Midwifery · 2026
The effect of "Green Future with Midwife's Hand" climate change animation on mothers' climate change awareness and behaviors: A randomized controlled study.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Çiçek Senem, Karakoç Hediye
Аннотация
BACKGROUND: Climate change increasingly affects maternal-newborn health, and midwives play a key role in promoting environmental awareness. Evidence on brief, animation-based climate education for postpartum women remains limited.
AIM: To examine the effect of the "Green Future with Midwife's Hand" climate change animation on postpartum mothers' climate change awareness (primary outcome) and climate-related emotional and behavioral responses (secondary outcomes).
METHODS: A randomized controlled trial was conducted with 72 postpartum women, who were allocated to intervention (n = 36) and control (n = 36) groups. Outcomes were assessed at pre-test, pre-discharge, Day 21, and Day 30. Primary and secondary outcomes included climate change awareness, climate anxiety, and behavioral subdimensions (green consumption awareness, eco-friendly choices, and responsible consumption behavior). Repeated-measures analyses were performed, and additional covariate-adjusted models were applied to account for baseline imbalances in parity, education level, and climate change follow-up status. The trial was prospectively registered at ClinicalTrials.gov (NCT06640556).
FINDINGS: Significant group × time interactions were observed across all outcomes (all p < 0.001). At Day 30, the intervention group demonstrated higher scores than the control group for climate change awareness (mean difference = 0.33, 95% CI: 0.18-0.48; η²P = 0.71) and climate anxiety (mean difference = 0.42, 95% CI: 0.26-0.58; η²P = 0.75). Behavioral outcomes also showed higher scores in the intervention group, including green consumption awareness (mean difference = 0.95, 95% CI: 0.62-1.28; η²P = 0.36), eco-friendly choices (mean difference = 1.12, 95% CI: 0.75-1.49; η²P = 0.30), and responsible consumption behavior (mean difference = 1.20, 95% CI: 0.85-1.55; η²P = 0.31). These effects remained statistically significant after covariate adjustment.
CONCLUSION: The midwife-led animation was associated with improvements in postpartum mothers' self-reported climate change awareness and behavior-related outcomes over a 30-day follow-up period. These findings should be interpreted in light of the self-reported nature of the outcomes, and further research using objective measures and longer follow-up is warranted.
AIM: To examine the effect of the "Green Future with Midwife's Hand" climate change animation on postpartum mothers' climate change awareness (primary outcome) and climate-related emotional and behavioral responses (secondary outcomes).
METHODS: A randomized controlled trial was conducted with 72 postpartum women, who were allocated to intervention (n = 36) and control (n = 36) groups. Outcomes were assessed at pre-test, pre-discharge, Day 21, and Day 30. Primary and secondary outcomes included climate change awareness, climate anxiety, and behavioral subdimensions (green consumption awareness, eco-friendly choices, and responsible consumption behavior). Repeated-measures analyses were performed, and additional covariate-adjusted models were applied to account for baseline imbalances in parity, education level, and climate change follow-up status. The trial was prospectively registered at ClinicalTrials.gov (NCT06640556).
FINDINGS: Significant group × time interactions were observed across all outcomes (all p < 0.001). At Day 30, the intervention group demonstrated higher scores than the control group for climate change awareness (mean difference = 0.33, 95% CI: 0.18-0.48; η²P = 0.71) and climate anxiety (mean difference = 0.42, 95% CI: 0.26-0.58; η²P = 0.75). Behavioral outcomes also showed higher scores in the intervention group, including green consumption awareness (mean difference = 0.95, 95% CI: 0.62-1.28; η²P = 0.36), eco-friendly choices (mean difference = 1.12, 95% CI: 0.75-1.49; η²P = 0.30), and responsible consumption behavior (mean difference = 1.20, 95% CI: 0.85-1.55; η²P = 0.31). These effects remained statistically significant after covariate adjustment.
CONCLUSION: The midwife-led animation was associated with improvements in postpartum mothers' self-reported climate change awareness and behavior-related outcomes over a 30-day follow-up period. These findings should be interpreted in light of the self-reported nature of the outcomes, and further research using objective measures and longer follow-up is warranted.