Heat Adaptation Through Community-based Approaches and Research at SEACO: Structural and Behavioural Interventions (Heat Care)

The goal of this clinical trial is to learn if structural and behavioral interventions can mitigate the health effects of extreme heat in rural Malaysian communities. The study focuses on implementing cool roofs (a passive cooling system) and heat literacy education to improve heat adaptation behaviors. The study is funded by Wellcome (Heat Adaptation award - 226737\_Z\_22\_Z) The main questions it aims to answer are: * Does the implementation of cool roofs reduce indoor temperatures and related heat stress in rural households? * Does heat literacy education improve community awareness and behaviors related to coping with extreme heat? Researchers will compare four groups: one receiving both cool roofs and heat literacy interventions, one receiving only the cool roof intervention, one receiving only heat literacy education, and a control group receiving neither intervention. Participants will be asked to: * Have their roofs painted with UV-resistant white paint (for cool roof intervention groups). * Participate in educational sessions and training on heat-related health risks and coping strategies (for heat literacy intervention groups). * Participants will undergo assessments at baseline (T0), first follow-up (T1), second follow-up (T2), and third follow-up/endline (T3). The T1 assessment occurs after completion of behavioral intervention and prior to the structural intervention. * Wear a Garmin Vivosmart 5 sensor for two weeks during each data collection period to monitor heart rate, physical activity, and sleep patterns.