The Primary Care and Environmental Health e-Learning Course to Integrate Environmental Health in General Practice: Before-and-After Feasibility Study

• DOI: 10.2196/56130
• Publication Date: 2024-03-16T07:55:54Z
• Authors: Jean-Baptiste Tos...; Marina Mathieu; Agnès Oude Engberink; Bernard Clary; Michel Amouyal; Béatrice Lognos; Pascal Demoly; Isabella Annesi-M...; Grégory Ninot; Nicolas Molinari; Arnaud Richard; Maha Badreddine; Claire Duflos; Francois Carbonnel
• Keywords: Preprint; Course (navigation)

Background Environmental and behavioral factors are responsible for 12.6 million deaths annually contribute to 25% of chronic diseases worldwide. Through the One Health initiative, World Organization other international health organizations plan improve these indicators create healthier environments by 2030. To meet this challenge, training primary care professionals should be priority national policies. General practitioners (GPs) ready become involved but need in-depth gain apply environmental (EH) knowledge their practice. In response, we designed Primary Care Environment (PCEH) online course in partnership with Occitanie Regional Agency France. This was used train GP residents from Montpelier-Nimes Faculty Medicine EH knowledge. The organized 2 successive parts: (1) an asynchronous e-learning modular focusing on tools (2) 1 day face-to-face sessions. Objective study assessed impact component PCEH participants’ satisfaction, knowledge, behavior changes toward EH. Methods a pilot before-and-after study. Four modules were available 6-hour course: introduction EH, population-based approach (mapping resources), clinical cases, communication tools. From August September 2021, recruited first-year University Montpellier (N=130). Participants’ improvements 19 risks, procedure report risks authorities online, change (to consider possible effects environment own patients’ health) using self-reported questionnaires Likert scale (1-5). Paired Student t tests McNemar χ2 test compare quantitative qualitative variables, respectively, before after course. Results A total 74 completed answered pre- posttest questionnaires. mean satisfaction score 4.0 (SD 0.9) out 5. Knowledge scores increased significantly course, difference 30% (P<.001) all items. Behavioral improved 18% participant’s 26% (P<.001). These did not vary according participant characteristics (eg, sex, children, place work). Conclusions related Further studies needed assess practice potential benefits patients. serve as base that could reused each year view sustainability. will integrate new adapted evolution status target population needs.