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Trial registered on ANZCTR
Registration number
ACTRN12613000081718
Ethics application status
Approved
Date submitted
21/12/2012
Date registered
22/01/2013
Date last updated
22/01/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Warm Homes for Elder New Zealanders - Warm Hearts
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Scientific title
Effect of a home heating voucher on the cardiac functioning of older people with Chronic Obstructive Pulmonary Disease
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Secondary ID [1]
281684
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Nil known
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Universal Trial Number (UTN)
U111111358737
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Obstructive Pulmonary Disease
287969
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Cardiovascular disease
287970
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Condition category
Condition code
Public Health
288371
288371
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0
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Other public health
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A NZ$500 payment into the electricity account of the household of the participant, the payment made at the start of winter. The participants will be given a brochure telling them how much electricity they could buy with the voucher, and be encouraged to use the electricity for additional winter heating. The period of expected behaviour change is the winter months, however we are also measuring during the summer months to gain a personal baseline.
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Intervention code [1]
286217
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Treatment: Other
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Intervention code [2]
286218
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Prevention
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Intervention code [3]
286219
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Behaviour
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Comparator / control treatment
No treatment in the first winter. (During the second winter in the study the control group will receive the payment)
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Control group
Active
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Outcomes
Primary outcome [1]
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Cardiac autonomic balance as assessed by measurements of the beat-to-beat changes in heart rate recorded over 24 hours. This will be measured by a 24-hour Holter monitor fitted during late winter and late summer.
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Assessment method [1]
288517
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Timepoint [1]
288517
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Changes between the late winter measurement and prior late summer measurement
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Primary outcome [2]
288518
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Cardiovascular blood markers (Pro NT-BNP, for heart failure and severity of heart failure; hsCRP, for inflammatory state; and hsTnT, a marker of cardiac necrosis)
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Assessment method [2]
288518
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Timepoint [2]
288518
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Changes between the late winter reading and the prior late summer reading
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Secondary outcome [1]
300429
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Dwelling warmth, as measured by the installed dataloggers.
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Assessment method [1]
300429
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Timepoint [1]
300429
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Feburary/March (late summer) and July/August (late winter)
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Secondary outcome [2]
300430
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Self reported well-being as measured by questionnaire asked during the fitting of the Holter monitor. (The questionnaire will be based on those asked during previous studies)
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Assessment method [2]
300430
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Timepoint [2]
300430
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Differences between the late summer and late winter periods
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Secondary outcome [3]
300431
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Spirometry - FEV1, FVC
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Assessment method [3]
300431
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Timepoint [3]
300431
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Comparing the late winter reading to the late summer reading
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Eligibility
Key inclusion criteria
Enrollment in the prior Warm Homes for Elder New Zealanders Study.
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Minimum age
47
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
No longer living in the community. Inability to communicate.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants are invited to participate and enroll. After the first summer data collection is carried out, a statistican external to the study team will carry out the randomisation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The statistician will be given a list of study ID codes, (s)he will then assign a random number to each ID code. The participants assigned the lowest 1/2 of the random numbers will be assigned to the early intervention group, and the others to the late intervention group.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
Features of both 'parallel' and 'crossover'. The "early" and "late" groups receive the same intervention, with the "late" group delayed by a year, however due to the possibility of the intervention changing later behaviour this is not a standard crossover design. Neither is it a standard parallel design, as the two groups receive the same intervention
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
24/01/2013
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Actual
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Date of last participant enrolment
Anticipated
15/02/2013
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
80
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4758
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New Zealand
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State/province [1]
4758
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Wellington
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Funding & Sponsors
Funding source category [1]
286473
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Government body
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Name [1]
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Health Research Council
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Address [1]
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PO Box 5541, Wellesley Street, Auckland 1141
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Country [1]
286473
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New Zealand
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Primary sponsor type
University
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Name
University of Otago,
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Address
Wellington campus
23a Mein St
Newtown
po box 7343 Wellington South 6242
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Country
New Zealand
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Secondary sponsor category [1]
285263
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None
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Name [1]
285263
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none
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Address [1]
285263
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Country [1]
285263
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Other collaborator category [1]
277227
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None
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Name [1]
277227
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none
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Address [1]
277227
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none
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Country [1]
277227
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288550
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
288550
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Health and Disability Ethics Committees 1 The Terrace PO Box 5013 Wellington 6011
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Ethics committee country [1]
288550
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New Zealand
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Date submitted for ethics approval [1]
288550
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31/10/2012
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Approval date [1]
288550
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16/11/2012
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Ethics approval number [1]
288550
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12/CEN/61
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Summary
Brief summary
The primary aim of Warm Hearts is to investigate the impact of variations in indoor temperatures on the cardiac functioning of older people with COPD. Our hypothesis is that cold indoor temperatures impair cardiac functioning. This increase impairment will be associated with an increase in oxygen demand and blood pressure. In people with reduced cardiovascular reserve, these effects may increase the risk of caridac symptoms or heart attacks and progression of heart failure.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
36622
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Prof Philippa Howden-Chapman
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Address
36622
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He Kainga Oranga / Housing and Health Research Programme
Department of Public Health
University of Otago, Wellington
PO Box 7343
Wellington South 6242
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Country
36622
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New Zealand
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Phone
36622
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+ 64 4 3855541 x6047
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Fax
36622
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Email
36622
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[email protected]
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Contact person for public queries
Name
36623
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Helen Viggers
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Address
36623
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He Kainga Oranga / Housing and Health Research Programme
Department of Public Health
University of Otago, Wellington
PO Box 7343
Wellington South 6242
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Country
36623
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New Zealand
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Phone
36623
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+64 4 3855541 x6847
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Fax
36623
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Email
36623
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[email protected]
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Contact person for scientific queries
Name
36624
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Helen Viggers
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Address
36624
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He Kainga Oranga / Housing and Health Research Programme
Department of Public Health
University of Otago, Wellington
PO Box 7343
Wellington South 6242
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Country
36624
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New Zealand
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Phone
36624
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+64 4 3855541 x6847
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Fax
36624
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Email
36624
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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