About this trial
The goal of this randomized clinical trial is to test the efficacy of high efficiency particulate air (HEPA) cleaners in reducing respiratory viral exposure and infections in elementary school classrooms. Classrooms will be randomized to active vs. sham HEPA cleaners. The main questions it aims to answer are:
* Do classroom HEPA cleaners reduce exposure to viruses? * Do classroom HEPA cleaners reduce student and teacher infections? * Do classroom HEPA cleaners reduce infections in family members?
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Grades K-5 (age 6-12 years)
Attend one of the schools that the study team has permission to obtain classroom/school environmental samples
Have no plans to move schools within the upcoming 12 months
Subject and/or parent guardian must be able to understand and provide informed consent and also willing to participate in the study
Disqualifiers
Contraindication to or inability to participate in home self-collection of nasal swab samples
Severe chronic diseases (e.g. cancer, genetic or congenital disorders interfering with mobility)
Severe neurobehavioral, neurodevelopmental or psychiatric disorders requiring special assistance
Families who do not speak English or Spanish well enough to complete the survey questions, as validated versions in other languages are not available for all of the measures
Trial design
Parallel
Treatments tested in this trial
Active classroom HEPA cleaner
Other interventionCommercially available portable HEPA cleaner
Sham classroom HEPA cleaner
Other interventionCommercially available portable HEPA cleaner with filtration device removed
Treatment groups
Trial outcomes
Primary outcomes
Viral pathogen detected in upper respiratory sample
Presence/absence of a respiratory virus in upper respiratory sample
Secondary outcomes
Symptomatic respiratory infection (student, teacher)
Presence/absence of a cold based on 30 day recall
Symptomatic respiratory infection (household member)
Presence/absence of a cold based on 30 day recall
Viral detection in classroom bioaerosol sample
Viral detection in classroom bioaerosol sample (viral copy number per cubic meter of air)
Severity of a cold in child using the WURSS-K - Kids Daily Symptom Report
Severity of a cold (when present) in child will be graded using the Wisconsin Upper Respiratory Symptom Survey Kids Daily Symptom Report (WURSS-K). Range 0 - 42; higher indicates more severe.
Sponsors and contacts
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Massachusetts General Hospital
Lead sponsor
Boston Children's Hospital
Collaborator
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborator