NCT04454944

Brief Summary

The aim of the Adoption study is to determine how best to encourage people to adopt clean cookstoves in order to diminish the global health risk of household air pollution. The study harnesses an existing cohort in Ghana to study factors that increase the adoption of clean cookstoves, and to test strategies to promote adoption and continued use. Limited past research has shown that the demand for clean cookstoves is low, and that households continue to use traditional hearths even when they have clean cookstoves. This behavior threatens to undermine clean cookstove intervention programs, such as those promoted by the Global Alliance for Clean Cookstoves. The proposed study aims to ascertain the demand curve for liquified petroleum gas (LPG) in the Kintampo North Municipality and South district.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
890

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2021

Shorter than P25 for not_applicable

Geographic Reach
2 countries

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 29, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 2, 2020

Completed
8 months until next milestone

Study Start

First participant enrolled

February 15, 2021

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 11, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 11, 2021

Completed
Last Updated

February 28, 2024

Status Verified

February 1, 2024

Enrollment Period

9 months

First QC Date

June 29, 2020

Last Update Submit

February 26, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Demand for LPG

    The primary outcome will be measured by the number of LPG cylinder purchases and/or refills by the study participant.

    6 months

Study Arms (4)

Control

NO INTERVENTION

All individuals in each arm will have a well-functioning LPG cookstove and gas cylinder. Participants in the control arm will receive no other intervention.

No subsidy, distance variation

EXPERIMENTAL

All individuals in each arm will have a well-functioning LPG cookstove and gas cylinder. This intervention arm will receive an assigned depot where they have to make liquefied petroleum gas (LPG) purchases.

Behavioral: Distance allocation

Subsidy, no distance variation

EXPERIMENTAL

All individuals in each arm will have a well-functioning LPG cookstove and gas cylinder. This intervention arm receives a price subsidy on liquefied petroleum gas (LPG) purchases.

Behavioral: LPG subsidy

Subsidy, distance variation

EXPERIMENTAL

All individuals in each arm will have a well-functioning LPG cookstove and gas cylinder. This intervention arm receives a price subsidy on liquefied petroleum gas) (LPG) purchases an assigned depot where they have to make liquefied petroleum gas (LPG) purchases.

Behavioral: LPG subsidyBehavioral: Distance allocation

Interventions

LPG subsidyBEHAVIORAL

Different subsidy rates, ranging between 0% and 100% (listed below) will be written on cards. Individuals will randomly select a card to display the subsidy rate for each household. The card will be concealed with a scratch-off sticker, with a higher likelihood of drawing a high price (low subsidy) than a low price (high subsidy) given that take up will be higher in the latter group.

Subsidy, distance variationSubsidy, no distance variation

We will set up fuel supply depots to increase the convenience and lower costs and hassle associated with traveling to an established filling station. The supply depots will mirror a recirculation model of LPG distribution currently being piloted by the National Petroleum Authority of Ghana. Households will be randomly assigned to one of the supply depots in advance or to continue refilling their cylinder at the filling station.

No subsidy, distance variationSubsidy, distance variation

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Female
  • years of age or older
  • Primary cook of the household
  • Part of the Ghana Randomized Air Pollution and Health Study (GRAPHS) sample or reside in a sample village
  • Owns an LPG stove and cylinder (provided by the project in the case of newly recruited households)

You may not qualify if:

  • \- Temporarily residing in study area.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Columbia University Medical Center

New York, New York, 10032, United States

Location

Kintampo Medical Research Center

Kintampo, Ghana

Location

MeSH Terms

Conditions

Consumer Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

  • Darby Jack, PhD

    Columbia University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
Prices and locations were public information.
Purpose
OTHER
Intervention Model
FACTORIAL
Model Details: Participants were randomized to 5 price levels and to 5 LPG cylinder exchange depots, for a total of 25 possible location/price combinations. Additionally, participants were enrolled into 4 arms (see arms description).
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor of Environmental Health Sciences

Study Record Dates

First Submitted

June 29, 2020

First Posted

July 2, 2020

Study Start

February 15, 2021

Primary Completion

November 11, 2021

Study Completion

November 11, 2021

Last Updated

February 28, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will share

De-identified participant data will be shared between the study teams at the Kintampo Health Research Center, Columbia University and University of California, Santa Barbara. This data will not include medical or clinical information. We plan to create a public use de-identified dataset that will be made available via the Ghana Open Data Initiative or a similar repository.

Shared Documents
STUDY PROTOCOL, SAP, ICF

Locations