Participatory Approaches in Family Health Promotion as an Opportunity for Health Behavior Change-A Rapid Review.

BACKGROUND: With their influence on health behavior of children, families are important addressees in health promotion and prevention of chronic diseases. However, they are often difficult to reach, partly due to the open approach of health promotion services. Therefore, they should be addressed directly and be involved in shaping their living environment. The aim is to examine which approaches are used in participatory family health promotion and what practical experiences are made. METHODS: A systematic literature search in PubMed, Web of Science, LIVIVO and a supplementary hand search were conducted. Ten of 718 screened publications were analyzed qualitatively. RESULTS: Most included publications applied the community-led participatory approach CBPR. In seven publications, family actors could make decisions at any or all project phases. One finding is that positive effects on desired behavior change and improved health of target groups were observed. Frequently described success factors are the type of interaction, and a common goal. CONCLUSION: The forms of family participation in health promotion vary widely, with the lack of participatory practices being a major challenge. Family participation is a useful approach in shaping health promotion and should be further developed. This overview provides support for planning future participatory projects with families.

[The relevance of networking in school health promotion]. / Die Relevanz von Netzwerkarbeit in der schulischen Gesundheitsförderung.

School is one of the most important places to start promoting the health of children and young people, partly because pupils spend a large part of their time here. However, school can only be partially dedicated to health promotion, and school itself is only part of the everyday environment by which health behaviour is shaped. In order to increase the effectiveness of health promotion, the formation of networks between school and municipal actors such as sports clubs, youth welfare services, counselling centres and health authorities seems to make sense.This article addresses the question of the relevance of networks in the context of school health promotion. The derivation is on the one hand based on the legal framework of the educational mandate of schools and the so-called Prevention Act of 2015 and on the other hand on the Ottawa Charter of the World Health Organization (WHO) as well as on the discourse developed from it around the terms "health promotion" and "setting approach". Perspectives are shown on how networks can be designed in a scientifically sound way and how suitable network partners can be won. Possible risks and opportunities of networking are analysed, and factors of success and failure are pointed out.Networking should be obligatory for schools in terms of health promotion. It can help identify needs within the school and at the same time be a key in dealing with resulting challenges. Networking requires above all the motivation of the actors. A common vision, fixed structures, continuity and appropriate personnel considerations contribute to the success of the cooperation.

[Digital health literacy of pupils. Level and associations with physical activity and dietary behavior]. / Digitale Gesundheitskompetenz von Schülerinnen und Schülern. Ausprägung und Assoziationen mit dem Bewegungs- und Ernährungsverhalten.

BACKGROUND: While there are increasing empirical findings on general health literacy (HL), there is a lack of evidence on digital HL in adolescence and its association with health behavior. METHODS: A cross-sectional study of 490 students from grade eight and nine from the federal state of Hesse was conducted from October 2019 to February 2020. Digital HL was assessed using five subscales of the Digital Health Literacy Instrument (DHLI), while consumption of fruits, vegetables, and soft drinks as well as weekly physical activity were used as indicators of health behavior. In addition to gender and grade level, subjective social status (SSS) was used as a social characteristic. Univariate, bivariate, and multivariate analyses were performed, with binary-logistic regression adjusted for gender and SSS. RESULTS: Across all items, 15.3 to 37.5% of adolescents reported difficulties in acquiring and dealing with digital health information. Stratified by social characteristics, gender and socioeconomic differences were found with girls and respondents reporting a lower SSS more often showed a limited digital HL. Adolescents with moderate and low digital HL reported higher levels of low physical activity and non-daily fruit and daily soft drink consumption. DISCUSSION: The findings suggest a need for interventions to promote digital HL among adolescents, particularly for those of low SSS. In this context, the differential relationship patterns with health behaviors provide an avenue for the development of specific interventions. The school as a place of teaching and learning is a suitable setting because, among other things, of its fit with the mandatory strategy of media literacy education in schools.

Needs to Create Healthy Living Environments-A Two-Stage Delphi Survey in Europe to Identify Facilitating Factors and Barriers in Municipal Health Promotion.

(1) In the field of health promotion, municipalities offer opportunities to reduce SES-based health inequalities by addressing vulnerable communities. This research project aims to identify facilitating and inhibiting factors for the creation of healthy living environments. (2) After preliminary literature and qualitative research work, an online-based Delphi survey was conducted (December 2020-March 2021). This included the rating and commentating of 22 theses at two times, whereby the results of the first round of rating were visible to the participants the second time. (3) Twelve experts from seven European countries participated in the Delphi survey across both rounds (1st round: n = 37; 12 countries). The consensus was particularly clear with regard to providing resources, which, in turn, are especially necessary for involving target groups in health promotion. (4) The results illustrate the relevance of further cross-national exchange. Certain aspects however, such as the HiAP approach or strategies to reach disadvantaged groups, are still challenging in practice. In order to develop concrete recommendations, the theses need to be further operationalised. The Delphi method offers a suitable possibility to map international expertise in this field and with a focus on health equity.

State of evidence on municipal strategies for health promotion and prevention: a literature and database research (Scoping Review).

BACKGROUND: There are gaps in the research regarding the implementation and evidence of overall strategies for municipal health promotion addressing communities. The aim of this scoping review is to gain initial findings concerning theoretical models, approaches and evidence on strategies of municipal health promotion, which include self-care, mutual aid and healthy environments. The findings can enrich the development of health promotion services. METHODS: A systematic scoping literature analysis was conducted in the databases PubMed, Web of Science, SAGE-Journals, Wiley-Online, ScienceDirect, LIVIVO and WiSo database as well as in a German project database. Evaluation studies and research reports on strategies in municipal health promotion were included and analysed qualitatively. RESULTS: According to our predefined inclusion and exclusion criteria, 15 hits were included. Capacity building, planning and the establishment of structures for health promotion were identified as theory-based models and approaches. None of the publications included showed clear evidence of the effects of municipal health promotion measures in terms of classically medically defined evidence. CONCLUSIONS: The use of evidence-based theoretical models and approaches is no guarantee for the success of strategies for municipal health promotion. Challenges with regard to evidence are the execution of study designs corresponding to higher evidence classes and the isolation of effects of health promotion measures in complex environments. TRIAL REGISTRATION: This scoping review was not registered beforehand.

The effect of grip position on golf driving accuracy and distance.

The grip position (GP) in golf substantially affects performance outcomes such as shot accuracy and hitting distance. However, it is unknown which specific GP (i.e., strong, neutral, weak) produces the desired shot outcomes. The current study investigated the impact of five systematically manipulated GPs using 15° increments between -30° (strong) and +30° (weak) on driving accuracy and distance. Data were collected using a Trackman™ doppler radar-based system for 28 amateur recreational golfers with a driver clubhead-speed range between 120 km/h and 153 km/h (M = 138.93 km/h, SD = 14.41) and a handicap range between -3 and -36 (M = -15.0, SD = 8.0). The results showed that GP significantly affected six dependent variables on accuracy (sideways deviation (left and right), accuracy absolute, clubface angle, club path angle, face to path angle, launch direction) and two outcomes on distance (clubhead speed and driving distance total). Overall, the optimal performance on driving accuracy and distance was found for the neutral and stronger GPs. Weaker GPs revealed significantly more adverse accuracy and distance effects. These results suggest asymmetric outcome effects of symmetrical GP manipulation. They also have practical implications for coaches and golfers intending to improve driving accuracy while maximizing driving distance.

[Settings-based prevention of overweight in childhood and adolescents : Theoretical foundation, determinants and intervention planning]. / Settingbezogene Prävention von Übergewicht im Kindes- und Jugendalter : Theoretische Fundierung, Einflussfaktoren und Interventionsplanung.

BACKGROUND: Childhood and adolescent overweight can still be seen as a global public health problem. Based on our socioeconomic understanding, overweight is the result of a complex interplay of a diverse array of factors acting on different levels. Hence, in addition to individual level determinants overweight prevention should also address environmental related factors as part of a holistic and integrated setting approach. OBJECTIVE: This paper aims to discuss the setting approach with regard to overweight prevention in childhood and adolescence. In addition to a summary of environmental factors and their empirical influence on the determinants of overweight, theoretical approaches and planning models of settings-based overweight prevention are discussed. RESULTS: While settings can be characterized as specific social-spatial subsystems (e. g. kindergarten, schools), living environments relate to complex subject-oriented environments that may include various subsystems. Direct social contexts, educational contexts and community contexts as relevant systems for young people contain different evidence-based influences that need to be taken into account in settings based overweight prevention. To support a theory-driven intervention, numerous planning models exist, which are presented here. DISCUSSION: Given the strengthening of environments for health within the prevention law, the underlying settings approach also needs further development with regard to overweigth prevention. This includes the improvement of the theoretical foundation by aligning intervention practice of planning models, which also has a positive influence on the ability to measure its success.

Recommendations for promoting physical activity for children and adolescents in Germany. A consensus statement.

Increasing physical activity and reduction of sedentary behaviour play important roles in health promotion and prevention of lifestyle-related diseases in children and adolescents. However, the question of how much physical activity is useful for which target group is still a matter of debate. International guidelines (World Health Organization; European Association for the Study of Obesity), which are mainly based on expert opinions, recommend 60 min of physical activity every day. Age- and sex-specific features and regional differences are not taken into account. Therefore, expert consensus recommendations for promoting physical activity of children and adolescents in Germany were developed with special respect to national data, but also with respect to aspects of specific target groups, e.g., children with a lower socio-economic status (SES) or with migration background. They propose 90 min/day of physical activity, or at least 12,000 steps daily. Additionally, lifestyle factors, especially restriction of media consumption, were integrated. The recommendations provide orientation for parents and caregivers, for institutions such as schools and kindergartens as well as for communities and stakeholders.