In 2023, immediately prior to the UN COP28 meeting, the United Nations (UN) Environment Programme issued a chilling assessment of the state of the world’s environment1. Against targets to limit global warming to 1.5°C2,3, they predict that current activities will result in global greenhouse gas (GHG) emissions 55% higher than the levels required to meet this target. Despite a significant slowing down in the rate of increase, GHG emissions globally will still rise by a predicted 1.1% in 2023, a record high4. At this rate of increase, the world has a mere seven years from 2023 before the chances of limiting global warming to 1.5% are less than 50%4. The only way to bridge the gap is by taking ‘immediate and unprecedented mitigation action in this decade’ (p28) 1 by totally eliminating carbon dioxide emissions5.
These mitigation actions generally focus on decarbonising sectors of the world economy that are responsible for the majority of GHG emissions, principally the energy and agricultural sectors, together with consideration of the impact of ‘multi-parametric’ factors such as aviation, economic growth, digitalisation and the development of eco-technologies6. Successful mitigation requires moving energy production to renewable sources as well as enhancing both existing and novel carbon capture technologies7. Alongside mitigation is adaption8, “a response strategy to anticipate and cope with impacts that cannot be (or are not) avoided under different scenarios of climate change” (p1104). Indeed, as part of the negotiations leading up to the United Nations’ 2015 Paris Agreement3, 17 Sustainable Development Goals (SDGs) were agreed, including ensuring access to affordable, safe, sustainable, and modern energy for all, taking urgent action to tackle climate change and its effects.
Whilst actions to reduce GHG emissions require action from national and supranational entities, policy makers also recognise that a range of diverse stakeholders, including local communities, should all play an active role in climate mitigation actions. Various policy initiatives have been developed including the European Union’s (EU) ‘energy communities’9,10 to assist in meeting a target of reducing the average emissions per capita to 2.4 tonnes by 203011, from 7.7 metric tonnes in 202112. Indeed, it has become apparent that without the involvement of multiple organisational, community and individual stakeholders, initiatives often deliver less than they promised13, even though community attitudes to energy use transformation are often positive14,15.
As much of our knowledge on the climate emergency comes from the work of scientists employed by universities, academics are one of these communities well placed to take the lead in reducing GHG emissions from their activities16. In one analysis, universities were classed as a medium priority stakeholder group13 to be involved in efforts to decarbonise their activities. Academic life involves on-and off-site activities that create considerable GHG emissions. For example, in 2019, business travel emissions, including academics travelling to conferences, comprised approximately 17% of Stanford University’s total carbon footprint, and 22% of their external emissions footprint17. Travel in general is a very significant contributor to GHG emissions, with business travel – which includes travel by academics and scientists – accounting for 15–20% of all travel18,19. Indeed, international aviation, often used by academics travelling to meetings, conferences and field work, is the fastest growing source of GHG emissions (28% higher in 2023 than 2022) 20, and a substantial contributor to GHG emissions. Furthermore, once at a conference venue, participants will also interact with hotels, conference centres, cities, food and supply chains which will all have GHG emissions profiles.
In this article we present a behaviour change programme to reduce overall GHG emissions from in-person academic meetings and conferences. We base our programme on an audit of two exemplar activities by identifying the components of these activities and their contribution to GHG emissions. Finally, we identify and categorise mitigation strategies that academic organisations and participating individuals can take, placing these into a behaviour change model 21 to drive the transformations necessary to reduce GHG emissions.
For the lay person, discussions about sustainability are usually thought to be about managing the environmental impact of human activities. Whilst the definition of sustainability is somewhat contested22, the related concept of ‘sustainable development’, defined as ‘development that meets the needs of the present without compromising the ability of future generations to meet their own needs’23, also includes broader action on technical, environmental, cultural, economic and social sustainability.
Academic societies, particularly in areas of healthcare, aim to contribute to many social areas of development. In terms of the UN’s Sustainable Development Goals3, two specifically apply: goal 3, ensure healthy lives and promote wellbeing for all at all ages; goal 4, ensure inclusive and equitable quality education and promote lifelong learning for all. This combination of health and education is a specific focus of healthcare orientated societies, particularly those that focus on the education, supervision and mentorship of healthcare professionals.
One of the traditional methods used by such societies to action these goals has been the conference. Conferences are social spaces24 whereby researchers and educators come together from different countries to network, gain and disseminate new knowledge, foster collaboration, spread good practice and reduce knowledge and clinical practice inequalities. However, the objectives of face-to-face meetings outlined above24 often require participants to travel internationally to achieve these admirable social goals, in direct conflict with the need to reduce GHG emissions and contribute to environmental sustainability. As noted by Leochico and colleagues, ‘large scientific conferences aimed at enhancing health-related knowledge, ironically, often implies leaving huge carbon footprints, a practice that may seem contrary to what healthcare professionals are advocating’25 (p1).
Organising exclusively online, hybrid, zonal/local, or other ‘Nearly Carbon Neutral’ events26 will lead to the most dramatic reductions in GHG emissions27. Many academics adapted to the travel and face-to-face interaction restrictions during the 2020 COVID-19 pandemic by using online platforms for teaching and research. One study that modelled a continuation of these behaviours post-pandemic showed that GHG emissions from academic activities could be reduced by almost 50% compared to pre-pandemic behavioural norms28. However, many academics think that these behaviours are only suitable for international administrative meetings29. Many academic participants do not believe that virtual communications can achieve the networking and educational objectives of scientific conferences and educational events26,29–31. Participants at conferences report benefitting greatly from face-to-face interactions, and by informal social connections made outside the scheduled programme. This belief is so entrenched, that In one study, when presented with three choices – transportation mode shifting (from aviation to ground-based), moving to virtual conferencing, abstention from involvement – it was transportation mode shifting that was rated most acceptable by respondents29.
Balancing social good with environmental harm is a core challenge that must be faced by academic societies before 2030. As concern has grown about anthropogenic impacts on our environment1,3, profit and non-profit organisations are increasingly encouraged, if not required by legislation, to undertake and report emissions audits32. The global standard for these reports is structured against three ‘scopes’33.
Scope 1 emissions cover those produced directly by the organisation itself through its own activities – for example, manufacturing processes, product delivery etc. Scope 2 includes indirect emissions caused by others who produce the energy consumed in the manufacturing process, such as electricity produced by power stations. Scope 3 is essentially all other emissions from sources that the organisation does not own or control. For most organisations scope 3 is over 70% of their total emissions34. One particular problem for academic societies that organise conferences and meetings is that emissions caused by their activities are almost 100% scope 3 (albeit some may also be classified as scope 2 emissions from event host sites) and, therefore, outside their direct control.
Unlike profit and not for profit organisations, academic societies are not formally required to report their emissions. There is, however, great merit in auditing emissions in order to understand the impact of their activities on the environment. Until academic societies understand their GHG emissions profile they cannot target those mitigating actions which will achieve the largest reductions in GHG emissions. As noted by many in the for-profit community, ‘Many of those emissions are unavoidable, but almost all of them can be reduced’35 (p34). As an example, emissions from aviation travel can appear difficult to reduce, given that in many instances there are few travel alternatives with lower emission characteristics. However, high-speed trains with far fewer GHG emissions are a feasible alternative to aviation when travelling between 300–800 km, equivalent to 3–6 hour journeys times36.
These issues were addressed in a scoping review of 11 articles which assessed the GHG emissions produced by academic conferences25. The review authors collated reported strategies that academic societies could take to reduce their GHG emissions25. These ranged from moving conferences entirely online, through hub and spoke and hybrid conferences, to face-to-face venue choices and on-site strategies, including through sustainable food procurement choices, sourcing power from renewable energy companies, and so forth. However, few of the constituent articles focussed on the key issue of individual participant behaviour change. Conference attendance is so deeply embedded in academic culture that whilst organisers must make corporate changes, it is also necessary for individuals then take advantage of the opportunities brought about by these changes. As noted by Garnett and Balmford, whilst governmental action must be the major force for change, organisations are a third group who can bridge the gap between governmental and individual behaviour change37.
This conundrum is well understood in healthcare. Many effective treatments and health interventions provided by health systems are not adopted by those who might best benefit from them. Type 2 diabetes, for example, can often be prevented and reversed by lifestyle choice, but despite this knowledge many with the condition or at risk of developing diabetes do not take up or maintain these proven strategies and programmes38,39. Likewise, handwashing by healthcare professionals is known to reduce infection rates in hospitals, yet compliance by doctors, nurses and other health workers can be less than 50%40. Change is hard to do and even harder to maintain.
As a consequence, behaviour change strategies within the related field of ‘implementation science’41 have been developed to reinforce desired changes in behaviour. One popular model is ‘COM-B’ which postulates that for individuals to change their Behaviour they need the Capability to do so, along with the Opportunity and personal Motivation21. Within this model is the ‘behaviour change wheel’ in which the COM-B elements are surrounded by specific interventions to boost capability, opportunity and motivation, together with policy actions to enable the specific interventions to take place effectively.
In this article, we take an explicit behaviour change perspective to the problem of academic conference GHG emissions. To do so, we examine the GHG emissions from activities for European PhD students run by the European Academy of Nursing Science (EANS), an exemplar of an academic society. EANS is a network of individual nurse scientists from universities across Europe which aims to advance nursing and midwifery science in Europe (https://www.eansnursing.eu). It provides a forum for established and developing nurse researchers to meet, network and develop a European perspective to their work. Annually, EANS holds a summer conference, scientific meetings, regular webinars and a summer school for nurses and midwives undertaking PhDs in Europe.