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Milwaukee Day Cares Indoor Air Quality Assessment and Educational Response Study

19 april 2019 uppdaterad av: 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.

Studieöversikt

Status

Avslutad

Intervention / Behandling

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Faktisk)

30

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • Wisconsin
      • Milwaukee, Wisconsin, Förenta staterna, 53226
        • Medical College of Wisconsin

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Hälsovårdsforskning
  • Tilldelning: Randomiserad
  • Interventionsmodell: Sekventiell tilldelning
  • Maskning: Dubbel

Vapen och interventioner

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

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Alterations in total Volatile Organic Compounds (tVOC) temporally associated with the educational intervention
Tidsram: 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
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Assessment of Cleaning Practices (including VOC generation) practice changes associated with the Educational Intervention
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

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

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 april 2018

Primärt slutförande (Faktisk)

31 mars 2019

Avslutad studie (Faktisk)

19 april 2019

Studieregistreringsdatum

Först inskickad

10 juli 2018

Först inskickad som uppfyllde QC-kriterierna

14 september 2018

Första postat (Faktisk)

18 september 2018

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

22 april 2019

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

19 april 2019

Senast verifierad

1 april 2019

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • 5520466

Plan för individuella deltagardata (IPD)

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