Abstract / Summary
Introduction: Climate change poses significant health risks and children are particularly vulnerable to its effects. In 2024, the American Academy of Pediatrics (AAP) updated its clinical recommendations for climate-informed care in a policy statement, urging pediatricians to incorporate climate change counseling into clinical practice. In alignment with this policy, Dartmouth Health embarked on an 18-month initiative to develop and pilot test a novel Climate-Informed Pediatric Care (CIPC) toolkit to increase uptake of the AAP policy statement’s clinical recommendations in general pediatric practices. Methods: A short educational session was offered and a toolkit of resources was provided to seven community practices throughout the health system. Changes from baseline were assessed by pre- and post-implementation surveys. Toolkit use was measured manually and through reports generated from the electronic medical record. Results: Overall, our findings show that a climate-informed care toolkit holds promise in helping busy clinicians incorporate climate counseling into practice. There was improved overall confidence in having climate-informed conversations with patients after the intervention, and about half of study participants reported using at least one toolkit item. Conclusion: Though further study is needed, the findings from this pilot show a climate-informed care toolkit has the potential to help pediatricians align with the current AAP guidelines.