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Milwaukee Day Cares Indoor Air Quality Assessment and Educational Response Study

19. april 2019 opdateret af: Joshua Steinberg, Medical College of Wisconsin
This CTSI pilot study will assess for benefit of a community health worker or nursing student taught green cleaning curriculum (developed by the local asthma coalition) provided to Milwaukee County day care staff. Consumer grade indoor air quality monitors will be deployed before and after the educational intervention to objectively monitor changes as a result of the intervention. Surveys regarding changes in cleaning practices by day care staff will also be obtained to assess changes resulting from the intervention.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

A research and community service partnership of the Medical College of Wisconsin, the Univ. of Wisconsin-Milwaukee School of Nursing and the non-profit asthma coalition Fight Asthma Milwaukee Allies (FAM) was developed to describe and improve health relevant air quality conditions within urban Milwaukee daycare environments. Daycare air quality and the ability of education to improve air quality, both within Milwaukee and elsewhere, has not been extensively studied nor addressed in Wisconsin state law to date.

This project aims to understand the levels of indoor organic pollution and fine particles in the air, as well as temperature and humidity with using inexpensive, consumer-grade, internet cloud enabled continuous indoor air quality (IAQ) monitors. These air quality variables are scientifically established important risk factors for both the development and exacerbation of asthma.

This project aims to train UWM Nursing students, FAM Allies volunteers and MCW staff to teach an established educational programing curriculum developed by FAM Allies to daycare staff. Daycare programs may be motivated to participate in study as the curriculum is approved continuing education credits for daycare staff members.

The FAM Allies curriculum will address understanding of the importance of asthma and IAQ with irritant reduction measures, and safer cleaning and pest-control techniques. Additionally, the program will review the importance of IAQ upon the lungs and review knowledge about asthma.

The proposal is a 4-month intervention in which the IAQ monitor will be placed in daycares to obtain baseline measurements. Half of the facilities will receive education at the second month allowing the team to assess before and after education air quality readings. The rest of the facilities will receive the same education at the third month. After 4 months, the devices will be removed from the facilities and results in aggregate will be shared with the daycare.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

30

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Wisconsin
      • Milwaukee, Wisconsin, Forenede Stater, 53226
        • Medical College of Wisconsin

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • licensed child day care staff within Milwaukee County
  • authorized consent to participate in study by day care organization

Exclusion Criteria:

  • medical or adult day care centers

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Randomiseret
  • Interventionel model: Sekventiel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Andet: Early Intervention
Educational curriculum will be delivered earlier in the timeframe after IAQ monitoring has initiated.
Andet: Educational Programming
Green Cleaning educational programming to day care staff.
Andet: Late Intervention
Educational curriculum will be delivered later in the timeframe after IAQ monitoring has initiated.
Andet: Educational Programming
Green Cleaning educational programming to day care staff.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Alterations in total Volatile Organic Compounds (tVOC) temporally associated with the educational intervention
Tidsramme: baseline through 4 months
Assessment of tVOC levels (ppb) before and after educational intervention, reduction an intended effect of the curriculum
baseline through 4 months
Alterations in particulate matter (PM2.5) temporally associated with the educational intervention
Tidsramme: baseline through 4 months
Assessment of particulate matter 2.5um levels (PM2.5, ug/m3) before and after educational intervention; reduction an intended effect of the curriculum
baseline through 4 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Assessment of Cleaning Practices (including VOC generation) practice changes associated with the Educational Intervention
Tidsramme: before educational curriculum, up to 4 months following educational intervention
Quantitative before/after surveys of Day Care cleaning behavior practices before the educational intervention and up to 4 months following, via survey inventories (practice frequencies assessed with 5 tiers survey, range: everyday to never); completed by a single designated Day Care administrator
before educational curriculum, up to 4 months following educational intervention
Assessment of Perceived Obstacles to Cleaning Behavior Change
Tidsramme: immediately following educational intervention
Survey-based assessment of beliefs about Obstacles to Cleaning Behavior Change (ranked survey with 8 domains, scale 1-8 of importance); all child care staff participating in educational intervention
immediately following educational intervention
Assessment of Percieved Quality of Educational Program
Tidsramme: immediately following educational intervention
Survey-based assessment of beliefs about Quality of Educational Program (survey with ranked scale poor/neutral/good, 5 domains), pre-specified subgroup analysis based upon teacher type (nursing student, Americorp worker, professional asthma educator)
immediately following educational intervention
Baseline Description of Day Care Indoor Air Quality tVOC
Tidsramme: period of time before educational intervention (1-2 months)
Assessment of tVOC (ppb) averages and range before educational interventions; observed values before curriculum to establish baseline values in community, to assess if elevated values are associated with specific cleaning behaviors discouraged in the educational curriculum
period of time before educational intervention (1-2 months)
Baseline Description of Day Care Indoor Air Quality PM2.5
Tidsramme: period of time before educational intervention (1-2 months)
Assessment of PM2.5 (ug/m3) averages and range before educational interventions; observed values before curriculum to establish baseline values in community, to assess if elevated values are associated with specific cleaning behaviors discouraged in the educational curriculum
period of time before educational intervention (1-2 months)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Medical College of Wisconsin

Samarbejdspartnere

University of Wisconsin, Milwaukee

Efterforskere

  • Ledende efterforsker: Anne Dressel, PhD, University of Wisconsin-Milwaukee School of Nursing
  • Ledende efterforsker: Joshua Steinberg, MD, Medical College of Wisconsin

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. april 2018

Primær færdiggørelse (Faktiske)

31. marts 2019

Studieafslutning (Faktiske)

19. april 2019

Datoer for studieregistrering

Først indsendt

10. juli 2018

Først indsendt, der opfyldte QC-kriterier

14. september 2018

Først opslået (Faktiske)

18. september 2018

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

22. april 2019

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

19. april 2019

Sidst verificeret

1. april 2019

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • 5520466

Plan for individuelle deltagerdata (IPD)

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