Asthma in ChildrenAIMNCT04464720
AIM to Improve Asthma: Airflow Improvements During Meal-Prep
A study testing Cooking Ventilation Intervention in people with Asthma in Children and Pollution; Exposure, run by University of California, Berkeley at 1 site in United States.
Trial summary
The investigators propose a pilot trial of kitchen ventilation in the homes of children using a youth engaged research strategy. Read more about this study
- Who is it for?
- Ages 6 to 12 years
- Conditions the study is for
- Asthma in Children, Pollution; Exposure
- What is being tested?
- Cooking Ventilation Intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 19 participants
- Where
- 1 siteUnited States
- Study dates
- 24 May 2021to 30 Dec 2022
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 6 to 12 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Household has a gas stove
- Household has a range hood that vents to the outdoors
- Household in Richmond or San Pablo
Who cannot join
- Child has other significant medical illnesses (e.g. prematurity, diabetes)
- living with a smoker who smokes indoors
- family knows they will not have stable housing for the period of the study
- Parent is not fluent in English.
Trial locations and contacts
1 site in 1 country.
United States1 site
University of California Berkeley
Berkeley, California, 94720
About this study
The investigators propose a pilot trial of kitchen ventilation in the homes of children using a youth engaged research strategy.
Read the detailed description
In this trial of children ages 6-12, children and their households will receive an intensive home kitchen ventilation intervention after one week of baseline data collection. The intervention includes education regarding improving ventilation in their homes during cooking and replacement of their range hood if it has inadequate flow or an intolerable noise level. During baseline data collection periods the households will be encouraged to continue their regular cooking patterns. The investigators will measure home particulate matter <2.5 microns (PM2.5) and nitrogen dioxide (NO2) levels for one week at baseline, and a final week after all remaining families receive the cooking ventilation intervention, to assess for changes within each household. The investigators will also examine changes in airways inflammation (as measured by the exhaled fraction of nitric oxide, FeNO), lung function (as measured by spirometry), and reported symptoms after the baseline and intervention period. Members of the research team have successfully conducted youth participatory action research in the low-income, high asthma prevalence community of Richmond, California (CA) as well as extensive youth participatory action research on other environmental health concerns in the low income city of Salinas, CA; using a similar model, the investigators aim to teach research methods to a new group of Richmond youth.
- Conditions
- Asthma in Children, Pollution; Exposure
- Being tested
- Cooking Ventilation Intervention
- Keywords
- asthma, pediatric, indoor air pollution, particulate matter, nitrogen dioxide, cooking, ventilation
- Medical subject headings
- Asthma, Respiratory Aspiration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cooking Ventilation InterventionBehavioural
An educational video presentation for the families regarding the importance of ventilation use during and after cooking, and strategies for improving the ventilation during cooking, has been created by Dr. Holm, with input from Youth Research Assistants (YRAs) The youth involvement will help to ensure that the information is presented in a way that will resonate with the local community and will also provide the youth with exposure to developing health education tools. The educational video will be shown to families at the time of the intervention visit and they will receive printed reminder materials of what they have learned.
| Study group | Role | What they receive |
|---|---|---|
| Intervention after One Week | Other | This arm will have baseline data on air pollutant levels, stove use and range hood use collected for one week prior to receiving an educational intervention aimed at increasing use of the range hood. Data following the intervention will be collected for an additional week. Receives: Behavioral: Cooking Ventilation Intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Continuously-Measured Home PM2.5 (Fine Particulate Matter) Levels Prior to Intervention
Home PM2.5 levels were measured in real-time with eLichens sensors.
Measured: 1-2 weeks
Continuously-Measured Home PM2.5 (Fine Particulate Matter) Levels Following Intervention
Home PM2.5 levels were measured in real-time using the eLichens sensors
Measured: 1-2 weeks
Continuously-Measured Home NO2 (Nitrogen Dioxide) Levels Prior to Intervention
Home NO2 levels were measured in real-time using eLichens sensors
Measured: 1-2 weeks
Continuously-Measured Home NO2 (Nitrogen Dioxide) Level Following Intervention
Home NO2 levels were measured with eLichens sensors
Measured: 1-2 weeks
Secondary outcomes (8)
Spirometry- Forced Vital Capacity (FVC)
Spirometry is a non-invasive measure of lung function. Spirometry will be performed using an Easy One Air Spirometer; staff will be trained thoroughly in administration of the test. Forced Vital Capacity measures the total volume of air that a person can breathe out forcefully from a full breath, blowing all of it out.
Z-Scores were created using global lung initiative normative data. A Z-score of 0 represents the population mean for a participant of that age, sex and height. A decrease in Z scores suggests worsened lung function over time.
Measured: measured at the end of the pre-intervention interval
Spirometry- Forced Expiratory Volume in One Second (FEV1)
Spirometry is a non-invasive measure of lung function. Spirometry will be performed using an Easy One Air Spirometer; staff will be trained thoroughly in administration of the test. Forced expiratory volume in one second measures the volume of air that a person breathes out forcefully in the first second of blowing out a full breath.
Z-Scores were created using global lung initiative normative data. A Z-score of 0 represents the population mean for a participant of that age, sex and height. A decrease in Z scores suggests worsened lung function over time.
Measured: measured at the end of the pre-intervention interval
Spirometry-Forced Vital Capacity (FVC)
Spirometry is a non-invasive measure of lung function. Spirometry was be performed using an Easy One Air Spirometer. Forced Vital Capacity measures the total volume of air that a person can breathe out forcefully from a full breath, blowing all of it out.
Z-Scores were created using global lung initiative normative data. A Z-score of 0 represents the population mean for a participant of that age, sex and height. A decrease in Z scores suggests worsened lung function over time.
Measured: measured at the end of the post-intervention interval
Spirometry- Forced Expiratory Volume in One Second (FEV1)
Spirometry is a non-invasive measure of lung function. Spirometry was performed using an Easy One Air Spirometer. Forced expiratory volume in one second measures the volume of air that a person breathes out forcefully in the first second of blowing out a full breath.
Z-Scores were created using global lung initiative normative data. A Z-score of 0 represents the population mean for a participant of that age, sex and height. A decrease in Z scores suggests worsened lung function over time.
Measured: measured at the end of the post-intervention interval
Fractional Exhaled Nitric Oxide (FeNO)
FeNO s a non-invasive measure of airways inflammation. FeNO was performed using a NIOX Vero device.
Measured: measured at the end of the pre-intervention interval
Fractional Exhaled Nitric Oxide (FeNO)
FeNO is a non-invasive measure of airways inflammation. FeNO will be performed using a NIOX Vero device.
Measured: measured at the end of the post-intervention interval
Asthma Control
Asthma control was assessed using the widely-accepted, validated Childhood Asthma Control Test (cACT) for children with asthma.
The cACT scale ranges from 0 to 27. Values up to 15 represent very poorly controlled asthma, 16-20 represents poorly controlled asthma and 21 or greater is considered well-controlled asthma.
Measured: measured at the end of the pre-intervention interval
Asthma Control
Asthma control was assessed using the widely-accepted, validated Childhood Asthma Control Test (cACT) for children with asthma.
The cACT scale ranges from 0 to 27. Values up to 15 represent very poorly controlled asthma, 16-20 represents poorly controlled asthma and 21 or greater is considered well-controlled asthma.
Measured: measured at the end of the post-intervention interval
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jul 2020
- Study start24 May 2021
- Primary completion30 Aug 2022
- Study completion30 Dec 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Asthma in ChildrenStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- This is a trial with a single group, where they receive the intervention following one week of baseline data collection.
- Masking
- None (open label)
- Enrolment
- 19 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of California, Berkeley
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute of Environmental Health Sciences (NIEHS)
- Responsible party
- Sponsor
- Investigators
- John R Balmes, MD, Principal investigator, University of California, Berkeley
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04464720
- Sponsor's protocol ID
- 2018-01-10615
- Other IDs
- R21ES030173
- Acronym
- AIM
- Status last verified
- Sep 2024
- First submitted
- 18 Dec 2019
- Last updated
- 17 Oct 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: There is no current plan to share data but the investigators would be willing to entertain requests from other researchers for sharing of de-identified data only. Subjects will be asked to give permission for release of photographs of them for future presentations and other outreach materials.
Publications
Holm SM, Singer BC, Kang Dufour MS, Delp W, Nolan JES, Bueno de Mesquita PJ, Ward B, Williamson Y, Le O, Russell ML, Harley KG, Balmes JR. Measured air quality impacts after teaching parents about cooking ventilation with a video: a pilot study. J Expo Sci Environ Epidemiol. 2025 Apr;35(2):223-232. doi: 10.1038/s41370-024-00730-6. Epub 2024 Nov 9.
PubMed 39521897
Study at a glance
From the registry record, last updated by the sponsor on 17 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- AIM to Improve Asthma: Airflow Improvements During Meal-Prep
- ClinicalTrials.gov ID
- NCT04464720
- Acronym / sponsor ID
- AIM / 2018-01-10615
- Conditions
- Asthma in Children, Pollution; Exposure
- Keywords
- asthma, pediatric, indoor air pollution, particulate matter, nitrogen dioxide, cooking, ventilation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 19 participants (actual)
- Lead sponsor
- University of California, BerkeleyUniversity, hospital or other
- Collaborators
- National Institute of Environmental Health Sciences (NIEHS)
- Study start
- 24 May 2021 (actual)
- Primary completion
- 30 Aug 2022 (actual)
- Study completion
- 30 Dec 2022 (actual)
- First posted
- 9 Jul 2020 (actual)
- Results
- Posted 17 Oct 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The investigators propose a pilot trial of kitchen ventilation in the homes of children using a youth engaged research strategy.
Detailed description
In this trial of children ages 6-12, children and their households will receive an intensive home kitchen ventilation intervention after one week of baseline data collection. The intervention includes education regarding improving ventilation in their homes during cooking and replacement of their range hood if it has inadequate flow or an intolerable noise level. During baseline data collection periods the households will be encouraged to continue their regular cooking patterns. The investigators will measure home particulate matter <2.5 microns (PM2.5) and nitrogen dioxide (NO2) levels for one week at baseline, and a final week after all remaining families receive the cooking ventilation intervention, to assess for changes within each household. The investigators will also examine changes in airways inflammation (as measured by the exhaled fraction of nitric oxide, FeNO), lung function (as measured by spirometry), and reported symptoms after the baseline and intervention period. Members of the research team have successfully conducted youth participatory action research in the low-income, high asthma prevalence community of Richmond, California (CA) as well as extensive youth participatory action research on other environmental health concerns in the low income city of Salinas, CA; using a similar model, the investigators aim to teach research methods to a new group of Richmond youth.
Study design
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- This is a trial with a single group, where they receive the intervention following one week of baseline data collection.
| Arm | Type | Receives |
|---|---|---|
| Intervention after One Week | Other | Behavioral: Cooking Ventilation InterventionThis arm will have baseline data on air pollutant levels, stove use and range hood use collected for one week prior to receiving an educational intervention aimed at increasing use of the range hood. Data following the intervention will be collected for an additional week. |
Who may qualify
- Ages
- 6 to 12 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (3 listed)
- Household has a gas stove
- Household has a range hood that vents to the outdoors
- Household in Richmond or San Pablo
Key exclusion criteria (4 listed)
- Child has other significant medical illnesses (e.g. prematurity, diabetes)
- living with a smoker who smokes indoors
- family knows they will not have stable housing for the period of the study
- Parent is not fluent in English.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cooking Ventilation InterventionAn educational video presentation for the families regarding the importance of ventilation use during and after cooking, and strategies for improving the ventilation during cooking, has been created by Dr. Holm, with input from Youth Research Assistants (YRAs) The youth involvement will help to ensure that the information is presented in a way that will resonate with the local community and will also provide the youth with exposure to developing health education tools. The educational video will be shown to families at the time of the intervention visit and they will receive printed reminder materials of what they have learned. | Behavioural | Intervention after One Week |
Primary outcome
Continuously-Measured Home PM2.5 (Fine Particulate Matter) Levels Prior to Intervention
Time frame: 1-2 weeks
Home PM2.5 levels were measured in real-time with eLichens sensors.
Continuously-Measured Home PM2.5 (Fine Particulate Matter) Levels Following Intervention
Time frame: 1-2 weeks
Home PM2.5 levels were measured in real-time using the eLichens sensors
Continuously-Measured Home NO2 (Nitrogen Dioxide) Levels Prior to Intervention
Time frame: 1-2 weeks
Home NO2 levels were measured in real-time using eLichens sensors
Continuously-Measured Home NO2 (Nitrogen Dioxide) Level Following Intervention
Time frame: 1-2 weeks
Home NO2 levels were measured with eLichens sensors
8 secondary outcomes
Spirometry- Forced Vital Capacity (FVC)
Time frame: measured at the end of the pre-intervention interval
Spirometry- Forced Expiratory Volume in One Second (FEV1)
Time frame: measured at the end of the pre-intervention interval
Spirometry-Forced Vital Capacity (FVC)
Time frame: measured at the end of the post-intervention interval
Spirometry- Forced Expiratory Volume in One Second (FEV1)
Time frame: measured at the end of the post-intervention interval
Fractional Exhaled Nitric Oxide (FeNO)
Time frame: measured at the end of the pre-intervention interval
Fractional Exhaled Nitric Oxide (FeNO)
Time frame: measured at the end of the post-intervention interval
Asthma Control
Time frame: measured at the end of the pre-intervention interval
Asthma Control
Time frame: measured at the end of the post-intervention interval
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Oct 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39521897Holm SM, Singer BC, Kang Dufour MS, Delp W, Nolan JES, Bueno de Mesquita PJ, Ward B, Williamson Y, Le O, Russell ML, Harley KG, Balmes JR. Measured air quality impacts after teaching parents about cooking ventilation with a video: a pilot study. J Expo Sci Environ Epidemiol. 2025 Apr;35(2):223-232. doi: 10.1038/s41370-024-00730-6. Epub 2024 Nov 9.
- Individual participant dataSharing planned: No. There is no current plan to share data but the investigators would be willing to entertain requests from other researchers for sharing of de-identified data only. Subjects will be asked to give permission for release of photographs of them for future presentations and other outreach materials.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
John R Balmes, MD principal investigator
University of California, Berkeley
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Cooking Ventilation Intervention in people with Asthma in Children and Pollution; Exposure, run by University of California, Berkeley at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 17 Oct 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Continuously-Measured Home PM2.5 (Fine Particulate Matter) Levels Prior to Intervention (time frame: 1-2 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04464720, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Oct 2024.