About this trial
The goal of this study is to learn how to help families in Cambodia switch to using electric induction stoves instead of traditional stoves that burn wood or charcoal. The study will also look at whether this switch is safe, affordable, and sustainable over time.
The main questions researchers want to answer are:
* What strategies work best to encourage families to use induction stoves regularly and stop using traditional cooking methods? * Does switching to induction cooking reduce household air pollution for primary cooks? * What are the costs and benefits of these strategies?
To answer these questions, researchers will compare different strategies across 65 peri-urban villages in Cambodia. They will use data loggers to track when families use induction stoves or traditional stoves, and measure air pollution levels in the home before and after families receive induction stoves.
Participants will:
* Receive an electric induction stove and support based on their group's strategy * Have their stove use tracked through special devices * Take part in air pollution measurements in their homes * Share information about their cooking habits and experiences
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Provide consent to participate in our study, with at least one adult household member who identifies as the primary cook consenting to serve as the study participant
Resides in village selected for implementation
Household has electricity access
Household does not already use electricity-based induction cooking technology
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Electric Induction Cookstoves
Other interventionThe intervention consists of high-quality, locally available electric induction cookstoves with two burners, each equipped with cloud-connected data loggers, and includes compatible cookware.
Treatment groups
Trial outcomes
Primary outcomes
Induction cookstove purchase: Proportion of households that purchase an induction stove
Purchase will be defined as the acquisition of an induction stove during the trial period, as reported in household surveys and verified through study-linked sales records matched to household study IDs. The outcome will be calculated as the number of participating households with a confirmed induction stove acquired divided by the total number of households in each village. Results will be reported overall and stratified by household poverty status, verified by the Cambodian Government (IDPoor status).
Disuse of biomass fuels: Proportion of meals cooked without biomass fuels
Disuse will be defined as the reduction in biomass fuel use for cooking, measured as the proportion of meals cooked without biomass fuels (e.g., firewood and charcoal) during a defined recent reference period, as reported in household surveys. Results will be reported overall and stratified by household poverty status.
Secondary outcomes
Induction stove use: Daily electricity consumption of cooking events
Daily electricity consumption (kWh) associated with induction cookstove use, measured using built-in, cloud-connected data loggers that record energy use during cooking events among households that purchase an induction cookstove and consent to monitoring. Results will be summarized at the household and village level and stratified by household poverty status.
Induction cookstove use: Number of daily cooking events
Number of daily cooking events measured using built-in, cloud-connected data loggers installed on induction cookstoves. Cooking events will be derived from time-stamped stove activity among households that purchase an induction cookstove and consent to monitoring. Results will be summarized at the household and village level and stratified by household poverty status.
Induction cookstove use: Duration of daily cooking
Total duration of induction cookstove use per day, measured using built-in, cloud-connected data loggers based on time-stamped stove activity among households that purchase an induction cookstove and consent to monitoring. Results will be summarized at the household and village level and stratified by household poverty status.
Clean stove stacking patterns: Proportion of monitored days with no biomass stove use
Stove stacking will be defined as the concurrent use of multiple cooking technologies within a household, including biomass (e.g., firewood and charcoal), liquefied petroleum gas (LPG), and induction stoves. Stove use will be measured using thermocouple-based temperature loggers (Geocene Dots) installed on non-induction stoves. These devices record stove temperatures continuously and transmit data via Bluetooth to mobile devices, which sync to a central server. The outcome will be calculated as the proportion of monitored days with no biomass stove use and summarized at the household and village level, with results stratified by household poverty status.
Other outcomes
Reach: Number and proportion of households reached by implementation strategies
Reach will be defined as the extent to which households are exposed to implementation strategies. This will be measured as the proportion and characteristics of participating households reporting exposure to at least one implementation strategy, complemented by the number of individuals reached in each village based on program records of participation or contact by activity type. Results will be summarized across households and villages and stratified by household poverty status
Organizational adoption of implementation strategies
Organizational adoption will be defined as the uptake and delivery of assigned implementation strategies by implementing organizations and delivery actors, including initiation and extent of delivery across planned components. Data will be collected through a combination of program implementation records documenting organizational participation and strategy delivery, and key informant interviews with representatives from each organization. Qualitative and quantitative data will be analyzed together to generate a comprehensive view of organizational adoption.
Implementation fidelity (including adaptations)
Implementation fidelity will be defined as the extent to which core components and intended sequencing of implementation strategies are delivered as planned, including systematic documentation of adaptations (type, timing, and rationale), distinguishing planned adaptations from reactive modifications. Data will be collected through a combination of structured implementer surveys, routine process evaluation tools, and key informant interviews with delivery actors. Qualitative and quantitative data will be analyzed together to generate a comprehensive view of implementation fidelity.
Implementation dose (quantity and quality of delivery)
Implementation dose will be defined as the quantity and quality of delivery of implementation strategies, including frequency, number, and duration of contacts (dose quantity), as well as the scope of content delivered and level of engagement (dose quality). Data will be collected through a combination of structured implementer surveys, routine process evaluation tools, and key informant interviews with delivery actors. Qualitative and quantitative data will be analyzed together to generate a comprehensive view of the implementation dose.
Sponsors and contacts
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Emory University
Lead sponsor
National Institute of Environmental Health Sciences (NIEHS)
Collaborator