[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"sustainability\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:sustainability":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,7,0,[8,48,78,99,122,150,178],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":31,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":36,"lastUpdatePostDateStruct":37,"startDateStruct":40,"completionDateStruct":42,"leadSponsor":44,"locationsCount":47},"100632350","building-sustainability-competencies-in-future-nurses-100632350",false,"NCT07512544","Building Sustainability Competencies in Future Nurses","Developing Sustainability Competencies in Nursing Students: A Randomized Controlled Study","SUST-COMP","Inclusion Criteria:\n\n* Being a nursing student currently enrolled in the \"HEM304 Nursing Management\" course.\n* Volunteering to participate in the research and providing informed consent.\n\nExclusion Criteria:\n\n* Having participated in a similar sustainability training program previously.\n* Being on medical or academic leave during the study period.\n* Withdrawing from the study voluntarily at any stage.",true,"ALL","18 Years",{"count":21,"type":22},107,"ESTIMATED","INTERVENTIONAL",[25],"NA","Global warming and social justice issues are increasing the complexity of global healthcare delivery. Health systems significantly contribute to environmental harm through carbon emissions, medical waste, and resource overuse. Nurses, as the largest group in healthcare, face workplace hazards and environmental challenges, highlighting the need for institutions to promote sustainable practices and workplace safety. The United Nations' Sustainable Development Goals (SDGs) emphasize integrated social, economic, and environmental sustainability, with health and universal health coverage as key themes. The International Council of Nurses (ICN) underscores nurses' vital role in achieving these goals by linking nursing care to public health, sustainability, climate action, and education. Developing sustainability competencies in nursing education requires practical training in environmentally responsible behaviors within healthcare settings, beyond theoretical knowledge.",[28,29,30],"Sustainability","Competencies","Nursing Education",[32,33,34],"sustainability","competencies","nursing student","NOT_YET_RECRUITING","2026-04-01",{"date":38,"type":39},"2026-04-06","ACTUAL",{"date":41,"type":22},"2026-05-01",{"date":43,"type":22},"2026-12-30",{"name":45,"class":46},"Çankırı Karatekin University","OTHER",1,{"id":49,"slug":50,"hasResults":11,"nctId":51,"briefTitle":52,"officialTitle":53,"acronym":4,"eligibilityCriteria":54,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":55,"targetDuration":57,"studyType":58,"phases":4,"briefSummary":59,"conditions":60,"keywords":63,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":69,"lastUpdatePostDateStruct":70,"startDateStruct":72,"completionDateStruct":74,"leadSponsor":76,"locationsCount":47},"100632067","sustainable-anesthesia-in-myocardial-revascularization-surgery-100632067","NCT07508865","Sustainable Anesthesia in Myocardial Revascularization Surgery.","Sustainable Anesthesia in Myocardial Revascularization Surgery: a Non-randomized Interventional Study","Inclusion Criteria:\n\n1. Patients with coronary artery disease scheduled for coronary artery bypass graft surgery at Dr. Hernán Henríquez Aravena Hospital in Temuco.\n2. Competent patients over 18 years of age, meaning they can easily understand the informed consent process and the characteristics of the study.\n3. Elective interventions.\n\nExclusion Criteria:\n\n1. Interventions combined with other procedures or surgeries.\n2. Reoperations or second cardiac or thoracic surgical interventions.",{"count":56,"type":22},116,"1 Day","OBSERVATIONAL","* Introduction: Greenhouse gases threaten the health and safety of humanity. The Declaration of Helsinki seeks to protect human health and emphasizes the urgency of implementing sustainable strategies. Sustainability is defined by three pillars: economic (costs), social (clinical effectiveness), and environmental (environmental impact). Clinical effectiveness in cardiac surgery has a new paradigm: \"optimized recovery,\" which translates into fewer complications, earlier extubation, shorter ICU stays, and potential cost reductions. The objective of this study is to compare the sustainability of the optimized recovery anesthetic technique with standard anesthetic practice in coronary artery bypass graft surgery, using a non-randomized interventional study design.\n* Methods: Patients aged 18 years or older with coronary artery disease scheduled for elective coronary artery bypass graft surgery will be recruited. Combined procedures and reinterventions will be excluded. Sample size: The optimized recovery group is expected to reduce postoperative mechanical ventilation by two hours. With a 95% confidence interval, 80% power, and a 1:3 ratio between the groups, a sample size of 29 and 87 patients was estimated for the optimized recovery and standard anesthesia groups, respectively.\n* The optimized recovery technique includes, preoperatively, oral pregabalin 75 mg, fasting, no benzodiazepines, total intravenous anesthesia, low-dose intravenous fentanyl, methadone 0.1-0.2 mg\u002Fkg IV, erector spinae plane block with 0.25% bupivacaine (20 mL per side), and postoperative nausea and vomiting prophylaxis with dexamethasone. Postoperatively, administer paracetamol 1 g IV every 6 hours, NSAIDs, and methadone 1 mg IV as needed. The standard anesthetic technique involves the anesthesiologist administering anesthesia as they have routinely done prior to the study, without changes.\n* Four anesthesiologists will participate in the study. Only one anesthesiologist will perform the OR technique, and their results will be compared with those of the other three, who will use their standard anesthetic technique. Patient assignment is independent, based on the hospital's schedule.\n* Analysis: The clinical effectiveness of each technique will be evaluated based on ICU extubation time. An economic analysis will be conducted based on average costs, and critical environmental impacts will be estimated through a life-cycle assessment.\n* Outcome: The performance of the indicator \"Costs in Euros\u002FCO2e\u002FExtubation Time\" will be studied. These will contribute to the estimation of an anesthetic strategy that addresses the challenges of sustainable medicine, reduces emissions, and enables the rational use of resources and their associated costs, offering environmentally friendly and clinically effective health solutions.",[61,62,28],"Coronary Artery Bypass","Anesthesia",[32,64,65,66,67],"myocardial revascularization surgery","Enhanced recovery after surgery","life cycle assessment","cost effectiveness","RECRUITING","2026-03-30",{"date":71,"type":39},"2026-04-02",{"date":73,"type":39},"2024-07-02",{"date":75,"type":22},"2026-05-30",{"name":77,"class":46},"Universidad de La Frontera",{"id":79,"slug":80,"hasResults":11,"nctId":81,"briefTitle":82,"officialTitle":82,"acronym":4,"eligibilityCriteria":83,"healthyVolunteers":11,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":84,"targetDuration":4,"studyType":23,"phases":86,"briefSummary":87,"conditions":88,"keywords":4,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":94,"completionDateStruct":95,"leadSponsor":97,"locationsCount":47},"100631788","informing-patients-about-their-surgerys-environmental-impact-an-effective-pathway-to-sustainable-healthcare-100631788","NCT07505238","Informing Patients About Their Surgery's Environmental Impact: an Effective Pathway to Sustainable Healthcare?","Inclusion Criteria:\n\n* Patients who were referred to three participating hospitals located across the Netherlands\n* Patients who received PatientPlus' gallstone decision aid in preparation for their surgical consultation\n\nExclusion Criteria:\n\n* None",{"count":85,"type":22},400,[25],"The healthcare sector contributes significantly to climate change. Reducing the number of patients receiving resource-intensive procedures such as surgery can lower carbon emissions, particularly when two treatments with comparable clinical outcomes are available. Nevertheless, the impact of incorporating environmental considerations into patients' decision-making processes remains underexplored. The investigators examine how including information about the environmental impact of treatment options in a gallstone decision aid affects patients' real-life choice between surgery and the more sustainable alternative of conservative treatment. Moreover, the investigators examine whether factors such as severity of symptoms moderate the relation between sustainability information and patients' treatment choice. An exploratory vignette study informed the hypotheses that will be tested among actual patients with gallstones making actual treatment decisions. The results of this ecologically valid study have implications for both clinical practice and healthcare policy by offering insight into the effectiveness of pathways to include patients in the transition towards sustainable healthcare.",[28,89,90,91],"Gallstone","Decision Aid","Decision Making ,Shared","2026-03-25",{"date":36,"type":39},{"date":36,"type":22},{"date":96,"type":22},"2027-07-01",{"name":98,"class":46},"University of Amsterdam",{"id":100,"slug":101,"hasResults":11,"nctId":102,"briefTitle":103,"officialTitle":104,"acronym":4,"eligibilityCriteria":105,"healthyVolunteers":11,"sex":18,"minAge":106,"maxAge":107,"enrollmentInfo":108,"targetDuration":4,"studyType":23,"phases":110,"briefSummary":111,"conditions":112,"keywords":4,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":113,"lastUpdatePostDateStruct":114,"startDateStruct":116,"completionDateStruct":118,"leadSponsor":120,"locationsCount":47},"100604709","sustainability-and-precision-prevention-project-100604709","NCT07153042","Sustainability and Precision Prevention Project","National Implementation of an Evidence-Based HIV Prevention Program: Multilevel Scale-Up Strategies and Precision Prevention","Inclusion Criteria:\n\n* Grade 6 teachers who teach Health and Family Life Education (HFLE) and their classes in 65 government primary schools.\n* Grade 7-9 HFLE teachers and their classes in 30 middle schools across 12 Bahamian islands.\n* FOYC (Focus on Youth in the Caribbean) is delivered as part of the standard HFLE curriculum.\n* Students who: 1) are enrolled in one of the participating schools as general education students in grade 6 (and followed through grades 7-9); and 2) speak and read English.\n\nExclusion Criteria:\n\n* Students who chose to opt out of participating in the study\n* Students who do not speak or read English sufficiently to participate in study activities.","10 Years","60 Years",{"count":109,"type":22},3705,[25],"This is a five-year hybrid type 3 effectiveness-implementation study evaluating multilevel strategies to sustain a nationwide implementation of an evidence-based HIV prevention curriculum in schools. Advanced machine learning methods are being used to enhance implementation strategies. A Sequential, Multiple Assignment, Randomized Trial (SMART) design will be employed.",[28],"2025-11-13",{"date":115,"type":39},"2025-11-17",{"date":117,"type":39},"2025-10-01",{"date":119,"type":22},"2029-11-30",{"name":121,"class":46},"University of Massachusetts, Worcester",{"id":123,"slug":124,"hasResults":11,"nctId":125,"briefTitle":126,"officialTitle":127,"acronym":4,"eligibilityCriteria":128,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":129,"targetDuration":4,"studyType":23,"phases":131,"briefSummary":132,"conditions":133,"keywords":136,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":142,"lastUpdatePostDateStruct":143,"startDateStruct":145,"completionDateStruct":146,"leadSponsor":148,"locationsCount":4},"100585683","climate-change-awareness-a-randomized-controlled-trial-100585683","NCT06905548","Climate Change Awareness: a Randomized Controlled Trial","A Critical Intervention for Sustainable Health: Climate Change Awareness of Executive Nurses: a Randomized Controlled Trial","Inclusion Criteria:\n\n* Nurse managers working in Kartal Dr. Lütfi Kırdar City Hospital and Göztepe Prof. Dr. Süleyman Yalçın City Hospital.\n* Individuals who have at least one year of managerial experience in a healthcare setting.\n* Participants who voluntarily agree to participate in the study and provide informed consent.\n* Individuals who can complete both pre-test and post-test assessments.\n\nExclusion Criteria:\n\n* Nurse managers who are currently on leave (e.g., maternity, sick leave).\n* Individuals who have participated in a similar educational program on climate change awareness in the past year.\n* Those who do not consent to participate in the study.\n* Participants who fail to complete the required assessments.",{"count":130,"type":22},108,[25],"Background: Climate change awareness among nurse managers is crucial for enhancing healthcare efficiency and mitigating environmental and societal impacts. This study aims to develop and implement an educational program to improve nurse managers' awareness of climate change.\n\nMethods: A randomized controlled trial will be conducted with 108 nurse managers (54 experimental, 54 control) from two major hospitals in Istanbul, Turkey: Kartal Dr. Lütfi Kırdar City Hospital (n=71) and Göztepe Prof. Dr. Süleyman Yalçın City Hospital (n=58). Sample size was determined using G\\*Power 3.1.9.7, referencing the study by Alvarez-Nieto et al. (2022), assuming an effect size of 0.79, a significance level of α=0.05, and 95% power. The required sample size was calculated as 90, increased by 20% to account for potential attrition, resulting in 108 participants.\n\nParticipants will be recruited through full enumeration sampling due to the limited number of nurse managers. Data will be collected via face-to-face administration of a Demographic Information Form (12 items) and the Climate Change Awareness Scale (Ataklı \\& Kuran, 2022), which consists of 52 items rated on a 5-point Likert scale, with a reliability coefficient (α) of 0.92.\n\nIntervention: Following institutional approval from the Provincial Health Directorate, education nurses will disseminate information about the study via digital communication platforms. Nurse managers will be enrolled in separate digital groups for experimental and control conditions. Pre-test data will be collected face-to-face before the intervention. The educational program will be delivered to the experimental group, while the control group will receive no intervention. Post-test data collection will occur four weeks after the intervention.\n\nStatistical Analysis: Nominal and ordinal data will be presented as frequencies and percentages, while scale scores will be reported as means and standard deviations or medians and ranges. Normality of data distribution will be assessed using the Kolmogorov-Smirnov test. Independent Samples T-Test and One-Way ANOVA will be used for normally distributed variables, while Mann-Whitney U and Kruskal-Wallis tests will be used for non-normally distributed data. Analyses will be conducted using SPSS 26 with a significance level set at p\\\u003C0.05.\n\nExpected Outcomes: The study will evaluate the effectiveness of the educational program in enhancing climate change awareness among nurse managers. Findings will contribute to the development of targeted training programs to integrate environmental awareness into nursing leadership.\n\nEthical Considerations: Ethical approval and institutional permissions will be obtained prior to study commencement.",[134,28,135],"Healthcare Professionals","Climate Change",[137,138,139,140,141],"randomized controlled trial","sustainable healthcare","educational intervention","climate change awareness","Nurse managers","2025-03-25",{"date":144,"type":39},"2025-04-01",{"date":144,"type":22},{"date":147,"type":22},"2025-06-01",{"name":149,"class":46},"University of Beykent",{"id":151,"slug":152,"hasResults":11,"nctId":153,"briefTitle":154,"officialTitle":155,"acronym":4,"eligibilityCriteria":156,"healthyVolunteers":17,"sex":18,"minAge":157,"maxAge":158,"enrollmentInfo":159,"targetDuration":4,"studyType":23,"phases":161,"briefSummary":162,"conditions":163,"keywords":166,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":169,"lastUpdatePostDateStruct":170,"startDateStruct":172,"completionDateStruct":174,"leadSponsor":176,"locationsCount":4},"100582189","sustainable-environmental-health-program-for-adolescents-100582189","NCT06860074","Sustainable Environmental Health Program for Adolescents","The Effect of Sustainable Environmental Health Program Planned for High School Students on Environmental Sensitivity, Sustainable Environmental Awareness, Environmental Attitudes and Behaviors: a Randomized Controlled Trial","Inclusion Criteria:\n\n1. Studying in the 9th grade,\n2. Being able to speak and understand Turkish,\n3. Parental consent for participation,\n4. Volunteering to participate in the research\n\nExclusion Criteria:\n\n1. Having received previous education on environmental health,\n2. Transported education\n3. Boarding education and training","13 Years","14 Years",{"count":160,"type":22},98,[25],"The research will be conducted to determine the effect of the sustainable environmental health program on environmental sensitivity, sustainable environmental awareness, environmental attitudes and behaviors in high school students. The purpose of this study is to develop and sustain environmental sensitivity, sustainable environmental awareness, environmental attitudes and behaviors in high school students with the Sustainable Environmental Health Program.",[164,28,165],"Health Behavior","Environment",[165,167,168],"Environmental Health","Adolescent","2025-03-01",{"date":171,"type":39},"2025-03-05",{"date":173,"type":22},"2025-03-02",{"date":175,"type":22},"2025-06-20",{"name":177,"class":46},"Suleyman Demirel University",{"id":179,"slug":180,"hasResults":11,"nctId":181,"briefTitle":182,"officialTitle":182,"acronym":183,"eligibilityCriteria":184,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":185,"enrollmentInfo":186,"targetDuration":4,"studyType":58,"phases":4,"briefSummary":188,"conditions":189,"keywords":198,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":221,"lastUpdatePostDateStruct":222,"startDateStruct":224,"completionDateStruct":226,"leadSponsor":228,"locationsCount":230},"100540952","cohort-study-on-plant-based-diets-coplant-study-100540952","NCT06323538","Cohort Study on Plant-based Diets (COPLANT Study)","COPLANT","Inclusion Criteria:\n\n* age between 18 and 69 years at recruitment (age-stratified recruitment in four age groups (18 to 29, 30 to 39, 40 to 49 and 50 to 69 years) which should be equally distributed across the four diets)\n* following their current diet for at least one year\n* health insured\n* are willing to have blood taken (adults)\n* are willing and able to complete questionnaires\n* only at Berlin, Jena, Giessen and Karlsruhe sites: pregnant and breastfeeding women were recruited (shortened examination programm)\n* only at the Regensburg, Heidelberg, Bonn and Vienna sites: are neither pregnant nor breastfeeding at the time of recruitment\n* only at Berlin and Karlsruhe sites: children of adult participants (shortened examination programm without collection of blood, urine, and stool)\n* are able to give informed consent to participate in the study\n* have given their consent to participate in the COPLANT study\n\nExclusion Criteria:\n\n* who can no longer be contacted\n* who withdraw their consent to participate in the study","69 Years",{"count":187,"type":22},6000,"The Cohort on Plant-based Diets (COPLANT) study is a multi-centre cohort study that starts baseline recruitment from 2024 to 2027 with approximately 6,000 participants in Germany and Austria. The COPLANT study focuses on vegan (no animal products), vegetarian (no meat and fish, but dairy products and eggs), pescetarian (no meat, but fish) and omnivorous (mixed diet including all possible animal products) diets. The aim of the COPLANT study is to gain new insights on health benefits and risks as well as social, ecological and economic effects of different plant-based diets in comparison to a mixed diet. In addition to a detailed dietary survey using an app adapted to the needs of this study, the baseline examination includes measurements of body composition, bone health, cardiovascular risk factors, diabetes risk, contaminants and lifestyle. For the basic laboratory program, fasting blood, 24-hour urine collection and a stool sample are taken from all study participants. Furthermore, specific aspects of dietary behavior, physical activity and other lifestyle factors are collected via questionnaires. Follow-up studies are planned at intervals of 5, 10 and 20 years after the baseline visit.",[190,191,192,193,28,194,195,196,197],"Dietary Exposure","Diabetes Mellitus, Type 2","Cardiovascular Diseases","Bone Loss","Exposure","Obesity","Vitamin Deficiency","Mineral Deficiency",[199,200,201,202,203,204,205,206,207,208,209,210,211,212,213,214,215,216,217,218,219,220,32],"vegan","vegetarian","pescetarian","omnivor","multicenter cohort","biomarker","vitamins","minerals","bone health","cardiovascular risk","body composition","inflammation","contaminants","diabetes type 2","thyroid gland health","microbiota","metabolomics","adults","children","pregnancy","breast feeding time","mental health","2025-02-13",{"date":223,"type":39},"2025-02-14",{"date":225,"type":39},"2024-04-09",{"date":227,"type":22},"2047-03-31",{"name":229,"class":46},"German Federal Institute for Risk Assessment",8]