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Nowak AC, Lopez Lumbi S, Mc Call T. 3 Months without the car in Bielefeld, Germany- a mixed-method study exploring individual motivation to participate in a municipal intervention. BMC Public Health 2024; 24:759. [PMID: 38468196 DOI: 10.1186/s12889-024-18266-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 03/03/2024] [Indexed: 03/13/2024] Open
Abstract
BACKGROUND Climate change is a major public health issue worldwide. To achieve climate targets and reduce morbidity, a paradigm shift in individual behavior e.g., in mobility, is needed. Municipal interventions can motivate individuals to engage in climate-friendly behavior through different psychological mechanisms. In order for successful interventions, it is necessary to gain better insight from study participants and their reasons for participating in mobility projects (e.g., motivational aspects). MATERIALS AND METHODS A mixed-methods design was used to evaluate reasons and characteristics of people for participating in an municipal mobility intervention. The quantitative sub-study assesses socioeconomic characteristics, environmental awareness and perceived stress. The qualitative sub-study explores motivation for participation and change, perspectives on car replacement and reasons for car use. RESULTS Results show that participants (n = 42) are rather high educated and show medium environmental awareness. Participants of the qualitative study part (n = 15) were motiviated to reduce car use already before the intervention and used the intervention as starting point or trial phase. CONCLUSIONS Urban intervention projects with fitted recruitment strategies and better insights from study participants with the aim to motivate individuals to engage in climate-friendly behavior can help to strengthen sustainability and public health.
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Affiliation(s)
| | - Susanne Lopez Lumbi
- Sustainable Environmental Health Sciences, Medical School OWL, Bielefeld University, 33615, Bielefeld, Germany
| | - Timothy Mc Call
- Sustainable Environmental Health Sciences, Medical School OWL, Bielefeld University, 33615, Bielefeld, Germany.
- Working group Environment and Health, School of Public Health, Bielefeld University, 33615, Bielefeld, Germany.
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Freymueller J, Schmid HL, Senkler B, Lopez Lumbi S, Zerbe S, Hornberg C, McCall T. Current methodologies of greenspace exposure and mental health research-a scoping review. Front Public Health 2024; 12:1360134. [PMID: 38510363 PMCID: PMC10951718 DOI: 10.3389/fpubh.2024.1360134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 02/20/2024] [Indexed: 03/22/2024] Open
Abstract
Introduction Greenspaces can provide an important resource for human mental health. A growing body of literature investigates the interaction and the influence of diverse greenspace exposures. In order to gain a comprehensive understanding of the complex connection between greenspace and mental health, a variety of perspectives and methodological combinations are needed. The aim of this review is to assess the current methodologies researching greenspace and mental health. Methods A scoping review was conducted. Four electronic databases (Pubmed, Embase, PsycInfo, Web of Science) were searched for relevant studies. A wide range of greenspace and mental health keywords were included to provide a comprehensive representation of the body of research. Relevant information on publication characteristics, types of greenspaces, mental health outcomes, and measurements of greenspace exposure and mental health was extracted and assessed. Results 338 studies were included. The included studies encompassed a multitude of methods, as well as outcomes for both greenspace and mental health. 28 combinations were found between seven categories each for greenspace and mental health assessment. Some pairings such as geoinformation systems for greenspace assessment and questionnaires investigating mental health were used much more frequently than others, implying possible research gaps. Furthermore, we identified problems and inconsistences in reporting of greenspace types and mental health outcomes. Discussion The identified methodological variety is a potential for researching the complex connections between greenspace and mental health. Commonly used combinations can provide important insights. However, future research needs to emphasize other perspectives in order to understand how to create living environments with mental health benefits. For this purpose, interdisciplinary research is necessary.
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Affiliation(s)
- Julius Freymueller
- Medical School OWL, Department of Sustainable Environmental Health Sciences, Bielefeld University, Bielefeld, Germany
| | - Hannah-Lea Schmid
- Medical School OWL, Department of Sustainable Environmental Health Sciences, Bielefeld University, Bielefeld, Germany
| | - Ben Senkler
- Medical School OWL, Department of Sustainable Environmental Health Sciences, Bielefeld University, Bielefeld, Germany
| | - Susanne Lopez Lumbi
- Medical School OWL, Department of Sustainable Environmental Health Sciences, Bielefeld University, Bielefeld, Germany
| | - Stefan Zerbe
- Faculty of Agricultural, Environmental and Food Sciences, Free University of Bozen-Bolzano, Bolzano, Italy
- Institute of Geography, University of Hildesheim, Hildesheim, Germany
| | - Claudia Hornberg
- Medical School OWL, Department of Sustainable Environmental Health Sciences, Bielefeld University, Bielefeld, Germany
| | - Timothy McCall
- Medical School OWL, Department of Sustainable Environmental Health Sciences, Bielefeld University, Bielefeld, Germany
- School of Public Health, Department of Environment and Health, Bielefeld University, Bielefeld, Germany
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Bolte G, Dandolo L, Gepp S, Hornberg C, Lumbi SL. Climate change and health equity: A public health perspective on climate justice. J Health Monit 2023; 8:3-35. [PMID: 38105794 PMCID: PMC10722520 DOI: 10.25646/11772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 10/05/2023] [Indexed: 12/19/2023]
Abstract
Background The discourse on climate justice has developed from the theoretical approaches and discussions on environmental justice. A central tenet of the concept of environmental and climate justice is that environmental and climate issues cannot be seen in isolation from issues of social justice. Methods A conceptual model was developed on the relationship between climate change impacts, social dimensions, adaptive capacities, biological sensitivity, and health equity in order to systematically analyse climate justice. Based on an exploratory literature review and the evaluation of the individual contributions of the status report on climate change and health, the evidence in Germany on social inequalities in exposure to climate change impacts and vulnerability to their direct and indirect health effects was summarised. Results This paper provides an overview of the international debate and examples of evidence on climate justice in Germany. Climate justice in the sense of avoidable, unjust social inequalities in exposure, vulnerability, and the effects of climate mitigation and adaptation measures on health inequalities is still insufficiently addressed in Germany. Conclusions A consistent integration of equity issues into climate policy is necessary. With reference to the international literature, options for action and research needs are identified.
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Affiliation(s)
- Gabriele Bolte
- University of Bremen, Institute of Public Health and Nursing Research, Department of Social Epidemiology, Bremen, Germany
| | - Lisa Dandolo
- University of Bremen, Institute of Public Health and Nursing Research, Department of Social Epidemiology, Bremen, Germany
| | - Sophie Gepp
- Centre for Planetary Health Policy, Berlin, Germany
| | - Claudia Hornberg
- Bielefeld University, Medical School OWL, Sustainable Environmental Health Sciences, Bielefeld, Germany
| | - Susanne Lopez Lumbi
- Bielefeld University, Medical School OWL, Sustainable Environmental Health Sciences, Bielefeld, Germany
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Mc Call T, Lopez Lumbi S, Rinderhagen M, Heming M, Hornberg C, Liebig-Gonglach M. Risk Perception of the SARS-CoV-2 Pandemic: Influencing Factors and Implications for Environmental Health Crises. Int J Environ Res Public Health 2023; 20:3363. [PMID: 36834056 PMCID: PMC9964339 DOI: 10.3390/ijerph20043363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 02/09/2023] [Accepted: 02/11/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The SARS-CoV-2 pandemic and climate change are two simultaneously occurring large scale environmental health crises. This provides an opportunity to compare the risk perception of both crises in the population. In particular, whether experiencing the acute pandemic sensitizes people to the risks of ongoing climate change. METHODS Panel participants answered a web-based questionnaire. The risk perception of SARS-CoV-2 and influencing factors were assessed. Differences of risk perception dimensions regarding SARS-CoV-2 and climate change were analyzed as well as associations between dimensions. RESULTS The results show that an economic impact by the pandemic is associated with more dimensions of SARS-CoV-2 risk perception than an experienced health impact. Moreover, dimensions of risk perception of the pandemic and climate change are perceived differently. Furthermore, the affective dimension of pandemic risk perception is significantly associated with all dimensions of climate change risk perception. CONCLUSIONS Emotional-based coping with the risks of SARS-CoV-2 is associated with risk perception of climate change as well as various factors that shape the individuals' risk perception. It is currently necessary and will be increasingly necessary in the future to solve coexisting crises, not selectively, but in a common context within the framework of a social-ecological and economic transformation.
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Affiliation(s)
- Timothy Mc Call
- Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany
| | | | | | - Meike Heming
- Institute for Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, Heinrich Heine University of Düsseldorf, 40225 Düsseldorf, Germany
| | - Claudia Hornberg
- Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany
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Senkler B, Freymueller J, Lopez Lumbi S, Hornberg C, Schmid HL, Hennig-Fast K, Horstmann G, Mc Call T. Urbanicity-Perspectives from Neuroscience and Public Health: A Scoping Review. Int J Environ Res Public Health 2022; 20:688. [PMID: 36613008 PMCID: PMC9819040 DOI: 10.3390/ijerph20010688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 12/20/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
Urban residency is associated with exposure to environmental factors, which can influence health in many ways. Neuroscientific research, as well as Public Health research, aim towards broadening evidence in the field of Urban Health. However, it is unclear whether the association between urban living and mental illnesses is causal rather than explainable by other selective effects. This review seeks to gather information on the current evidence regarding urban living and neurological outcomes to demonstrate how Public Health and Neuroscience could complement each other in the field of Urban Health. A scoping review was conducted in four electronic databases according to the PRISMA-statement guidelines. 25 empirical studies were included. Outcomes such as schizophrenia and psychotic disorders, social and cognitive functioning were scrutinised. Evidence was found for alteration of brain functioning and brain structure. Most studies researching cognitive functioning or cognitive decline displayed possible protective effects of urban living compared to rural living. The different study designs in Public Health and Neuroscience could profit from each other. Although the comparability of studies is limited by the inconsistent assessments of urbanity. Synergies and potentials to combine aspects of Public Health and Neuroscience in the field of Urban Health to improve population health became apparent.
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Affiliation(s)
- Ben Senkler
- Sustainable Environmental Health Sciences, Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany
| | - Julius Freymueller
- Sustainable Environmental Health Sciences, Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany
| | - Susanne Lopez Lumbi
- Sustainable Environmental Health Sciences, Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany
| | - Claudia Hornberg
- Sustainable Environmental Health Sciences, Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany
| | - Hannah-Lea Schmid
- Sustainable Environmental Health Sciences, Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany
| | - Kristina Hennig-Fast
- Psychotherapy and Psychosomatics, Department Psychiatry, Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany
| | - Gernot Horstmann
- Neurocognitive Psychology, Department Psychology, Faculty of Psychology and Sport Science, Bielefeld University, 33615 Bielefeld, Germany
| | - Timothy Mc Call
- Sustainable Environmental Health Sciences, Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany
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Dogan M, Hartenstein-Pinter A, Lopez Lumbi S, Blankenburg M, Frühwald MC, Ahnert R, Braun S, Marschall U, Zernikow B, Wager J. Exploring the Mechanisms Underlying the Effectiveness of Psychosocial Aftercare in Pediatric Chronic Pain Treatment: A Qualitative Approach. Children 2022; 9:children9030407. [PMID: 35327779 PMCID: PMC8946967 DOI: 10.3390/children9030407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 03/10/2022] [Accepted: 03/10/2022] [Indexed: 11/16/2022]
Abstract
A newly developed specialized psychosocial aftercare program (PAC) for pediatric patients with chronic pain following an intensive interdisciplinary pain treatment (IIPT) was found to be significantly more effective than IIPT alone. This qualitative study aimed to gain further insight into the mechanisms and prerequisites for the effectiveness of this specialized aftercare program. We conducted structured telephone interviews with patients, parents, and health care professionals conducting PAC. A total of 16 interviews were conducted—seven interviews with parents, six interviews with patients, and three interviews with health care professionals—and transcribed verbatim. Data were analyzed using reflexive thematic analysis. Four major themes consisting of 20 subcategories were identified, namely (1) frame conditions, (2) person factors, (3) stabilization and (4) catalyst. The foundations of treatment success are frame conditions, such as flexibility or constancy, and person factors, such as respect or expertise. Based on these foundations, stabilization is achieved through security, mediation, orientation and support. Altogether, these components of PAC reveal their potential as catalysts for further improvement even after discharge from IIPT. Overall, patients and their families emphasized widespread personal relevance and acceptance of the PAC program. The findings of this study may be employed in the development of other aftercare programs or interventions involving families in the context of psychotherapeutic and psychosocial health care.
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Affiliation(s)
- Meltem Dogan
- German Paediatric Pain Centre, Children’s and Adolescents’ Hospital, 45711 Datteln, Germany; (A.H.-P.); (B.Z.); (J.W.)
- Department of Children’s Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58452 Witten, Germany;
- Correspondence: ; Tel.: +49-2363-975184
| | - Almut Hartenstein-Pinter
- German Paediatric Pain Centre, Children’s and Adolescents’ Hospital, 45711 Datteln, Germany; (A.H.-P.); (B.Z.); (J.W.)
- Department of Children’s Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58452 Witten, Germany;
| | | | - Markus Blankenburg
- Department of Children’s Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58452 Witten, Germany;
- Paediatric Pain Center Baden-Württemberg, Department of Pediatric Neurology, Olgahospital Stuttgart, 70174 Stuttgart, Germany;
| | - Michael C. Frühwald
- University Children’s Hospital Augsburg, Bavarian Children’s Pain Center, 86156 Augsburg, Germany; (M.C.F.); (R.A.)
| | - Rosemarie Ahnert
- University Children’s Hospital Augsburg, Bavarian Children’s Pain Center, 86156 Augsburg, Germany; (M.C.F.); (R.A.)
| | - Sarah Braun
- Paediatric Pain Center Baden-Württemberg, Department of Pediatric Neurology, Olgahospital Stuttgart, 70174 Stuttgart, Germany;
| | - Ursula Marschall
- Department of Medicine and Health Services Research, BARMER Health Insurance, 42103 Wuppertal, Germany;
| | - Boris Zernikow
- German Paediatric Pain Centre, Children’s and Adolescents’ Hospital, 45711 Datteln, Germany; (A.H.-P.); (B.Z.); (J.W.)
- Department of Children’s Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58452 Witten, Germany;
- PedScience Research Institute, 45711 Datteln, Germany;
| | - Julia Wager
- German Paediatric Pain Centre, Children’s and Adolescents’ Hospital, 45711 Datteln, Germany; (A.H.-P.); (B.Z.); (J.W.)
- Department of Children’s Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58452 Witten, Germany;
- PedScience Research Institute, 45711 Datteln, Germany;
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Lopez Lumbi S, Ruhe AK, Pfenning I, Wager J, Zernikow B. Economic long-term effects of intensive interdisciplinary pain treatment in paediatric patients with severe chronic pain: Analysis of claims data. Eur J Pain 2021; 25:2129-2139. [PMID: 34155721 DOI: 10.1002/ejp.1825] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE Chronic pain in children and adolescents gives rise to high healthcare costs. Successful treatment is supposed to reduce the economic burden. The objective of this study was to determine the changes in healthcare utilization and expenditures from 1 year before (Pre) intensive interdisciplinary pain treatment (IIPT) to the first (Post 1) and second (Post 2) years after discharge in a sample of paediatric chronic pain patients. METHODS Claims data from one statutory health insurance company were analysed for 119 children and adolescents (mean age = 15.3, 68.9% female) who sought IIPT at the German Paediatric Pain Centre. Costs incurred for inpatient treatment, outpatient treatment, medication, remedies and aids were compared before treatment and 2 years after discharge. Healthcare utilization was compared using Wilcoxon signed-rank test, and expenditures using trimmed means and the Yuen's t-test. RESULTS Overall costs were significantly lower in the 2 years after IIPT compared to before IIPT (Pre: 3,543€, Post 1:2,681€, Post 2:1937€ (trimmed means)). Healthcare utilization changed significantly; hospitalizations decreased in the years after discharge, while psychotherapies stayed stable in the year after discharge but lessened in the second year. CONCLUSION The results of this study support prior findings on the high economic burden of paediatric chronic pain. IIPT may contribute to a transition in healthcare utilization from somatic-focused treatments to more psychological treatments. Overall costs were reduced as soon as the first year after discharge and decreased even further in the second year. SIGNIFICANCE This study analyses original claims data from paediatric chronic pain patients in the year before and up to 2 years after intensive interdisciplinary pain treatment in a specialized paediatric pain centre. The analysis of long-term data reveals a continuous cost reduction after intensive interdisciplinary pain treatment and a change in the subsequent outpatient treatment.
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Affiliation(s)
| | - Ann-Kristin Ruhe
- German Pediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany.,Department of Children's Pain Therapy and Pediatric Palliative Care, Faculty of Health - School of Medicine, Witten/Herdecke University, Witten, Germany
| | | | - Julia Wager
- PedScience Research Institute, Datteln, Germany.,German Pediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany.,Department of Children's Pain Therapy and Pediatric Palliative Care, Faculty of Health - School of Medicine, Witten/Herdecke University, Witten, Germany
| | - Boris Zernikow
- PedScience Research Institute, Datteln, Germany.,German Pediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany.,Department of Children's Pain Therapy and Pediatric Palliative Care, Faculty of Health - School of Medicine, Witten/Herdecke University, Witten, Germany
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