Clinical trial NCT06910462: Reporting Back Pesticide Results to Family Child Care Home Directors
Official title: IPM Intervention for Family Child Care Home Directors
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Pesticide Exposure
Community-based
Family
Lead sponsor: University of California, San Francisco
Sponsor class: OTHER
Collaborators: name: National Institute of Environmental Health Sciences (NIEHS)
First posted: 2025-04-04
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
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.
Primary purpose: PREVENTION

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.

Eligibility criteria: 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.

Primary outcomes:
measure: IPM practices
timeFrame: one year
measure: Decrease Pesticide Use and Exposure in Family Child Care Home
timeFrame: one year
Secondary outcomes:
measure: Increased understanding of health risks associated with pesticide use
timeFrame: one year
Other outcomes:
Locations:
city: San Francisco
country: United States
facility: UCSF School of Nursing
state: California
Study officials:
affiliation: University of California, San Francisco
name: Abbey Alkon, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Hazard K, Alkon A, Gunier RB, Castorina R, Camann D, Quarderer S, Bradman A. Predictors of pesticide levels in carpet dust collected from child care centers in Northern California, USA. J Expo Sci Environ Epidemiol. 2024 Mar;34(2):229-240. doi: 10.1038/s41370-022-00516-8.
citation: Alkon A, Gunier RB, Hazard K, Castorina R, Hoffman PD, Scott RP, Anderson KA, Bradman A. Preschool-Age Children's Pesticide Exposures in Child Care Centers and at Home in Northern California. J Pediatr Health Care. 2022 Jan-Feb;36(1):34-45. doi: 10.1016/j.pedhc.2021.09.004. Epub 2021 Oct 8.
citation: Stephens M, Hazard K, Moser D, Cox D, Rose R, Alkon A. An Integrated Pest Management Intervention Improves Knowledge, Pest Control, and Practices in Family Child Care Homes. Int J Environ Res Public Health. 2017 Oct 26;14(11):1299. doi: 10.3390/ijerph14111299.