About this trial
The primary goal of this study is to investigate the comparative long-term (i.e., 1-year) effectiveness of energy recovery ventilators (ERVs) and portable air cleaners (PACs) in reducing indoor air pollutants and mold levels and improving asthma-related health outcomes in inner-city children and adults with asthma in low-income households in the Dallas-Fort Worth (DFW) metropolitan area, TX. Secondary goals include: (1) examining associations among asthma outcomes, exposure to indoor air pollutants and mold, and housing-related factors, (2) conducting a cost-benefit analysis of ERV and PAC interventions for improving IAQ, mold control, and health outcomes, and (3) evaluating the utility of cost-effective methods and protocols for measuring IAQ and mold for indoor air pollution epidemiology studies and for providing practical information to patients and their physicians. Using a double-blind, placebo-controlled randomized controlled trial, 80 households will be assigned to receive active or placebo versions of ERVs or PACs. Environmental exposures and housing conditions will be monitored alongside comprehensive health assessments, including lung function tests and validated surveys on asthma control, quality of life, stress, and sleep quality.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Individuals with physician-diagnosed asthma, including both adults and children aged 5-17
Homeowners living in the DFW metropolitan area, TX
Disqualifiers
Participants living in homes with any smokers
Trial design
Parallel
Treatments tested in this trial
Energy Recovery Ventilator
DeviceA mechanical ventilation system that exchanges stale indoor air with fresh outdoor air while transferring heat and moisture between the incoming and outgoing air streams
Portable Air Cleaner
DeviceA standalone home device that filters indoor air to remove particulate matter, allergens, and other pollutants
Energy Recovery Ventilator (Sham)
DeviceA home-installed ERV unit that operates in recirculation mode only, providing no fresh air exchange or heat/moisture transfer, serving as a placebo for study purposes.
Portable Air Cleaner (Sham)
DeviceA portable air cleaner that appears to operate like an active unit but does not contain a HEPA filter and does not clean the air, serving as a placebo for study purposes
Treatment groups
Trial outcomes
Primary outcomes
Pulmonary Function (Spirometry)
Pulmonary function will be assessed using an EasyOne Air spirometer. The primary parameters measured include Forced Expiratory Volume in 1 second (FEV₁), Forced Vital Capacity (FVC), and the FEV₁/FVC ratio.
Asthma Control Test Score
Asthma Control Test (ACT) for adults and Childhood Asthma Control Test (C-ACT) for children every month throughout the 2-year study. ACT score range: 5-25; higher scores indicate better asthma control. C-ACT score range: 0-27; higher scores indicate better asthma control.
Secondary outcomes
Asthma-Related Quality Of Life (Adults)
36-Item Short Form Health Survey (SF-36) for adult participants. SF-36 score range: 0-100; higher scores indicate better health status.
Asthma-Related Quality Of Life (Children)
Pediatric Quality of Life Inventory (PedsQL) for child participants. PedsQL score range: 0-100; higher scores indicate better quality of life.
Stress Levels
Perceived Stress Scale (PSS) for adults and Perceived Stress Scale for Children (PSS-C) for children. PSS score range: 0-40; higher scores indicate worse perceived stress. PSS-C score range: 0-39; higher scores indicate worse perceived stress.
Sleep Quality
PROMIS Sleep Disturbance Survey for both adult and child participants. PROMIS Sleep Disturbance score range: 20-80 (mean = 50, SD = 10); higher scores indicate worse sleep disturbance.
Sponsors and contacts
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The University of Texas at Arlington
Lead sponsor
Rebuilding Together North Texas
Collaborator