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Since air pollution contains harmful toxicants, it is important for potential exposure to indoor and outdoor air pollution to be considered as part of an overall health risk reduction strategy. This is a behavioral intervention to assess the effectiveness on an air quality education program in reducing exposure to air pollution and negative health effects. Trial participants will complete a pre-test and home air quality assessment tool. Then, they will participate in an educational module on air quality learn about suggestions to take to avoid exposure and complete a spot test. One month after the educational intervention, the participants will be contacted and asked qualitative questions to assess study effectiveness.
Potential exposure to indoor and outdoor air pollution must be considered as part of an overall health risk reduction strategy. Toxicants identified in outdoor air pollution, fine particulate matter (PM2.5), and photochemical ozone cause a systemic inflammatory response to the heart and lungs after exposure. Inside the home, health issues from exposure to carbon monoxide (CO), PM2.5, nitrogen dioxide (NO2) and volatile organic compounds (VOC) are intensified when the home is sealed with the windows and doors closed. This exploratory study seeks to promote health by teaching participants about strategies to reduce risks related to indoor and outdoor effects of air pollution.
Data collection will consist of an electronic demographic data collection form, home air quality assessment, pre-test and post-test around an educational program and follow-up interview one month after the educational program. Avoidance of air pollution as a health risk reduction method is identified in the literature, however, there is limited research addressing the influence of education on avoidance of environmental toxins as a health risk reduction strategy. Therefore this study will provide a foundation for developing broader educational and behavioral initiatives to improve health outcomes. Due to the COVID-19 pandemic, all aspects of this study will be completed either on-line via the Internet or by telephone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Education | Experimental | Air pollution educational module exposure. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Educational Program on Air Pollution as a Health Risk Reduction Strategy | Behavioral | A power point presentation about the health impact of exposure to fine particulate matter (PM2.5) on health. Pm2.5 is found outdoors and indoors. Information will be reviewed about steps to take for the participants to locate the information using a smart phone and steps to take to decrease exposure to prevent illness such as heart disease or strokes. |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of Understanding of Educational Intervention | Participants will be evaluated to determine if they understand the impact of air pollution on health, know how to interpret air quality index information, and how to reduce indoor air pollution. | At completion of intervention (one day) |
| Implementation of Learned Behaviors During Educational Intervention | Participants will be assessed for long term understanding of educational intervention and how they have altered their behavior. | One month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mary E Kloster, MSN, RN | Villanova University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Villanova University | Villanova | Pennsylvania | 19085 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21841106 | Background | Abelsohn A, Stieb DM. Health effects of outdoor air pollution: approach to counseling patients using the Air Quality Health Index. Can Fam Physician. 2011 Aug;57(8):881-7, e280-7. | |
| 15173049 | Background | Brook RD, Franklin B, Cascio W, Hong Y, Howard G, Lipsett M, Luepker R, Mittleman M, Samet J, Smith SC Jr, Tager I; Expert Panel on Population and Prevention Science of the American Heart Association. Air pollution and cardiovascular disease: a statement for healthcare professionals from the Expert Panel on Population and Prevention Science of the American Heart Association. Circulation. 2004 Jun 1;109(21):2655-71. doi: 10.1161/01.CIR.0000128587.30041.C8. |
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| 23938326 | Background | Cascio WE, Davis A, Stone SL. The Green Heart Initiative: using air quality information to reduce adverse health effects in patients with heart and vascular disease. J Cardiovasc Nurs. 2013 Sep-Oct;28(5):401-4. doi: 10.1097/JCN.0b013e318295d1ae. No abstract available. |
| 26022815 | Background | Chen R, Zhao A, Chen H, Zhao Z, Cai J, Wang C, Yang C, Li H, Xu X, Ha S, Li T, Kan H. Cardiopulmonary benefits of reducing indoor particles of outdoor origin: a randomized, double-blind crossover trial of air purifiers. J Am Coll Cardiol. 2015 Jun 2;65(21):2279-87. doi: 10.1016/j.jacc.2015.03.553. |
| 28657878 | Background | Di Q, Wang Y, Zanobetti A, Wang Y, Koutrakis P, Choirat C, Dominici F, Schwartz JD. Air Pollution and Mortality in the Medicare Population. N Engl J Med. 2017 Jun 29;376(26):2513-2522. doi: 10.1056/NEJMoa1702747. |
| 24929855 | Background | Farmer SA, Nelin TD, Falvo MJ, Wold LE. Ambient and household air pollution: complex triggers of disease. Am J Physiol Heart Circ Physiol. 2014 Aug 15;307(4):H467-76. doi: 10.1152/ajpheart.00235.2014. |
| 25694820 | Background | Laumbach R, Meng Q, Kipen H. What can individuals do to reduce personal health risks from air pollution? J Thorac Dis. 2015 Jan;7(1):96-107. doi: 10.3978/j.issn.2072-1439.2014.12.21. |
| 21864219 | Background | Ruckerl R, Schneider A, Breitner S, Cyrys J, Peters A. Health effects of particulate air pollution: A review of epidemiological evidence. Inhal Toxicol. 2011 Aug;23(10):555-92. doi: 10.3109/08958378.2011.593587. No abstract available. |
| 24892412 | Background | Seltenrich N. Take care in the kitchen: avoiding cooking-related pollutants. Environ Health Perspect. 2014 Jun;122(6):A154-9. doi: 10.1289/ehp.122-A154. No abstract available. |
| 27177127 | Background | Zhang Z, Laden F, Forman JP, Hart JE. Long-Term Exposure to Particulate Matter and Self-Reported Hypertension: A Prospective Analysis in the Nurses' Health Study. Environ Health Perspect. 2016 Sep;124(9):1414-20. doi: 10.1289/EHP163. Epub 2016 May 13. |
| ID | Term |
|---|---|
| D040242 | Risk Reduction Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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