Health professional's willingness to advocate for strengthening global commitments to the Paris climate agreement: Findings from a multi-nation survey

Lee, Hye Ryeon; Pagano, Ian; Borth, Amanda C.; Campbell, Eryn; Hubbert, Benjamin; Kotcher, John; Maibach, Edward

doi:10.1016/j.joclim.2021.100016

Cited by 18 publications

(12 citation statements)

References 21 publications

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“…While CHANT began as a tool focused on nurses, it has since been expanded to include all health professionals such as physicians, dentists, pharmacists, social workers, physical therapists, psychologists, and counselors. Some efforts are being made to understand health professionals’ (Kotcher et al., 2021; Lee et al., 2021; Maibach et al., 2021) and health organizations’ (Ehrhart et al., 2016; Jagals & Ebi, 2021; Peters et al., 2022) response to climate change. Targeted action from a wide range of health professionals can help drive advocacy and change for public health prevention efforts, organizational policy and protocols, environmental justice, and environmentally safe clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…While CHANT began as a tool focused on nurses, it has since been expanded to include all health professionals such as physicians, dentists, pharmacists, social workers, physical therapists, psychologists, and counselors. Some efforts are being made to understand health professionals' Lee et al, 2021;Maibach et al, 2021) and health organizations' (Ehrhart et al, 2016;Jagals & Ebi, 2021;Peters et al, 2022) Since the data was collected for this study (Schenk et al, 2020(Schenk et al, , 2021, this tool is being used nationally and globally. We receive regular requests to translate and utilize CHANT in numerous countries and languages.…”

Section: Future Directionsmentioning

confidence: 99%

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Climate, Health, and Nursing Tool (CHANT): A confirmatory factor analysis

Winquist

Schenk

Cook³

et al. 2022

Public Health Nursing

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Objective: To confirm the factor structure of the Climate, Health, and Nursing Tool (CHANT) tool via confirmatory factor analysis.Design and sample: This is a cross-sectional analysis of voluntary, anonymous responses collected online in 2019, from a non-representative sample of 489 nurses from 12 nations with 95% of the respondents from the United States. Measurements:A confirmatory factor analysis (CFA) was conducted to test a fivefactor measurement model of the 22-item CHANT. Reliability was examined via Cronbach's α coefficient. Results:The five CHANT subscales demonstrated acceptable reliability with Cronbach's α ranging from 0.67 to 0.91. The five-factor model of CHANT demonstrated good fit, x 2 (199) = 582.747, p < .001, CFI = 0.94, RMSEA = 0.06, and SRMR = 0.04 with statistically significant item-factor loadings. Conclusion:CHANT is a reliable and robust instrument to measure nurses' awareness, concern, motivation, and home and work behaviors regarding climate change and health, and is ready to be utilized in research, policy, professional settings, and among educators. K E Y W O R D Sclimate change, environmental health, psychometrics, public health nursing practice BACKGROUNDIn the 2021 report of the Lancet Countdown, an international collaborative of researchers that monitors the impacts of climate change, there was an emphasis on the dire need to address climate change and the negative health consequences that result from our climate (Romanello et al.

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Section: Discussionmentioning

confidence: 99%

“…While CHANT began as a tool focused on nurses, it has since been expanded to include all health professionals such as physicians, dentists, pharmacists, social workers, physical therapists, psychologists, and counselors. Some efforts are being made to understand health professionals' Lee et al, 2021;Maibach et al, 2021) and health organizations' (Ehrhart et al, 2016;Jagals & Ebi, 2021;Peters et al, 2022) Since the data was collected for this study (Schenk et al, 2020(Schenk et al, , 2021, this tool is being used nationally and globally. We receive regular requests to translate and utilize CHANT in numerous countries and languages.…”

Section: Future Directionsmentioning

confidence: 99%

Climate, Health, and Nursing Tool (CHANT): A confirmatory factor analysis

Winquist

Schenk

Cook³

et al. 2022

Public Health Nursing

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“…Previous studies have suggested these domains are important in activating health professionals to become more engaged in climate action. 6 An emphasis on personalized coaching may have been effective in helping fellows learn about community organizing and develop their projects. More studies are needed to further analyze these educational Topics:…”

Section: Lessons Learnedmentioning

confidence: 99%

“…However, health professionals often lack the training and self-efficacy-a belief in their capacity to act to achieve a goal-needed to be effective in this role. 6 Community organizing is a leadership practice that enables a constituency to mobilize its resources to take collective action through social movement power. 7 Marshall Ganz (Harvard Kennedy School) developed a pedagogical framework to teach community organizing 7 that has been taught in the fields of government and business and used effectively to teach health professionals.…”

Section: Problemmentioning

confidence: 99%

Health Professionals Organizing for Climate Action: A Novel Community Organizing Fellowship

Basu,

Stojicic,

Goldman

et al. 2024

Acad Med

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Problem Climate change is a public health and health equity crisis. Health professionals are well positioned to advance solutions but may lack the training and self-efficacy needed to achieve them. Approach The Center for Health Equity Education and Advocacy at Cambridge Health Alliance, a Harvard Medical School Teaching Hospital, developed a novel, longitudinal fellowship that taught health professionals about health and health equity effects of climate change, as well as community organizing practices that may help them mitigate these effects. The fellowship cohort included 40 fellows organized into 12 teams and was conducted from January to June 2022. Each team developed a project to address climate change and received coaching from an experienced community organizer coach. Effects of the fellowship on participants’ knowledge, skills, and attitudes were evaluated using pre- and postfellowship surveys. Outcomes Surveys were analyzed for 38 of 40 (95%) participants who consented to the evaluation and completed both surveys. Surveys used a 7-point Likert scale for item responses. McNemar’s test for paired data was used to assess changes in the proportion of respondents who agreed (“somewhat agree”/“agree”/“strongly agree”) with statements in pre- vs postfellowship surveys. Statistically significant improvements were found for 11 of the 17 items assessing knowledge, skills, and attitudes. Participants’ views of the fellowship and its effects were assessed through additional items in the postfellowship survey. Most respondents agreed that the fellowship increased their knowledge of the connections between climate change and health equity (32/38, 84.2%) and prepared them to effectively participate in a community organizing campaign (37/38, 94.7%). Each of the 12 groups developed climate health projects by the fellowship’s end. Next Steps This novel fellowship was well received and effective in teaching community organizing to health professionals concerned about climate change. Future studies are needed to assess longer-term effects of the fellowship.

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“…Other studies asked members of specific medical societies—including the American Thoracic Society, the National Medical Association, and the American Academy of Allergy Asthma and Immunology—similar questions and found similar results, with majorities of members indicating that health professionals should be playing a role in responding to climate change and educating the public ( 52 – 54 ). Feeling a sense of professional responsibility is related to health professionals' willingness to advocate for climate and health solutions ( 56 ).…”

Section: Social Science Research On Climate and Health Messengersmentioning

confidence: 99%

Communication research to improve engagement with climate change and human health: A review

Campbell

Uppalapati

Kotcher

et al. 2023

Front. Public Health

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Because of the world's dependence on fossil fuels, climate change and air pollution are profoundly harming both human and planetary health. Fortunately, climate solutions are also health solutions, and they present both local and global opportunities to foster cleaner, healthier, and safer communities. In this review, we briefly discuss the human health harms of climate change, climate and health solutions, and provide a thorough synthesis of social science research on climate and health communication. Through our review, we found that social science research provides an evidence-based foundation for messaging strategies that can build public and political will for climate and health solutions. Specifically, messages that convey the health harms of climate change and highlight the health benefits of climate solutions may be especially effective in building this public and political will. We also found that health professionals are trusted sources of information about climate change, and many have shown interest in engaging with the public and policymakers about the health relevance of climate change and clean energy. Together, the alignment between message strategies and the interest of highly trusted messengers strongly suggests the potential of health students and health professionals to create the conditions necessary to address climate change as a public health imperative. Therefore, our review serves as a resource for those interested in communicating about climate change and health and suggests that social scientists can continue to support practitioners with research and advice on the most effective communication strategies.

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Health professional's willingness to advocate for strengthening global commitments to the Paris climate agreement: Findings from a multi-nation survey

Cited by 18 publications

References 21 publications

Climate, Health, and Nursing Tool (CHANT): A confirmatory factor analysis

Climate, Health, and Nursing Tool (CHANT): A confirmatory factor analysis

Health Professionals Organizing for Climate Action: A Novel Community Organizing Fellowship

Communication research to improve engagement with climate change and human health: A review

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