Block Sonja, Kerzel Sebastian, Harner Susanne, Leitzmann Michael, Puppe Linda, Jochem Carmen
Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.
Department of Pediatric Pneumology and Allergy, University Children's Hospital Regensburg (KUNO), Hospital St. Hedwig of the Order of St. John, Regensburg, Germany.
Public Health. 2025 Sep;246:105829. doi: 10.1016/j.puhe.2025.105829. Epub 2025 Jun 28.
The aim of the study was to co-develop and implement a student-driven, interactive, and competence-based planetary health education (PHE) module on climate-sensitive health counselling (CSHC) in pediatrics and to evaluate pediatric planetary health literacy among medical students at a medical faculty in Germany.
This is a mixed methods study with a qualitative co-developing process of a teaching intervention in the pediatric curriculum of medical students and a pre-post evaluation. The questionnaires assessed whether the module could enhance students' planetary health literacy and evaluated its didactic design.
A teaching module titled "Child Health in Times of Planetary Crises" was co-developed, integrating insights from interviews with pediatricians practicing CSHC. Measurable learning objectives were created using Bloom's taxonomy. The module included an online course and a seminar that applied CSHC in pediatric scenarios, focussing on preventive and adaptive consultation. Pre- and post-course questionnaires assessed planetary health literacy, covering knowledge, understanding, and self-assessed competence, along with feedback on the course design. Statistical analysis included paired t-tests, Pearson correlations, and median comparisons.
Students rated the module as "important", "interesting" and "neglected in the rest of the curriculum". Their planetary health literacy improved significantly across knowledge, comprehension of pediatrician's special responsibilities, and self-assessed competence to advise patients on adaptive and preventive measures (p < 0.01). The module's design received positive evaluation.
The module effectively enhanced planetary health literacy among medical students. Competence-based education on medical response strategies is essential for addressing children's vulnerability to growing health risks posed by planetary crises. We recommend integrating planetary health education into discipline-specific teaching and cross-disciplinary subjects.
本研究旨在共同开发并实施一个由学生主导、互动式且基于能力的行星健康教育（PHE）模块，内容涉及儿科中针对气候敏感型健康咨询（CSHC）的相关知识，并评估德国一所医学院校医学生的儿科行星健康素养。
这是一项混合方法研究，包括对医学生儿科课程教学干预进行定性的共同开发过程以及前后评估。问卷评估了该模块是否能提高学生的行星健康素养，并对其教学设计进行了评估。
共同开发了一个名为“行星危机时代的儿童健康”的教学模块，整合了对从事CSHC的儿科医生访谈所得的见解。利用布鲁姆分类法制定了可衡量的学习目标。该模块包括一门在线课程和一个研讨会，在儿科场景中应用CSHC，重点是预防性和适应性咨询。课程前后的问卷评估了行星健康素养，涵盖知识、理解以及自我评估的能力，同时还收集了对课程设计的反馈。统计分析包括配对t检验、皮尔逊相关性分析和中位数比较。
学生们将该模块评为“重要”“有趣”且“在课程其他部分被忽视”。他们在知识、对儿科医生特殊责任的理解以及就适应性和预防性措施为患者提供建议的自我评估能力方面，行星健康素养有显著提高（p < 0.01）。该模块的设计得到了积极评价。
该模块有效地提高了医学生的行星健康素养。基于能力的医学应对策略教育对于解决儿童在面对行星危机带来的日益增长的健康风险时的脆弱性至关重要。我们建议将行星健康教育纳入特定学科教学和跨学科课程中。
