Supporting general practices to develop green action plans to reduce carbon emissions: development and evaluation of the feasibility of a workshop-based intervention

支持一般性机构制定绿色行动计划以减少碳排放:开发和评估基于研讨会的干预措施的可行性

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Abstract

AIM: To describe the development, delivery, and outcome of an action-oriented intervention comprising an awareness-raising educational video and workshop designed to support general practice teams to identify and plan decarbonization actions, delivered from May-September 2024. BACKGROUND: Healthcare services internationally are committing to net zero targets. General practice is recognized as having a pivotal role in achieving these ambitions. However, limited awareness of decarbonization initiatives and insufficient support for implementation highlight the need for an educational resource to facilitate action planning. METHODS: Principles of organizational change, video-design, and barriers to decarbonization informed the intervention's development. The video included modules featuring resource materials and ideas to support the development and implementation of decarbonization actions in general practice. Prompts for a facilitated workshop discussion were developed to support action planning. The intervention was delivered to 64 multidisciplinary staff across 12 general practices in England. A conceptual content analysis was conducted on completed practice green action plans (GAPs) and data from an online participant feedback form were analysed using descriptive statistics to assess perceptions of the intervention. Free-text comments were thematically analysed. RESULTS: Across the 12 GAPs, each practice planned between three and eight decarbonization actions. 'Managing waste' was the most frequently addressed area, appearing in 10 practice GAPs, and most planned actions mapped onto those presented within the video. Thirty (46.9%) participants completed the evaluation survey. The intervention was well received, with 28 (93.3%) survey respondents rating the overall usefulness of the video as 4 or 5 (1 'not at all useful' to 5 'very useful'). Free-text comments for suggested improvements related to time for consolidating learning, and concerns about the video's audio quality and duration. CONCLUSIONS: The educational workshop successfully facilitated the development of structured GAPs with explicit timescales and intended outcomes. This study did not assess the implementation of planned actions.

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