Evidence map›Paper›PMID 41310808›Full record

ArticleImplementation science communications2025

Pilot randomized controlled trial to assess the effectiveness of a heat risk reduction decision support platform and barriers and facilitators of its implementation.

Jeremy Hess, Marci Burden, Tania M Busch Isaksen, Kristie L Ebi, Nicole A Errett, Chelsea Gridley-Smith, C Bradley Kramer, Clare McCarthy, Oma McLaughlin, Resham Patel and 4 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06971978 (Pilot Randomized Controlled Trial To Assess the Effectiveness of a Heat Risk Reduction Decision Support Platform and Barriers and Facilitators of Its Implementation), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06971978 naactive not recruitingnot on this map

Pilot Randomized Controlled Trial To Assess the Effectiveness of a Heat Risk Reduction Decision Support Platform and Barriers and Facilitators of Its Implementation

TypeinterventionalSponsorUniversity of WashingtonRan2025 to 2027Enrolled30ConditionsExtreme Heat, Heat Health, Extreme Heat Waves, HeatArmsOnline decision support platform to support evidence-based heat health risk assessment and extreme heat event preparedness planning, Heat and health risk assessment and preparedness information
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Jeremy HessDepartment of Emergency Medicine, Department of Environmental and Occupational Health Sciences, Department of Global Health, University of Washington, Seattle, WA, US. jjhess@uw.edu.ORCID http://orcid.org/0000-0002-0440-2459
Marci BurdenDepartment of Global Health, University of Washington, Seattle, Washington, US.
Tania M Busch IsaksenDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, US.
Kristie L EbiDepartment of Environmental and Occupational Health Sciences, Department of Global Health, University of Washington, Seattle, Washington, US.
Nicole A ErrettDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, US.
Chelsea Gridley-SmithEnvironmental Health, National Association of County & City Health Officials, Washington, DC, US.
C Bradley KramerDepartment of Environmental and Occupational Health Sciences, Public Health - Seattle & King County, University of Washington, Seattle, Washington, US.
Clare McCarthyDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, US.
Oma McLaughlinDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, US.
Resham PatelDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, US.
Anna ReedDepartment of Environmental and Occupational Health Sciences, Department of Global Health, University of Washington, Seattle, Washington, US.
Mary Hannah SmithDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, US.
Stefan WheatDepartment of Emergency Medicine, University of Washington, Seattle, Washington, US.
Kenneth SherrDepartment of Global Health, Department of Epidemiology, Department of Industrial & Systems Engineering, University of Washington, Seattle, Washington, US.

Funding

Research and Engagement on Adaptation for Climate and HealthP20ES036748 · NIEHS · UNIVERSITY OF WASHINGTON · PI Jeremy Johnson Hess · 2024 to 2026
$5.1M
NIEHS NIH HHS P20 ES036748NIEHS NIH HHS P20ES036748
6 · The paper itself

Abstract

backgroundClimate-sensitive hazards such as extreme heat are increasing in frequency and severity. Protecting population health requires hazard-specific risk assessment, selection of potential interventions, and support for intervention implementation. This process typically takes several years, constraining health adaptation to climate-sensitive hazards. The investigators have developed an online decision support platform, CHaRT, that links evidence-based, location-specific heat-health risk assessment with transparent analyses of risk drivers and evidence-based risk reduction guidance for use in local health departments (LHDs). CHaRT's effectiveness in supporting delivery of effective health interventions has not been evaluated. 

methodsLHDs are the organizational unit being studied. In this pilot randomized controlled trial, LHDs from the conterminous US will be recruited in coordination with the National Association of City and County Health Officials (NACCHO). Thirty LHDs will be selected at random from interested participants. Fifteen will be randomized to receive the intervention, a facilitated engagement with CHaRT, and 15 will receive the control, a package with information on heat vulnerability assessment and potential interventions. Intervention and control packages will be delivered simultaneously. Facilitated engagement will include an introduction to the tool, user exploration of the tool, elective inclusion of site-specific data into the tool, follow-up sessions to address additional questions, and discussion with investigators regarding planning and implementation needs. Pre- and post-study surveys will be used to assess CHaRT's effectiveness using the RE-AIM (Reach, Effectiveness, Acceptability, Implementation, Maintenance) framework and by comparing each site's intentions to implement specific interventions. After the trial, barriers and facilitators of the CHaRT platform's implementation will be assessed through key informant interviews with the intervention group and analyzed using the Consolidated Framework for Implementation Research (CFIR). DISCUSSION: This study will allow investigators to evaluate the public health impact of a decision support platform and to identify barriers and facilitators of its implementation. The results will guide future research into strategies for increasing public health adaptation to climate change at the speed and breadth required.

trial registrationNCT06971978, https://clinicaltrials.gov/study/NCT06971978 , 5/14/25.

Indexed as

Climate change adaptationDecision supportDisaster preparednessDisaster risk reductionHeatHeat action planningHeat risk assessment

Identifiers

PMID41310808
PMCPMC12701583

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.