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CompletedNCT05668624SHEARUpdated Jan 15, 2026

Sustainable Household Energy Adoption in Rwanda (SHEAR)

An interventional study of Clean household energy in Blood Pressure and Lung Function, sponsored by Colorado State University. Completed at 1 site in Rwanda. Open to participants aged 8 Years and older. Per ClinicalTrials.gov, last updated 2026-01-15.

Sponsored by Colorado State University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
1,680
Allocation
Randomized
Ages
8 Years and older
Sex
All
01

Study summary

Investigators will conduct a randomized controlled trial substituting traditional forms of household energy (biomass for cooking and kerosene for lighting) with liquified petroleum gas (LPG) stoves/fuel and solar power (in areas marker for solar grids by the Government of Rwanda) in rural Rwanda. Eligible households (n=650) using traditional forms of energy will be recruited from eastern Rwanda. In each household, investigators will recruit either one adult female and one adult male or just one adult, and one child (aged 8-15 years). Following baseline health and exposure assessment, a randomized treatment arm (n=250 homes) will receive a full subsidy for LPG fuel and solar power, a control arm (n=250 homes) will continue to use traditional energy, and a random-subsidy arm (n=150 homes) will be randomized to a discounted price (at baseline and every 6-months) for solar and LPG in a pay-as-you-go (PAYG) service model (i.e., pre-pay a desired amount through mobile money). The random subsidy arm will then decide whether or not to cook with the discounted LPG or their traditional stove. Participants will be followed for 3 years with repeated measures of household air pollution (HAP) exposure (48-hour fine particulate matter (PM2.5) and black carbon (BC)), energy use, health, and preferences. Primary health endpoints include blood pressure (BP) in adults and lung-function growth in children; secondary endpoints include BP in children and lung-function change in adults. To complement the trial, the random-subsidy arm will generate policy-relevant information on causal relationships between energy costs, solar and LPG usage, and HAP exposures. The investigators propose 3 aims:

Aim 1. In an ITT framework, investigators will evaluate the effect of a household energy intervention on exposure to HAP and indicators of morbidity separately among Rwandan women, men, and children within n=500 households.

Aim 2. Using exposure-response modeling, investigators will characterize associations between exposure to HAP and indicators of morbidity separately among Rwandan women, men, and children within n=650 households (500 trial households + 150 random subsidy households).

Aim 3. Using a random-encouragement design, investigators will investigate causal relationships between randomized energy costs, measured energy usage, and estimated exposure to HAP among n=400 households (150 random subsidy households + 250 full subsidy treatment arm households).

02

Conditions studied

  • Blood Pressure
  • Lung Function
03

In context

Lead sponsor

Colorado State University is the lead sponsor of 117 studies on the registry; 19 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
8 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

This research will recruit and enroll 650 households (250 households in the full subsidy arm; 250 households in the control arm; 150 households in the discount subsidy arm).

The household level inclusion criteria is as follows:

  • Home resides in the study area of Isangano and Karambi
  • Uses biomass as primary cooking fuel
  • Either both an adult male (at least 18 years old) and female (at least 18 years old), or just one adult (at least 18 years old), head(s) of household willing to consent and at least one child between 8 and 15 years of age willing to assent; We will recruit the younger child in families with more than one child between 8-15 years of age. We will also confirm the child is living at home throughout the year and not attending boarding school elsewhere.
  • No commercial cooking
  • No smoking in the household

Additional participant level inclusion is as follows:

  • Not planning to move in 3-year timeframe
  • Not currently pregnant (females); Note: If the female becomes pregnant during the study she will not be able to participate in any visits that occur during her pregnancy but she will be able to participate after she has given birth. However, if there is another adult in the household then this will not preclude the other two people (i.e., the other adult and the child) from continuing to participate throughout that time.

Exclusion criteria

Exclusion Criteria:

The household level exclusion criteria is as follows:

  • Home resides outside the study area
  • Uses clean fuel as primary cooking fuel
  • Participants outside the age ranges: Adult male (at least 18 years old) and female (at least 18 years old) heads of household willing to consent and at least one child between 8 and 15 years of age willing to assent
  • Conducts commercial cooking
  • Smoking members of the household

Additional participant level exclusion is as follows:

  • Planning to move in 3-year timeframe
  • Currently pregnant (females)
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,680 participants (actual)

Study arms

  • Experimental
    Full Subsidy Arm

    This arm receives free LPG and stove for cooking following the baseline measures, for the duration of the 3-year follow-up period. For those households in Government of Rwanda designated areas for solar microgrids, this arm will also be connected to and provided free access to solar electricity for lighting.

    Other: Clean household energy

  • No intervention
    Control Arm

    This arm will remain using traditional forms of energy for cooking and lighting.

  • Experimental
    Discount Subsidy Arm

    This arm will be randomized to a discounted price (at baseline and every 6-months during the 3-year study) for solar electricity (in areas marker for solar grids by the Government of Rwanda) and LPG gas in a pay-as-you-go (PAYG) service model (i.e., pre-pay an affordable amount through mobile money, a common form of currency transactions in Rwanda). For example, this arm will be asked to cook as normal and decide whether or not to cook with the discounted LPG or their traditional stove (i.e., they will not be required to pay for LPG).

    Other: Clean household energy

Interventions

  • OtherClean household energy

    LPG stoves/fuel for cooking and solar electricity for lighting

06

What researchers measure

Primary outcomes

  1. Change in systolic blood pressure (adults)

    Time frame: Blood pressure will be measured approx. every 6 months for the 3-year follow-up period

  2. Spirometry (children): FEV1 trajectory

    Time frame: Spirometry will be measured approx. every 6 months for the 3-year follow-up period

  3. Spirometry (children): FVC trajectory

    Time frame: Spirometry will be measured approx. every 6 months for the 3-year follow-up period

Secondary outcomes

  1. Change in systolic blood pressure (children)

    Time frame: Blood pressure will be measured approx. every 6 months for the 3-year follow-up period

  2. Change in diastolic blood pressure (children)

    Time frame: Blood pressure will be measured approx. every 6 months for the 3-year follow-up period

  3. Spirometry (children): FEV1/FVC trajectory

    Time frame: Spirometry will be measured approx. every 6 months for the 3-year follow-up period

  4. Spirometry (children): FEF25-75 trajectory

    Time frame: Spirometry will be measured approx. every 6 months for the 3-year follow-up period

  5. Spirometry (children): PEF trajectory

    Time frame: Spirometry will be measured approx. every 6 months for the 3-year follow-up period

  6. Change in diastolic blood pressure (adults)

    Time frame: Blood pressure will be measured approx. every 6 months for the 3-year follow-up period

  7. Spirometry (adults): FEV1 change

    Time frame: Lung function will be measured approx. every 1 year for the 3-year follow-up period (adults).

  8. Spirometry (adults): FVC change

    Time frame: Lung function will be measured approx. every 1 year for the 3-year follow-up period (adults).

  9. Spirometry (adults): FEV1/FVC change

    Time frame: Lung function will be measured approx. every 1 year for the 3-year follow-up period (adults).

  10. Spirometry (adults): FEF25-75 change

    Time frame: Lung function will be measured approx. every 1 year for the 3-year follow-up period (adults).

  11. Spirometry (adults): PEF change

    Time frame: Lung function will be measured approx. every 1 year for the 3-year follow-up period (adults).

07

Study locations

1 site
  • Field site in Rwanda (Isangano and Karambi)
    Ndego, Eastern Province 80521, Rwanda
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05668624
Responsible party
Sponsor
First posted
Dec 30, 2022
Start date
Nov 17, 2022
Primary completion
Aug 22, 2025
Completion
Aug 22, 2025
Last update
Jan 15, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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