Disinfection By-products
Conditions
Keywords
Community-engaged, Appalachia
Brief summary
Appalachian Kentuckians in Martin and Letcher Counties are grappling with a health-threatening drinking water crisis arising from exposures to disinfection by-products (DBPs). DBPs include trihalomethanes (THMs), haloacetic acids (HAAs), chlorate, and other compounds that have been associated with a variety of adverse health effects, including increased risk of bladder cancer and cardiovascular birth defects. This study implements a multi-stakeholder, multi-method approach to improve understanding of, characterize spatial and temporal variations in, and reduce exposure to DBPs in these Appalachian Kentucky counties.
Interventions
OTHERCitizen Scientist Training Program
Citizen Scientist Training Program Participants is a three year training and in-home sampling program for disinfection byproducts. Participants will be trained and assessed based on their experience in the training program.
OTHERStakeholder Consultation Core Program
Stakeholder Consultation Core Program Participants is a five year assessments where participants will participate in quarterly meetings and deliberative activities related to disinfection byproducts. Participants will be assessed based on their experience in the program.
Sponsors
Anna Hoover
National Institute of Environmental Health Sciences (NIEHS)
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Located in Martin or Letcher County water districts * At least 18 years old * Able to read/speak in English
Exclusion criteria
* Located outside of Martin or Letcher County water districts
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Environmental Health Literacy (EHL) - Knowledge | Baseline, 5-years | Study participants will complete pre-/post-surveys of disinfection byproducts-related knowledge. Participants will answer 21 questions with multiple choice or fill in the blank response options that will be assessed for correctness/completeness. |
| Change in Environmental Health Literacy (EHL) - Attitudes/Behaviors | Baseline, 5-years | Study participants will complete pre-/post-surveys of disinfection byproducts-related attitudes. Participants will answer 9 questions related attitudes/behaviors with a five-point Likert scale, ranging from Strongly Disagree to Strongly Agree, where Strongly Agree indicates a greater likelihood for the behavior/more positive attitude. |
| Change in participant network density | Baseline, 5-years | The proportion of direct ties within the network as compared to the number of possible ties as measured by an unbounded social media analysis. |
| Change in participant centrality | Baseline, 5-years | The influence of each individual within the network (i.e., betweenness and degree centrality) as measured by an unbounded social media analysis. |
| Change in participant reciprocity | Baseline, 5-years | The number of reciprocal ties, which is the extent to which individuals within the network recognize each other as valued resources/collaborators as measured by an unbounded social media analysis. |
Countries
United States
Contacts
CONTACTAnna Hoover, PhD
CONTACTJason Unrine, PhD
PRINCIPAL_INVESTIGATORAnna Hoover, PhD
University of Kentucky
Outcome results
None listed