Assessing the Effect of Cool Roofs on Health Using Smartwatches in Niue

NCT ID: NCT06571019

Last Updated: 2024-12-05

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

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-04

Study Completion Date

2026-01-31

Brief Summary

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Ambient air temperatures in the Pacific have broken record highs in 2024. Solutions are needed to build heat resilience in communities and adapt to increasing heat from climate change. Sunlight-reflecting cool roof coatings may passively reduce indoor temperatures and energy use to protect home occupants from extreme heat. Occupants living in poor housing conditions in the Pacific are susceptible to increased heat exposure.

Heat exposure can instigate and worsen numerous physical, mental and social health conditions. The worst adverse health effects are experienced in communities that are least able to adapt to heat exposure. By reducing indoor temperatures, cool roof use may promote heart health, sleep and physical activity in household occupants.

The long-term research goal of the investigators is to identify viable passive housing adaptation technologies with proven health benefits to reduce the burden of heat stress in communities affected by heat in Niue. To meet this goal, the investigators will conduct a randomized controlled trial to establish the effects of cool roof use on heart rate, sleep and physical activity in Niue.

Detailed Description

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Increasing heat exposure from climate change is causing and exacerbating heat-related illnesses in millions worldwide - particularly in low-resource settings. June 2024 was the 13th consecutive hottest month on record globally - shattering previous records. Heat exposure can instigate and worsen health conditions, including cardiovascular, metabolic, endocrine and respiratory disease, heat-related illnesses, pregnancy complications, and mental health conditions. Adaptation is essential for protecting people from increasing heat exposure. The built environment, especially homes, is ideal for deploying interventions to reduce heat exposure and accelerate adaptation efforts. However, there currently is a lack of evidence on a global scale - generated through empirical studies - guiding the uptake of interventions to reduce heat stress in low-resource settings.

Pacific Islands and other small island developing states are among the most vulnerable to the adverse impacts of climate change and are likely to experience increases in ambient air temperature over the coming decades. People in Niue are exposed to heat and humidity year-round. The Pacific Islands have a large burden of non-communicable diseases (NCDs), with nearly three-quarters of deaths due to NCDs. The combined burden of heat and NCDs places Pacific Island populations at greater risk of adverse health effects from heat extremes.

Sunlight-reflecting cool roof coatings passively reduce indoor temperatures and lower energy use, offering protection to home occupants from extreme heat. The investigators therefore aim to conduct a randomized controlled trial investigating the effects of cool roofs on heart rate, sleep and physical activity using smartwatches in Niue.

The trial will quantify whether cool roofs are an effective passive home cooling intervention with beneficial health effects for vulnerable populations in Niue. Findings will inform regional and global policy responses on scaling cool roof implementation to protect people from increasing heat exposure driven by climate change.

Conditions

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Heart Rate All-day Steps Distance Walked Active Minutes Moderate-intensity Activity Minutes Vigorous-intensity Activity Duration Sleep Quantity Time in Sleep Stages Awake Duration Sleep Score

Keywords

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Physical activity Sleep Cool roof Heat stress Hot Temperature Humidity Housing Wearable Smartwatch Heart rate Cardiovascular

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
Trial participants will be aware of the intervention to which they have been allocated, and the research fieldworkers will be aware of the intervention allocation. The trial steering committee members and trial statistician will remain blinded until the end of trial period and data collection.

Study Groups

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Intervention

Households will receive sunlight reflecting 'cool roof' coating on their roofs.

Group Type EXPERIMENTAL

Cool roof

Intervention Type OTHER

Cool roofs are a heat-reflecting material that can be applied to existing household roofing in the form of a liquid-applied membrane. Cool roofs work by increasing solar reflectance (the ability to reflect the visible wavelengths of sunlight, reducing heat transfer to the surface) and thermal emittance (the ability to radiate absorbed solar energy) thereby reducing the amount of heat transferred into the home.

Control

No cool roof application. Households will keep their original roofing for the duration of the trial.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Cool roof

Cool roofs are a heat-reflecting material that can be applied to existing household roofing in the form of a liquid-applied membrane. Cool roofs work by increasing solar reflectance (the ability to reflect the visible wavelengths of sunlight, reducing heat transfer to the surface) and thermal emittance (the ability to radiate absorbed solar energy) thereby reducing the amount of heat transferred into the home.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Participant criteria:

* Consenting adult aged 18 years and over.
* Expected to be available to participate in the study for at least nine months in the next 12 months.
* Willing and able to wear a smartwatch.

Household criteria:

* House has a metal roof.
* House is single-story.

Exclusion Criteria

Participant criteria:

* One participant per household
* Does not have a smartphone with an internet connection that can connect to the smartwatch.

Household criteria:

* Unstable house structure that does not permit the application of cool roof materials.
* Inaccessible by the research team.
* Significant roof damage defined as any penetrative roof defect that results in a hole in the roof OR over 25% of the roof rusted.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Heidelberg University

OTHER

Sponsor Role collaborator

London School of Hygiene and Tropical Medicine

OTHER

Sponsor Role collaborator

Rutgers University

OTHER

Sponsor Role collaborator

Secretaría de Educación Pública, México

OTHER_GOV

Sponsor Role collaborator

University of Ouagadougou, Burkina Faso

OTHER

Sponsor Role collaborator

Indian Institute of Public Health, India

OTHER

Sponsor Role collaborator

Labfront

INDUSTRY

Sponsor Role collaborator

Cognifit

UNKNOWN

Sponsor Role collaborator

Resene

INDUSTRY

Sponsor Role collaborator

Habitat for Humanity

OTHER

Sponsor Role collaborator

The Tindall Foundation

OTHER

Sponsor Role collaborator

Pacific Community

OTHER

Sponsor Role collaborator

Wellcome Trust

OTHER

Sponsor Role collaborator

Aditi Bunker

OTHER

Sponsor Role lead

Responsible Party

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Aditi Bunker

Co-Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Collin Tukuitonga, Sir. Dr.

Role: PRINCIPAL_INVESTIGATOR

University of Auckland, New Zealand

Locations

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University of Auckland

Auckland, , Niue

Site Status RECRUITING

Countries

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Niue

Central Contacts

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Aditi Bunker, Dr

Role: CONTACT

Phone: +49 (0) 6221 56-5040

Email: [email protected]

Noah H Bunkley, Dr

Role: CONTACT

Email: [email protected]

Facility Contacts

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Collin Tukuitonga

Role: primary

Noah Bunkley, Dr.

Role: backup

Collin Tukuitonga, Sir. Dr.

Role: backup

Chris Bullen, Prof. Dr.

Role: backup

Noah H Bunkley, Dr.

Role: backup

Aditi Bunker, Dr.

Role: backup

Related Links

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Other Identifiers

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226745/Z/22/Z

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

3728161

Identifier Type: -

Identifier Source: org_study_id