ArticleBMC nursing2025
Effectiveness of a web-based educational program on climate change awareness, climate activism, and pro-environmental behavior among primary health care in rural areas: a randomized controlled trial.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Medical waste management within the Green Hospital approach: a systematic review of direct, contextual, and transferable evidence.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Pooled it
- A Critical Intervention for Sustainable Health: Climate Change Awareness Among Nurse Managers.Journal of nursing management · 2026Trial
- Content Validity of the CHANT's French-Language Translation and Cultural Adaptation: A Modified E-Delphi Study.Nursing reports (Pavia, Italy) · 2026Article
- Predictors of Green Behavior Among Hospital Nurses: Organizational Climate, Team Climate, and Awareness of Consequences.International nursing review · 2026Article
- Moral Courage Mediates the Relationship Between Ethical Climate and Sustainable Environmental Health Literacy Among Nurses.International journal of environmental research and public health · 2026Article
- Navigating sustainable practice: environmental awareness and climate change as mediators of green competence of nurses.BMC nursing · 2025Article
- Tailoring climate-health competencies for diverse health cadres: Findings from a scoping review.The journal of climate change and healthReview
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClimate change-related environmental impacts, such as heatwaves, droughts, floods, and hurricanes, can significantly impact individuals' physical and mental well-being. Therefore, leveraging nurses' awareness of this looming issue is crucial.
introductionDespite the correlation between climate change and health, research is scarce in nursing. Therefore, interactive web-based educational programs can effectively leverage nurses' knowledge of climate change by promoting participatory teaching and expanding their awareness through digital media.
aimsTo assess the impact of web-based educational programs on improving climate change awareness, climate activism, and pro-environmental behavior of primary health care rural nurses.
methodA randomized control trial design was adopted according to the Consolidated Standards of Reporting Trials guidelines (CONSORT). One hundred twenty-four nurses completed pre- and post-intervention assessments using the Climate Change/Global Warming Knowledge Questionnaire, Environmental Self-Efficacy Scale, and Pro-Environmental Behavior Scale. Then, they are equally divided into intervention and control groups.
resultsEffect sizes for climate awareness showed substantial influence, with η² values of 0.351 and 0.229; climate self-efficacy and Pro-Environmental Behavior PEBS demonstrated notable effect sizes (η²=0.292 and 0.141, respectively).
conclusionParticipants who received the web-based educational program demonstrated significant improvements in climate change knowledge, environmental self-efficacy, and pro-environmental behavior. These findings highlight the effectiveness of digital-based interventions in enhancing climate-related competencies among primary healthcare nurses. Future initiatives should explore the scalability of such programs to broader healthcare settings to further promote climate literacy and sustainable practices. IMPLICATION FOR NURSING: Providing primary care nurses working in rural areas with comprehensive knowledge can enable nurse managers to advocate for environmental sustainability and stewardship, promoting community health resilience. IMPLICATION FOR NURSING POLICY: Implementing a web-based educational program related to climate change will enable policymakers and decision-makers to ensure that primary care nurses in rural areas optimally contribute to climate advocacy and environmental health initiatives. This approach aligns with the World Health Organization's Global Strategic Directions for Nursing and Midwifery 2021-2025, which aims to achieve global health goals.
trial registrationNCT: 06196476.
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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.