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Climate-Resilient Disaster PreparednessCRDP-NurseEdNCT07139262

Climate-Resilient Disaster Preparedness Education to Improve Knowledge and Skills in Nursing Students: A Quasi-Experimental Study

A study testing Climate-Resilient Disaster Preparedness Education Program and Standard Nursing Curriculum in people with Climate-Resilient Disaster Preparedness and Disaster Nursing Education, run by Cairo University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study aims to evaluate the impact of a structured climate-resilient disaster preparedness education program on undergraduate nursing students' knowledge and practical skills. Read more about this study

Who is it for?
Ages 18 to 30 yearsHealthy volunteers can take part
What is being tested?
Climate-Resilient Disaster Preparedness Education Program and Standard Nursing Curriculum
Could I receive a placebo?
No, everyone receives an active treatment
How many people
160 participants
Where
No sites listed yet
Study dates
20 Aug 2025to 18 Oct 2025
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 to 30 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Undergraduate nursing students enrolled at Jouf University.
  • Aged between 18 and 30 years.
  • Registered in the second or third academic year at the time of study.
  • Willing to provide informed consent and participate voluntarily.
  • Able to attend all training sessions and complete pre-, post-, and follow-up assessments.

Who cannot join

  • Students who previously attended formal disaster preparedness or emergency management training outside the standard curriculum.
  • Students with physical or psychological conditions that may limit participation in simulation-based activities (e.g., mobility restrictions, severe anxiety disorders).
  • Final-year students due to scheduling conflicts with clinical placements.
  • Students who decline to provide written informed consent.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

mostafa sh kandil, phd contact

+9661094008904

mostafa.shaban2020@cu.edu.eg

About this study

Official title: Assessing the Impact of Climate-Resilient Disaster Preparedness Education on Nursing Students' Knowledge and Skills: A Quasi-Experimental Study at Jouf University, Saudi Arabia

This study aims to evaluate the impact of a structured climate-resilient disaster preparedness education program on undergraduate nursing students' knowledge and practical skills. Climate change has intensified the frequency and severity of disasters, increasing the need for health professionals who are trained to respond effectively. Nursing students, as future frontline providers, must be equipped with both theoretical knowledge and hands-on competencies to manage disaster situations that are influenced by climate variability.

The study was conducted at Jouf University, Saudi Arabia, using a quasi-experimental design with intervention and control groups. A total of 160 undergraduate nursing students were recruited and randomly assigned at the class level (80 intervention, 80 control). The intervention group participated in a tailored disaster preparedness training program incorporating lectures, interactive workshops, and simulation-based exercises with a focus on climate-resilient responses. The control group continued with their standard nursing curriculum.

Read more

Outcomes were measured using validated instruments: a disaster preparedness knowledge questionnaire and an Objective Structured Clinical Examination (OSCE) for disaster management skills. Assessments were conducted at baseline, immediately post-intervention, and at a 4-week follow-up to evaluate retention.

The primary hypothesis is that students who receive the climate-resilient disaster preparedness education will demonstrate significantly greater improvement in knowledge and skills compared to those in the control group. Findings will provide evidence for integrating climate-resilient disaster preparedness into undergraduate nursing curricula to strengthen health workforce readiness for emerging global health challenges.

Read the detailed description

Disasters linked to climate change pose a growing challenge to health systems worldwide, with increased frequency of extreme weather events, floods, heatwaves, and pandemics. Nurses are among the largest sector of the health workforce and play a pivotal role in disaster preparedness and response. However, traditional nursing curricula often lack structured training in climate-resilient disaster preparedness. Addressing this educational gap is critical for building a workforce capable of protecting public health in the face of climate variability.

This quasi-experimental study was conducted at Jouf University, Saudi Arabia, to assess the effect of climate-resilient disaster preparedness education on nursing students' knowledge and clinical skills. The study enrolled 160 undergraduate nursing students (80 assigned to the intervention arm, 80 to the control arm). After accounting for attrition, 78 students in the intervention group and 79 in the control group completed the study.

Intervention:

The intervention group received a structured disaster preparedness training program designed in alignment with World Health Organization (WHO) and International Council of Nurses (ICN) recommendations. The program consisted of:

Didactic sessions covering disaster types, climate-related risk factors, and preparedness principles.

Interactive workshops emphasizing risk assessment, triage, evacuation, and communication during disasters.

Simulation-based exercises using Objective Structured Clinical Examination (OSCE) stations to practice disaster response in scenarios such as floods, heat emergencies, and mass casualty incidents.

The program was delivered over a 4-week period, totaling 20 contact hours. Faculty members with expertise in disaster nursing and climate health facilitated the sessions.

Control Group:

The control group continued with the standard nursing curriculum without additional disaster-specific training during the study period.

Outcomes:

Primary Outcome: Change in disaster preparedness knowledge (measured by a validated questionnaire, developed by Alim et al., adapted and validated into Arabic).

Secondary Outcome: Change in disaster preparedness skills (measured through OSCE checklists developed by the WHO and validated for reliability in this context).

Additional Outcome: Retention of knowledge and skills at 4 weeks post-training.

Data Collection and Analysis:

Data were collected at three time points: baseline (pre-test), immediately after the intervention (post-test), and 4 weeks later (follow-up). Statistical analysis included paired t-tests to assess within-group changes, independent t-tests and ANCOVA for between-group differences, and calculation of effect sizes (Cohen's d).

Ethical Considerations:

The study was approved by the Jouf University Institutional Review Board (IRB No. KFU-IRB-2025-NUR-014). Written informed consent was obtained from all participants. Participation was voluntary, and confidentiality was maintained throughout.

Significance:

This study addresses a critical gap in nursing education by integrating climate-resilient disaster preparedness into the curriculum. The findings are expected to contribute evidence for policy-makers, educators, and accreditation bodies to strengthen disaster preparedness competencies in nursing programs, ultimately enhancing workforce readiness to respond to climate-related emergencies.

Being tested
Climate-Resilient Disaster Preparedness Education Program, Standard Nursing Curriculum
Keywords
Nursing education, Disaster preparedness, Climate change, Emergency response training, Quasi-experimental study

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Climate-Resilient Disaster Preparedness Education ProgramBehavioural

    A structured educational program designed to enhance nursing students' knowledge and skills in climate-resilient disaster preparedness. The program consisted of four weekly sessions (2 hours each) delivered through lectures, interactive group discussions, and simulation-based exercises. Core content included disaster risk reduction principles, emergency response protocols, climate-related hazard preparedness, psychological first aid, triage procedures, and resilience-building strategies. Training materials were validated by subject matter experts and culturally adapted for the Saudi nursing education context.

  • Standard Nursing CurriculumOther

    Participants continued their regular undergraduate nursing curriculum without additional specialized training in disaster preparedness or climate resilience. This curriculum provided foundational nursing education but did not include structured sessions on climate-related disaster management or resilience-building.

Study groups in NCT07139262
Study groupRoleWhat they receive
Intervention - Climate-Resilient Disaster Preparedness EducationExperimentalParticipants in this arm received a structured climate-resilient disaster preparedness education program developed for undergraduate nursing students. The program included four weekly sessions (2 hours each) delivered through lectures, interactive workshops, and simulation-based training. Content focused on disaster risk reduction, emergency response, climate-related hazards, triage, and resilience-building strategies. Educational materials were adapted to Saudi context and validated by experts.
Receives: Behavioral: Climate-Resilient Disaster Preparedness Education Program; Other: Standard Nursing Curriculum
Control - Standard Nursing CurriculumActive comparatorParticipants in this arm continued their regular nursing curriculum without additional training in disaster preparedness or climate resilience. They did not receive the specialized education sessions provided to the intervention group but were exposed to general nursing education as part of their academic program.
Receives: Behavioral: Climate-Resilient Disaster Preparedness Education Program; Other: Standard Nursing Curriculum

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Knowledge of Climate-Resilient Disaster Preparedness

    Knowledge was measured using the Disaster Preparedness Knowledge

    Measured: Baseline (pre-test), immediately post-intervention, and 4-week follow-up

Secondary outcomes (1)
  1. Change in Disaster Preparedness Skills (OSCE Performance)

    Practical disaster response skills were evaluated using a structured Objective

    Measured: Baseline (pre-test), immediately post-intervention, and 4-week follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Aug 2025
  2. Study start20 Aug 2025 (estimated)
  3. Primary completion18 Sep 2025 (estimated)
  4. Study completion18 Oct 2025 (estimated)

Resources

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
Health services research
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
A two-arm parallel quasi-experimental design was used. Participants were assigned to either the intervention group (climate-resilient disaster preparedness education) or the control group (usual curriculum).
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
160 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07139262
Sponsor's protocol ID
KFSU-BC-A
Other IDs
KFU-IRB-2025-NUR-014
Acronym
CRDP-NurseEd
Status last verified
Aug 2025
First submitted
17 Aug 2025
Last updated
24 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data (IPD) underlying the results reported in this study will be shared with other researchers upon reasonable request. Data will include demographic characteristics, pre- and post-test knowledge scores, skills (OSCE) scores, and follow-up outcomes.

Publications

  • Wade R. Climate Change and Healthcare: Creating a Sustainable and Climate-Resilient Health Delivery System. J Healthc Manag. 2023 Jul-Aug 01;68(4):227-238. doi: 10.1097/JHM-D-23-00096.

    PubMed 37410987
  • Rivero RM, Mittler R, Blumwald E, Zandalinas SI. Developing climate-resilient crops: improving plant tolerance to stress combination. Plant J. 2022 Jan;109(2):373-389. doi: 10.1111/tpj.15483. Epub 2021 Sep 22.

    PubMed 34482588
  • Chen X, Zhao C, Yun P, Yu M, Zhou M, Chen ZH, Shabala S. Climate-resilient crops: Lessons from xerophytes. Plant J. 2024 Mar;117(6):1815-1835. doi: 10.1111/tpj.16549. Epub 2023 Nov 15.

    PubMed 37967090
  • Romanello M, Napoli CD, Green C, Kennard H, Lampard P, Scamman D, Walawender M, Ali Z, Ameli N, Ayeb-Karlsson S, Beggs PJ, Belesova K, Berrang Ford L, Bowen K, Cai W, Callaghan M, Campbell-Lendrum D, Chambers J, Cross TJ, van Daalen KR, Dalin C, Dasandi N, Dasgupta S, Davies M, Dominguez-Salas P, Dubrow R, Ebi KL, Eckelman M, Ekins P, Freyberg C, Gasparyan O, Gordon-Strachan G, Graham H, Gunther SH, Hamilton I, Hang Y, Hanninen R, Hartinger S, He K, Heidecke J, Hess JJ, Hsu SC, Jamart L, Jankin S, Jay O, Kelman I, Kiesewetter G, Kinney P, Kniveton D, Kouznetsov R, Larosa F, Lee JKW, Lemke B, Liu Y, Liu Z, Lott M, Lotto Batista M, Lowe R, Odhiambo Sewe M, Martinez-Urtaza J, Maslin M, McAllister L, McMichael C, Mi Z, Milner J, Minor K, Minx JC, Mohajeri N, Momen NC, Moradi-Lakeh M, Morrissey K, Munzert S, Murray KA, Neville T, Nilsson M, Obradovich N, O'Hare MB, Oliveira C, Oreszczyn T, Otto M, Owfi F, Pearman O, Pega F, Pershing A, Rabbaniha M, Rickman J, Robinson EJZ, Rocklov J, Salas RN, Semenza JC, Sherman JD, Shumake-Guillemot J, Silbert G, Sofiev M, Springmann M, Stowell JD, Tabatabaei M, Taylor J, Thompson R, Tonne C, Treskova M, Trinanes JA, Wagner F, Warnecke L, Whitcombe H, Winning M, Wyns A, Yglesias-Gonzalez M, Zhang S, Zhang Y, Zhu Q, Gong P, Montgomery H, Costello A. The 2023 report of the Lancet Countdown on health and climate change: the imperative for a health-centred response in a world facing irreversible harms. Lancet. 2023 Dec 16;402(10419):2346-2394. doi: 10.1016/S0140-6736(23)01859-7. Epub 2023 Nov 14.

    PubMed 37977174
  • Ebi KL, Vanos J, Baldwin JW, Bell JE, Hondula DM, Errett NA, Hayes K, Reid CE, Saha S, Spector J, Berry P. Extreme Weather and Climate Change: Population Health and Health System Implications. Annu Rev Public Health. 2021 Apr 1;42:293-315. doi: 10.1146/annurev-publhealth-012420-105026. Epub 2021 Jan 6.

    PubMed 33406378

Questions about this trial

What is this clinical trial studying?

A study testing Climate-Resilient Disaster Preparedness Education Program and Standard Nursing Curriculum in people with Climate-Resilient Disaster Preparedness and Disaster Nursing Education, run by Cairo University.

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 5 inclusion and 4 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: opening soon, as of the sponsor's last update on 24 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

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 mostafa sh kandil, phd (+9661094008904, mostafa.shaban2020@cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Knowledge of Climate-Resilient Disaster Preparedness (time frame: Baseline (pre-test), immediately post-intervention, and 4-week follow-up). 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 NCT07139262, which also lists 5 linked publications.

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 24 Aug 2025.

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