Table 1_Knowledge translation of climate change research into public health action: a scoping review.docx

BackgroundThere are gaps in translating climate change research into public health action at the global level. Knowledge translation refers to the methods used to bridge the gap between knowledge and action. Given the significant impacts of climate change on health, it is essential to integrate climate research into health decision-making processes. This integration ensures that evidence effectively informs policies and practices at all levels, leading to more timely, equitable, and impactful public health responses.
ObjectiveThis scoping review examines key approaches and identifies gaps in knowledge translation methods for integrating climate change research into public health decision-making.
MethodsA systematic search of the literature was conducted in PubMed, CINAHL, and Scopus using a predefined search string to identify studies on climate change and health published between January 1, 2003, and March 1, 2024, with no geographic restrictions. Retrieved articles were screened and data extracted using Covidence software. Thematic analysis was performed in ATLAS.TI employing Braun and Clark’s six-step method. The identified knowledge translation approaches were categorized according to the Cochrane Knowledge Translation Framework.
FindingsOur findings highlight five primary knowledge translation approaches: (1) monitoring the coverage of climate change and health across media, scientific literature, and government responses; (2) engaging citizens of all ages in participatory activities to address local climate challenges and co-develop policy solutions; (3) integrating knowledge generation, synthesis, and dissemination for effective communication; (4) emphasizing advocacy and education to foster collaborations and gain support from decision-makers; and (5) leveraging health impact assessment tools to guide decision-making related to climate change and health. Nonetheless, we did not find any primary studies on climate change research and knowledge translation in Low- and Middle-Income Countries (LMICs).
ConclusionThere is a need for primary studies on the knowledge translation of climate change research, especially in relation to adaptation, into meaningful public health actions that can inform decision-making and contribute to building climate-resilient health systems in LMICs.

背景 当前全球层面在将气候变化研究成果转化为公共卫生行动方面仍存在缺口。知识转化（Knowledge translation）指的是用于弥合知识与行动之间鸿沟的各类方法。鉴于气候变化对健康具有显著影响，将气候研究纳入卫生决策流程至关重要。该整合举措可确保研究证据有效为各级政策与实践提供依据，进而催生更及时、公平且富有成效的公共卫生应对方案。

目标 本范围综述（scoping review）旨在梳理将气候变化研究纳入公共卫生决策的知识转化核心方法，并识别该类方法现存的不足。

方法 本研究于PubMed、CINAHL及Scopus数据库中开展系统性文献检索，采用预设检索式筛选2003年1月1日至2024年3月1日期间发表的气候变化与健康相关研究，无地域限制。检索所得文献通过Covidence软件完成筛选与数据提取，并借助ATLAS.TI软件，采用Braun与Clark的六步主题分析法（Thematic analysis）开展主题分析。本研究依据Cochrane知识转化框架（Cochrane Knowledge Translation Framework）对已识别的知识转化方法进行分类。

结果 本研究明确了五类核心知识转化路径：（1）监测气候变化与健康议题在媒体、科学文献及政府应对举措中的覆盖范围；（2）动员各年龄段公民参与参与式活动，以应对本地气候挑战并共同制定政策解决方案；（3）整合知识生成、综合与传播环节以实现高效沟通；（4）强化倡导与教育工作，推动多方协作并获取决策者的支持；（5）依托健康影响评估工具为气候变化与健康相关决策提供指导。不过，本研究未检索到任何针对中低收入国家（Low- and Middle-Income Countries, LMICs）的气候变化研究与知识转化领域的原创性研究。

结论 亟需开展气候变化研究（尤其是与气候适应相关内容）的知识转化相关原创研究，以将其转化为切实可行的公共卫生行动，为中低收入国家的卫生决策提供依据，并助力构建具备气候韧性的卫生系统。