Department of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth campus, 1035 University Drive, Duluth, MN, 55812-3031, USA.
Hennepin Healthcare, 701 Park Avenue, MN, Minneapolis, 55415, USA.
BMC Med Educ. 2023 Nov 12;23(1):858. doi: 10.1186/s12909-023-04785-1.
Air pollution is a major health risk contributing to global morbidity and mortality, yet clinicians do not routinely engage in counseling patients on this topic. Clinicians cite their lack of education as a common barrier. We developed a two-minute animated video on mitigating air pollution health risks and evaluated the efficacy of this video as an educational tool.
In March-June 2021, a convenience sample of Minnesota interprofessional health learners and clinicians viewed the video and completed an electronic survey that assessed pre-/post-video intervention changes in (a) didactic and clinically applied knowledge on health impacts of air pollution, (b) perceived comfort in identifying at-risk patients and counseling them on relevant preventive health behaviors, (c) intentions/barriers to counseling patients, (d) beliefs and attitudes related to the health harms of air pollution, and (e) perceptions of the overall acceptability of the intervention.
The 218 participants included learners and clinicians in medicine, nursing, and advanced practice provision. Respondents' knowledge scores and self-reported level of comfort in identifying high-risk patients and counseling them on preventative health behaviors increased significantly pre-/post-intervention. The video also effectively altered participants' misperceptions about the health impacts of air pollution. While less than half of participants (43.6%) reported they intended to engage in counseling patients as a result of watching the video, 52.3% indicated they might do so. Lack of time during clinical encounters and lack of training were reported as persistent barriers to engaging in this counseling. Overall, participants found the video to be an effective educational tool, indicating that they wanted their colleagues and patients to watch the video and would like to see further short, animated videos on other environmental health topics.
A two-minute animated educational video significantly improved knowledge of inequitable health impacts of air pollution and improved perceived comfort in identifying and counseling at-risk patients among health professional learners and clinicians regardless of profession, level of training, or pre-intervention knowledge level. Academic health professional training programs and health systems should consider adopting this modality as a tool for educating learners, clinicians, and patients on environmental health risks.
空气污染是导致全球发病率和死亡率的主要健康风险因素，但临床医生通常不会就这一主题对患者进行咨询。临床医生将缺乏教育作为一个常见的障碍。我们制作了一个关于减轻空气污染健康风险的两分钟动画视频，并评估了该视频作为教育工具的效果。
在 2021 年 3 月至 6 月期间，明尼苏达州的一组多专业卫生学习者和临床医生观看了该视频，并完成了一份电子调查，该调查评估了视频干预前后（a）关于空气污染对健康影响的教学和临床应用知识、（b）识别高危患者并就相关预防保健行为对其进行咨询的舒适度、（c）咨询患者的意愿/障碍、（d）与空气污染健康危害相关的信念和态度，以及（e）对干预整体接受度的看法。
218 名参与者包括医学、护理和高级实践专业的学习者和临床医生。干预前后，受访者的知识得分和自我报告识别高危患者并就预防保健行为对其进行咨询的舒适度显著提高。该视频还有效地改变了参与者对空气污染健康影响的误解。尽管不到一半的参与者（43.6%）表示他们因为观看视频而打算对患者进行咨询，但有 52.3%的人表示可能会这样做。在临床就诊期间缺乏时间和缺乏培训被报告为参与咨询的持续障碍。总的来说，参与者认为该视频是一种有效的教育工具，他们表示希望同事和患者观看该视频，并希望看到更多关于其他环境健康主题的简短动画视频。
两分钟的动画教育视频显著提高了卫生专业学习者和临床医生对空气污染的不公平健康影响的认识，并提高了他们识别和咨询高危患者的舒适度，无论他们的专业、培训程度或干预前的知识水平如何。学术卫生专业培训计划和卫生系统应考虑采用这种模式作为向学习者、临床医生和患者传授环境健康风险的工具。
