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Investigating the impact of the 'healthy planet, healthy people' educational boardgame: A multicentre pre-test - post-test study
Journal article   Peer reviewed

Investigating the impact of the 'healthy planet, healthy people' educational boardgame: A multicentre pre-test - post-test study

Tracy Levett-Jones, Tracey Moroney, James Bonnamy, Jack Cornish, Elaine Correia Moll, Anna Foster, Samuel Lapkin, Jacqueline Pich, Catelyn Richards, Naomi Tutticci, …
Nurse education today, Vol.152, pp.1-8
09/2025
DOI: https://doi.org/10.1016/j.nedt.2025.106753
PMID: 40253834

Metrics

4 Times Cited - Web of Science

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#13 Climate Action
#14 Life Below Water

Source: InCites

Abstract

Climate change Board game Planetary health Satisfaction Attitudes Nursing students Knowledge
Background: The 'Healthy Planet, Healthy People' educational board game was designed as an interactive way for healthcare students to explore the impact of climate change, pollution and biodiversity loss on both the environment and human health. The game is premised on the understanding that there is 'no health without planetary health'. Objective: The study profiled in this paper aimed to investigate the impact of the game on nursing students' planetary health attitudes, knowledge levels and satisfaction with the learning experience. Design: A multicentre pre-post design was used with data collected June-October 2024. Wilcoxon Signed Rank Tests were performed to assess changes in attitudes and knowledge from pre- to post-survey. Effect sizes were interpreted using r. Mann-Whitney U Tests and Kruskal-Wallis H Tests were conducted to examine the influence of demographic characteristics on attitude and knowledge levels. Median scores and interquartile ranges were used to summarise satisfaction items. Setting and participants: Pre-registration nursing students from five Australian universities participated in this study. Results: One hundred and eighty-four students completed both the pre- and post-surveys. The results indicated a statistically significant increase in pre-post attitude (Z = -5.157, p < .001, r = 0.39) and knowledge levels (Z = -9.295, p < .001, r = 0.73) following the educational board game. Median attitude scores increased from 3.86 (IQR = 3.57-4.14) to 4.00 (IQR = 3.71-4.43), and knowledge scores increased from 5.00 (IQR = 4.00-6.00) to 7.00 (IQR = 6.00-8.00). However, there were no significant differences in attitude or knowledge levels based on the demographic characteristics. Of those who participated in the game, 153 students completed the Satisfaction Survey. The 25th percentile scores were consistently at 4.00, indicating that at least 75 % of participants agreed or strongly agreed with each of the satisfaction items. Conclusions: Universities are uniquely positioned to contribute to a more sustainable future by incorporating planetary health education into nursing curricula. This study demonstrated that educational board games such as the 'Healthy Planet, Healthy People' game are an effective learning strategy.

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