PDF(Pubmed)
Abstract：
BACKGROUND: According to the World Health Organization, climate and ecological emergencies are already major threats to human health. Unabated climate change will cause 3.4 million deaths per year by the end of the century, and health-related deaths in the population aged ≥65 years will increase by 1540%. Planetary health (PH) is based on the understanding that human health and human civilization depend on flourishing natural systems and the wise stewardship of those natural systems. Health care systems collectively produce global emissions equivalent to those of the fifth largest country on earth, and they should take steps to reduce their environmental impact. Primary care in France accounts for 23% of greenhouse gas emissions in the health care sector. General practitioners (GPs) have an important role in PH. The course offers first-year GP residents of the Montpellier-Nîmes Faculty of Medicine a blended-learning course on environmental health. An e-learning module on PH, lasting 30 to 45 minutes, has been introduced in this course.
OBJECTIVE: The objective of this study was to assess the impact of the e-learning module on participants\' knowledge and behavior change.
METHODS: This was a before-and-after study. The module consisted of 3 parts: introduction, degradation of ecosystems and health (based on the Intergovernmental Panel on Climate Change report and planetary limits), and ecoresponsibility (based on the Shift Project report on the impact of the health care system on the environment). The questionnaire used Likert scales to self-assess 10 points of knowledge and 5 points of PH-related behavior.
RESULTS: A total of 95 participants completed the pre- and posttest questionnaires (response rate 55%). The mean scores for participants\' pretest knowledge and behaviors were 3.88/5 (SD 0.362) and 3.45/5 (SD 0.705), respectively. There was no statistically significant variation in the results according to age or gender. The pretest mean score of participants who had already taken PH training was statistically better than those who had not taken the PH training before this course (mean 4.05, SD 0.16 vs mean 3.71, SD 0.374; P<.001).
CONCLUSIONS: The PH module of the Primary Care Environment and Health course significantly improved self-assessment knowledge scores and positively modified PH behaviors among GP residents. Further work is needed to study whether these self-declared behaviors are translated into practice.
OBJECTIVE: The objective of this study was to assess the impact of the e-learning module on participants\' knowledge and behavior change.
METHODS: This was a before-and-after study. The module consisted of 3 parts: introduction, degradation of ecosystems and health (based on the Intergovernmental Panel on Climate Change report and planetary limits), and ecoresponsibility (based on the Shift Project report on the impact of the health care system on the environment). The questionnaire used Likert scales to self-assess 10 points of knowledge and 5 points of PH-related behavior.
RESULTS: A total of 95 participants completed the pre- and posttest questionnaires (response rate 55%). The mean scores for participants\' pretest knowledge and behaviors were 3.88/5 (SD 0.362) and 3.45/5 (SD 0.705), respectively. There was no statistically significant variation in the results according to age or gender. The pretest mean score of participants who had already taken PH training was statistically better than those who had not taken the PH training before this course (mean 4.05, SD 0.16 vs mean 3.71, SD 0.374; P<.001).
CONCLUSIONS: The PH module of the Primary Care Environment and Health course significantly improved self-assessment knowledge scores and positively modified PH behaviors among GP residents. Further work is needed to study whether these self-declared behaviors are translated into practice.
摘要：
背景：根据世界卫生组织，气候和生态紧急情况已经是人类健康的主要威胁。到本世纪末，气候变化将每年造成340万人死亡，在≥65岁的人群中，与健康相关的死亡人数将增加1540%。行星健康（PH）是基于人类健康和人类文明依赖于繁荣的自然系统和这些自然系统的明智管理的理解。医疗保健系统共同产生的全球排放量相当于地球上第五大国家的排放量，他们应该采取措施减少对环境的影响。法国的初级保健占卫生保健部门温室气体排放量的23%。全科医生（GPs）在PH中起重要作用。该课程为蒙彼利埃-尼姆医学院的一年级GP居民提供有关环境卫生的混合学习课程。PH上的电子学习模块，持续30到45分钟,已在本课程中介绍。
目的：本研究的目的是评估电子学习模块对参与者知识和行为改变的影响。
方法：这是一项前后研究。该模块由三部分组成：引言，生态系统退化和健康(根据政府间气候变化专门委员会的报告和行星极限)，和生态责任（基于关于医疗保健系统对环境的影响的转变项目报告）。问卷采用Likert量表对PH相关行为进行10分的知识和5分的自我评估。
结果：共有95名参与者完成了测试前和测试后问卷（回答率55%）。参与者的预测试知识和行为的平均得分分别为3.88/5（SD0.362）和3.45/5（SD0.705），分别。根据年龄或性别，结果没有统计学上的显着差异。在本课程之前，已经接受过PH训练的参与者的预测平均得分在统计学上优于未接受PH训练的参与者（平均值4.05，SD0.16vs平均值3.71，SD0.374；P<.001）。
结论：初级保健环境与健康课程的PH模块显着提高了GP居民的自我评估知识得分并积极改善了PH行为。需要进一步的工作来研究这些自我声明的行为是否转化为实践。
目的：本研究的目的是评估电子学习模块对参与者知识和行为改变的影响。
方法：这是一项前后研究。该模块由三部分组成：引言，生态系统退化和健康(根据政府间气候变化专门委员会的报告和行星极限)，和生态责任（基于关于医疗保健系统对环境的影响的转变项目报告）。问卷采用Likert量表对PH相关行为进行10分的知识和5分的自我评估。
结果：共有95名参与者完成了测试前和测试后问卷（回答率55%）。参与者的预测试知识和行为的平均得分分别为3.88/5（SD0.362）和3.45/5（SD0.705），分别。根据年龄或性别，结果没有统计学上的显着差异。在本课程之前，已经接受过PH训练的参与者的预测平均得分在统计学上优于未接受PH训练的参与者（平均值4.05，SD0.16vs平均值3.71，SD0.374；P<.001）。
结论：初级保健环境与健康课程的PH模块显着提高了GP居民的自我评估知识得分并积极改善了PH行为。需要进一步的工作来研究这些自我声明的行为是否转化为实践。
