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Intervensjonsprogram for blyeksponering (LEIP)

26. september 2026 oppdatert av: Sarah Benki-Nugent, University of Washington

Program for intervensjon mot blyeksponering

The goal of this clinical trial is to learn if BLL (blood lead level) screening and "healthy home" lead prevention program created in the US is adaptable to a Sub-Saharan African context. It will also work to address child lead exposure in Nairobi, Kenya. The main questions it aims to answer is:

  • Can materials and protocols developed for a US audience be effective in a Sub-Saharan African one?
  • Is there a difference in learning and action between groups that receive different degrees of intervention?

Researchers will compare the outcomes of a group that received lead risk reduction information only in the clinical setting to a group that also received a home visit and tailored risk reduction messages.

Participants will:

  • Have their child's blood lead levels measured at several timepoints
  • Take part in a questionnaire about lead risk
  • Receive lead risk reduction messaging either only in the clinic setting or also in their homes
  • Have their knowledge and risk reduction behaviors measured

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Antatt)

500

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

  • Navn: Karen Jansen
  • Telefonnummer: 206-685-6392
  • E-post: kjansen@uw.edu

Studiesteder

  • Kenya
      • Nairobi, Kenya
        • Dandora and Baba Ndogo Health Centres

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

1 år til 6 år (Barn)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Child age 12-72 months
  • Parent or primary caregiver that is a biological relative is available to give informed consent for LEIP study
  • Parent/caregiver is 18 years of age or older or is an emancipated minor
  • Parent available for 9 months follow-up

Exclusion Criteria:

-Parent unwilling to be contacted for the purposes of tracing and follow-up

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Helsetjenesteforskning
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Aktiv komparator: Immediate messages

Caregivers of children with elevated blood lead levels will be provided with immediate messages about lead risk mitigation in the clinic setting. They will receive follow-up at 3 months and 9 months and will complete recall, behavior, and recheck questionnaires and their children will have BLL rechecks.
Atferdsmessig: In-clinic lead risk reduction intervention

For children with BLL < 5 ug/dL, the result will be provided to the caregiver, together with standard post-test messaging on reducing lead exposure. A job-aid, such as a poster, showing common sources of lead exposure in children, and important sources of iron rich foods will be used to guide messaging. For BLLs ≥ 5, tailored messaging on potential sources identified on the risk factor survey will be provided.

A random sample of caregivers will complete an in-depth interview to gather barriers, understandability, and acceptability of the lead risk reduction messages received.
Eksperimentell: Home visit

Caregivers of children with elevated blood lead levels will be provided with immediate messages about lead risk mitigation in the clinic setting. They will also receive a home observation visit and have those risk reduction methods reiterated and tailored to their home situation. They will receive follow-up at 3 months and 9 months and will complete recall, behavior, and recheck questionnaires and their children will have BLL rechecks.
Atferdsmessig: In-clinic lead risk reduction intervention

For children with BLL < 5 ug/dL, the result will be provided to the caregiver, together with standard post-test messaging on reducing lead exposure. A job-aid, such as a poster, showing common sources of lead exposure in children, and important sources of iron rich foods will be used to guide messaging. For BLLs ≥ 5, tailored messaging on potential sources identified on the risk factor survey will be provided.

A random sample of caregivers will complete an in-depth interview to gather barriers, understandability, and acceptability of the lead risk reduction messages received.

Atferdsmessig: Home visit with tailored messages

The home visit will be conducted within 2 weeks of initial screening. During the home visit, the lead exposure risk survey will be re-administered, for comparison to in-clinic self-report survey responses. In addition, an observational checklist of potential lead exposure risk factors will be conducted to identify and discuss residential features and items in the home environment that may be influencing their BLL. Tailored messages on lead exposure risk reduction will be provided.

A random sample of caregivers will complete an in-depth interview to gather barriers, understandability, and acceptability of the lead risk reduction messages received.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Recall of survey risk factors
Tidsramme: 3 and 9 months post clinic visit

Lead risk surveys will be completed by participants during the clinic visit and at 3 and 9 months post home visit. Qualitative analysis of the lead risk survey will summarize themes on understandability and acceptability of survey items and messages. The rapid analysis will also explore facilitators and barriers to uptake of recommended exposure reduction measures, and individual level determinants associated with uptake (e.g., empowerment, self-efficacy).
3 and 9 months post clinic visit
Self report of risk-reduction behavior
Tidsramme: 3 and 9 months post clinic visit

Assess the proportion of caregivers self-reporting uptake of at least one of their risk reduction recommendations within arms and by BLL.
3 and 9 months post clinic visit

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Differences in outcomes between arms
Tidsramme: 3 and 9 months post clinic visit

Using risk survey responses and self-reported changes in risk reduction behavior, we will compare the participants of both arms to assess for differences.
3 and 9 months post clinic visit

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Uptake of the BLL re-check
Tidsramme: 3 and 9 months post-initial visit

Return for a re-check visit is an indicator of caregiver awareness of importance of reducing lead exposure. We will summarize the proportions of caregivers returning for each BLL re-check visit for each arm.
3 and 9 months post-initial visit
Change in BLL
Tidsramme: 3 and 9 months post-initial clinic visit

Change in BLL at re-checks. We do not anticipate observing a significant reduction in child BLL, given that caregivers might not have the ability to identify and/or modify a lead risk exposure.
3 and 9 months post-initial clinic visit

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

University of Washington

Samarbeidspartnere

National Institutes of Health (NIH)
National Institute of Environmental Health Sciences (NIEHS)

Etterforskere

  • Hovedetterforsker: Sarah Benki-Nugent, University of Washington

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. januar 2027

Primær fullføring (Antatt)

1. april 2029

Studiet fullført (Antatt)

1. april 2030

Datoer for studieregistrering

Først innsendt

3. februar 2026

Først innsendt som oppfylte QC-kriteriene

3. februar 2026

Først lagt ut (Faktiske)

10. februar 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

30. september 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

26. september 2026

Sist bekreftet

1. september 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • STUDY00022114
  • 1R01ES036010 (U.S. NIH-stipend/kontrakt)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

All data other than patient direct or indirect identifiers will be shared.

Tilgangskriterier for IPD-deling

Other researchers can contact the MPIs and complete an approved Data Sharing Agreement

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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