteogenomics Research Institute for Systems Medicine · USUniversidad Peruana Cayetano Heredia · PE

Funding

Medical Research Council MR/K007467/1NHLBI NIH HHS HHSN268200900033C
6 · The paper itself

Abstract

backgroundExposure 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.

designWe 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).

methodsAt 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.

trial registrationClinicalTrials.gov NCT01686867.

Indexed as

Household ArticlesHousingResearch DesignAdultAir PollutantsAir Pollution, IndoorBlood PressureCarbon MonoxideCookingCross-Over StudiesCultural CharacteristicsDeveloping CountriesEnvironmental MonitoringEquipment DesignExhalationFeasibility StudiesAir PollutantsCarbon MonoxideSmoke

Identifiers

PMID24112419
PMCPMC3852602
OpenAlexW2162414478

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.