NCT06004531

Brief Summary

The aim of this 3-phase study is the evaluation of planetary health behaviors and its cognitive processes in relation to levels of eco-anxiety, general well-being, and levels of loneliness. As climate change progresses at a dangerous rate, it is important to establish and maintain lifestyles that are productive, fulfilling, environmentally conscious, and low in anxiety. Through a better understanding of the interconnected nature of planetary health behaviors with other aspects of healthy living and perception of social isolation, and the effect of an intervention, this research will add to current state of science to help inform the creation of interventions promoting sustainable, healthy, happy living among the general public and specific subgroups.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,684

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2024

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 16, 2023

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 22, 2023

Completed
1.4 years until next milestone

Study Start

First participant enrolled

December 28, 2024

Completed
3 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2024

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

September 11, 2026

Status Verified

September 1, 2026

Enrollment Period

3 days

First QC Date

August 16, 2023

Last Update Submit

September 9, 2026

Conditions

Keywords

Planetary HealthEco-Friendly BehaviorEco-AnxietyCovid-19

Outcome Measures

Primary Outcomes (3)

  • Young Consumers' Sustainable Consumption Behaviors (YCSCB) validated scale

    The primary outcome measure will be the YCSCB validated scale questionnaire. This will be given to participants right after they have completed the intervention section of the survey. The answering options range from "Never" (0, minimum score) to "Sometimes" (1) and "Often" (2) up to "Always" (3, maximum score). The items are worded 1. I eat meat (steak, ham, etc.). 2. I eat dairy products (butter, cheese, yoghurt, etc.). 3. I keep a healthy diet. 4. There are times when I discard food products. 5. I buy locally grown food products. 6. I reuse my leftovers for the next meal. and items # 1, 2 and 4 need to be reversed, then all items can be used as single items or as aggregated scales, with higher scores indicating a better outcome in terms of planetary health.

    This scale will take approximately 2 minutes to fill out completely.

  • Ethically Minded Consumer Behavior (EMCB) validated scale

    The second primary outcome measure will be the EMCB validated scale questionnaire. This will be given to participants right after they have completed the intervention section of the survey. The answering options range from "Never true" (0, minimum score) to "Rarely true" (1), "Sometimes true" (2), "Mostly true" (3) and "Always true" (4, maximum score). The items are worded (for instance) 1. When there is a choice, I always choose the product that contributes to the least amount of environmental damage. 2\. I have switched products for environmental reasons. 3. If I understand the potential damage to the environment that some products can cause, I do not purchase those products. ... 10. I have paid more for socially responsible products when there is a cheaper alternative. All items can be used as single items or as aggregated scales, with higher scores indicating a better outcome in terms of planetary health.

    This scale will take approximately 2 minutes to fill out completely.

  • Loneliness item from the Center for Epidemiological Studies-Depression-(CES D)-Scale

    To study some of the research questions unrelated to the intervention, the perceived social isolation is measured with a standardized scale building on the item in the Center for Epidemiological Studies-Depression-(CES-D)-Scale. The item is worded "How often did you feel lonely?" with the answering options "Daily" (3), "Several times a week" (2), "Once a week" (1) and "Rarely/never" (0). The item can be used as single items, with higher scores indicating a worse outcome in terms of more loneliness.

    This item will take less than 1 minute to complete.

Study Arms (2)

Eco-anxiety priming

EXPERIMENTAL

Participants viewed a 2-minute climate change video presenting environmental threats to human survival.

Behavioral: Regulation Of Craving Training (ROC-T)Behavioral: Control group

Control Arm

EXPERIMENTAL

Participants viewed a 2-minute neutral nature documentary without climate change content.

Behavioral: Regulation Of Craving Training (ROC-T)Behavioral: Control group

Interventions

Participants read a 5-minute article on food and ecological health describing the environmental impacts of food choices and actions to support planetary health. During a subsequent choice task, participants received prompts to recall article content and self-monitor their selections.

Control ArmEco-anxiety priming
Control groupBEHAVIORAL

Control participants read a time-matched article unrelated to sustainability (no multi-domain pro-environmental behaviors including transportation, consumption, and daily activities; just on the beauty of the German nature) and completed the choice task without recall prompts.

Control ArmEco-anxiety priming

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Ability to participate in surveys (e.g., sufficient German or English language skills)

You may not qualify if:

  • Not being of age
  • Illiteracy
  • Massively limited cognitive abilities (linguistic components of the digital offerings must be able to be used and questionnaires completed or interviews participated in)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Germany

Bremen, 28759, Germany

Location

Related Publications (24)

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    BACKGROUND
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    PMID: 30003476BACKGROUND
  • Cheng J, Xu Z, Bambrick H, Prescott V, Wang N, Zhang Y, Su H, Tong S, Hu W. Cardiorespiratory effects of heatwaves: A systematic review and meta-analysis of global epidemiological evidence. Environ Res. 2019 Oct;177:108610. doi: 10.1016/j.envres.2019.108610. Epub 2019 Jul 26.

    PMID: 31376629BACKGROUND
  • Dohle S, Hofmann W. Consistency and Balancing in Everyday Health Behaviour: An Ecological Momentary Assessment Approach. Appl Psychol Health Well Being. 2019 Mar;11(1):148-169. doi: 10.1111/aphw.12148. Epub 2018 Nov 13.

    PMID: 30426704BACKGROUND
  • Druckman, A., & Jackson, T. (2016). Understanding Households as Drivers of Carbon Emissions. In R. Clift & A. Druckman (Eds.), Taking Stock of Industrial Ecology (pp. 181-203). Springer International Publishing. https://doi.org/10.1007/978-3-319-20571-7_9

    BACKGROUND
  • Ford ES, Bergmann MM, Boeing H, Li C, Capewell S. Healthy lifestyle behaviors and all-cause mortality among adults in the United States. Prev Med. 2012 Jul;55(1):23-7. doi: 10.1016/j.ypmed.2012.04.016. Epub 2012 Apr 29.

    PMID: 22564893BACKGROUND
  • Geller K, Lippke S, Nigg CR. Future directions of multiple behavior change research. J Behav Med. 2017 Feb;40(1):194-202. doi: 10.1007/s10865-016-9809-8. Epub 2016 Oct 26.

    PMID: 27785652BACKGROUND
  • Lacroix, K. (2018). Comparing the relative mitigation potential of individual pro-environmental behaviors. Journal of Cleaner Production, 195, 1398-1407. https://doi.org/10.1016/j.jclepro.2018.05.068

    BACKGROUND
  • Lange, F., & Dewitte, S. (2019). Measuring pro-environmental behavior: Review and recommendations. Journal of Environmental Psychology, 63, 92-100. https://doi.org/10.1016/j.jenvp.2019.04.009

    BACKGROUND
  • Loef M, Walach H. The combined effects of healthy lifestyle behaviors on all cause mortality: a systematic review and meta-analysis. Prev Med. 2012 Sep;55(3):163-70. doi: 10.1016/j.ypmed.2012.06.017. Epub 2012 Jun 24.

    PMID: 22735042BACKGROUND
  • Mauch CE, Edney SM, Viana JNM, Gondalia S, Sellak H, Boud SJ, Nixon DD, Ryan JC. Precision health in behaviour change interventions: A scoping review. Prev Med. 2022 Oct;163:107192. doi: 10.1016/j.ypmed.2022.107192. Epub 2022 Aug 11.

    PMID: 35963310BACKGROUND
  • Meader N, King K, Wright K, Graham HM, Petticrew M, Power C, White M, Sowden AJ. Multiple Risk Behavior Interventions: Meta-analyses of RCTs. Am J Prev Med. 2017 Jul;53(1):e19-e30. doi: 10.1016/j.amepre.2017.01.032. Epub 2017 Feb 28.

    PMID: 28258777BACKGROUND
  • Moran, D., Wood, R., Hertwich, E., Mattson, K., Rodriguez, J. F. D., Schanes, K., & Barrett, J. (2020). Quantifying the potential for consumer-oriented policy to reduce European and foreign carbon emissions. Climate Policy, 20(sup1), S28-S38.

    BACKGROUND
  • Nisa CF, Belanger JJ, Schumpe BM, Faller DG. Meta-analysis of randomised controlled trials testing behavioural interventions to promote household action on climate change. Nat Commun. 2019 Oct 4;10(1):4545. doi: 10.1038/s41467-019-12457-2.

    PMID: 31586060BACKGROUND
  • Nisbet, E. K. L., & Gick, M. L. (2008). Can health psychology help the planet? Applying theory and models of health behaviour to environmental actions. Canadian Psychology / Psychologie Canadienne, 49(4), 296-303.

    BACKGROUND
  • Osbaldiston, R., & Schott, J. P. (2012). Environmental Sustainability and Behavioral Science: Meta-Analysis of Proenvironmental Behavior Experiments. Environment and Behavior, 44(2), 257-299.

    BACKGROUND
  • Prochaska JJ, Spring B, Nigg CR. Multiple health behavior change research: an introduction and overview. Prev Med. 2008 Mar;46(3):181-8. doi: 10.1016/j.ypmed.2008.02.001. Epub 2008 Feb 6.

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  • Santos, O., Virgolino, A., Vaz Carneiro, A., & De Matos, M. G. (2021). Health Behavior and Planetary Health: A Multi-Level Environmental Health Approach. European Psychologist, 26(3), 212-218.

    BACKGROUND
  • Steg, L., & Vlek, C. (2009). Encouraging pro-environmental behaviour: An integrative review and research agenda. Journal of Environmental Psychology, 29(3), 309-317.

    BACKGROUND
  • Truelove, H. B., Carrico, A. R., Weber, E. U., Raimi, K. T., & Vandenbergh, M. P. (2014). Positive and negative spillover of pro-environmental behavior: An integrative review and theoretical framework. Global Environmental Change, 29, 127-138.

    BACKGROUND
  • United Nations Development Programme. (2022). United Nations (UN).

    BACKGROUND
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    PMID: 30154431BACKGROUND

MeSH Terms

Conditions

Anxiety DisordersHealth BehaviorCOVID-19

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Mental DisordersBehaviorPneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Epidemiologic Research DesignEpidemiologic MethodsInvestigative TechniquesResearch DesignMethods

Study Officials

  • Sonia Lippke, Dr.

    Constructor University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
PREVENTION
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 16, 2023

First Posted

August 22, 2023

Study Start

December 28, 2024

Primary Completion

December 31, 2024

Study Completion

December 31, 2025

Last Updated

September 11, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will not share

Individual participant data (IPD) will not be published. Other researchers are welcome to get in contact with the PI to get access to anonymous data.

Locations