Evidence map›Paper›PMID 41992292›Full record

ArticleBMC research notes2026

Are 'evidence-based' cooling strategies fit-for-purpose?-Investigating the gap between guidance and behaviour.

Mehak Oberai, Shannon Rutherford, Karlien H W Paas, Aaron Bach, Connor Forbes, Ella Jackman, Steven Baker, Sebastian Binnewies, Fergus K O'Connor

Abstract read
In one paragraph

Article in BMC research notes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
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

9 authors.

Mehak OberaiSchool of Medicine and Dentistry, Griffith University, Gold Coast, QLD, Australia.
Shannon RutherfordSchool of Medicine and Dentistry, Griffith University, Gold Coast, QLD, Australia.
Karlien H W PaasSchool of Medicine and Dentistry, Griffith University, Gold Coast, QLD, Australia.
Aaron BachGriffith Institute for Human and Environmental Resilience, Griffith University, Gold Coast, QLD, Australia.
Connor ForbesInstitute for Evidence Based Healthcare (IEBH), Bond University, Gold Coast, Australia.
Ella JackmanSchool of Medicine and Dentistry, Griffith University, Gold Coast, QLD, Australia.
Steven BakerMelbourne School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia.
Sebastian BinnewiesSchool of Information and Communication Technology, Griffith University, Gold Coast, QLD, Australia.
Fergus K O'ConnorGriffith Institute for Human and Environmental Resilience, Griffith University, Gold Coast, QLD, Australia. f.oconnor@griffith.edu.au.

Funding

Wellcome Trust 224709/Z/21/Z
6 · The paper itself

Abstract

objectiveAcross two summers self-report surveys were completed by a total of 130 older adults who were trialling a digital heat early warning system in Southeast Queensland. The purpose of the project was to assess participants’ access to (accessibility), and willingness to use (acceptability) commonly promoted cooling strategies, and to further explore the reasons for reluctance to use.

resultsMost participants reported access to all strategies (93–100%). Acceptability (mean response [95%CI]) was high for opening/closing windows or blinds (97 [94–100]%), fans, drinking cool water, sitting quietly, removing excess clothing (all 96 [93–99]%), cold showers (92 [87–96]%), and air-conditioning (90 [84–95] %). Conversely, hand/forearm baths (76 [69–84]%), icepacks (68 [60–76]%), dampened clothing (64 [56–72]%), foot baths (63 [54–71]%), and cold baths (49 [39–60]%) were less acceptable. Key reported barriers included messiness (n = 48), physical discomfort (n = 47), and preference for other strategies (n = 47). Among this sample of older adults, several widely promoted water-based cooling strategies were reported as unacceptable despite high accessibility. These findings highlight an implementation gap between public health recommendations and self-reported willingness to use such strategies, underscoring the need for co-designed heat-health interventions.

Indexed as

Extreme HeatThermal ComfortAgedAged, 80 and overFemaleHumansMaleQueenslandAcceptabilityAdaptationAustraliaOlder adultsQueensland

Identifiers

PMID41992292
PMCPMC13202887

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.