• The study subjects who fulfilled the inclusion criteria were interviewed individually in the garden of the clubs in order to collect the necessary data (tool I, II, III, and IV). Then, the researcher interviewed the clients in group composed of 8 older adults to implement the Psycho-educational Program . Each session taken about 30-45 minutes.

Control group exposed to the usual routine care

This program consisted of five (5) sessions during two weeks.

• Session 1: introduction and basic information about Climate Change
• Session 2: causes and factors that contribute to climate change by humans and nature
• Session 3: explain climate change risks, describe and explain the impact of climate change on elder health and well-being.
• Session 4: teaching proper behaviors that contribute the most to climate-driving emissions.
• Session 5: learning how adapting and coping with climate change. Adaptation includes a range of coping actions that individuals may take, as well as psychological processes (e.g. emotion management, problem solving, and cognitive reframing responses) that influence reactions to (and preparations for) adverse impacts of climate change, including chronic environmental conditions and extreme events.

It was developed by Hepp et al., (2022) to assesses level of different types of affect in response to climate (Anger, Anxiety, and Sadness) in addition, climate change impairment (CCI) that cover general, social, and work related impairment. It consists of 23 items with 9 statements (3, 5, 7, 10, 13, 15, 17, 20, and 21) from the scale are negatively stated and reversely scored. Factor analysis of the scale yielded four factors. Factor I consist of 5 statements (1, 4, 7, 10, and 13) describing anger. Factor II consisting of 5 statements (2, 5, 8, 11, and 15) that measure anxiety. Factor III, consisting of 5 statements (3, 6, 9, 12, and 14) is related to sadness, and finally 8 statements measure impairment.

The scale was adapted from van der Linden (2015) who based his measurements on previous work by Bord et al. (2000) and Leiserowitz (2006). It was translated into Arabic language by Elshirbiny (2018) and proved to be valid.

The scale comprises 8 statements. In the first question respondents were asked to rate how likely they thought it was that they would personally experience serious threats to their wellbeing. The second question asked how likely it was that climate change would have harmful long-term impacts on society. The two questions used a 7-point scale ranging from very unlikely (1) to very likely (7). The following four questions asked the respondents to rate how serious a threat climate change was to the natural environment, how serious the current impacts of climate change around the world were, and how serious the threat of climate change was to them personally and to Egypt. A 7-point scale was used ranging from not serious at all (1) to very serious (7).