Center for Preventive Medicine and Digital Health, Medical Faculty Mannheim, Heidelberg University, 68167 Mannheim, Germany.
Division of Pediatric Epidemiology, Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center of the Johannes Gutenberg, University of Mainz, 55131 Mainz, Germany.
Int J Environ Res Public Health. 2022 Jun 30;19(13):8039. doi: 10.3390/ijerph19138039.
School-based programmes may promote knowledge and skills required to address climate change and better health and well-being in adolescents, yet evidence of their effectiveness is limited. In preparation for evaluating the Public Climate School, a school-based intervention to promote climate awareness and action in adolescents, we conduct a pilot study intended to assess procedures for participant recruitment, retention, and data collection, data quality issues and to provide preliminary parameter estimates to guide sample size calculations. This unblinded, cluster-controlled pilot study targets students in twelve classes from grades seven to thirteen in German public schools. Seven and five classes were allocated to the intervention and waitlist control arms, respectively. The intervention consisted of (1) live lessons on YouTube, (2) climate-related challenges of the day, (3) workshops and (4) peer exchange sessions. Waitlist control classes participated three weeks later. Measures included the proportion of students completing baseline and follow-up surveys, a comparison of baseline characteristics between students in the retained subsample and those lost to follow-up, proportions of students completing online and paper-pencil-based surveys and problems during data collection based on information reported by teachers. Data quality was assessed as proportions of missing data, associations between missingness and sociodemographic measures using logistic regression models and basic psychometric properties of scales including ceiling effects and internal consistency. Intentions to reduce one's ecological footprint, the primary outcome, and all secondary outcomes for effect estimation were assessed one week pre- and post-intervention from November to December 2021 using items adapted from internationally used instruments and will be investigated using generalised linear mixed models and intention-to-treat analyses. The pilot study will lay the methodological groundwork for a large-scale cluster-randomised effectiveness and process evaluation of the Public Climate School. If proven effective and rolled out more broadly, the Public Climate School has the potential to contribute meaningfully to national climate mitigation and adaptation efforts by reaching a substantial share of adolescents in public schools, including those traditionally less involved in climate action.
基于学校的方案可能会促进青少年应对气候变化、改善健康和福祉所需的知识和技能,但这些方案的有效性证据有限。在为评估 Public Climate School 做准备时,我们进行了一项试点研究,旨在评估参与者招募、保留和数据收集、数据质量问题的程序,并提供初步参数估计值以指导样本量计算。这项非盲、集群对照的试点研究以德国公立学校 7 至 13 年级的 12 个班级的学生为目标。7 个班级和 5 个班级分别被分配到干预组和候补对照组。干预措施包括(1)在 YouTube 上进行现场授课,(2)当天与气候相关的挑战,(3)工作坊和(4)同伴交流环节。候补对照组在三周后参与。测量包括完成基线和随访调查的学生比例、保留的子样本学生和随访失访学生之间的基线特征比较、完成在线和纸笔问卷调查的学生比例以及基于教师报告的信息收集过程中出现的问题。数据质量评估包括缺失数据的比例、使用逻辑回归模型对缺失数据与社会人口学测量值之间的关联以及量表的基本心理测量特性(包括天花板效应和内部一致性)。主要结局为减少个人生态足迹的意图,以及所有次要结局的效应估计,将在 2021 年 11 月至 12 月,使用从国际上使用的工具改编的项目,从干预前一周和干预后一周进行评估,并将使用广义线性混合模型和意向治疗分析进行调查。试点研究将为 Public Climate School 的大规模集群随机有效性和过程评估奠定方法基础。如果被证明有效并更广泛地推广,Public Climate School 有可能通过覆盖公立学校的大量青少年,包括那些传统上较少参与气候行动的青少年,为国家的气候缓解和适应工作做出重大贡献。