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Introduction: According to the WHO, a health-promoting health service should be linked to a holistic approach to improve public health. Based on this, it is interesting to explore if the Healthy Life Centers can be described as a health-promoting health service. This article seeks a deeper understanding of the Healthy Life Centers health promoting function by exploring the relationship between theory and practice, and to assess possible development areas and a new framework for understanding the service. Main part: Through an analysis of the Healthy Life Center’s services, we point out both potentials, obstacles and focus areas. The health authorities' description of the service and its purpose can be regarded as potentials, the power relation between purpose and practice, discipline and policy, and individual needs and autonomy as obstacles, and the adaptation of international standards for health-promoting health services (HPH-standards) as focus areas. Conclusion: The Healthy Life Center has a potential to become a health-promoting health service, although several factors should be addressed to facilitate change in that direction. The HPH-standards can contribute to a more uniform and expanded understanding of the service's mandate, purpose, values and activities, which are summarized in a "new" framework of the service.

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Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper presents a conceptual framework displaying how combinations of settings and populations seen in a long-term perspective may guide public health and health promotion planning and research. The notion of settings constitutes a key element of health promotion as stipulated by the Ottawa Charter from 1986. The setting approach highlights the individual, social and structural dimensions of health promotion. Likewise, the notion of populations and how they are selected forms a center pillar of public health. By joining the two perspectives, four combinations of intervention strategies appear by addressing: (1) a single population segment within a single setting, (2) multiple population segments within a single setting, (3) a single population segment within multiple settings or (4) multiple population segments within multiple settings. Furthermore, the addition of a time dimension inspired by the life-course perspective illustrates how trajectories of individuals and projects change settings and population segments as time goes by. The conceptual framework displays how systematic awareness of long-term, multi-setting, multi-population trajectories allow health promotion planners and researchers to systematically develop, plan and analyze their projects.

Copyright of Public Health Forum is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Public Health Forum is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Sedentary time is high among university students. Prolonged sitting time and reduced physical activity is linked to a number of health risks, therefore interventions to increase options for physical activity on campuses are of high public health relevance. Evidence about the influence of the campus environment on movement and sedentary behavior of students is scarce. This study explores how the structural and social environment of two University campuses are related to students' everyday physical activity.Methods: We used the photovoice method to get a thorough insight into students' daily life on campus. We recruited a total of 46 University students in two German cities (University 1: n = 22, University 2: n = 24). They were asked to take ≥15 photos of places and situations on their respective campus that facilitate or hinder them to be physically active. The pictures were discussed with the participants in 10 focus groups. Focus group discussions were audio-recorded, transcribed and analyzed using content analysis.Results: Both universities do not exploit their potential of fostering daily physical activity on campus, according to the photos and discussions of the participating students. The vast green spaces offer no cues for movement: easily accessible equipment for sports (fixed or mobile) is lacking, walkways are partially hidden, and the facilities discourage from cycling to and on campus. Social norms induce participants to keep sitting during lectures and learning time. It was also pointed out that indoor hallways and foyers could be put to better use with regard to physical activity. The Photovoice project raised the participants' awareness of how the context influences their movement behavior, and helped them come up with solutions to make physical activity easier for students of their respective universities.Conclusion: The studied campuses discouraged students from being physically active by missing out on opportunities—indoors and outdoors—for fostering movement, such as designating the greens for games or walks, or providing sufficient lockers for biking gear. The results can serve as a basis to plan custom-made public health interventions.

Background: Individuals with mental disorders need continuous and efficient collaboration between different sectors of care. In 2012, a new law in Germany enabled the implementation of novel budgets in psychiatry (flexible and integrated treatment = FIT). Hospitals implementing FIT programs have been evaluated in controlled cohort studies. We present first results based on a meta-analysis from 13 FIT hospitals.Methods/Design: We undertook a series of claims-data-based controlled cohort studies. Data from over 70 statutory health insurance (SHI) funds in Germany were analyzed. All patients insured by any of the participating SHI funds and treated in one of the FIT hospitals for any of 16 predefined mental disorders were compared with matched control patients from routine care. The patient collective was subdivided into hospital-new and hospital-known patients. Analyses included utilization of inpatient care, day care, outpatient PIA (psychiatrische Institutsambulanz) care, outpatient care with established practitioners, and durations of sick leave. Individual treatment effects of the 13 FIT hospitals were pooled in a random-effects meta-analysis. Meta-regression analysis was used to explore potential reasons for heterogeneity in model effectiveness.Results: The meta-analysis revealed a significant reduction by over 5 days of inpatient care in hospital-new patients in FIT hospitals compared to control hospitals. This effect was stronger among FIT hospitals with a preexisting FIT-like environment. There was no overall significant effect regarding sick leave between the two groups. Further meta-regression for hospital-new patients revealed a significantly reduced duration of sick leave by almost 13 days for patients in FIT hospitals with a preexisting FIT-like contract compared to FIT hospitals without such a contract.Conclusions: This study suggests positive effects of FIT programs for patients with mental disorders pointing toward a shorter duration of inpatient treatment. Furthermore, contracts already existent prior to initialization of FIT programs appear to have facilitated the transition into the new treatment environment. For FIT hospitals without such contracts, supposedly there is a certain implementation phase for effects to be apparent. The results should still be interpreted with caution as this manuscript only covers the first year of the 5 year evaluation period in 13 of 18 FIT hospitals.Clinical Trial Registration: This study was registered in the database “Health Services Research Germany” (trial number: VVfD_EVA64_15_003713).

Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Zeitschrift für Psychodrama und Soziometrie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Das weite Feld der kommunalen Gesundheitsförderung wird eingangs dargestellt. Die vorliegende Evidenz für seine Wirksamkeit ist schwach, weil es weder einheitliche Beschreibungen von entsprechenden Interventionen und ihren Kontexten gibt noch einheitliche Evaluationsstrategien. Das Präventionsgesetz könnte der kommunalen Gesundheitsförderungspraxis in Zukunft mehr Geltung verschaffen. [ABSTRACT FROM AUTHOR]

Das 2016 in Kraft getretene Präventionsgesetz verlangt, dass die GKV ca. 60% der insgesamt erhöhten Ressourcen für partizipative Interventionen in Betrieben und anderen Settings einsetzt. Obwohl keine gründliche Evaluation vorliegt, verweisen Zahlen und Praxisberichte auf zwei wesentliche Entwicklungsprobleme: (1) Die Setting-Interventionen erfüllen häufig nicht die Kriterien der Strukturbildung und der Partizipation. (2) Der für den Erfolg notwendigen Kooperation zwischen den Kassen sowie mit Trägern der Lebenswelten stehen überkommene Routinen und Fehlanreize entgegen. [ABSTRACT FROM AUTHOR]

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Aims: The aims of this scoping review of research on workplace health promotion interventions in the Nordic countries were to investigate: how the studies defined health; whether the studies intended to change the workplace itself (the settings approach); and whether the research focus regarding their definitions of health and use of settings approaches has changed in the past five-year period versus previous times. Methods: Using scientific literature databases, we searched for intervention studies labelled as “health promotion” in an occupational setting in the Nordic countries (Denmark, Finland, Iceland, Norway and Sweden) published from 1986 to 2014. We identified 63 publications and qualitatively analysed their content regarding health outcomes and their use of settings approaches. Results: The reviewed studies focused primarily on preventing disease rather than promoting positive measures of health. In addition, most studies did not try to change the workplace but rather used the workplace as a convenient setting for reaching people to change their behaviour related to lifestyles and disease prevention. Participatory and non-participatory settings approaches to promote well-being and other positive health measures have been used to a minor degree. The recent studies’ definitions of health and use of settings approaches did not differ much from the studies published earlier. Conclusions: Workplace health promotion in the Nordic countries should more often include positive health measures and settings approaches in intervention research. It is important to anchor workplace health promotion among important stakeholders such as unions and employers by arguing that sustainable production is dependent on workers’ health. [ABSTRACT FROM PUBLISHER]

Background. The concept of health promotion rests on aspirations aiming at enabling people to increase control over and improve their health. Health promotion action is facilitated in settings such as schools, homes and work places. As a contribution to the promotion of healthy lifestyles, we have further developed the setting approach in an effort to harmonise it with contemporary realities (and complexities) of health promotion and public health action. The paper introduces a modified concept, the supersetting approach, which builds on the optimised use of diverse and valuable resources embedded in local community settings and on the strengths of social interaction and local ownership as drivers of change processes. Interventions based on a supersetting approach are first and foremost characterised by being integrated, but also participatory, empowering, context-sensitive and knowledge-based. Based on a presentation of “Health and Local Community”, a supersetting initiative addressing the prevention of lifestyle diseases in a Danish municipality, the paper discusses the potentials and challenges of supporting local community interventions using the supersetting approach. Discussion. The supersetting approach is a further development of the setting approach in which the significance of integrated and coordinated actions together with a participatory approach are emphasised and important principles are specified, all of which contribute to the attainment of synergistic effects and sustainable impact of supersetting initiatives. The supersetting approach is an ecological approach, which places the individual in a social, environmental and cultural context, and calls for a holistic perspective to change potentials and developmental processes with a starting point in the circumstances of people’s everyday life. The supersetting approach argues for optimised effectiveness of health promotion action through integrated efforts and long-lasting partnerships involving a diverse range of actors in public institutions, private enterprises, non-governmental organisations and civil society. Summary. The supersetting approach is a relevant and useful conceptual framework for developing intervention-based initiatives for sustainable impact in community health promotion. It strives to attain synergistic effects from activities that are carried out in multiple settings in a coordinated manner. The supersetting approach is based on ecological and whole-systems thinking, and stipulates important principles and values of integration, participation, empowerment, context and knowledge-based development. [ABSTRACT FROM AUTHOR]

Copyright of Polish Journal of Sports Medicine / Medycyna Sportowa is the property of Agencja Wydawnicza Medsportpress Sp. z o. o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ergotherapie & Rehabilitation is the property of Schulz-Kirchner Verlag Gmbh and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Education should always incorporate children's creative and free expression at a general level and this should also apply at the level of movement. Creativity can be cultivated, developed and expressed within an environment of acceptance, freedom and communication as long as appropriate qualitative and quantitative stimuli are provided. This is the reason why pedagogues should be seriously concerned with the types of tasks introduced at schools, student's cognitive preparation and teaching procedures. Different studies show that although children's creative ability is steadily developing since early infancy, it falls into decline during their school initiation. During their school life students are forced to inhibit their creative and innovative expression and yield to the process of "mechanical memorizing" oriented towards imitation and reproduction. The aim of this paper is to investigate creativity as an approach and teaching method of traditional Greek dance in secondary schools. More specifically, a comparison was made between two teaching methods: "teacher-centric" versus "guided discovery" or "guided reinvention style" in combination with the "divergent production style" in a Greek middle school. A six-month pilot study was carried out in the A and B grades of two middle schools of the Prefecture Department of Thessaloniki. The study sample consisted of 200 middle school students, 82 boys (?=82) and 118 girls (N=118). The data was collected with the use of a questionnaire. The evaluation results showed that when the creative teaching methods were implemented (i.e. the "guided discovery" or "guided reinvention style" in combination with the "divergent production style"), triggering of students' experiential learning process rendered the lesson more effective and successful,l and raised the students' level of active participation in traditional Greek dance lessons in school. The success of this creative teaching curriculum makes a great contribution to the preservation and continuation of our cultural heritage. [ABSTRACT FROM AUTHOR]

Modern research related to health problems has been concerned with three most important branches: psychosomatic medicine, behavioural medicine and -- most recently -- health psychology. This points to the need for an interdisciplinary approach to the problems of health and disease. At the same time social changes require adjustments in educational systems and strategies with a great degree of flexibility and interchangeability. In young people the enhancement of physical activity needs to target such determinants as increasing intentions to be active, reduction of perceived barriers and increasing the time spent outdoors in a physically active way. The paper examines determinants of enhancement of physical activity in an interdisciplinary and setting approach and provides potential health educators with points to consider while arranging community or school-based physical activity enhancing programs. [ABSTRACT FROM AUTHOR]

Health promotion is an emerging, multidisciplinary, endeavour that has much to offer the study of bullying. The negative health impacts of bullying are well documented, and indicate that having been bullied is associated with poor outcomes in both physical and mental health for both school children and adults. Governments, organizations and communities can improve health and prevent ill-health. Health Promotion advocates a 'settings approach' which is underpinned by the premise that the way in which a setting effects health is a function of the general conditions of that setting, rather than the provision of specific health care services within in it. Theoretical approaches to the understanding of bullying have consistently drawn attention to the interaction of individual and organisational factors, and to the importance of contextual factors, in particular power relations. Successful interventions, particularly in the school setting, are consistent with the settings approach, for example the whole-school approach, which has been implemented and evaluated in a series of studies. It results in a marked reduction in the number of bully/victim problems, in anti-social behaviour generally, and an improvement in student satisfaction with school life. The case is strong for taking a settings approach to dealing with bullying. This requires a recognition that the health of individuals within organisations such as schools and workplaces, is effected by the whole organisation and way it conducts itself, and will only be effectively resolved by addressing the difficulties, although experienced at an individual level, through organisational policies and practices. Keywords: bullying, workplace, health promotion, settings approach. [ABSTRACT FROM AUTHOR]

Background: Digital technologies are increasingly integrating into people's daily living environments such as schools, sport clubs, and health care facilities. These settings play a crucial role for health promotion and prevention because they affect the health of their members, as the World Health Organization has declared. Implementing digital health promotion and prevention in settings offers the opportunity to reach specific target groups, lower the costs of implementation, and improve the health of the population. Currently, there is a lack of scientific evidence that reviews the research on digital health promotion and prevention in settings.Objective: This scoping review aims to provide an overview of research targeting digital health promotion and primary prevention in settings. It assesses the range of scientific literature regarding outcomes such as applied technology, targeted setting, and area of health promotion or prevention, as well as identifies research gaps.Methods: The scoping review was conducted following the Levac, Colquhoun, and O'Brien framework. We searched scientific databases and gray literature for articles on digital setting-based health promotion and prevention published from 2010 to January 2020. We included empirical and nonempirical publications in English or German and excluded secondary or tertiary prevention and health promotion at the workplace.Results: From 8888 records, the search resulted in 200 (2.25%) included publications. We identified a huge diversity of literature regarding digital setting-based health promotion and prevention. The variety of technology types extends from computer- and web-based programs to mobile devices (eg, smartphone apps) and telemonitoring devices (sensors). We found analog, digital, and blended settings in which digital health promotion and prevention takes place. The most frequent analog settings were schools (39/200, 19.5%) and neighborhoods or communities (24/200, 12%). Social media apps were also included because in some studies they were defined as a (digital) setting. They accounted for 31.5% (63/200) of the identified settings. The most commonly focused areas of health promotion and prevention were physical activity (81/200, 40.5%), nutrition (45/200, 22.5%), and sexual health (34/200, 17%). Most of the interventions combined several health promotion or prevention methods, including environmental change; providing information, social support, training, or incentives; and monitoring. Finally, we found that the articles mostly reported on behavioral rather than structural health promotion and prevention.Conclusions: The research field of digital health promotion and prevention in settings is heterogeneous. At the same time, we identified research gaps regarding the absence of valid definitions of relevant terms (eg, digital settings) and the lack of literature on structural health promotion and prevention in settings. Therefore, it remains unclear how digital technologies can contribute to structural (or organizational) changes in settings. More research is needed to successfully implement digital technologies to achieve health promotion and prevention in settings. [ABSTRACT FROM AUTHOR]

The database "Insights for healthy settings" was developed by the GKV-Bündnis für Gesundheit, a joint initiative of all health insurance funds for developing and implementing setting-based health promotion and prevention measures. It aims to support health insurance funds and other practice partners in planning and implementing evidence-based health promotion and prevention measures in different settings. The database complements existing intervention databases by providing insights based on findings from systematic reviews. This article aims to present the database, describe possible applications, and discuss options for further development.The database contains findings on the effectiveness and strategies for implementation of setting-based health promotion and prevention measures. In addition to structured summaries of systematic reviews, it includes summaries of scoping reviews and rapid reviews. Different search options (e.g., free text search, subject headings, and search filters) can be used to find database entries (currently n = 13). Quality-assured database entries are created by means of a standardized form and based on the four-eyes principle. To allow for easy access, key findings are presented briefly, and technical terms are clarified. Experts from health insurance funds are continuously involved in the development process of the database.As part of the database's further development, new reviews of the GKV-Bündnis für Gesundheit as well as from other sources will be added. Additionally, quality assessments of included reviews will be depicted and supporting activities developed to further encourage translation of scientific knowledge into practice.

The university environment is especially suitable for implementing health promotion interventions and specifically for physical activity promotion among university students. The objective of this systematic review was to describe the strategies employed and the physical activity data collection tools that have been used in said interventions. A systematic search for articles was conducted using the PubMED, Cochrane, and PEDro databases. The articles selected were those describing a physical activity promotion intervention aimed at university students in their own university setting in which there was a control group. Eventually, 1074 articles were identified, of which 13 fulfilled the selection criteria. The results show eight strategies and nine different instruments for collecting physical activity data. The strategies identified were used in combination and they were adapted in each of the complex interventions. Validated questionnaires were the most widely used instrument. Future original studies are needed to find out the impact of these strategies in physical activity promotion among university students specifically in the university context.

Community capacity building is an essential approach for health promotion, combining a participatory approach with the view to community ownership. Little research focuses on practical capacity building strategies and monitoring. Our paper looks into involving stakeholders in facilitated group discussions as a specific strategy for fostering capacity building processes. These processes focused on physical activity (PA) promotion in two German communities (ACTION4men). Along the dimensions of capacity building suggested in literature (e.g., problem solving, resource mobilization, leadership), we implemented two participatory stakeholder groups (1/community). These groups were motivated to develop and implement PA interventions for men >50 years. For measuring capacity building processes, a semi-standardized monitoring instrument was used to document all group meetings. Additionally, we conducted semi-standardized interviews with group participants and drop-outs to capture their perspectives on capacity building. All documents were analyzed using thematic analysis. We successfully established stakeholder groups that planned and implemented a range of local measures meant to increase PA among older men. In one community, the process was sustainable, whereby the group continued to meet regularly over years. Capacity building was successful to a certain degree (e.g., regarding participation, problem assessment, and resource mobilization), but stalled after first meetings. Capacity building processes differed between the two communities in terms of leadership and sustainability. The developed interventions mainly addressed the access to organized sport courses, rather than tackling walkability or active transport. The theoretical capacity building approach was successful to develop and implement programs aimed at promoting PA. The actual capacity building processes depend upon the composition of stakeholder groups and inherent power relations.

This article described why the Tsung Tsin College joined in the Hong Kong Healthy Schools Award Scheme, how it tried to live up to the expectations, and the gains it reaped from the experience. Operating in a less affluent district of Hong Kong, the school strived for whole-person education for its students, many of whom suffer from social deprivations, and turned its environment into one conducive to learning. Finding that the Scheme advocates similar themes, the school enrolled and hoped to strengthen its self-improvement capacity. The school won a Silver Award for its overall performance in health promotion. The audit it underwent has also revealed its weaknesses, which it is striving to remedy. On the other hand, the school has also acquired many benefits from the process. The school-community and even school-parent relationships have also been enhanced as a result of its participation in the Scheme. Asia-Pac J Public Health 2004; 16(Supp): S33-S36. [ABSTRACT FROM PUBLISHER]