Designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the Household Air Pollution Intervention Network (HAPIN) trial
Introduction Increasing use of cleaner fuels, such as liquefied petroleum gas (LPG), and abandonment of solid fuels is key to reducing household air pollution and realising potential health improvements in low-income countries. However, achieving exclusive LPG use in households unaccustomed to this...
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2020-09-01
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| author | J Jaime Miranda William Checkley Kyle Steenland Vanessa Burrowes Kirk R Smith Aris Papageorghiou Abigail Jones Ghislaine Rosa Anaité Díaz-Artiga Gurusamy Thangavel Kalpana Balakrishnan Joshua P Rosenthal Thomas F Clasen Steven A Harvey Amit Verma Kendra N. Williams Lisa M. Thompson Zoe Sakas Mayari Hengstermann Ashlinn Quinn Elisa Puzzolo Jennifer Peel Vigneswari Aravindalochanan Dana Boyd Barr Alejandra Bussalleu Devan Campbell Eduardo Canuz Adly Castañaza Howard Chang Yunyun Chen Marilú Chiang Maggie L Clark Rachel Craik Mary Crocker Victor Davila-Roman Lisa de las Fuentes Oscar De León Ephrem Dusabimana Lisa Elon Juan Gabriel Espinoza Irma Sayury Pineda Fuentes Sarada Garg Dina Goodman Savannah Gupton Meghan Hardison Stella Hartinger Phabiola M Herrera Shakir Hossen Penelope Howards Lindsay Jaacks Shirin Jabbarzadeh Michael A Johnson Katherine Kearns Miles Kirby Jacob Kremer Margaret A Laws Pattie Lenzen Jiawen Liao Amy E Lovvorn Fiona Majorin Eric McCollum John McCracken Julia N McPeek Rachel Meyers Erick Mollinedo Lawrence Moulton Krishnendu Mukhopadhyay Luke Naeher Abidan Nambajimana Durairaj Natesan Florien Ndagijimana Azhar Nizam Jean de Dieu Ntivuguruzwa Ricardo Piedrahita Ajay Pillarisetti Naveen Puttaswamy Sarah Rajkumar Usha Ramakrishnan Rengaraj Ramasami Davis Reardon Barry Ryan Sudhakar Saidam Sankar Sambandam Jeremy A Sarnat Suzanne Simkovich Sheela S Sinharoy Damien Swearing Ashley Toenjes Lindsay Underhill Jean Damascene Uwizeyimana Viviane Valdes Kayla Valentine Lance Waller Megan Warnock Wenlu Ye Bonnie Young |
| author_facet | J Jaime Miranda William Checkley Kyle Steenland Vanessa Burrowes Kirk R Smith Aris Papageorghiou Abigail Jones Ghislaine Rosa Anaité Díaz-Artiga Gurusamy Thangavel Kalpana Balakrishnan Joshua P Rosenthal Thomas F Clasen Steven A Harvey Amit Verma Kendra N. Williams Lisa M. Thompson Zoe Sakas Mayari Hengstermann Ashlinn Quinn Elisa Puzzolo Jennifer Peel Vigneswari Aravindalochanan Dana Boyd Barr Alejandra Bussalleu Devan Campbell Eduardo Canuz Adly Castañaza Howard Chang Yunyun Chen Marilú Chiang Maggie L Clark Rachel Craik Mary Crocker Victor Davila-Roman Lisa de las Fuentes Oscar De León Ephrem Dusabimana Lisa Elon Juan Gabriel Espinoza Irma Sayury Pineda Fuentes Sarada Garg Dina Goodman Savannah Gupton Meghan Hardison Stella Hartinger Phabiola M Herrera Shakir Hossen Penelope Howards Lindsay Jaacks Shirin Jabbarzadeh Michael A Johnson Katherine Kearns Miles Kirby Jacob Kremer Margaret A Laws Pattie Lenzen Jiawen Liao Amy E Lovvorn Fiona Majorin Eric McCollum John McCracken Julia N McPeek Rachel Meyers Erick Mollinedo Lawrence Moulton Krishnendu Mukhopadhyay Luke Naeher Abidan Nambajimana Durairaj Natesan Florien Ndagijimana Azhar Nizam Jean de Dieu Ntivuguruzwa Ricardo Piedrahita Ajay Pillarisetti Naveen Puttaswamy Sarah Rajkumar Usha Ramakrishnan Rengaraj Ramasami Davis Reardon Barry Ryan Sudhakar Saidam Sankar Sambandam Jeremy A Sarnat Suzanne Simkovich Sheela S Sinharoy Damien Swearing Ashley Toenjes Lindsay Underhill Jean Damascene Uwizeyimana Viviane Valdes Kayla Valentine Lance Waller Megan Warnock Wenlu Ye Bonnie Young |
| collection | DOAJ |
| description | Introduction Increasing use of cleaner fuels, such as liquefied petroleum gas (LPG), and abandonment of solid fuels is key to reducing household air pollution and realising potential health improvements in low-income countries. However, achieving exclusive LPG use in households unaccustomed to this type of fuel, used in combination with a new stove technology, requires substantial behaviour change. We conducted theory-grounded formative research to identify contextual factors influencing cooking fuel choice to guide the development of behavioural strategies for the Household Air Pollution Intervention Network (HAPIN) trial. The HAPIN trial will assess the impact of exclusive LPG use on air pollution exposure and health of pregnant women, older adult women, and infants under 1 year of age in Guatemala, India, Peru, and Rwanda.Methods Using the Capability, Opportunity, Motivation–Behaviour (COM–B) framework and Behaviour Change Wheel (BCW) to guide formative research, we conducted in-depth interviews, focus group discussions, observations, key informant interviews and pilot studies to identify key influencers of cooking behaviours in the four countries. We used these findings to develop behavioural strategies likely to achieve exclusive LPG use in the HAPIN trial.Results We identified nine potential influencers of exclusive LPG use, including perceived disadvantages of solid fuels, family preferences, cookware, traditional foods, non-food-related cooking, heating needs, LPG awareness, safety and cost and availability of fuel. Mapping formative findings onto the theoretical frameworks, behavioural strategies for achieving exclusive LPG use in each research site included free fuel deliveries, locally acceptable stoves and equipment, hands-on training and printed materials and videos emphasising relevant messages. In the HAPIN trial, we will monitor and reinforce exclusive LPG use through temperature data loggers, LPG fuel delivery tracking, in-home observations and behavioural reinforcement visits.Conclusion Our formative research and behavioural strategies can inform the development, implementation, monitoring and evaluation of theory-informed strategies to promote exclusive LPG use in future stove programmes and research studies.Trial registration number NCT02944682, Pre-results. |
| format | Article |
| id | doaj-art-9ecce4c391ee4502b67676f47e8b84f2 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-9ecce4c391ee4502b67676f47e8b84f22025-01-08T20:55:12ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-037761Designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the Household Air Pollution Intervention Network (HAPIN) trial 0J Jaime Miranda1William Checkley2Kyle Steenland3Vanessa BurrowesKirk R Smith4Aris Papageorghiou5Abigail JonesGhislaine Rosa6Anaité Díaz-Artiga7Gurusamy Thangavel8Kalpana Balakrishnan9Joshua P Rosenthal10Thomas F Clasen11Steven A Harvey12Amit Verma13Kendra N. Williams14Lisa M. Thompson15Zoe Sakas16Mayari Hengstermann17Ashlinn Quinn18Elisa Puzzolo19Jennifer Peel20Vigneswari AravindalochananDana Boyd Barr21Alejandra BussalleuDevan CampbellEduardo CanuzAdly CastañazaHoward Chang22Yunyun ChenMarilú ChiangMaggie L ClarkRachel Craik23Mary CrockerVictor Davila-RomanLisa de las FuentesOscar De LeónEphrem DusabimanaLisa ElonJuan Gabriel EspinozaIrma Sayury Pineda FuentesSarada GargDina GoodmanSavannah GuptonMeghan HardisonStella HartingerPhabiola M HerreraShakir Hossen24Penelope HowardsLindsay JaacksShirin JabbarzadehMichael A JohnsonKatherine Kearns25Miles KirbyJacob KremerMargaret A LawsPattie LenzenJiawen LiaoAmy E LovvornFiona MajorinEric McCollumJohn McCrackenJulia N McPeekRachel MeyersErick MollinedoLawrence MoultonKrishnendu MukhopadhyayLuke NaeherAbidan NambajimanaDurairaj NatesanFlorien NdagijimanaAzhar NizamJean de Dieu NtivuguruzwaRicardo PiedrahitaAjay Pillarisetti26Naveen Puttaswamy27Sarah RajkumarUsha Ramakrishnan28Rengaraj RamasamiDavis ReardonBarry RyanSudhakar SaidamSankar Sambandam29Jeremy A SarnatSuzanne SimkovichSheela S SinharoyDamien SwearingAshley ToenjesLindsay UnderhillJean Damascene UwizeyimanaViviane ValdesKayla ValentineLance Waller30Megan WarnockWenlu YeBonnie YoungGENYO, Pfizer-University, Granada, Spain, Granada, Spain8 CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru2 Center for Global Non-Communicable Diseases Research and Training, Johns Hopkins University, Baltimore, Maryland, USA1 Rollins School of Public Health, Atlanta, Georgia, USAEnvironmental Health Sciences, School of Public Health, University of California, Berkeley, California, USA9 Fetal Medicine Unit, St George`s University Hospitals NHS Foundation Trust, London, UKDepartment of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UKCentro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, GuatemalaDepartment of Environmental Health Engineering, Sri Ramachandra Insitute of Higher Education and Research, Chennai, Tamil Nadu, India1 Department of Environmental Health Engineering, Faculty of Public Health, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaFogarty International Center, National Institutes of Health, Bethesda, Maryland, USA6 Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USADepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA1Anesthesiology institute, Cleveland clinic abu dhabi, Abu Dhabi, United Arab EmiratesDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USANell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USADepartment of Environmental Health, Emory University, Atlanta, Georgia, USACentro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, GuatemalaFogarty International Center, National Institutes of Health, Bethesda, Maryland, USADepartment of Public Health and Policy, University of Liverpool, Liverpool, UKDepartment of Environmental & Radiological Health Sciences, Colorado School of Public Health, Aurora, Colorado, USA4 Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USADepartment of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, CanadaDepartment of Women and Children’s Health, King`s College London, School of Life Course Sciences, Faculty of Life Sciences and Medicine, London, UKDivision of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USADepartment of Family Medicine, College of Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaGangarosa Department of Environmental Health, Rollins School of Public Health, Atlanta, Georgia, USA1 Department of Environmental Health Engineering, Faculty of Public Health, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USAICMR Center for Advanced Research on Air Quality, Climate and Health, Department of Environmental Health Engineering, Faculty of Public Health, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, IndiaDepartment of Biostatistics and Bioinformatics, Emory University Rollins School of Public Health, Atlanta, Georgia, USAIntroduction Increasing use of cleaner fuels, such as liquefied petroleum gas (LPG), and abandonment of solid fuels is key to reducing household air pollution and realising potential health improvements in low-income countries. However, achieving exclusive LPG use in households unaccustomed to this type of fuel, used in combination with a new stove technology, requires substantial behaviour change. We conducted theory-grounded formative research to identify contextual factors influencing cooking fuel choice to guide the development of behavioural strategies for the Household Air Pollution Intervention Network (HAPIN) trial. The HAPIN trial will assess the impact of exclusive LPG use on air pollution exposure and health of pregnant women, older adult women, and infants under 1 year of age in Guatemala, India, Peru, and Rwanda.Methods Using the Capability, Opportunity, Motivation–Behaviour (COM–B) framework and Behaviour Change Wheel (BCW) to guide formative research, we conducted in-depth interviews, focus group discussions, observations, key informant interviews and pilot studies to identify key influencers of cooking behaviours in the four countries. We used these findings to develop behavioural strategies likely to achieve exclusive LPG use in the HAPIN trial.Results We identified nine potential influencers of exclusive LPG use, including perceived disadvantages of solid fuels, family preferences, cookware, traditional foods, non-food-related cooking, heating needs, LPG awareness, safety and cost and availability of fuel. Mapping formative findings onto the theoretical frameworks, behavioural strategies for achieving exclusive LPG use in each research site included free fuel deliveries, locally acceptable stoves and equipment, hands-on training and printed materials and videos emphasising relevant messages. In the HAPIN trial, we will monitor and reinforce exclusive LPG use through temperature data loggers, LPG fuel delivery tracking, in-home observations and behavioural reinforcement visits.Conclusion Our formative research and behavioural strategies can inform the development, implementation, monitoring and evaluation of theory-informed strategies to promote exclusive LPG use in future stove programmes and research studies.Trial registration number NCT02944682, Pre-results.https://bmjopen.bmj.com/content/10/9/e037761.full |
| spellingShingle | J Jaime Miranda William Checkley Kyle Steenland Vanessa Burrowes Kirk R Smith Aris Papageorghiou Abigail Jones Ghislaine Rosa Anaité Díaz-Artiga Gurusamy Thangavel Kalpana Balakrishnan Joshua P Rosenthal Thomas F Clasen Steven A Harvey Amit Verma Kendra N. Williams Lisa M. Thompson Zoe Sakas Mayari Hengstermann Ashlinn Quinn Elisa Puzzolo Jennifer Peel Vigneswari Aravindalochanan Dana Boyd Barr Alejandra Bussalleu Devan Campbell Eduardo Canuz Adly Castañaza Howard Chang Yunyun Chen Marilú Chiang Maggie L Clark Rachel Craik Mary Crocker Victor Davila-Roman Lisa de las Fuentes Oscar De León Ephrem Dusabimana Lisa Elon Juan Gabriel Espinoza Irma Sayury Pineda Fuentes Sarada Garg Dina Goodman Savannah Gupton Meghan Hardison Stella Hartinger Phabiola M Herrera Shakir Hossen Penelope Howards Lindsay Jaacks Shirin Jabbarzadeh Michael A Johnson Katherine Kearns Miles Kirby Jacob Kremer Margaret A Laws Pattie Lenzen Jiawen Liao Amy E Lovvorn Fiona Majorin Eric McCollum John McCracken Julia N McPeek Rachel Meyers Erick Mollinedo Lawrence Moulton Krishnendu Mukhopadhyay Luke Naeher Abidan Nambajimana Durairaj Natesan Florien Ndagijimana Azhar Nizam Jean de Dieu Ntivuguruzwa Ricardo Piedrahita Ajay Pillarisetti Naveen Puttaswamy Sarah Rajkumar Usha Ramakrishnan Rengaraj Ramasami Davis Reardon Barry Ryan Sudhakar Saidam Sankar Sambandam Jeremy A Sarnat Suzanne Simkovich Sheela S Sinharoy Damien Swearing Ashley Toenjes Lindsay Underhill Jean Damascene Uwizeyimana Viviane Valdes Kayla Valentine Lance Waller Megan Warnock Wenlu Ye Bonnie Young Designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the Household Air Pollution Intervention Network (HAPIN) trial BMJ Open |
| title | Designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the Household Air Pollution Intervention Network (HAPIN) trial |
| title_full | Designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the Household Air Pollution Intervention Network (HAPIN) trial |
| title_fullStr | Designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the Household Air Pollution Intervention Network (HAPIN) trial |
| title_full_unstemmed | Designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the Household Air Pollution Intervention Network (HAPIN) trial |
| title_short | Designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the Household Air Pollution Intervention Network (HAPIN) trial |
| title_sort | designing a comprehensive behaviour change intervention to promote and monitor exclusive use of liquefied petroleum gas stoves for the household air pollution intervention network hapin trial |
| url | https://bmjopen.bmj.com/content/10/9/e037761.full |
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designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT naveenputtaswamy designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT sarahrajkumar designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT usharamakrishnan designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT rengarajramasami designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT davisreardon designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT barryryan designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT sudhakarsaidam designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT sankarsambandam designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT jeremyasarnat designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT suzannesimkovich designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT sheelassinharoy designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT damienswearing designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT ashleytoenjes designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT lindsayunderhill designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT jeandamasceneuwizeyimana designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT vivianevaldes designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT kaylavalentine designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT lancewaller designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT meganwarnock designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT wenluye designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial AT bonnieyoung designingacomprehensivebehaviourchangeinterventiontopromoteandmonitorexclusiveuseofliquefiedpetroleumgasstovesforthehouseholdairpollutioninterventionnetworkhapintrial |