通过 SEACO 基于社区的方法和研究进行热适应：结构和行为干预（热护理） (Heat Care)
SEACO 通过基于社区的方法和研究进行热适应：结构和行为干预
这项临床试验的目的是了解结构和行为干预措施是否可以减轻马来西亚农村社区极端高温对健康的影响。 该研究的重点是实施凉爽屋顶（被动冷却系统）和热素养教育，以改善热适应行为。 它旨在回答的主要问题是：
- 凉爽屋顶的实施是否会降低农村家庭的室内温度和相关的热应激？
- 高温知识教育能否提高社区应对极端高温的意识和行为？
研究人员将比较四组：一组同时接受冷屋顶和热素养干预，一组仅接受冷屋顶干预，一组仅接受热素养教育，对照组则不接受任何干预。 参与者将被要求：
- 将屋顶涂上抗紫外线白色涂料（适用于冷屋顶干预组）。
- 参加有关热相关健康风险和应对策略的教育课程和培训（针对热素养干预小组）。
- 在第 3、6 和 12 个月完成基线和后续调查。
- 在每个数据收集期间佩戴 Garmin Vivosmart 5 传感器两周，以监测心率、身体活动和睡眠模式。
研究概览
详细说明
这项临床试验的目的是评估结构和行为干预措施在减轻马来西亚农村社区极端高温对健康影响方面的有效性。 具体来说，该研究将实施和评估两种干预措施：凉爽屋顶（被动冷却系统）和热素养教育。 凉爽屋顶包括在选定的家庭屋顶上涂上抗紫外线白色涂料，以减少热量吸收，从而降低室内温度。 高温素养教育旨在通过提供有关识别与高温相关的疾病和采取个人降温策略的培训和教育材料，提高社区对极端高温的认识和准备。
参与者将从 SEACO 健康数据库中随机选择，涵盖五个业务分区。 符合资格的参与者包括年满 18 岁且居住在具有合适屋顶材料的单层房屋中的成年人。 他们将被随机分配到四组中的一组：一组接受两种干预措施，一组仅接受凉爽屋顶干预，一组仅接受热素养教育，一组不接受任何干预。 这种 2 x 2 因子设计将使研究人员能够单独和组合比较每种干预措施的效果。
数据收集将在基线和 3 个月、6 个月和 12 个月的三次随访中进行。 SEACO 数据收集员将走访参与者的家中，安装 SwitchBot 热量和湿度测量设备，进行调查并进行物理测量。 参与者还将在每个数据收集期间佩戴 Garmin Vivosmart 5 传感器两周，以监测他们的心率、身体活动和睡眠模式。 我们还将进行身高、体重、血压、血糖和糖化血红蛋白等基本测量。 这些调查将收集有关社会经济和人口特征、自我报告的疾病、热暴露、热适应行为、热素养、降温策略、自我报告的睡眠质量、心理健康和生活质量的信息。
该研究旨在确定凉爽屋顶和热素养教育是否可以有效降低室内温度，改善热适应行为，并最终减轻与极端高温相关的健康风险。 通过分析这两种干预措施的数据及其综合效果，该研究旨在为马来西亚农村制定一个理论丰富、基于证据且文化敏感的基于社区的热适应计划。 该计划可以作为其他气候脆弱地区的典范，为解决气候变化对健康影响的可持续和实用方法提供宝贵的见解。
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名：Nurul Syazwana Binti Dali, BSc
- 电话号码：+60127674277
- 邮箱：nurul.syazwana@monash.edu
研究联系人备份
- 姓名：Nurul Arneida, PhD
- 电话号码：+60 122744634
- 邮箱：nurul.arnieda@monash.edu
学习地点
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Johor
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Segamat、Johor、马来西亚、85000
- 招聘中
- South East Asia Community Observatory, Monash University Malaysia
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接触：
- Mohd Azrizan Bin Bakir, MBBCh
- 电话号码：+607-9311897
- 邮箱：mohdazrizan.binbakir@monash.edu
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
个人入选标准：
- 年满 18 岁的成年人
- 愿意参与所有研究组成部分
- 同意屋顶涂漆和安装热量和湿度测量装置
- 同意佩戴随附的可穿戴设备 (Garmin Vivosmart 5) 进行数据收集
- 学习期间无搬迁计划
- 拥有智能手机以接收健康教育材料
个人排除标准：
- 与现有参与者属于同一家庭的个人
- 卧床不起的人或需要行动协助的人
家庭纳入标准：
- 单层住宅
- 主屋面积小于1200平方英尺
- 用砖或砖木建造
- 屋顶由锌、陶瓷/粘土或混合制成，适合冷屋顶涂漆
- 屋顶维修的要求最低甚至不需要
- 研究期间无改造计划
家庭排除标准：
- 双层房屋、商店或空屋
- 具有在屋顶洒水设施的房屋
学习计划
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：阶乘赋值
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器：Group A (Cool Roof and Heat Literacy Interventions)
Cool roof intervention: Roofs will be painted with UV-resistant paint to reduce thermal absorption. Heat literacy intervention: Participants will receive education and training on heat-related health risks and coping strategies. Participants will receive the behavioural intervention after the baseline and prior to T1. The structural cool-roof intervention will be implemented after T1. |
本研究中的结构干预涉及实施凉爽屋顶以降低室内温度并减轻马来西亚农村社区极端高温的影响。
选定的家庭将在屋顶上涂上抗紫外线涂料，以反射直射阳光并减少热吸收。
这一干预措施旨在减少屋顶吸收的太阳能量，从而降低室内温度，减轻居民的生理热压力。
通过保持凉爽的室内环境，凉爽屋顶干预措施旨在减轻与长期暴露在高温下相关的健康风险。
The behavioral intervention aims to improve heat literacy among participants through an 8-12 week education and training program.
It includes four main modules: enhancing community awareness of hot weather, identification of high risk groups, recognizing and responding to heat-related illnesses, and teaching personal cooling strategies.
Participants will use SwitchBot meters to monitor indoor temperature and humidity, access real-time weather information, and learn about heat wave warnings.
They will receive educational materials, including infographics, videos, and one-to-one training from field staff.
The content of intervention and delivery methods will be refined through co-design workshops with stakeholders and community members to ensure they are practical and culturally appropriate.
The goal is to equip participants with the knowledge and skills to protect themselves from extreme heat, resulting in better heat adaptation behaviors and improved health outcomes.
|
|
有源比较器：Group B (Cool Roof Intervention Only)
Cool Roof intervention: Roofs will be painted with UV-resistant white paint to reduce thermal absorption. Participants will receive the structural cool-roof intervention after T1 assessment. |
本研究中的结构干预涉及实施凉爽屋顶以降低室内温度并减轻马来西亚农村社区极端高温的影响。
选定的家庭将在屋顶上涂上抗紫外线涂料，以反射直射阳光并减少热吸收。
这一干预措施旨在减少屋顶吸收的太阳能量，从而降低室内温度，减轻居民的生理热压力。
通过保持凉爽的室内环境，凉爽屋顶干预措施旨在减轻与长期暴露在高温下相关的健康风险。
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|
有源比较器：Group C (Heat Literacy Intervention Only)
-Heat literacy intervention: Participants will receive education and training on heat-related health risks and coping strategies. Participants will receive the behavioural intervention after the baseline (T0) follow by T1 assessment. |
The behavioral intervention aims to improve heat literacy among participants through an 8-12 week education and training program.
It includes four main modules: enhancing community awareness of hot weather, identification of high risk groups, recognizing and responding to heat-related illnesses, and teaching personal cooling strategies.
Participants will use SwitchBot meters to monitor indoor temperature and humidity, access real-time weather information, and learn about heat wave warnings.
They will receive educational materials, including infographics, videos, and one-to-one training from field staff.
The content of intervention and delivery methods will be refined through co-design workshops with stakeholders and community members to ensure they are practical and culturally appropriate.
The goal is to equip participants with the knowledge and skills to protect themselves from extreme heat, resulting in better heat adaptation behaviors and improved health outcomes.
|
|
无干预：Group D (Control Group)
No intervention will be provided, serving as a control group for comparison.
Participants will not receive any intervention but will undergo assessments at T0, T1, T2, and T3.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Indoor Air Temperature
大体时间：36 months
|
Assessed using an indoor data logger (SwitchBot) to measure air temperature within the household.
|
36 months
|
|
Step count (Physical Activity)
大体时间：36 months
|
Tracked using Garmin Vivosmart 5 sensors, recording steps and distance.
|
36 months
|
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Sleep Duration
大体时间：36 months
|
This will be obtained using the Uppsala Sleep Inventory questionnaire which assess sleep duration.
|
36 months
|
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Glycaemic Control
大体时间：36 months
|
HbA1c level which will be measured by the Hemocue® HbA1c 501 System.
|
36 months
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Depressive Symptoms
大体时间：36 months
|
This will be assessed using the Quick Inventory of Depressive Symptomatology (QIDS-SR16) questionnaire. The Quick Inventory of Depressive Symptomatology (QIDS-SR16) assesses the severity of depressive symptoms based on 16 items. The scoring for the QIDS-SR16 is as follows: Minimum possible score: 0 Maximum possible score: 27 A higher score on the QIDS-SR16 indicates more severe depressive symptoms, which means a worse outcome in terms of depression severity. Conversely, lower scores suggest fewer symptoms and thus a better outcome. |
36 months
|
|
Psychological Distress
大体时间：36 months
|
This will be assessed using the Kessler Psychological Distress Scale (K10) questionnaire. The Kessler Psychological Distress Scale (K10) is a tool used to measure psychological distress. It consists of 10 items, each rated on a 5-point scale from "none of the time" (score = 1) to "all of the time" (score = 5). Minimum possible score: 10 (if the participant scores "none of the time" for all 10 items). Maximum possible score: 50 (if the participant scores "all of the time" for all 10 items). Higher scores on the K10 indicate greater psychological distress (worse outcomes) |
36 months
|
|
Heat-related Symptoms
大体时间：36 months
|
This outcome tracks the heat-related symptoms among participants, such as rash, oedema, sunburn, cramps, syncope, tetany and exhaustion.
Data is collected through self-reported questionnarie.
The goal is to identify any reductions in heat-related symptoms due to the interventions.
|
36 months
|
|
Health-related Quality of Life
大体时间：36 months
|
This outcome evaluates the overall well-being of participants using the EuroQol five dimensions of health (EQ-5D) questionnaire, which covers five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The assessment aims to determine how the interventions impact participants' overall quality of life and well-being. The minimum value is 0 and maximum value is 100. Higher scores generally indicate better health outcomes, meaning that the person is in a state of better physical and mental health. Lower scores indicate worse health outcomes or greater health problems. |
36 months
|
|
Indoor Thermal Comfort
大体时间：36 months
|
Assessed using a visual analogue scale to measure current heat experience in the household rated on a visual scale from: Very comfortable, Comfortable, Just comfortable, Just uncomfortable, Uncomfortable, and Very uncomfortable.
Minimum (1) to maximum (6).
The higher score is the worse outcome.
|
36 months
|
|
Heat Adaptation Practices
大体时间：36 months
|
This outcome evaluates participants' adaptive behaviors during periods of extreme heat, highlighting measures taken to protect themselves and their communities from heat-related health impacts.
The 18-item questionnaire evaluates heat adaptation practices using a 5-point Likert scale (1 = Strongly Disagree to 5 = Strongly Agree).
Negatively worded statements will be reversed.
Scores range from 18 to 90, with higher scores indicating higher adoption in heat adaptation practices, and lower scores indicating lower adoption in heat adaptation practices.
|
36 months
|
其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Heat Index
大体时间：36 months
|
Assessed using an indoor data logger (SwitchBot) to measure heat index within the household.
|
36 months
|
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Blood Glucose Level
大体时间：36 months
|
Random blood glucose, which will be measured using a home blood glucose monitoring system (Accu Chek Instant S)
|
36 months
|
|
Sleep Inventory
大体时间：36 months
|
This will be obtained using the Uppsala Sleep Inventory questionnaire, which assesses an individual's difficulty initiating sleep, maintaining sleep, and individual's daytime sleepiness.
|
36 months
|
|
Heat Literacy
大体时间：36 months
|
This outcome assesses participants' ability to access, understand, appraise, and apply information to make judgments and take decisions in everyday life to mitigate heat effects on health using structured questionnaire.
The index is standardized to unified metrics from 0 to 50.
0 represents the lowest heat literacy and 50 the highest heat literacy.
|
36 months
|
合作者和调查者
调查人员
- 首席研究员：Tin Tin Su, MBBS, Dr.Med、Monash University Malaysia
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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