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

NCT05817396 | Completed

• 1 other identifier: K1-2497-GLB-21-V1
• Study Type: interventional
• Target: 335
• Locations: 1 country
• Sites: 1

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.

Conditions

Physical Activity; Exercise; Education; Nursing; Competence

Keywords

Nursing Students; Physical-Activity related Health Competence; Implementation; Dissemination; Co-creation; Intervention Development

Outcome Measures

Primary Outcomes (6)

• Physical Activity-related Health Competence (Short Term)

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

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

• Psychological Movement Quality (Short Term)

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

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

• Quality Physical Activity (Short Term)

  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)

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

• Physical Activity-related Health Competence (Medium Term)

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

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

• Psychological Movement Quality (Medium Term)

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

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

• Quality Physical Activity (Medium Term)

  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)

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

Secondary Outcomes (8)

• General Health Status (Short Term)

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

• Work Ability (Short Term)

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

• Musculoskeletal Complaints (Short Term)

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

• Physical Job Stress in Nursing (Short Term)

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

• 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)

Study Arms (4)

Cooperative Planning for Promoting PAHCO

EXPERIMENTAL

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.

Behavioral: Promotion of Physical Activity-related Health Competence (PAHCO)

Expert-Based Intervention for Promoting PAHCO Delivered by External Physical Activity Specialists

EXPERIMENTAL

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.

Behavioral: Promotion of Physical Activity-related Health Competence (PAHCO)

Expert-Based Intervention for Promoting PAHCO Delivered by Teachers

EXPERIMENTAL

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.

Behavioral: Promotion of Physical Activity-related Health Competence (PAHCO)

Regular Education and Health Promotion

NO INTERVENTION

No systematic intervention concept: In the schools of this study arm, there is no systematic and scientifically supported intervention for the implementation of the curriculum content "PAHCO".

Interventions

Promotion of Physical Activity-related Health Competence (PAHCO) BEHAVIORAL

Intervention for the curriculum content "PAHCO" at nursing schools in Bavaria

Cooperative Planning for Promoting PAHCO; Expert-Based Intervention for Promoting PAHCO Delivered by External Physical Activity Specialists; Expert-Based Intervention for Promoting PAHCO Delivered by Teachers

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Private or Local Sponsorship
• Location in Bavaria
• Schools with 33-64 students in the first cohort (i.e., two or three classes per cohort)
• School director providing informed written consent by March 1st 2023
• Informed written consent to participate (or their legal guardians, if aged under 18 years)
• Part of the first education year (in cohort 2023/2024)

You may not qualify if:

• if any of the criteria mentioned above is not given

Sponsors & Collaborators

• University of Erlangen-Nürnberg: lead
• Kaufmännische Krankenkasse KKH (Health Insurance): collaborator
• Bayerisches Staatsministerium für Gesundheit und Pflege (Bavarian Federal State): collaborator

Study Sites (1)

Friedrich-Alexander University Erlangen-Nürnberg

Erlangen, Bavaria, 91058, Germany

Location

Related Publications (2)

• Lorenz E, Grune E, Popp J, Pfeifer K, Carl J. Focus group-supported development and psychometric exploration of an instrument to assess perceived physical exertion in nursing students. BMC Nurs. 2024 Dec 30;23(1):957. doi: 10.1186/s12912-024-02639-9.

  PMID: 39736619 DERIVED

• Carl J, Grune E, Popp J, Hartung V, Pfeifer K. Implementation and dissemination of physical activity-related health competence in vocational nursing training: study protocol for a cluster-randomized controlled intervention trial. Trials. 2024 May 15;25(1):322. doi: 10.1186/s13063-024-08153-2.

  PMID: 38750590 DERIVED

Related Links

• Project description on university website

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chair Lead

Model Details: Cluster-Randomized Controled Trial (cRCT) with 16 schools

Study Record Dates

• First Submitted: March 14, 2023
• First Posted: April 18, 2023
• Study Start: April 18, 2023
• Primary Completion: June 20, 2025
• Study Completion: July 31, 2025
• Last Updated: April 29, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

DE (1)