An e-Learning Course to Train General Practitioners in Planetary Health: Pilot Intervention Study.

Autor:	Tourrette C; University Department of General Practice, Montpellier University, Montpellier, France., Tostain JB; University Department of General Practice, Montpellier University, Montpellier, France.; Desbrest Institute of Epidemiology and Public Health, Montpellier University, INSERM, Montpellier, France., Kozub E; University Department of General Practice, University Toulouse III, Toulouse, France., Badreddine M; Department of Pedagogical Engineering and Audiovisual Production, Faculty of Medicine, Montpellier University, Montpellier, France., James J; University Department of General Practice, Montpellier University, Montpellier, France., Noraz A; University Department of General Practice, Montpellier University, Montpellier, France., De Choudens C; Clinical research and Epidemiology Unit, University of Montpellier Hospital Center, Montpellier, France., Moulis L; Clinical research and Epidemiology Unit, University of Montpellier Hospital Center, Montpellier, France., Duflos C; Clinical research and Epidemiology Unit, University of Montpellier Hospital Center, Montpellier, France., Carbonnel F; University Department of General Practice, Montpellier University, Montpellier, France.; Desbrest Institute of Epidemiology and Public Health, Montpellier University, INSERM, Montpellier, France.; Maison de Santé Pluriprofessionnelle Universitaire Avicenne, Cabestany, France.
Jazyk:	angličtina
Zdroj:	JMIR formative research [JMIR Form Res] 2024 May 14; Vol. 8, pp. e56138. Date of Electronic Publication: 2024 May 14.
DOI:	10.2196/56138
Abstrakt:	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. (©Cédric Tourrette, Jean-Baptiste Tostain, Eva Kozub, Maha Badreddine, Julia James, Aurore Noraz, Charlotte De Choudens, Lionel Moulis, Claire Duflos, Francois Carbonnel. Originally published in JMIR Formative Research (https://formative.jmir.org), 14.05.2024.)
Databáze:	MEDLINE
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