Competence, Education, Exercise, Nursing, Physical Activity
Conditions
Keywords
Nursing Students, Physical-Activity related Health Competence, Implementation, Dissemination, Co-creation, Intervention Development
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.
Interventions
BEHAVIORALPromotion of Physical Activity-related Health Competence (PAHCO)
Intervention for the curriculum content "PAHCO" at nursing schools in Bavaria
Sponsors
University of Erlangen-Nürnberg
Bayerisches Staatsministerium für Gesundheit und Pflege (Bavarian Federal State)
Kaufmännische Krankenkasse KKH (Health Insurance)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Cluster-Randomized Controled Trial (cRCT) with 16 schools
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
(School/Cluster Level): * 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 Inclusion Criteria (Student Level): * Informed written consent to participate (or their legal guardians, if aged under 18 years) * Part of the first education year (in cohort 2023/2024)
Exclusion criteria
-if any of the criteria mentioned above is not given
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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 |
| 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 |
| 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 (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 (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
| Measure | Time frame | Description |
|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
Countries
Germany
Outcome results
None listed