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Dissemination of Physical Activity-related Health Competence in Vocational Education of Nursing Care

Not Applicable
Active, not recruiting
Conditions
Physical Activity
Exercise
Education
Nursing
Competence
Interventions
Behavioral: Promotion of Physical Activity-related Health Competence (PAHCO)
Registration Number
NCT05817396
Lead Sponsor
University of Erlangen-Nürnberg
Brief Summary

The "TakeCare!" study addresses the problem that vocational students of nursing care cope with great physical and psychological demands during their daily routines. To meet these demands, the Bavarian curriculum for generalist nurses has adopted the promotion of physical activity-related health competence (PAHCO) for vocational students. However, it must be assumed that the concept has not yet been adopted comprehensively across the Bavarian nursing landscape. Therefore, the "TakeCare!" study tackles the question of how PAHCO can be implemented most appropriately in Bavarian nursing schools. Drawing on experiences from the project PArC-AVE, three different dissemination approaches will being tested and compared with a control group. A total of 16 nursing schools from different regions of Bavaria will be assigned to four different study arms (cluster-randomized design). In the long term, the project aims to derive recommendations for all nursing schools in Bavaria.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
640
Inclusion Criteria

Not provided

Exclusion Criteria

-if any of the criteria mentioned above is not given

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cooperative Planning for Promoting PAHCOPromotion of Physical Activity-related Health Competence (PAHCO)Participatively developed intervention concept by means of cooperative planning (Rütten, 1997) to promote physical activity-related health competence (PAHCO): A separate cooperative planning process will take place in each of the four schools in this study arm from April to November 2023. Within the framework of these processes, suitable interventions tailored to the target group and the school will be developed for the implementation of the curriculum content "PAHCO" with the participation of actors from science and practice (e.g., teachers, nursing students of the schools). The developed interventions will be implemented from December 2023 under the responsibility of the actors in the schools.
Expert-Based Intervention for Promoting PAHCO Delivered by External Physical Activity SpecialistsPromotion of Physical Activity-related Health Competence (PAHCO)Expert-based intervention concept with external physical activity specialists to promote physical activity-related health competence (PAHCO). We will develop a specific intervention concept for the implementation of the curriculum content "PAHCO" at nursing schools in Bavaria from April to November 2023. Currently (March 2022), it is planned that the intervention will comprise 12 sessions with a duration of 45 or 90 minutes. The entire intervention will be specified during the different steps of intervention mapping (i.e., needs assessment, goal formulation, screening evidence-based intervention content). Physical activity specialists (e.g. sports scientists, physiotherapists) will be trained to implement this expert-based intervention concept from December 2023 to March 2024.
Expert-Based Intervention for Promoting PAHCO Delivered by TeachersPromotion of Physical Activity-related Health Competence (PAHCO)Expert-based intervention concept with teachers as multipliers to promote physical activity-related health competence (PAHCO). We will develop a specific intervention concept for the implementation of the curriculum content "PAHCO" at nursing schools in Bavaria from April to November 2023. Currently (March 2022), it is planned that the intervention will comprise 12 sessions with a duration of 45 or 90 minutes. The entire intervention will be specified during the different steps of intervention mapping (i.e., needs assessment, goal formulation, screening evidence-based intervention content). Teachers of the participating nursing schools of this study arm will be trained to implement this expert-based intervention concept in their school from December 2023 to March 2024.
Primary Outcome Measures
NameTimeMethod
Quality Physical Activity (Short Term)Change from baseline (T0) to post-intervention (T2; i.e., one year after the baseline)

The outcome is a relational aggregate index between leisure time physical activity and occupational physical activity; higher values (i.e., higher leisure time physical activity relative to occupational physical activity) indicate a better outcome; Leisure time physical activity via BSA Questionnaire (Fuchs et al., 2015); Occupational sitting and physical activity questionnaire (OSPAQ; Chau et al., 2012)

Physical Activity-related Health Competence (Short Term)Change from baseline (T0) to post-intervention (T2; i.e., one year after the baseline)

Physical Activity-related Health Competence (PAHCO) Questionnaire (Carl et al., 2020); higher percentage scores (0 min, 100 max) indicate a better outcome

Physical Activity-related Health Competence (Medium Term)Change from baseline (T0) to follow-up (T3; i.e., one year after the end of the intervention, two years after the baseline)

Physical Activity-related Health Competence (PAHCO) Questionnaire (Carl et al., 2020); higher percentage scores (0 min, 100 max) indicate a better outcome

Psychological Movement Quality (Short Term)Change from baseline (T0) to post-intervention (T2; i.e., one year after the baseline)

Physical Activity Enjoyment Scale (PACES; Jekauc et al., 2020); higher scores (16 min, 80 max) indicate a better outcome

Psychological Movement Quality (Medium Term)Change from baseline (T0) to follow-up (T3; i.e., one year after the end of the intervention, two years after the baseline)

Physical Activity Enjoyment Scale (PACES; Jekauc et al., 2020); higher scores (16 min, 80 max) indicate a better outcome

Quality Physical Activity (Medium Term)Change from baseline (T0) to follow-up (T3; i.e., one year after the end of the intervention, two years after the baseline)

The outcome is a relational aggregate index between leisure time physical activity and occupational physical activity; higher values (i.e., higher leisure time physical activity relative to occupational physical activity) indicate a better outcome; Leisure time physical activity via BSA Questionnaire (Fuchs et al., 2015); Occupational sitting and physical activity questionnaire (OSPAQ; Chau et al., 2012)

Secondary Outcome Measures
NameTimeMethod
General Health Status (Short Term)Change from baseline (T0) to post-intervention (T2; i.e., one year after the baseline)

Single-Item (#1) of the Short-Form-Health-Survey (SF-12; Morfeld et al., 2011); after inversion, higher values (0 min, 4 max) will indicate a better outcome

Musculoskeletal Complaints (Short Term)Change from baseline (T0) to post-intervention (T2; i.e., one year after the baseline)

Ten items (neck/cervical spine, shoulder joints, ellbow/lower arms, hands, thoracic spine, lower back, hip joints/thighs, knee joints, lower legs, feet) of the Nordic Musculosceletal Questionnaire (NMQ; Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, 2021); lower values will indicate a better outcome

Work Ability (Short Term)Change from baseline (T0) to post-intervention (T2; i.e., one year after the baseline)

Work Ability Index, short form (WAI-r; Hetzel et al., 2014); higher values (5 min, 36 max) will indicate a better outcome

Physical Job Stress in Nursing (Short Term)Change from baseline (T0) to post-intervention (T2; i.e., one year after the baseline)

Self-developed questionnaire for the physical job stress in nursing; instrument (at its early stage) currently comprises 30 items, will undergo psychometric validation at baseline (T0), lower values (min 0, max 4 for each item) will indicate a better outcome

General Health Status (Medium Term)Change from baseline (T0) to follow-up (T3; i.e., one year after the end of the intervention, two years after the baseline)

Single-Item (#1) of the Short-Form-Health-Survey (SF-12; Morfeld et al., 2011); after inversion, higher values (0 min, 4 max) will indicate a better outcome

Work Ability (Medium Term)Change from baseline (T0) to follow-up (T3; i.e., one year after the end of the intervention, two years after the baseline)

Work Ability Index, short form (WAI-r; Hetzel et al., 2014); higher values (5 min, 36 max) will indicate a better outcome

Musculoskeletal Complaints (Medium Term)Change from baseline (T0) to follow-up (T3; i.e., one year after the end of the intervention, two years after the baseline)

Ten items (neck/cervical spine, shoulder joints, ellbow/lower arms, hands, thoracic spine, lower back, hip joints/thighs, knee joints, lower legs, feet) of the Nordic Musculosceletal Questionnaire (NMQ; Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, 2021); lower values will indicate a better outcome

Physical Job Stress in Nursing (Medium Term)Change from baseline (T0) to follow-up (T3; i.e., one year after the end of the intervention, two years after the baseline)

Self-developed questionnaire for the physical job stress in nursing; instrument (at its early stage) currently comprises 30 items, will undergo psychometric validation at baseline (T0), lower values (min 0, max 4 for each item) will indicate a better outcome

Trial Locations

Locations (1)

Friedrich-Alexander University Erlangen-Nürnberg

🇩🇪

Erlangen, Bavaria, Germany

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