Evidence map›Paper›PMID 24429320›Full record

Trial reportThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2014

Feasibility of conducting a randomised controlled trial of a cookstove intervention in rural Malawi.

H R Jary, J Kachidiku, H Banda, M Kapanga, J V Doyle, E Banda, C Fox, S B Gordon, K Mortimer

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Article
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  10. Non-communicable respiratory disease in Malawi: a systematic review and meta-analysis.Malawi medical journal : the journal of Medical Association of Malawi · 2020
    Article
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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

9 authors.

H R JaryLiverpool School of Tropical Medicine, Liverpool, UK; University of Liverpool, Liverpool, UK.
J KachidikuConcern Universal, Blantyre, Malawi.
H BandaConcern Universal, Blantyre, Malawi.
M KapangaConcern Universal, Blantyre, Malawi.
J V DoyleConcern Universal, Blantyre, Malawi.
E BandaClioma Ltd, Lilongwe, Malawi.
C FoxClioma Ltd, Lilongwe, Malawi.
S B GordonLiverpool School of Tropical Medicine, Liverpool, UK.
K MortimerLiverpool School of Tropical Medicine, Liverpool, UK.

Funding

Medical Research Council MR/K006533/1Medical Research Council MR/L002515/1Wellcome Trust 100890
6 · The paper itself

Abstract

backgroundExposure to household air pollution (HAP) causes 4 million deaths annually, and strategies to reduce HAP exposure are urgently required.

objectiveTo evaluate the acceptability and feasibility of conducting a trial of a cookstove intervention in rural Malawi.

designNon-smoking women were randomised to continuing to use an open fire (control) or to using a wood-burning clay cookstove (intervention). Symptom burden, oxygen saturation and exhaled carbon monoxide (eCO) were assessed at baseline and 7-day follow-up. A subset of women underwent HAP exposure monitoring.

resultsOf 51 women recruited, 50 (98%) completed the main study. The methodology was acceptable to participants. Headache, back pain and cough were the most commonly reported symptoms at baseline and follow-up. Median eCO was within normal limits, but with a difference of 0.5 parts per million (ppm) in median change of eCO from baseline to follow-up seen between the two groups (P = 0.035). The peak ambient CO concentration detected was 150 ppm.

conclusionThis study suggests that a large cookstove intervention trial in Malawi would be feasible with careful community sensitisation. Monitoring exposure to HAP is challenging, and further studies evaluating potential biomarkers of exposure, including eCO, should be undertaken.

Indexed as

Household ArticlesRural HealthAdolescentAdultAir PollutantsAir Pollution, IndoorBack PainBreath TestsCarbon MonoxideCookingCoughEnvironmental MonitoringEquipment DesignFeasibility StudiesFemaleFiresAir PollutantsCarbon Monoxide

Identifiers

PMID24429320
PMCPMC4436815

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.