NCT01627418

Brief Summary

Aim The purpose of this study is to evaluate whether fuel subsidies reduce exacerbations of COPD among people aged over 55, and therefore whether providing such subsidies is a cost-beneficial policy initiative. The Warm Homes for Elder New Zealanders Study enrolled community-dwelling people aged over 55 with moderate or worse COPD. Prior to the study commencing the houses were insulated (if feasible, \& the house-owner agreed). Data were collected on the health and energy use of the participants. The households randomly assigned to the "early" intervention group had a subsidy to their power account their first winter in the study. The subsidy was the intervention and was designed to enable the participants, if they chose to do so, to keep their house warmer during the winter.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
522

participants targeted

Target at P75+ for not_applicable chronic-obstructive-pulmonary-disease

Timeline
Completed

Started Apr 2009

Longer than P75 for not_applicable chronic-obstructive-pulmonary-disease

Geographic Reach
1 country

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2009

Completed
2.3 years until next milestone

First Submitted

Initial submission to the registry

August 2, 2011

Completed
11 months until next milestone

First Posted

Study publicly available on registry

June 25, 2012

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2013

Completed
Last Updated

June 17, 2015

Status Verified

June 1, 2015

Enrollment Period

3.8 years

First QC Date

August 2, 2011

Last Update Submit

June 15, 2015

Conditions

Keywords

COPDCORDCOAD

Outcome Measures

Primary Outcomes (1)

  • Moderate or severe exacerbations of COPD during winter for which hospitalisation, systemic corticosteroids and/or antibiotics are required to treat the exacerbation

    Four months

Secondary Outcomes (11)

  • Severe exacerbations of COPD during winter for which hospitalisation is required to treat the exacerbation

    Four months

  • Moderate exacerbations of COPD during winter; which will be defined as requiring treatment with systemic corticosteroids and/or antibiotics

    Four months

  • All-cause hospitalisation during winter

    Four months

  • Temperature in the living and bedrooms during winter

    Four months

  • Electricity usage during winter

    Four months

  • +6 more secondary outcomes

Study Arms (2)

Voucher

EXPERIMENTAL

Receive the intervention ("Energy Voucher") the first winter enrolled in the study. The intervention is a electricity voucher and a short pamphlet describing how to work out how much heat the voucher can buy.

Behavioral: Energy Voucher

Control

OTHER

Receive the intervention the second winter enrolled in the study (thus "No intervention : control arm"). The intervention is a electricity voucher and a short pamphlet describing how to work out how much heat the voucher can buy.

Behavioral: No intervention : control arm

Interventions

Energy VoucherBEHAVIORAL

Receive the intervention the first winter enrolled in the study. The intervention is a electricity voucher and a short pamphlet describing how to work out how much heat the voucher can buy.

Voucher

Do not receive the money or pamphlet in the initial study year

Control

Eligibility Criteria

Age55 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Post Bronchodilator FEV1/FVC ratio \< Lower Limit of Normal (NHanesIII)
  • Post Bronchodilator FEV1 \< 80% of the predicted FEV1 (NHanesIII)
  • OR - In the last three years either went to hospital for their COPD or took antibiotics/steriods for their COPD

You may not qualify if:

  • Not planning to stay in the same dwelling until the end of the study
  • Does not want to take part in research
  • Unable to communicate effectively

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Wellington / Hutt/ Porirua

Wellington, Wellington Region, New Zealand

Location

Christchurch

Christchurch, New Zealand

Location

Wanganui / Manawatu

Whanganui, New Zealand

Location

Related Publications (2)

  • Viggers HE, Ingham TR, Chapman RB, Crane J, Currie AB, Davies C, Keall M, Howden-Chapman PL. Impact of a Heating Voucher on Health Outcomes in COPD Patients: A Randomised Controlled Trial. Int J Chron Obstruct Pulmon Dis. 2025 Apr 16;20:1097-1109. doi: 10.2147/COPD.S483194. eCollection 2025.

  • Viggers H, Howden-Chapman P, Ingham T, Chapman R, Pene G, Davies C, Currie A, Pierse N, Wilson H, Zhang J, Baker M, Crane J. Warm homes for older people: aims and methods of a randomised community-based trial for people with COPD. BMC Public Health. 2013 Feb 26;13:176. doi: 10.1186/1471-2458-13-176.

Related Links

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

Lung Diseases, ObstructiveLung DiseasesRespiratory Tract DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Philippa L Howden-Chapman, PhD

    University of Otago

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 2, 2011

First Posted

June 25, 2012

Study Start

April 1, 2009

Primary Completion

February 1, 2013

Study Completion

February 1, 2013

Last Updated

June 17, 2015

Record last verified: 2015-06

Locations