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

机译:在加纳加强液化石油气的采用?(ELAG):一项因子分解整群随机对照试验,以提高液化石油气的采用率和持续使用率

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Three 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. The 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. 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. NCT03352830 (November 24, 2017).
机译:全球有30亿人依靠生物质燃料[粪便,木材,农作物]进行烹饪和取暖。此外,每年因家庭空气污染(HAP)导致的健康状况导致约390万例过早死亡。尽管预计从传统的生物质炉灶过渡可以通过减少暴露来抑制HAP对健康的影响,但只有在专有且持续使用这些新型炉灶的情况下,才能充分实现更新的清洁灶具技术的好处。但是,人们对采用和持续使用干净炊具的条件还不甚了解。加纳加强液化石油气的采用(ELAG)研究是一项采用因子干预设计的集群随机对照试验。第一部分是基于风险,态度,规范,能力和自我调节(RANAS)模型的行为更改干预。该干预旨在使这五个行为因素与采用清洁灶具和持续使用保持一致。第二种干预措施是与访问有关的,它将通过提供直接交付加油服务来提高液化石油气的利用率。这两种干预措施将通过析因设计进行整合,从而将27个社区分配给以下一项:控制部门,教育干预措施,交付措施或联合干预措施。干预分配是通过协变量约束随机方法确定的。干预后,通过iButton炉灶使​​用监测器跟踪了大约900户家庭的燃料使用情况,持续了12个月。分析将包括分层线性模型,这些线性模型用于比较干预家庭的燃料消耗与控制家庭。迄今为止的文献表明,改进灶具的接收者很少完全采用新技术。相反,他们经常练习部分采用(燃料堆放)。因此,需要采取干预措施来影响采用模式并同时了解燃料采用的驱动因素。确保吸收,采用和持续使用改进的炉灶技术可以减少HAP,从而改善公共卫生。 NCT03352830(2017年11月24日)。

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