Community Mobilization for High Blood Pressure
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if community support and education can help families in Nigeria adopt cleaner cooking fuels and reduce high blood pressure (hypertension). Participants will either receive information about clean stove use or engage in community-driven activities (community mobilization) to promote cleaner fuel adoption. The goal is to identify which approach better encourages long-term use of cleaner cooking methods. Women who cook at home using fuels like kerosene or charcoal, without the assistance of a paid housemaid, and who make key household decisions, may be suitable for this trial. As an unphased trial, this study offers participants the opportunity to contribute to important research that could enhance community health practices.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this community mobilization strategy is safe for high blood pressure management?
Research has shown that involving the community is a safe and effective way to improve health, particularly in managing high blood pressure. Studies have found that community-based strategies are generally well-received and lead to better health outcomes. For instance, one study found that a local program led to a small but significant reduction in both systolic and diastolic blood pressure readings. Encouraging healthy habits through community efforts can be beneficial without causing harm. There are no reports of serious side effects from these types of programs, making community involvement a promising and safe option for those considering participation in a trial aimed at lowering high blood pressure through community efforts.12345
Why are researchers excited about this trial?
Researchers are excited about the Community Mobilization approach for high blood pressure because it represents a shift from traditional medication-based treatments to a community-driven lifestyle intervention. Unlike standard treatments that often rely on drugs like ACE inhibitors or beta-blockers, this method focuses on educating and empowering communities to reduce household air pollution through the use of bioethanol and LPG stoves. This approach not only aims to lower blood pressure but also addresses environmental factors contributing to health issues, potentially offering a dual benefit of improved cardiovascular health and cleaner air in urban and rural settings.
What evidence suggests that community mobilization is effective for high blood pressure?
Research has shown that community involvement can help lower blood pressure. In this trial, participants in the CM Intervention Group will engage in community mobilization efforts, which previous studies have demonstrated can improve blood pressure in areas where people participate in health-related activities. One study found that community efforts helped more people control their blood pressure compared to those who only received information. This approach also led to a drop in both the top and bottom numbers of blood pressure readings. These findings suggest that community-led efforts can effectively manage high blood pressure. Meanwhile, the Self-Directed Group will receive information on CFCS use and education on HAP but will not participate in the CM intervention.56789
Who Is on the Research Team?
Christopher O Olopade
Principal Investigator
University of Chicago
Olugbenga Ogedegbe, MD
Principal Investigator
NYU Langone Health
Are You a Good Fit for This Trial?
This trial is for families in peri-urban Nigerian communities who primarily use kerosene, charcoal, or firewood for cooking. The primary cook must be a female without a paid housemaid, and the household should have 2 to 7 members. The key decision-maker at home must agree to participate and not plan to move within the next year.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Pre-implementation
Exploration and preparation to identify barriers and facilitators of Clean Fuel-Clean Stove use and develop a culturally-tailored community mobilization strategy
Implementation
Cluster RCT comparing community mobilization vs. self-directed condition on adoption of Clean Fuel-Clean Stove use and systolic blood pressure reduction
Post-implementation
Evaluation of the sustainability of the community mobilization strategy vs. self-directed condition on Clean Fuel-Clean Stove use
Follow-up
Participants are monitored for sustainability of Clean Fuel-Clean Stove use and health outcomes
What Are the Treatments Tested in This Trial?
Interventions
- Community Mobilization
Find a Clinic Near You
Who Is Running the Clinical Trial?
NYU Langone Health
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator