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Assessing the Effect of Cool Roofs on Health Using Smartwatches in Ouagadougou, Burkina Faso (REFLECT)
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 application may improve heart health, sleep and physical activity in household occupants.
The long-term research goal is to identify viable passive housing adaptation technologies with proven health benefits to reduce the burden of heat stress in communities affected by heat. To meet this goal, the investigators will use smartwatches to measure the effects cool roof application on heart health, sleep and physical activity in Ouagadougou, Burkina Faso.
Sunlight-reflecting cool roof coatings passively reduce indoor temperatures and lower energy use, offering protection to home occupants from extreme heat. Continuous monitoring of health and wellbeing using smartwatches can provide insight into important parameters such as heart rate, sleep and physical activity - which are all affected by heat. Using smartwatches, the investigators will also continuously measure health and wellbeing outcomes during the day and night. The investigators will conduct a study to investigate the effects of cool-roof use on heart rate, sleep and physical activity in Ouagadougou, Burkina Faso (sub-Saharan Africa, where people experience a triple burden from heat exposure, chronic health issues and vulnerable housing conditions (slums, informal settlements and low socioeconomic housing).
This trial will quantify whether cool roofs are an effective passive home cooling intervention with beneficial health effects for vulnerable populations in Burkina Faso. Findings will inform global policy responses on scaling cool roof implementation to protect people from increasing heat exposure driven by climate change.
A Cluster Randomized Controlled Trial (cRCT) Evaluating the Effects of Cool Roofs on Health Outcomes Using Smartwatches in Ouagadougou, Burkina Faso
- REFLECT
- 3728163
- 226745/Z/22/Z (Otro identificador) (Wellcome Trust UK)
Humidity
Housing
Wearable
Smartwatch
Heart rate
Cardiovascular
Physical activity
Sleep
Cool roof
| Grupo de participantes | Intervención/Tratamiento |
|---|---|
ExperimentalIntervention Households will receive sunlight reflecting 'cool roof' coating on their roofs. | Cool Roof Cool roofs are a sunlight reflecting roof coating that can reduce indoor temperature. Cool roofs have high solar reflectance (reflecting the ultraviolet and visible wavelengths of sunlight, reducing heat transfer to the surface of a roof) and high thermal emittance (radiating absorbed solar energy |
Sin intervenciónControl No cool roof application. Households will keep their original roofing for the duration of the trial. | N/A |
| Medida de resultado | Descripción de la medida | Periodo de tiempo |
|---|---|---|
Heart rate | Heart rate in beats per minute measured at 15-second intervals using Garmin Vivosmart 5 devices. Measurements will be taken continuously for 12 months. Participants will be asked to wear their smartwatch for at least two weeks every month. | The outcome will be measured at 15-second intervals continuously throughout each 12-month period, with participants wearing the device for at least two weeks per month to capture consistent data points. |
| Medida de resultado | Descripción de la medida | Periodo de tiempo |
|---|---|---|
All-day steps | The number of steps measured daily using Garmin Vivosmart 5 devices. | Measurements will be taken continuously for 12 months. Participants will be asked to wear their smartwatch for at least two weeks every month. |
Distance walked | The total distance walked daily using Garmin Vivosmart 5 devices | Measurements will be taken continuously for 12 months. Participants will be asked to wear their smartwatch for at least two weeks every month. |
Active minutes | The total number of minutes of active exercise daily using Garmin Vivosmart 5 devices. | Measurements will be taken continuously for 12 months. Participants will be asked to wear their smartwatch for at least two weeks every month. |
Moderate-intensity activity minutes | The total number of minutes of moderate-intensity activity daily using Garmin Vivosmart 5 devices. | Measurements will be taken continuously for 12 months. Participants will be asked to wear their smartwatch for at least two weeks every month. |
Vigorous-intensity activity duration | The total number of minutes of vigorous-intensity activity daily using Garmin Vivosmart 5 devices. | Measurements will be taken continuously for 12 months. Participants will be asked to wear their smartwatch for at least two weeks every month. |
Sleep quantity | The number of hours spent asleep each night using Garmin Vivosmart 5 devices. | Measurements will be taken continuously for 12 months. Participants will be asked to wear their smartwatch for at least two weeks every month. |
Time in sleep stages | The number of hours spent in sleep stages each night using Garmin Vivosmart 5 devices. | Measurements will be taken continuously for 12 months. Participants will be asked to wear their smartwatch for at least two weeks every month. |
Awake duration | The number of hours spent awake during sleep time each night using Garmin Vivosmart 5 devices. | Measurements will be taken continuously for 12 months. Participants will be asked to wear their smartwatch for at least two weeks every month. |
Sleep score | The Garmin sleep score (0-100) each night using Garmin Vivosmart 5 devices. | Measurements will be taken continuously for 12 months. Participants will be asked to wear their smartwatch for at least two weeks every month. |
- • Permanent household resident
• Roof damage, inaccessible or instability of roof adversely affecting cool roof coating application.
- Participant unable to provide written/verbal informed consent. Participants will be excluded if they are not willing or able to wear a smartwatch.
- One participant per household.
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