Climate Change AwarenessPEER-CLIMATENCT07528976
Effect of Peer Education on Climate Change Awareness and Anxiety in Nursing Students
A study testing Peer Education in people with Climate Change Awareness and Climate Change Anxiety, run by Koç University at 1 site in Turkey (Türkiye).
Trial summary
This study aims to evaluate the effect of peer education on climate change awareness and climate change anxiety levels among nursing students at the Faculty of Health Sciences, Istanbul Aydin University. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Climate Change Awareness, Climate Change Anxiety
- What is being tested?
- Peer Education
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 65 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 6 Apr 2026to 1 Jun 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Being a nursing student at the Faculty of Health Sciences Being enrolled at Istanbul Aydin University Voluntarily agreeing to participate in the study Providing informed consent
Who cannot join
- Being a student outside the nursing department or a guest student Not providing informed consent Submitting incomplete questionnaires (≥20% missing responses)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site, 1 recruiting
- Recruiting
Istanbul Aydin University, Faculty of Health Sciences
Istanbul, None Selected, 34295
Tuğba ŞAHİN TOKATLIOĞLU, tsahintokatlioglu@aydin.edu.tr
About this study
Official title: The Effect of Peer Education on Climate Change Awareness and Anxiety in Nursing Students: A Quasi-Experimental Study
This study aims to evaluate the effect of peer education on climate change awareness and climate change anxiety levels among nursing students at the Faculty of Health Sciences, Istanbul Aydin University.
Within the scope of the study, changes in students' awareness and anxiety levels before and after the peer education intervention will be assessed.
The study is expected to contribute to improving nursing students' knowledge and awareness regarding the health impacts of climate change and to support the integration of sustainability and environmental health into nursing education.
Read the detailed description
The aim of this study is to evaluate the effect of peer education on climate change awareness and climate change anxiety levels among nursing students at the Faculty of Health Sciences, Istanbul Aydin University.
The study will be conducted using a single-group quasi-experimental pretest-posttest design. Nursing students enrolled in the department will constitute the study population.
Based on a power analysis conducted with a significance level of 0.05 (α=0.05), a statistical power of 95% (1-β=0.95), and a medium effect size (Cohen's d=0.50), a minimum sample size of 54 participants was calculated. Considering a possible data loss rate of 10-15%, it is planned to recruit approximately 65 students.
The study aims to determine nursing students' knowledge, awareness, and sensitivity regarding the health impacts of climate change, and to contribute to strengthening the sustainability and environmental health components of nursing education.
This research is also aligned with the International Council of Nurses (ICN, 2018) call for nurses to reduce the negative effects of climate change on public health, support climate action, and contribute to sustainable development goals.
Furthermore, the study contributes to the United Nations Sustainable Development Goals (SDGs):
Goal 3: Good Health and Well-being Goal 4: Quality Education Goal 13: Climate Action
Exclusion Criteria:
Being a non-nursing student or a guest student Not providing informed consent Submitting incomplete questionnaires (≥20% missing responses)
- Conditions
- Climate Change Awareness, Climate Change Anxiety
- Being tested
- Peer Education
- Keywords
- Climate Change, Eco-Anxiety, Peer Education, Nursing Students
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Peer EducationOther
Peer education sessions will be provided to nursing students to improve their knowledge and awareness about climate change and its health impacts.
| Study group | Role | What they receive |
|---|---|---|
| Peer Education Group | Experimental | Participants will receive peer education on climate change. Pretest and posttest assessments will be conducted to evaluate changes in awareness and anxiety levels. Receives: Other: Peer Education |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Climate Change Awareness Levels
Climate change awareness will be measured using the Climate Change Awareness Scale (CCAS). Changes in total scores from baseline (pre-intervention) to post-intervention will be evaluated. Higher scores indicate higher levels of climate change awareness.
Measured: Baseline and immediately after peer education intervention
Change in Climate Change Anxiety Levels
Climate change anxiety will be assessed using the Climate Change Worry Scale. Changes in total scores from baseline (pre-intervention) to post-intervention will be evaluated. Higher scores indicate higher levels of climate-related anxiety.
Measured: Baseline and immediately after peer education intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Apr 2026
- Study start6 Apr 2026
- Primary completion22 May 2026 (estimated)
- Study completion1 Jun 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Climate Change AwarenessStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Participants will receive a peer education intervention on climate change. A pretest-posttest design will be used to evaluate changes in climate change awareness and climate change anxiety levels before and after the intervention.
- Masking
- None (open label)
- Enrolment
- 65 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Koç University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07528976
- Sponsor's protocol ID
- Tugbas
- Acronym
- PEER-CLIMATE
- Status last verified
- Apr 2026
- First submitted
- 7 Apr 2026
- Last updated
- 14 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Atwoli L, Baqui AH, Benfield T, Bosurgi R, Godlee F, Hancocks S, et al. Call for emergency action to limit global temperature increases, restore biodiversity, and protect health; wealthy nations must do much more, much faster. Int J Health Policy Manag. 2021;10(10):602-4. Hess JJ, McDowell JZ, Luber G. Integrating climate change adaptation into public health practice: using adaptive management to increase adaptive capacity and build resilience. Environ Health Perspect. 2012;120(2):171-9. Xie E, de Barros EF, Abelsohn A, Stein AT, Haines A. Challenges and opportunities in planetary health for primary care providers. The lancet Planetary Health. 2018;2(5):e185-7. Bugaj TJ, Heilborn M, Terhoeven V, Kaisinger S, Nagy E, Friederich H-C, et al. What do Final Year Medical Students in Germany know and think about climate change?-the climattitude study. Med Educ Online. 2021;26(1):1917037. Bülbül, S. & Kocagözoğlu, S. G. (2022). Sürdürülebilir kalkınma hedefleri gözüyle iklim değişikliği. Yalçın, S.S., editör. Küresel İklim Değişikliğinin Çok Disiplinli Gözden Geçirilmesi ve Çocukluktan Erişkinliğe Etkileri. 1. Baskı. Ankara: Türkiye Klinikleri, 115-9. https://www.turkiyeklinikleri.com/ article/tr-surdurulebilir-k Ergin, E., Altinel, B., & Aktas, E. (2021). A mixed method study on global warming, climate change and the role of public health nurses from the perspective of nursing students. Nurse Education Today, 107, 105144. https://doi. org/10.1016/j.nedt.2021.105144 Gürgen Şimşek, H. & Altuğ Özsoy S. (2024). Sağlık kuruluşlarında hemşireler için yeşil bir uygulama: Geri dönüşüm. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(1), 145-151. https://dergipark.org.tr/tr/download/ article-file/3062390 Amerson, R. M., Boice, O., Mitchell, H., & Bible, J. (2022). Nursing faculty's perceptions of climate change and sustainability. Nursing Education Perspectives, 43(5), 277-282. https:// doi.org/10.1097/01.NEP.000.000.0000000991 Leffers, J., McDermott-Levy, R
Study at a glance
From the registry record, last updated by the sponsor on 14 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Peer Education on Climate Change Awareness and Anxiety in Nursing Students: A Quasi-Experimental Study
- ClinicalTrials.gov ID
- NCT07528976
- Acronym / sponsor ID
- PEER-CLIMATE / Tugbas
- Conditions
- Climate Change Awareness, Climate Change Anxiety
- Keywords
- Climate Change, Eco-Anxiety, Peer Education, Nursing Students
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 65 participants (estimated)
- Lead sponsor
- Koç UniversityUniversity, hospital or other
- Study start
- 6 Apr 2026 (actual)
- Primary completion
- 22 May 2026 (estimated)
- Study completion
- 1 Jun 2026 (estimated)
- First posted
- 14 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to evaluate the effect of peer education on climate change awareness and climate change anxiety levels among nursing students at the Faculty of Health Sciences, Istanbul Aydin University.
Within the scope of the study, changes in students' awareness and anxiety levels before and after the peer education intervention will be assessed.
The study is expected to contribute to improving nursing students' knowledge and awareness regarding the health impacts of climate change and to support the integration of sustainability and environmental health into nursing education.
Detailed description
The aim of this study is to evaluate the effect of peer education on climate change awareness and climate change anxiety levels among nursing students at the Faculty of Health Sciences, Istanbul Aydin University.
The study will be conducted using a single-group quasi-experimental pretest-posttest design. Nursing students enrolled in the department will constitute the study population.
Based on a power analysis conducted with a significance level of 0.05 (α=0.05), a statistical power of 95% (1-β=0.95), and a medium effect size (Cohen's d=0.50), a minimum sample size of 54 participants was calculated. Considering a possible data loss rate of 10-15%, it is planned to recruit approximately 65 students.
The study aims to determine nursing students' knowledge, awareness, and sensitivity regarding the health impacts of climate change, and to contribute to strengthening the sustainability and environmental health components of nursing education.
This research is also aligned with the International Council of Nurses (ICN, 2018) call for nurses to reduce the negative effects of climate change on public health, support climate action, and contribute to sustainable development goals.
Furthermore, the study contributes to the United Nations Sustainable Development Goals (SDGs):
Goal 3: Good Health and Well-being Goal 4: Quality Education Goal 13: Climate Action
Exclusion Criteria:
Being a non-nursing student or a guest student Not providing informed consent Submitting incomplete questionnaires (≥20% missing responses)
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Participants will receive a peer education intervention on climate change. A pretest-posttest design will be used to evaluate changes in climate change awareness and climate change anxiety levels before and after the intervention.
| Arm | Type | Receives |
|---|---|---|
| Peer Education Group | Experimental | Other: Peer EducationParticipants will receive peer education on climate change. Pretest and posttest assessments will be conducted to evaluate changes in awareness and anxiety levels. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Being a nursing student at the Faculty of Health Sciences Being enrolled at Istanbul Aydin University Voluntarily agreeing to participate in the study Providing informed consent
Key exclusion criteria (1 listed)
- Being a student outside the nursing department or a guest student Not providing informed consent Submitting incomplete questionnaires (≥20% missing responses)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Peer EducationPeer education sessions will be provided to nursing students to improve their knowledge and awareness about climate change and its health impacts. | Other | Peer Education Group |
Primary outcome
Change in Climate Change Awareness Levels
Time frame: Baseline and immediately after peer education intervention
Climate change awareness will be measured using the Climate Change Awareness Scale (CCAS). Changes in total scores from baseline (pre-intervention) to post-intervention will be evaluated. Higher scores indicate higher levels of climate change awareness.
Change in Climate Change Anxiety Levels
Time frame: Baseline and immediately after peer education intervention
Climate change anxiety will be assessed using the Climate Change Worry Scale. Changes in total scores from baseline (pre-intervention) to post-intervention will be evaluated. Higher scores indicate higher levels of climate-related anxiety.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Apr 2026.
- BackgroundAtwoli L, Baqui AH, Benfield T, Bosurgi R, Godlee F, Hancocks S, et al. Call for emergency action to limit global temperature increases, restore biodiversity, and protect health; wealthy nations must do much more, much faster. Int J Health Policy Manag. 2021;10(10):602-4. Hess JJ, McDowell JZ, Luber G. Integrating climate change adaptation into public health practice: using adaptive management to increase adaptive capacity and build resilience. Environ Health Perspect. 2012;120(2):171-9. Xie E, de Barros EF, Abelsohn A, Stein AT, Haines A. Challenges and opportunities in planetary health for primary care providers. The lancet Planetary Health. 2018;2(5):e185-7. Bugaj TJ, Heilborn M, Terhoeven V, Kaisinger S, Nagy E, Friederich H-C, et al. What do Final Year Medical Students in Germany know and think about climate change?-the climattitude study. Med Educ Online. 2021;26(1):1917037. Bülbül, S. & Kocagözoğlu, S. G. (2022). Sürdürülebilir kalkınma hedefleri gözüyle iklim değişikliği. Yalçın, S.S., editör. Küresel İklim Değişikliğinin Çok Disiplinli Gözden Geçirilmesi ve Çocukluktan Erişkinliğe Etkileri. 1. Baskı. Ankara: Türkiye Klinikleri, 115-9. https://www.turkiyeklinikleri.com/ article/tr-surdurulebilir-k Ergin, E., Altinel, B., & Aktas, E. (2021). A mixed method study on global warming, climate change and the role of public health nurses from the perspective of nursing students. Nurse Education Today, 107, 105144. https://doi. org/10.1016/j.nedt.2021.105144 Gürgen Şimşek, H. & Altuğ Özsoy S. (2024). Sağlık kuruluşlarında hemşireler için yeşil bir uygulama: Geri dönüşüm. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(1), 145-151. https://dergipark.org.tr/tr/download/ article-file/3062390 Amerson, R. M., Boice, O., Mitchell, H., & Bible, J. (2022). Nursing faculty's perceptions of climate change and sustainability. Nursing Education Perspectives, 43(5), 277-282. https:// doi.org/10.1097/01.NEP.000.000.0000000991 Leffers, J., McDermott-Levy, R
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Peer Education in people with Climate Change Awareness and Climate Change Anxiety, run by Koç University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 14 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Tuğba ŞAHİN TOKATLIOĞLU, Dr. (+905394748707, tsahintokatlioglu@aydin.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Climate Change Awareness Levels (time frame: Baseline and immediately after peer education intervention). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07528976, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Apr 2026.