What About the Environment? How the Physical Activity–Related Health Competence Model Can Benefit From Health Literacy Research

Carl, Johannes; Grüne, Eva; Pfeifer, Klaus

doi:10.3389/fpubh.2021.635443

Cited by 3 publications

(5 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to this, the findings pertaining to the domain-specific health literacy concept focusing on physical activity displayed deviating results in comparison to our study, possibly because this construct targets the promotion of health by physical activity using a personal approach that largely neglects environmental influences [ 79 ]. This personal approach concentrates on an individual’s knowledge, abilities, skills, and attitudes towards a physically healthy lifestyle [ 80 ].…”

Section: Discussioncontrasting

confidence: 70%

The Connection between Non-Alcoholic Fatty-Liver Disease, Dietary Behavior, and Food Literacy in German Working Adults

Blaschke

Schad

Schnitzius³

et al. 2023

Nutrients

View full text Add to dashboard Cite

(1) Background: German working adults are particularly at risk of non-alcoholic fatty-liver disease (NAFLD), which is connected to increased cardiovascular and overall morbidity and mortality. Dietary behavior (DB) and health knowledge are crucial factors in the conceptual NAFLD model, which can directly influence this disease. These two factors largely align with the concept of food literacy (FL), which deals with proficiency in food-related skills and knowledge to promote healthy DB and prevent NAFLD. However, the potential of FL for NAFLD prevention remains unknown, because FL has not been tested in connection with DB and NAFLD. Therefore, the current study examined the direct and indirect connections between FL, DB, and NAFLD in a mediation model. (2) Methods: A total of 372 working adults (38% female) participated in a cross-sectional study by completing self-report questionnaires on FL and DB. In addition, an independent physician assessed the fatty-liver index (FLI) as an indicator of NAFLD in an occupational health checkup. (3) Results: The mediation model revealed that FL had a direct moderate connection with DB (β = 0.25, p < 0.01), but no direct connection with the FLI (β = −0.05, p = 0.36). However, DB showed a small to moderate connection with the FLI (β = −0.14, p = 0.01), which could indicate the indirect-only mediation of the relationship between FL and NAFLD via DB. (4) Conclusion: These results confirm the value of DB for the prevention of NAFLD. In addition, FL might be a vital component for improving DB and thereby function as a resource in the prevention of NAFLD. However, future longitudinal research is needed to substantiate the value of FL with respect to NAFLD.

show abstract

Section: Discussioncontrasting

confidence: 70%

The Connection between Non-Alcoholic Fatty-Liver Disease, Dietary Behavior, and Food Literacy in German Working Adults

Blaschke

Schad

Schnitzius³

et al. 2023

Nutrients

View full text Add to dashboard Cite

show abstract

“…These extensions to previous studies into the characteristics and effect of PAHCO are crucial to illustrate the potential of interventions that speci cally target PAHCO in these populations (37).…”

Section: Strengths and Limitationsmentioning

confidence: 91%

“…In addition to this research gap on temporal stability over longer periods, investigating PAHCO's temporal stability over longer periods and the changeability of this construct resulting from HEPA interventions in OWs would empirically corroborate the conceptual assumptions of this model against the backdrop of modern personality trait theory and general competence research (35,36). The empirical examination of these assumptions is of particular relevance for the development of PAHCO interventions in OWs, as the changeability and temporal stability of PAHCO represents the cornerstone of this model for long-term improvements in HEPA and successful transfer for the promotion of HRQOL (37,33,39,42).…”

Section: State Of Research On Pahco Hrqol and Hepamentioning

confidence: 99%

“…Such interventions should address one or -following the idea of the integration of skills, knowledge and attitudes -ideally multiple basic elements to target the sub-competencies of the PAHCO model (30). The possibility of promoting and maintaining PAHCO through interventions consequently holds the potential to facilitate long-term promotion of HEPA and HRQOL in OWs (37) and to mitigate the behavioural and work-related health risks of this occupational group.…”

Section: Background On Physical Activity-related Health Competencementioning

confidence: 99%

“…However, the ndings regarding the effect of PAHCO on HEPA and HRQOL remain tentative, as most of the research on this model has been cross-sectional (20,37,38,32,34,31) with only few studies employing a longitudinal design in adult populations (40,39). Alongside this, two interventional studies (41,42) yielded initial results concerning the changeability of this model in secondary school students showing improvements in PAHCO.…”

Section: State Of Research On Pahco Hrqol and Hepamentioning

confidence: 99%

See 2 more Smart Citations

Promotion of Physical Activity-Related Health Competence and the Influence on Leisure-Time Physical Activity and Health-Related Quality of Life in Office Workers

Blaschke

Carl

Pelster

et al. 2022

Preprint

View full text Add to dashboard Cite

Background:Office workers (OWs) are at risk of low levels of health-enhancing physical activity (HEPA) and impaired health-related quality of life (HRQOL). Interventions based on physical activity-related health competence (PAHCO) aim to facilitate long-term changes in HEPA and HRQOL. However, these assumptions rely on the changeability and temporal stability of PAHCO and have not been tested empirically. This study therefore aims to test the changeability and temporal stability of PAHCO in OWs within an interventional design and to examine the effect of PAHCO on leisure-time PA and HRQOL. Methods: 328 OWs (34% female, 50.4 ± 6.4 years) completed an in-person, three-week workplace health promotion program (WHPP) focusing on PAHCO and HEPA. The primary outcome of PAHCO as well as the secondary outcomes of leisure-time PA and HRQOL were examined at four measurement points over the course of 18 months in a pre-post design. Results: PAHCO displayed a substantial increase from the baseline to the time point after completion of the WHPP (β = 0.44, p < 0.001). Furthermore, there was no decrease in PAHCO at the first (p = 0.14) and the second follow-up measurement (p= 0.56) compared with the level at the end of the WHPP. In addition, the PAHCO subscale of PA-specific self-regulation (PASR) had a small to moderate, positive effect on leisure-time PA (β = 0.18, p < 0.001) and HRQOL (β = 0.26, p < 0.001). The subscale of control competence for physical training (CCPT) also had a positive small to moderate effect on HRQOL (β = 0.22, p < 0.001). Conclusion: The results substantiate PAHCO’s theoretical characteristics of changeability and temporal stability, and underline the theoretically postulated effects on leisure-time PA and HRQOL. These findings highlight the potential of PAHCO for intervention development, which can be assumed to foster long-term improvements in HEPA and HRQOL in OWs. Trial Registration: The study was retrospectively registered in the German Clinical Trials Register, which is an approved Primary Register in the WHO network, at the 14/10/2022 (DRKS00030514).

show abstract

Promoting physical activity-related health competence to increase leisure-time physical activity and health-related quality of life in German private sector office workers

et al. 2023

View full text Add to dashboard Cite

Background Office workers (OWs) are at risk of low levels of health-enhancing physical activity (HEPA) and impaired health-related quality of life (HRQOL). Interventions based on physical activity-related health competence (PAHCO) aim to facilitate long-term changes in HEPA and HRQOL. However, these assumptions rely on the changeability and temporal stability of PAHCO and have not been tested empirically. This study therefore aims to test the changeability and temporal stability of PAHCO in OWs within an interventional design and to examine the effect of PAHCO on leisure-time PA and HRQOL. Methods Three hundred twenty-eight OWs (34% female, 50.4 ± 6.4 years) completed an in-person, three-week workplace health promotion program (WHPP) focusing on PAHCO and HEPA. The primary outcome of PAHCO as well as the secondary outcomes of leisure-time PA and HRQOL were examined at four measurement points over the course of 18 months in a pre-post design by employing linear mixed model regressions. Results PAHCO displayed a substantial increase from the baseline to the time point after completion of the WHPP (β = 0.44, p < 0.001). Furthermore, there was no decrease in PAHCO at the first (p = 0.14) and the second follow-up measurement (p = 0.56) compared with the level at the end of the WHPP. In addition, the PAHCO subscale of PA-specific self-regulation (PASR) had a small to moderate, positive effect on leisure-time PA (β = 0.18, p < 0.001) and HRQOL (β = 0.26, p < 0.001). The subscale of control competence for physical training (CCPT) also had a positive small to moderate effect on HRQOL (β = 0.22, p < 0.001). Conclusion The results substantiate PAHCO’s theoretical characteristics of changeability and temporal stability, and underline the theoretically postulated effects on leisure-time PA and HRQOL. These findings highlight the potential of PAHCO for intervention development, which can be assumed to foster long-term improvements in HEPA and HRQOL in OWs. Trial registration The study was retrospectively registered in the German Clinical Trials Register, which is an approved Primary Register in the WHO network, at the 14/10/2022 (DRKS00030514).

show abstract

What About the Environment? How the Physical Activity–Related Health Competence Model Can Benefit From Health Literacy Research

Cited by 3 publications

References 43 publications

The Connection between Non-Alcoholic Fatty-Liver Disease, Dietary Behavior, and Food Literacy in German Working Adults

The Connection between Non-Alcoholic Fatty-Liver Disease, Dietary Behavior, and Food Literacy in German Working Adults

Promotion of Physical Activity-Related Health Competence and the Influence on Leisure-Time Physical Activity and Health-Related Quality of Life in Office Workers

Promoting physical activity-related health competence to increase leisure-time physical activity and health-related quality of life in German private sector office workers

Contact Info

Product

Resources

About