Evidence map›Paper›PMID 29866127›Full record

Trial reportBMC public health2018

Enhancing LPG adoption in Ghana (ELAG): a factorial cluster-randomized controlled trial to Enhance LPG Adoption & Sustained use.

Daniel Carrión, Rebecca Dwommoh, Theresa Tawiah, Oscar Agyei, Francis Agbokey, Miecks Twumasi, Mohammed Mujtaba, Darby Jack, Kwaku Poku Asante

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03352830 (Understanding Adoption of Clean Cookstoves), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

NCT03352830 nacompletednot on this map

Understanding Adoption of Clean Cookstoves

TypeinterventionalSponsorColumbia UniversityRan2017 to 2018Enrolled781ConditionsBehavior, Consumer, Health Knowledge, Attitudes, Practice, Health AttitudeArmsRANAS Behavior Change Intervention, Infrastructural Intervention - Direct Delivery
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Epidemiology and Outcomes of Cooking- and Cookstove-Related Burn Injuries: A World Health Organization Global Burn Registry Report.Journal of burn care & research : official publication of the American Burn Association · 2023
    Article
  3. Article
  4. Time Use Implication of Clean Cookstoves in Rural Settings in Ghana: A Time Use Study.International journal of environmental research and public health · 2020
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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.

Daniel CarriónDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, 722 W. 168th Street - 11th Floor, New York, NY, 10032, USA.
Rebecca DwommohKintampo Health Research Centre, Kintampo, Ghana.
Theresa TawiahKintampo Health Research Centre, Kintampo, Ghana.
Oscar AgyeiKintampo Health Research Centre, Kintampo, Ghana.
Francis AgbokeyKintampo Health Research Centre, Kintampo, Ghana.
Miecks TwumasiKintampo Health Research Centre, Kintampo, Ghana.
Mohammed MujtabaKintampo Health Research Centre, Kintampo, Ghana.
Darby JackDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, 722 W. 168th Street - 11th Floor, New York, NY, 10032, USA. dj2183@cumc.columbia.edu.ORCID 0000-0002-9932-0201
Kwaku Poku AsanteKintampo Health Research Centre, Kintampo, Ghana.

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
Understanding adoption of clean cookstovesR01ES024489 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI JACK, DARBY · 2014 to 2018
$2.5M
Interdisciplinary Training in Climate and HealthT32ES023770 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHAMAN, JEFFREY L · 2014 to 2019
$1.5M
NIEHS NIH HHS P30 ES009089NIEHS NIH HHS R01 ES024489NIEHS NIH HHS R01ES024489NIEHS NIH HHS T32 ES023770NIEHS NIH HHS T32ES023770
6 · The paper itself

Abstract

backgroundThree billion individuals worldwide rely on biomass fuel [dung, wood, crops] for cooking and heating. Further, health conditions resulting from household air pollution (HAP) are responsible for approximately 3.9 million premature deaths each year. Though transition away from traditional biomass stoves is projected curb the health effects of HAP by mitigating exposure, the benefits of newer clean cookstove technologies can only be fully realized if use of these new stoves is exclusive and sustained. However, the conditions under which individuals adopt and sustain use of clean cookstoves is not well understood.

methodsThe Enhancing LPG Adoption in Ghana (ELAG) study is a cluster-randomized controlled trial employing a factorial intervention design. The first component is a behavior change intervention based on the Risks, Attitudes, Norms, Abilities, and Self-regulation (RANAS) model. This intervention seeks to align these five behavioral factors with clean cookstove adoption and sustained use. A second intervention is access-related and will improve LPG availability by offering a direct-delivery refueling service. These two interventions will be integrated via a factorial design whereby 27 communities are assigned to one of the following: the control arm, the educational intervention, the delivery, or a combined intervention. Intervention allocation is determined by a covariate-constrained randomization approach. After intervention, approximately 900 households' individual fuel use is tracked for 12 months via iButton stove use monitors. Analysis will include hierarchical linear models used to compare intervention households' fuel use to control households. DISCUSSION: Literature to-date demonstrates that recipients of improved cookstoves rarely completely adopt the new technology. Instead, they often practice partial adoption (fuel stacking). Consequently, interventions are needed to influence adoption patterns and simultaneously to understand drivers of fuel adoption. Ensuring uptake, adoption, and sustained use of improved cookstove technologies can then lead to HAP-reductions and consequent improvements in public health.

trial registrationNCT03352830 (November 24, 2017).

Indexed as

Air Pollution, IndoorBiomassConsumer BehaviorCookingEquipment DesignFamily CharacteristicsFemaleGhanaHousehold ArticlesHumansMalePetroleumResearch DesignTechnologyPetroleumBehavioral interventionBiomass combustionClean cookstove adoptionClean cookstovesHousehold air pollutionStructural interventionSustained use

Identifiers

PMID29866127
PMCPMC5987623

What OpenQuestion holds

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LicenceCC BY
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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.