Community-based, Family, Pesticide Exposure
Conditions
Brief summary
Child Care Health Consultants will provide an integrated pest management (IPM) intervention for \ 30 family child care home directors. The intervention will include an educational component, collecting carpet dust samples, reporting back the pesticides identified in the carpet, and 7-monthly consultations to identify ways to reduce their exposure to pesticides and lower their long term health risks.
Detailed description
The 12-month IPM intervention study conducted in family child care homes will include baseline and post-intervention interviews with the family child care home director, surveys, environmental assessments, and carpet dust samples. The intervention will include an IPM educational meeting where the director will receive an IPM Toolkit and toolbox, learn about the health risks related to repeated pesticide use. Six monthly consultations will be provided to focus on the goals set by the director to increase their IPM practices, reduce their use of pesticides, and lower the health risks for the children in their care, themselves and their staff. Three months after baseline, study staff will share the results of the pesticides detected in the dust samples to individual family child care home directors using Digital Exposure Report-Back Interface (DERBI). Interviews throughout the study period will be conducted with the family child care home directors to explore their reactions to and understanding of results, health effects, decisions made, intention to change pest management strategies, and/or share the results with families and their community.
Interventions
BEHAVIORALIntegrated pest management (IPM) practices
Provide IPM resources to family child care home directors along with information about their exposure to pesticides and use of pesticides to lower their health risks.
Sponsors
University of California, San Francisco
National Institute of Environmental Health Sciences (NIEHS)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
The intervention will include resources about IPM practices and understanding the potential exposure to pesticides and health effects for family child care home staff and children.
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
Director of a family child care home with 5 or more children in San Joaquin, Stanislaus, Tulare, or Fresno County in California. Plan to stay open for at least 12 months.
Exclusion criteria
Does not read or speak English or Spanish.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| IPM practices | one year | Increased IPM practices as identified on the standardized, observational IPM Checklist post-intervention. |
| Decrease Pesticide Use and Exposure in Family Child Care Home | one year | Observational checklists will be used to identify the number of pesticide sprays in the family child care home. Carpet dust analyses conducted by Southwest Research Institute (SwRI) will identify the detection and concentration of pesticides in the carpet dust. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Increased understanding of health risks associated with pesticide use | one year | Qualitative analyses will be conducted on the director interviews to identify themes and knowledge of the health risks associated with pesticide use, alternative treatments, IPM approach to pest management comparing pre- versus post-intervention responses. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORAbbey Alkon, PhD
University of California, San Francisco
Outcome results
None listed