Early-Warning Intervention for Heat and Cold in Older Hypertensive Patients: Impact on Sleep Quality

NCT ID: NCT06045403

Last Updated: 2024-10-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

378 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-01

Study Completion Date

2024-02-28

Brief Summary

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This cluster-randomized trial, conducted in Tianjin, China, aims to evaluate the effectiveness of integrating a digital health risk early warning tool for heat with self-monitoring. Additionally, the study assesses the effectiveness of combining a digital health risk early warning tool for cold with self-monitoring. Communities from three districts will be randomly assigned to one of three groups: the combined intervention group, the self-monitoring group, and the control group. The primary objective of the study is to evaluate the effectiveness of the intervention in improving sleep quality, as well as understanding its underlying biological mechanisms.

Detailed Description

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This cluster-randomized trial will be conducted in various districts across Tianjin, China. As part of the early warning interventions for heat waves and cold spells, three communities from each of the two selected districts will be randomly chosen and assigned to one of three groups: the combined intervention group, the self-monitoring group, or the control group. The study will be divided into pre-intervention and intervention phases. The pre-intervention period for the heat wave health early-warning information intervention spans from July 1st, 2023, to July 7th, 2023, followed by the intervention period from July 8th to September 9th, 2023. Similarly, during the cold spell health early-warning information intervention, the pre-intervention phase occurs from December 1st, 2023, to December 7th, 2023, and the intervention.

Participants in the combined intervention group will receive heat health risk warnings via digital tools, specifically a WeChat mini-program, providing real-time updates on early warnings and health advisories. Additionally, they will be instructed to perform daily self-monitoring of their blood pressure (BP) and electrocardiogram (ECG) using automated home devices. Participants in the self-monitoring alone group will engage in daily BP and ECG monitoring but not receive any health warnings. In contrast, the control group will monitor their BP and ECG only during baseline assessments and routine health check-ups (the day after the first heat wave in July and August 2023, as well as following the first cold spell in January and February 2024).

All participants will be required to record their daily time-activity patterns. During the baseline and subsequent check-ups, data will be collected on participants' demographics, medical history, lifestyle factors (e.g., diet, smoking, physical activity), environmental exposures, sleep quality, mental health status (including stress levels, emotional stability, and psychological resilience), medication adherence, cardiovascular and cerebrovascular symptoms, respiratory system symptoms, and perceptions of heatwaves and cold spells. In addition, blood, urine, and stool samples will be gathered for further analysis.

Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Combined intervention

Participants in the combined intervention group will receive real-time health risk warnings for heat waves and cold spells via a WeChat mini-program and will perform daily self-monitoring of BP and ECG using automated home devices.

Group Type EXPERIMENTAL

Issuing health risk warning for a heat or cold

Intervention Type BEHAVIORAL

Whenever a health risk warning for a heat or cold is issued, only the elderly in the combined intervention group will be alerted to the early warning information through the digital heat or cold health risk early warning tool.

A digital heat or cold health risk early warning tool

Intervention Type DEVICE

A WeChat mini-program provides real-time updates on early warnings and health advisories.

Perform daily self-monitoring of their BP and ECG

Intervention Type BEHAVIORAL

Participants in the self-monitoring alone group were instructed to self-measure their BP three times each morning (from 6:00 a.m. to 8:00 a.m.) and evening (from 6:00 p.m. to 8:00 p.m.) at home, and to self-administer ECG measurements twice during the same morning and evening timeframes.

Self-monitoring blood pressure and ECG device

Intervention Type DEVICE

Devices for self-monitoring blood pressure and electrocardiography (ECG).

Self-monitoring alone

Group Type EXPERIMENTAL

Perform daily self-monitoring of their BP and ECG

Intervention Type BEHAVIORAL

Participants in the self-monitoring alone group were instructed to self-measure their BP three times each morning (from 6:00 a.m. to 8:00 a.m.) and evening (from 6:00 p.m. to 8:00 p.m.) at home, and to self-administer ECG measurements twice during the same morning and evening timeframes.

Self-monitoring blood pressure and ECG device

Intervention Type DEVICE

Devices for self-monitoring blood pressure and electrocardiography (ECG).

Control

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Issuing health risk warning for a heat or cold

Whenever a health risk warning for a heat or cold is issued, only the elderly in the combined intervention group will be alerted to the early warning information through the digital heat or cold health risk early warning tool.

Intervention Type BEHAVIORAL

A digital heat or cold health risk early warning tool

A WeChat mini-program provides real-time updates on early warnings and health advisories.

Intervention Type DEVICE

Perform daily self-monitoring of their BP and ECG

Participants in the self-monitoring alone group were instructed to self-measure their BP three times each morning (from 6:00 a.m. to 8:00 a.m.) and evening (from 6:00 p.m. to 8:00 p.m.) at home, and to self-administer ECG measurements twice during the same morning and evening timeframes.

Intervention Type BEHAVIORAL

Self-monitoring blood pressure and ECG device

Devices for self-monitoring blood pressure and electrocardiography (ECG).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Individuals aged 60 to 65 years Individuals with a diagnosis of hypertension Individuals with untreated blood pressure above 140/90 mm Hg

Exclusion Criteria

Having a history of coronary heart disease, heart failure, or stroke Unable to cooperate with follow-up
Minimum Eligible Age

60 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Tiantian Li

OTHER_GOV

Sponsor Role lead

Responsible Party

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Tiantian Li

professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Tiantian Li

Role: STUDY_DIRECTOR

National lnstitute of Environmental Health, Chinese Center for Disease Controland Prevention

Locations

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National Institute of Environmental Health, Chinese Center for Disease Control and Prevention

Beijing, , China

Site Status

Countries

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China

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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202381

Identifier Type: -

Identifier Source: org_study_id

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