Structural Heat Adaptation and Education in Urban Setting

Официальное название

Structural Heat Adaptation and Education in Urban Setting (SHAPES Trial)

Обзор

This study aims to understand whether simple, low-cost interventions, such as improved home cooling, practical advice, and minor home modifications, can help protect people's health and improve quality of life during periods of extreme heat in densely populated, low-income neighborhoods of Karachi, Pakistan. Key Questions the Study Seeks to Answer: 1. Can these interventions reduce heat-related health problems such as dizziness, headaches, and heatstroke and improve the quality of life? 2. Can they lower indoor temperatures and improve sleep quality, comfort, and daily functioning? To answer these questions, researchers will compare communities where families receive heat-related support and information with similar communities that do not, to assess any differences in health and well-being. What Participants Can Expect: * Answer questions about their health, living conditions, and how they cope with heat * Have small temperature sensors placed inside their homes * Some participants may wear a lightweight wristband that tracks sleep and heart rate * In selected households, cooling improvements will be made, such as adding shade, applying reflective roof paint, or enhancing airflow Purpose: This study seeks to identify affordable and effective strategies to help families stay safe during extreme heat, and to use these insights to support other vulnerable communities facing similar challenges.

Вмешательства

• Поведенческое Community education and awareness, and personal lifestyle and cooling behavior modification
  This component of the ReHAB will be achieved through community mobilization, which will encompass awareness and motivational activities throughout the intervention duration. Community groups (CGs) will be formed in each of the 11 clusters. Both male and female CGs will be formed separately and will be responsible for community mobilization activities, surveillance for primary outcome. Each CG will comprise of 6-8 members and will be a diverse group of people with varying qualifications, includin
• Другое Participatory local structural and environmental heat mitigation solutions
  Participatory local structural and environmental heat mitigation solutions will be delivered through community participatory approach where the community and project will share the cost of intervention to improve ownership. This contribution can be monetary or non-monetary, for example, provision of labor or supplies. The modifications include: 1. Paints (Solar Reflective Paints, Lime Paints) 2. Shading (Façade, Roof) 3. Energy Sufficiency (Solar Panels with complete accessories) 4. Community S

Первичные конечные точки

• Number of Participants with Heat-Related Illness [Срок оценки: from baseline to 24 months]
• Quality of Life Enhancement [Срок оценки: 4 month, 7 month, 16 month, 19 month]

Вторичные конечные точки (5)

• All-cause mortality (Number of Deaths from Any Cause) [Срок оценки: from baseline to 24 months]
• Number of Participants with At Least One Hospital Visit During Study Period [Срок оценки: During summer months for 2 years]
• Number of Participants Hospitalized for at Least 24 Hours [Срок оценки: During summer months for 2 years]
• Change in Self-Reported Thermal Comfort Score [Срок оценки: from baseline to 24 months]
• Change in Indoor Heat Index [Срок оценки: From intervention delivery to 24 months]

Критерии участия

Критерии включения

• All households within the selected clusters who provide consent.

Критерии исключения

• Households planning to move away from the study site within the next 6 months
• Individuals with severe mental or physical health conditions that preclude participation

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Профилактика

Центры проведения

Пакистан · 1 центр

• Bilal Colony — Karachi

Идентификаторы

NCT: NCT06991543 · 11548 · 226752/Z/22/Z

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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