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Prof. Dr. Annika Frahsa
Department of Social and Health Sciences, Faculty of Economics and Social Sciences, Institute of Sports Science Eberhard Karls, University of Tübingen, 72074 Tübingen, Germany

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0 Health Promotion
0 Social Network Analysis
0 walkability
0 physical activity promotion
0 Community-based participatory research

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Journal article
Published: 07 August 2021 in International Journal of Environmental Research and Public Health
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Health in all policies is a key approach to promote health and calls for cooperation between diverse levels of government and different sectors. In this paper, we analyze how a network called ‘Healthy Region Plus’ in Southern Germany addresses intersectoral cooperation at city and county levels. We aim to analyze the different roles of actors involved in the network based on the promoter model. We conducted two socio-material network mappings based on the Net-map approach by Schiffer and Hauck. The analysis followed three steps: data visualization, descriptive analysis of network properties, and interpretation of findings. Our findings reveal a complex intersectoral cooperation structure, with county and city level clusters, with network members who act as diverse power, expert, process, or relationship promoters. We also identified certain relevant sectors not to be part of the network. We discuss that the success of the network depends on the members’ active participation in and their outreach beyond the existing network, between city and county levels, and across sectors to promote health and build health-promoting structures in the region.

ACS Style

Tobias Fleuren; Ansgar Thiel; Annika Frahsa. Identification of Network Promoters in a Regional and Intersectoral Health Promotion Network: A Qualitative Social Network Analysis in Southern Germany. International Journal of Environmental Research and Public Health 2021, 18, 8372 .

AMA Style

Tobias Fleuren, Ansgar Thiel, Annika Frahsa. Identification of Network Promoters in a Regional and Intersectoral Health Promotion Network: A Qualitative Social Network Analysis in Southern Germany. International Journal of Environmental Research and Public Health. 2021; 18 (16):8372.

Chicago/Turabian Style

Tobias Fleuren; Ansgar Thiel; Annika Frahsa. 2021. "Identification of Network Promoters in a Regional and Intersectoral Health Promotion Network: A Qualitative Social Network Analysis in Southern Germany." International Journal of Environmental Research and Public Health 18, no. 16: 8372.

Journal article
Published: 02 July 2021 in Geriatrics
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Background: Entering into a nursing home leads to increased immobility and further reductions in physical and cognitive functioning. As a result, there is a risk of sarcopenia, which is characterized by loss of muscle strength, muscle mass and physical functioning. To our knowledge, the feasibility of sarcopenia screening has not yet been performed in the German nursing home setting. Methods: For sarcopenia screening, the specifications of EWGSOP2 were applied. The quantification of sarcopenia was performed according to the corresponding cut-off values. The collection of anthropometric data and the morbidity status were recorded. SARC-F, mini-mental state examination, Barthel Index, Short Physical Performance Battery and Timed Up and Go tests were implemented. Results: In one participant, severe sarcopenia could be identified. The quantification was not possible for four participants. A suspicion of sarcopenia was not confirmed in five participants. Only one person was able to perform all assessments. Conclusions: Sarcopenia screening according to EWGSOP2 presented satisfactory feasibility by nursing home residents. However, further tests to assess the physical functioning of the participants often could not be performed. Moreover, inconsistencies in individual assessments became apparent, leading to inconclusive analyses. The recording of sarcopenia prevalence in German nursing homes should be the goal of further research.

ACS Style

Daniel Haigis; Rebekka Pomiersky; Dorothée Altmeier; Annika Frahsa; Gorden Sudeck; Ansgar Thiel; Gerhard Eschweiler; Andreas Nieß. Feasibility of a Geriatric Assessment to Detect and Quantify Sarcopenia and Physical Functioning in German Nursing Home Residents—A Pilot Study. Geriatrics 2021, 6, 69 .

AMA Style

Daniel Haigis, Rebekka Pomiersky, Dorothée Altmeier, Annika Frahsa, Gorden Sudeck, Ansgar Thiel, Gerhard Eschweiler, Andreas Nieß. Feasibility of a Geriatric Assessment to Detect and Quantify Sarcopenia and Physical Functioning in German Nursing Home Residents—A Pilot Study. Geriatrics. 2021; 6 (3):69.

Chicago/Turabian Style

Daniel Haigis; Rebekka Pomiersky; Dorothée Altmeier; Annika Frahsa; Gorden Sudeck; Ansgar Thiel; Gerhard Eschweiler; Andreas Nieß. 2021. "Feasibility of a Geriatric Assessment to Detect and Quantify Sarcopenia and Physical Functioning in German Nursing Home Residents—A Pilot Study." Geriatrics 6, no. 3: 69.

Journal article
Published: 20 May 2021 in International Journal of Environmental Research and Public Health
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(1) Background: Despite high prevalence of physical inactivity and sedentariness among nursing home residents, research on the influence of environments on this topic remains scarce. This Photovoice study explores how structural and social environments relate to residents’ everyday physical activity (PA). (2) Methods: 27 residents, staff, and significant others conducted Photovoice in eight nursing homes in Germany to document factors facilitating or hindering PA. Photographs were discussed with the participants in eight focus groups and analysed using thematic analysis. (3) Results: 169 photographs (between 8 and 42per home) were categorized into three thematic groups: (1) ‘architectural challenges for PA promotion in nursing homes’; (2) ‘opportunities and limitations of using daily work equipment for PA promotion’; (3) ‘social incentives for PA promotion’. Photographs’ foci in the homes differed considerably between participant groups. Staff primarily chose environmental constructions and aids that they perceived to enable residents’ PA. Residents were more likely to express affections and emotions that would encourage them to be active. (4) Conclusions: PA promotion research in this setting should be sensitive to diverse perceptions of different stakeholder groups and existing power imbalances. Interventions are needed that integrate residents’ needs and train staff on how to consider residents’ perspectives.

ACS Style

Dorothée Altmeier; Ansgar Thiel; Annika Frahsa. ‘All We Have to Decide Is What to Do with the Time That Is Given to Us’ a Photovoice Study on Physical Activity in Nursing Homes. International Journal of Environmental Research and Public Health 2021, 18, 5481 .

AMA Style

Dorothée Altmeier, Ansgar Thiel, Annika Frahsa. ‘All We Have to Decide Is What to Do with the Time That Is Given to Us’ a Photovoice Study on Physical Activity in Nursing Homes. International Journal of Environmental Research and Public Health. 2021; 18 (10):5481.

Chicago/Turabian Style

Dorothée Altmeier; Ansgar Thiel; Annika Frahsa. 2021. "‘All We Have to Decide Is What to Do with the Time That Is Given to Us’ a Photovoice Study on Physical Activity in Nursing Homes." International Journal of Environmental Research and Public Health 18, no. 10: 5481.

Brief research report article
Published: 16 October 2020 in Frontiers in Public Health
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Introduction: Descriptive data indicate a high burden of chronic illness among immigrant women in Switzerland. Little is known about how immigrant women with chronic illnesses experience healthcare services. This paper presents a methodological approach theoretically informed by Sen's capability approach and Levesque's framework of access to healthcare to study patient-reported experiences (PREs) of Swiss healthcare services among immigrant women with chronic conditions. Methods: We conducted 48 semi-structured qualitative interviews in Bern and Geneva with Turkish (n = 12), Portuguese (n = 12), German (n = 12), and Swiss (n = 12) women. Participants were heterogenous in age, length of stay, SES, and educational attainment, illness types and history. We also conducted semi-structured interviews with healthcare and social service providers (n = 12). Interviewed women participated in two focus group discussions (n = 15). Interviews were transcribed verbatim and analyzed using Atlas.ti software, based on Gale et al.'s framework approach. Findings informed three stakeholder dialogues in which women as well as healthcare providers and policymakers from various territorial levels participated. Results: Our methodological approach succeeded in integrating women's perspectives—from initial data collection in interviews to identify issues, focus group discussions to increase rigor, and stakeholder dialogues to develop tailored recommendations based on PREs. Discussion: This is one of the first studies in Switzerland that used PREs to research healthcare services and healthcare needs among immigrant women with chronic illnesses. This paper provides new insights on how to better understand existing challenges and potentially improve access to and quality of care.

ACS Style

Annika Frahsa; Romaine Farquet; Tevfik Bayram; Luna De Araujo; Sophie Meyer; Sibel Sakarya; Sandro Cattacin; Thomas Abel. Experiences With Health Care Services in Switzerland Among Immigrant Women With Chronic Illnesses. Frontiers in Public Health 2020, 8, 553438 .

AMA Style

Annika Frahsa, Romaine Farquet, Tevfik Bayram, Luna De Araujo, Sophie Meyer, Sibel Sakarya, Sandro Cattacin, Thomas Abel. Experiences With Health Care Services in Switzerland Among Immigrant Women With Chronic Illnesses. Frontiers in Public Health. 2020; 8 ():553438.

Chicago/Turabian Style

Annika Frahsa; Romaine Farquet; Tevfik Bayram; Luna De Araujo; Sophie Meyer; Sibel Sakarya; Sandro Cattacin; Thomas Abel. 2020. "Experiences With Health Care Services in Switzerland Among Immigrant Women With Chronic Illnesses." Frontiers in Public Health 8, no. : 553438.

Original research article
Published: 07 October 2020 in Frontiers in Sports and Active Living
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Objectives: The health-enhancing benefits or regular physical activity (PA) reach into old age. With the emergence of the coronavirus disease of 2019 (COVID-19) pandemic and the associated national lockdowns and restrictions, nursing home residents were restrained from being physically active. In our study, we aimed to assess the impact of the COVID-19-related restrictions on PA promotion in nursing homes from an organizational-sociological lens. Methods: We collected data in eight nursing homes in Germany. Data collection included (i) semistructured interviews focusing on COVID-19-related restrictions and their effects on nursing homes from the home administrators' perspectives; (ii) open-ended surveys with nursing home staff and relatives focusing on daily routines and contact restrictions; and (iii) collection of documents such as care concepts, mission statements, and weekly activity plans. We analyzed all data with a reflexive thematic analysis approach. Results: We identified three stages of COVID-19-related changes in nursing homes that impacted PA promotion, as follows: (1) external closure and search for emergency control, (2) organizational adaptations to create a livable daily life in the internal environment, and (3) slow reintegration of interactions with the external organizational environment. Document analysis revealed that PA promotion was not part of decision programs or internal staff work descriptions. Rather, PA promotion was delegated to external service providers. The assignment of PA promotion to external providers was not structurally anchored in decision programs, which makes PA promotion not sustainable, particularly during unforeseen events that limit access to the organization. During the pandemic, executive staff believed in internal staff to buffer competencies with regard to PA promotion. Thus, executive staff often considered PA promotion relevant, even during the pandemic, but thought that PA promotion is a task that can be fulfilled by unqualified but motivated internal staff. Conclusion: While our study participants showed a high level of coping-capacity belief, it remains unclear which long-term impacts of COVID-19 on PA promotion in nursing homes are to be expected. At the practice level, executive staff in nursing homes that aim to promote PA within their organization should become aware that PA promotion needs to be incorporated into organizational structures to be implemented and continued in challenging times such as in a pandemic.

ACS Style

Annika Frahsa; Dorothee Altmeier; Jannika M. John; Hannes Gropper; Hanna Granz; Rebekka Pomiersky; Daniel Haigis; Gerhard W. Eschweiler; Andreas M. Nieß; Gorden Sudeck; Ansgar Thiel. “I Trust in Staff's Creativity”—The Impact of COVID-19 Lockdowns on Physical Activity Promotion in Nursing Homes Through the Lenses of Organizational Sociology. Frontiers in Sports and Active Living 2020, 2, 589214 .

AMA Style

Annika Frahsa, Dorothee Altmeier, Jannika M. John, Hannes Gropper, Hanna Granz, Rebekka Pomiersky, Daniel Haigis, Gerhard W. Eschweiler, Andreas M. Nieß, Gorden Sudeck, Ansgar Thiel. “I Trust in Staff's Creativity”—The Impact of COVID-19 Lockdowns on Physical Activity Promotion in Nursing Homes Through the Lenses of Organizational Sociology. Frontiers in Sports and Active Living. 2020; 2 ():589214.

Chicago/Turabian Style

Annika Frahsa; Dorothee Altmeier; Jannika M. John; Hannes Gropper; Hanna Granz; Rebekka Pomiersky; Daniel Haigis; Gerhard W. Eschweiler; Andreas M. Nieß; Gorden Sudeck; Ansgar Thiel. 2020. "“I Trust in Staff's Creativity”—The Impact of COVID-19 Lockdowns on Physical Activity Promotion in Nursing Homes Through the Lenses of Organizational Sociology." Frontiers in Sports and Active Living 2, no. : 589214.

Public health
Published: 24 September 2020 in Frontiers in Public Health
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Introduction: Community-based participatory research (CBPR) is an effective approach to health promotion, especially in relation to socially disadvantaged groups. However, the long-term implementation of CPBR-based projects on a broad scale is often challenging, and research regarding the sustainable transfer of participatory research is lacking. This limits the scaling-up and public health impact of CBPR. Therefore, this study examines the mechanisms utilized to transfer and sustain the BIG project, a multifaceted CBPR project aimed at promoting physical activity among women in difficult life situations. Materials and Methods: Borrowing from the RE-AIM framework, we analyzed project documentation and conducted a reflection workshop to investigate methods of transferring BIG to new sites as well as strategies from researchers to support project implementation and the maintenance of program activities at those sites. Moreover, we analyzed the reasons for discontinuing program activities at some former BIG sites and the costs involved in transferring BIG. Results: Since its establishment in 2005, BIG was transferred to and implemented at 17 sites. As of the winter of 2019, the program activities were maintained at eight sites. The average duration of sites that continue to offer program activities was more than 9 years. Discontinued sites maintained project activities for an average of 4 years. According to the study findings, the extent of scientific support, the provision of seed funding, and the local project coordinator, the person managing the project at the site, all have a significant impact on the sustainability of the transfer. A patchwork of funding agencies was needed to finance scientific support and seed funding in BIG. The transfer of BIG projects accrued annual costs of approximately EUR20,000 per site; however, long-term project implementation resulted in a decline in the annual transfer costs of BIG. Discussion and Conclusion: The sustainable transfer of CBPR is challenging but possible, and increased support of research and seed funding can facilitate long-term transfer. Nevertheless, other factors in the implementation setting are beyond scientific control. With scarce financial resources, researchers need to carefully balance the efforts of the sustainability and transfer of CBPR projects. To address this issue, there is a need for further research into the interrelationship of the sustainability and transfer of CBPR projects as well as increased long-term funding.

ACS Style

Annika Herbert-Maul; Karim Abu-Omar; Annika Frahsa; Anna Streber; Anne K. Reimers. Transferring a Community-Based Participatory Research Project to Promote Physical Activity Among Socially Disadvantaged Women—Experiences From 15 Years of BIG. Frontiers in Public Health 2020, 8, 1 .

AMA Style

Annika Herbert-Maul, Karim Abu-Omar, Annika Frahsa, Anna Streber, Anne K. Reimers. Transferring a Community-Based Participatory Research Project to Promote Physical Activity Among Socially Disadvantaged Women—Experiences From 15 Years of BIG. Frontiers in Public Health. 2020; 8 ():1.

Chicago/Turabian Style

Annika Herbert-Maul; Karim Abu-Omar; Annika Frahsa; Anna Streber; Anne K. Reimers. 2020. "Transferring a Community-Based Participatory Research Project to Promote Physical Activity Among Socially Disadvantaged Women—Experiences From 15 Years of BIG." Frontiers in Public Health 8, no. : 1.

Public health
Published: 24 September 2020 in Frontiers in Public Health
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The functionalisation of play basically stems from the diagnosis of a global childhood inactivity crisis, the so-called “children's obesity pandemic.” Hence, in the context of the activity-related guidelines, children's play appears no longer to be unproductive and purpose-free. It is rather considered an anti-obesity tool that will help children to meet physical activity recommendations. It is questionable whether such a functionalised tool can also provide what has been called the salience of the pleasures of free-play for children. Furthermore, a “normalization” of functionalised practices of play, in turn, could stigmatize children who do not or cannot adhere to these practices. Based upon this background, this paper will take a critical sociology perspective to analyse the functionalisation and medicalisation of children's play in an individualized, mediatized, and pedagogised society. In this sense, the paper aims to pay attention to how the primary goal of play in the sense of “simply make children happy” has given way to the goal of making them healthy and functional.

ACS Style

Annika Frahsa; Ansgar Thiel. Can Functionalised Play Make Children Happy? A Critical Sociology Perspective. Frontiers in Public Health 2020, 8, 1 .

AMA Style

Annika Frahsa, Ansgar Thiel. Can Functionalised Play Make Children Happy? A Critical Sociology Perspective. Frontiers in Public Health. 2020; 8 ():1.

Chicago/Turabian Style

Annika Frahsa; Ansgar Thiel. 2020. "Can Functionalised Play Make Children Happy? A Critical Sociology Perspective." Frontiers in Public Health 8, no. : 1.

Journal article
Published: 01 August 2020 in Journal of Aging and Physical Activity
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This study builds upon Sen’s seminal capability approach to analyze the interplay of individual and structural factors for immigrants’ physical activity (PA) in old age. The authors conducted software-assisted thematic analysis of group interviews with Turkish- and Russian-speaking immigrants aged 65 years and older in Germany (n = 19). The authors present how interviewees perceive diverse resources, environmental, social, and individual factors that shape their capabilities for PA. Age-related health literacy, family support, and access rules to sport opportunities shape both groups’ capabilities for PA. Turkish interviewees’ continuous bilocation and Russian interviewees’ past experience with PA as workplace exercise are two major differences between those groups. Results indicate that capabilities are ambiguous—managed and shaped by individuals, which makes more static terms like barriers and options less helpful for an analysis. Systematically applying the capability approach in intervention research would allow to analyze interaction and to ultimately better reach underserved groups like immigrants 65 years and older.

ACS Style

Annika Frahsa; Anna Streber; Andrea R. Wolff; Alfred Rütten. Capabilities for Physical Activity by Turkish- and Russian-Speaking Immigrants Aged 65 Years and Older in Germany: A Qualitative Study. Journal of Aging and Physical Activity 2020, 28, 567 -579.

AMA Style

Annika Frahsa, Anna Streber, Andrea R. Wolff, Alfred Rütten. Capabilities for Physical Activity by Turkish- and Russian-Speaking Immigrants Aged 65 Years and Older in Germany: A Qualitative Study. Journal of Aging and Physical Activity. 2020; 28 (4):567-579.

Chicago/Turabian Style

Annika Frahsa; Anna Streber; Andrea R. Wolff; Alfred Rütten. 2020. "Capabilities for Physical Activity by Turkish- and Russian-Speaking Immigrants Aged 65 Years and Older in Germany: A Qualitative Study." Journal of Aging and Physical Activity 28, no. 4: 567-579.

Corrected proof
Published: 03 July 2020 in Health Promotion International
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Summary Health promotion research has increasingly called for transdisciplinary approaches. Such calls ask for bridging frameworks that define comprehensive sets of health determinants and appropriately conceptualize the roles of population groups as well as other relevant actor groups in the co-production of health. This article aims to present the seminal capability approach by Sen and Nussbaum as a potentially suitable framework for such bridging endeavors to guide health promotion research. It highlights domains of the capability approach that appear to be particularly relevant to bridging diverse disciplines and settings. Such domains particularly refer to the agency of decisive actor groups (population groups, professionals, policymakers and researchers) as well as to the differentiation of personal, social and environmental conversion factors that disciplines define within their specific epistemologies and ontologies. The article uses empirical examples from a German research consortium that aimed to promote physical activity in five different settings while fostering cooperation and conceptual alignment between several academic disciplines and sub-disciplines to highlight benefits and challenges of using the capability approach as a bridging framework for transdisciplinary health promotion. We conclude that the capability approach might serve as bridging framework to guide future transdisciplinary research if partners involved continuously exchange to develop a shared understanding of the issues to be researched.

ACS Style

Annika Frahsa; Thomas Abel; Peter Gelius; Alfred Rütten. The capability approach as a bridging framework across health promotion settings: theoretical and empirical considerations. Health Promotion International 2020, 1 .

AMA Style

Annika Frahsa, Thomas Abel, Peter Gelius, Alfred Rütten. The capability approach as a bridging framework across health promotion settings: theoretical and empirical considerations. Health Promotion International. 2020; ():1.

Chicago/Turabian Style

Annika Frahsa; Thomas Abel; Peter Gelius; Alfred Rütten. 2020. "The capability approach as a bridging framework across health promotion settings: theoretical and empirical considerations." Health Promotion International , no. : 1.

Journal article
Published: 01 November 2019 in European Journal of Public Health
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MIWOCA study group Background The project MIWOCA researches how chronically ill women of Portuguese, Turkish and German origin and women without a migration background subjectively experience, understand, interpret and use the Swiss health care system. Methods We conducted 48 qualitative semi-structured interviews with chronically ill women between the ages of 23 and 85 in Bern and Geneva (n = 36 with German, Portuguese and Turkish migrant backgrounds) and n = 12 Swiss women. In addition, n = 12 stakeholder interviews were conducted (doctors, nurses, social workers, psychologists, physiotherapists). In focus groups with interviewed women in Bern and Geneva, results are reflected back, identified topics from the interviews prioritized and representatives named for the cooperative planning. In a participatory planning approach, affected women in the canton of Bern, together with stakeholders from the Swiss healthcare system selected by a systematic stakeholder analysis (e.g. Swiss Medical Association, Red Cross Switzerland, Spitex, Federal Office of Public Health), develop recommendations for improving the quality of care and concrete dissemination strategies. Results Interviewees had multiple and chronic diseases and resulting extensive experience with the Swiss healthcare system. Relevant aspects referred to issues such as quality of specific services, complexity of the healthcare system, costs of care, role of family and social support, and multidimensional stigmatization (migration, chronic illness, alleged overuse of the care system). Findings are incorporated in evidence briefs and narrative stories for focus groups and participatory planning. Conclusions MIWOCA contributes to a targeted and differentiated improvement of structures and options for action in health care for specific groups. Results will be relevant for planning in the health system and may be incorporated into academic teaching and practical training in PH, medicine and social sciences.

ACS Style

A Frahsa; R Farquet; T Abel. The co-design approach in the MIWOCA project. European Journal of Public Health 2019, 29, 1 .

AMA Style

A Frahsa, R Farquet, T Abel. The co-design approach in the MIWOCA project. European Journal of Public Health. 2019; 29 (Supplement):1.

Chicago/Turabian Style

A Frahsa; R Farquet; T Abel. 2019. "The co-design approach in the MIWOCA project." European Journal of Public Health 29, no. Supplement: 1.

Reference work
Published: 13 March 2019 in Springer Reference Pflege – Therapie – Gesundheit
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Die Kommune gilt heute als eine zentrale Lebenswelt, in der Prävention und Gesundheitsförderung stattfindet. Bevölkerungsbezogene Interventionen, die hierfür Verwendung finden, lassen sich grob in drei verschiedene Ansätze unterteilen: massenmediale Kampagnen, gemeindeweite Kampagnen und partizipative Verfahren. Alle drei Ansätze sind für die beteiligten Akteure (Politiker, Mitarbeiter im öffentlichen Gesundheitsdienst, Public-Health-Wissenschaftler), die über die Verwendung des jeweiligen Ansatzes entscheiden, mit Chancen und Risiken verbunden. Gleichzeitig gibt es für jeden der drei Ansätze wissenschaftliche Arbeiten, die deren Wirksamkeit untersuchen. Es bildet sich so eine „soziale Praxis“ heraus, in der die verschiedenen Akteure Chancen und Risiken abwägen, Nachweise der Wirksamkeit sichten und Entscheidungen über die Verwendung einer dieser Ansätze treffen.

ACS Style

Karim Abu-Omar; Annika Frahsa; Maike Till. Kampagnen in der Prävention und Gesundheitsförderung. Springer Reference Pflege – Therapie – Gesundheit 2019, 1 -12.

AMA Style

Karim Abu-Omar, Annika Frahsa, Maike Till. Kampagnen in der Prävention und Gesundheitsförderung. Springer Reference Pflege – Therapie – Gesundheit. 2019; ():1-12.

Chicago/Turabian Style

Karim Abu-Omar; Annika Frahsa; Maike Till. 2019. "Kampagnen in der Prävention und Gesundheitsförderung." Springer Reference Pflege – Therapie – Gesundheit , no. : 1-12.

Chapter
Published: 26 June 2018 in Verkehrspolitik
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Das Kapitel führt die Bedeutung von Gesundheit im Politikfeld Verkehr ein, am Beispiel der Förderung von Walkability, d. h. der bewegungsfreundlichen Gestaltung städtischer oder kommunaler Räume. Während der Beitrag von Deffner Fuß- und Radverkehr aus individueller und sozialer Perspektive betrachtet, wird im vorliegenden Kapitel der Fokus auf die infrastrukturellen und politischen Dimensionen zur Veränderung im Sinne der gesundheitsförderlichen Bewegungsfreundlichkeit einer Kommune gelegt. Das Kapitel zeigt dabei die wechselseitige Beeinflussung von Verkehrs- und Gesundheitspolitik in diesem Bereich, präsentiert inhaltliche Dimensionen zur Förderung von Walkability, sowie relevante Akteure und politische Prozesse. Es werden Wirkungszusammenhänge von Walkability, Gesundheitsförderung und Verkehrspolitik diskutiert und so gezeigt, dass eine Gesundheitsperspektive für eine nachhaltige Verkehrsentwicklung im Sinne der normativen Politikfeldgestaltung gewinnbringend sein kann.

ACS Style

Annika Frahsa. Verkehr und Gesundheit – Walkability. Verkehrspolitik 2018, 395 -414.

AMA Style

Annika Frahsa. Verkehr und Gesundheit – Walkability. Verkehrspolitik. 2018; ():395-414.

Chicago/Turabian Style

Annika Frahsa. 2018. "Verkehr und Gesundheit – Walkability." Verkehrspolitik , no. : 395-414.

Journal article
Published: 08 September 2017 in Health Promotion International
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Population health interventions tend to lack links to the emerging discourse on interactive knowledge production and exchange. This situation may limit both a better understanding of mechanisms that impact health lifestyles and the development of strategies for population level change. This paper introduces an integrated approach based on structure-agency theory in the context of ‘social practice’. It investigates the mechanisms of co-production of active lifestyles by population groups, professionals, policymakers and researchers. It combines a whole system approach with an interactive knowledge-to-action strategy for developing and implementing active lifestyle interventions. A system model is outlined to describe and explain how social practices of selected groups co-produce active lifestyles. Four intervention models for promoting the co-production of active lifestyles through an interactive-knowledge-to-action approach are discussed. Examples from case studies of the German research network Capital4Health are used to illustrate, how intervention models might be operationalized in a real-world intervention. Five subprojects develop, implement and evaluate interventions across the life-course. Although subprojects differ with regard to settings and population groups involved, they all focus on the four key components of the system model. The paper contributes new strategies to address the intervention research challenge of sustainable change of inactive lifestyles. The interactive approach presented allows consideration of the specificities of settings and scientific contexts for manifold purposes. Further research remains needed on what a co-produced knowledge-to-action agenda would look like and what impact it might have for whole system change.

ACS Style

Alfred Rütten; Annika Frahsa; Thomas Abel; Matthias Bergmann; Evelyne de Leeuw; David Hunter; Maria Jansen; Abby King; Louise Potvin. Co-producing active lifestyles as whole-system-approach: theory, intervention and knowledge-to-action implications. Health Promotion International 2017, 34, 47 -59.

AMA Style

Alfred Rütten, Annika Frahsa, Thomas Abel, Matthias Bergmann, Evelyne de Leeuw, David Hunter, Maria Jansen, Abby King, Louise Potvin. Co-producing active lifestyles as whole-system-approach: theory, intervention and knowledge-to-action implications. Health Promotion International. 2017; 34 (1):47-59.

Chicago/Turabian Style

Alfred Rütten; Annika Frahsa; Thomas Abel; Matthias Bergmann; Evelyne de Leeuw; David Hunter; Maria Jansen; Abby King; Louise Potvin. 2017. "Co-producing active lifestyles as whole-system-approach: theory, intervention and knowledge-to-action implications." Health Promotion International 34, no. 1: 47-59.

Conference paper
Published: 01 August 2017 in Gemeinsam forschen – gemeinsam handeln
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Einleitung: Transdisziplinärität dient zunehmend als Ansatz neuer Projekte in der Public Health-Forschung. Der Forschungsverbund „Capital4Health“ zielt auf die Erforschung und Förderung von Handlungsmöglichkeiten (capabilities) für aktive Lebensstile. Die fünf Teilprojekte nutzen dafür einen innovativen transdisziplinären Ansatz der Co-Produktion von Wissen in den Settings Kindertagesstätten, Schulen, Ausbildungsbetriebe, Gemeinden und Wohnstifte. Dieser umfasst gemeinsame Planung, Implementation und Reflexion durch politischen Entscheidungsträger, Praktiker und Forschende. Dieser Beitrag untersucht, welche Herausforderungen die Teilprojekte beim interaktiven Wissensaustausch teilen und wie Lernprozesse auf Teilprojekt- und Verbundebene ablaufen und wahrgenommen werden. Methoden: Mit einem qualitativen Studiendesign wurden Verbund- und Teilprojekttreffen beobachtet, reflexive Fokusgruppen mit den beteiligten ForscherInnenteams sowie semi-strukturierte Interviews mit den TeilprojektleiterInnen geführt und im Rahmen einer Netzwerkanalyse ausgewertet. Zur Datentriangulation wurden weitere projektbezogene Dokumente thematisch inhaltsanalysiert. Ergebnisse: Bei den Teams kam es durch gezielte Interventionen zu Perspektivveränderungen. Im Sinne von „Communities of Practice“ (E. Wenger) sowie „Team Science“ (D. Stokols)-Ansätzen lassen sich Wissenspraxen und Lernprozesse nachzeichnen, die Veränderungen der eigenen Rolle sowie von Arbeitsformen und Konzepten beschreiben. Auf dieser Basis ist es möglich, Aussagen über das Verhältnis von Quantität und Qualität des Inputs zu machen und zwischen formellen und informellen Formen des Austauschs zu unterscheiden. Schlussfolgerungen: Durch die Untersuchung konnten Herausforderungen von transdisziplinären Kooperationen in diversen Settings identifiziert werden. Die charakterisierten Lernoutcomes der beteiligten Akteure dienen dazu, eine verbesserte, transdisziplinäre Forschung und damit nachhaltige Interventionsimplementation durchzuführen.

ACS Style

M Schultze; A Frahsa; P Gelius; V Schätzlein; S Messing; A Rütten. Transdisziplinäre Aushandlungsprozesse unter WissenschaftlerInnen im Forschungsverbund „Capital4Health – Capabilites for active lifestyles“. Gemeinsam forschen – gemeinsam handeln 2017, 79, V-191 .

AMA Style

M Schultze, A Frahsa, P Gelius, V Schätzlein, S Messing, A Rütten. Transdisziplinäre Aushandlungsprozesse unter WissenschaftlerInnen im Forschungsverbund „Capital4Health – Capabilites for active lifestyles“. Gemeinsam forschen – gemeinsam handeln. 2017; 79 (08/09):V-191.

Chicago/Turabian Style

M Schultze; A Frahsa; P Gelius; V Schätzlein; S Messing; A Rütten. 2017. "Transdisziplinäre Aushandlungsprozesse unter WissenschaftlerInnen im Forschungsverbund „Capital4Health – Capabilites for active lifestyles“." Gemeinsam forschen – gemeinsam handeln 79, no. 08/09: V-191.

Journal article
Published: 01 August 2016 in Das Gesundheitswesen
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Einleitung/Hintergrund: Bewegungsmangel ist ein wichtiger Risikofaktor für die Entwicklung und Progression von Volkskrankheiten wie Diabetes mellitus Typ 2 und zahlreiche Krebserkrankungen. Förderung von körperlicher Aktivität ist deshalb eine Kernaufgabe von Prävention und Gesundheitsförderung (US Department Health 2008). Der Forschungsverbund „Capital4Health“ (BMBF, 2015 – 2018) zielt in diesem Sinne darauf, Handlungsmöglichkeiten für aktive Lebensstile zu fördern bei unterschiedlichen Bevölkerungsgruppen und Multiplikatoren in fünf Teilprojekten in den Settings Kindertagesstätten, Schulen, Ausbildungsbetriebe, Gemeinden und Wohnstifte. Der Verbund nutzt dafür einen innovativen transdisziplinären Ansatz der Co-Produktion von Wissen zum Handeln (Bergmann et al. 2013; Rütten & Gelius, 2013, Stokols et al. 2013). Gemeinsame Planung, Entscheidungsfindung, Implementation und Reflexion von politischen Entscheidungsträgern, Praktikern und Forschenden in einem Fallstudien-Ansatz auf Verbundebene soll zu setting-adäquaten Interventionen zur Bewegungsförderung führen, die nachhaltig in den Routineservices beteiligter Institutionen verankert werden können. Der Beitrag untersucht, welche grundlegenden Herausforderungen die Teilprojekte im interaktiven Wissensaustausch teilen und welche Lösungsansätze Kooperation zwischen den beteiligten Perspektiven fördern können. Studiendesign: Die Studie folgt einem Methodenmix interpretativer-rekursiver Sozialforschung. Wir haben bislang Verbund- und Teilprojekttreffen teilnehmend beobachtet, reflexive Fokusgruppen mit den beteiligten Forscherteams (n = 10, zweifach pro Teilprojekt zu Beginn der Teilprojektkooperationen und in der ersten Planungsphase) sowie semi-strukturierte Interviews mit beteiligten Projektpartnern (n = 10) durchgeführt. Die Fokusgruppen und Interviews wurden nach den Standards qualitativer Sozialforschung transkribiert und analysiert (Kruse 2014). Zur Datentriangulation haben wir weitere projektbezogenen Dokumente thematisch inhaltsanalysiert, wie Sitzungsprotokolle, Feldprotokolle, und Gremienbeschlüsse. Erste Ergebnisse: Es wurden folgende grundlegende Herausforderungen über die Teilprojekte und Settings identifiziert: Erste Lösungsansätze zur kognitiven, sozialen und kommunikativen Integration aus der Transdisziplinarität wurden diskutiert und erfolgreich angewendet. Diskussion und Praxisrelevanz: Im ersten Jahr der Verbundlaufzeit konnten grundlegende Herausforderungen der Kooperation identifiziert werden, die über unterschiedliche Settings und Akteure hinweg geteilt werden. Die Adressierung grundlegender Herausforderungen im Fallstudiendesign auf Verbundebene kann spezifische Lösungen für den jeweiligen Fall hervorbringen und darüber hinaus sekundäre Lernoutcomes für beteiligte Akteure der anderen Settings ermöglichen, die zu einem verbesserten transdiziplinären Vorgehen und damit nachhaltiger Interventionsimplementation führt. Referenzen beim Verfasser.

ACS Style

A Frahsa; A Rütten. Herausforderungen und Lösungen bei der Förderung von Handlungsmöglichkeiten für aktive Lebensstile in einem Netzwerk zum interaktiven Wissensaustausch in der Gesundheitsförderungsforschung. Das Gesundheitswesen 2016, 78, A101 .

AMA Style

A Frahsa, A Rütten. Herausforderungen und Lösungen bei der Förderung von Handlungsmöglichkeiten für aktive Lebensstile in einem Netzwerk zum interaktiven Wissensaustausch in der Gesundheitsförderungsforschung. Das Gesundheitswesen. 2016; 78 (08/09):A101.

Chicago/Turabian Style

A Frahsa; A Rütten. 2016. "Herausforderungen und Lösungen bei der Förderung von Handlungsmöglichkeiten für aktive Lebensstile in einem Netzwerk zum interaktiven Wissensaustausch in der Gesundheitsförderungsforschung." Das Gesundheitswesen 78, no. 08/09: A101.

Journal article
Published: 10 September 2014 in Das Gesundheitswesen
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Hintergrund: Im Modellprojekt „Bewegung als Investition in Gesundheit“ (BIG) der Präventionsforschung des Bundes wurde in Erlangen seit 2005 in Form kooperativer Planungsgruppen eine intersektorale Kooperation zur Bewegungsförderung von Frauen in schwierigen Lebenslagen geschaffen. Unter Einbeziehung der Zielgruppe, von Sportvereinsvertreter/innen, lokalen Basisexpert/innen und politischen Entscheidungsträger/innen werden in diesem Rahmen erfolgreich verhaltens- und verhältnisorientierte Bewegungsaktivitäten geplant und implementiert. Im Anschluss an das wissenschaftliche Modellprojekt wurde zum Teil bis heute sowohl die Begleitung der Nachhaltigkeitssicherung von BIG in Erlangen als auch der Transfer des BIG-Ansatzes auf weitere Standorte mit dem Ziel der Einleitung einer flächendeckenden Disseminierung durch die Gesundheitsinitiative Gesund.Leben.Bayern, IN FORM und die BARMER GEK gefördert. Dies ermöglichte den Aufbau einer langfristigen Wissenschafts-Praxis-Partnerschaft zur Gesundheitsförderung durch Sport und Bewegung. Aufbauend auf dieser Partnerschaft auf kommunaler Ebene in Erlangen konnte im Jahr 2010 ein wissenschaftliches Modellprojekt zur Demenzprävention (GESTALT) implementiert und in die Nachhaltigkeit überführt werden. Daten: Daten zur partizipativen Strategieentwicklung, zur Programmaufrechterhaltung und Nachhaltigkeit werden fortlaufend aus dem Modellprojekt BIG sowie aus den daraus folgenden Transferprojekten sowie dem Projekt GESTALT über teilnehmende Beobachtung, qualitative Interviews, informelle Gespräche mit Informanten, Gruppendiskussionen und Dokumentenanalysen erhoben. Zu den teilnehmenden Beobachtungen sowie den informellen Gesprächen werden systematisch Feldnotizen angefertigt, die Interviews und Gruppendiskussionen werden aufgezeichnet und anschließen transkribiert. Ergebnisse: Die Wissenschafts-Praxis-Partnerschaft stärkt die Praxispartner in Erlangen in der Phase der Nachhaltigkeit nach Übernahme der Trägerschaft für das Modellprojekt, indem sie eine fortlaufende gemeinsame Reflexion ermöglicht. Dabei können in der schwierigen Phase der Verstetigung bei aufkommenden Schwierigkeiten gemeinsam Lösungsstrategien entwickelt und durchgeführt werden, wie z.B. Evaluationen zum Nachweis der Zielgruppenerreichung, deren Aufbereitung in Präsentationen und damit Gewinnung politischer Entscheidungsträger/innen für die Absicherung des BIG-Projekts über Haushaltsmittel. Durch die Partnerschaft erhält die Wissenschaft Zugang zu Informationen zu den Determinanten der Nachhaltigkeit von Programmen und der mit der Verstetigung verbundenen Prozesse. Die dabei gewonnenen Daten fließen einerseits in wissenschaftliche Publikationen ein, zum anderen wurden sie in einer Schritt-für-Schritt-Anleitung für die Praxis (BIG Manual) aufbereitet. Damit verbessern die in der Wissenschaft-Praxis-Partnerschaft in Erlangen und in anderen Kommunen entwickelten Strategien den Transfer des BIG-Ansatzes auf weitere Standorte und sorgen damit für eine höhere Effizienz bei der weiteren Disseminierung des BIG-Ansatzes in die Präventionspraxis. Über das ursprüngliche Modellprojekt hinaus bildete die im Rahmen von BIG geschaffene Wissenschaft-Praxis-Partnerschaft auf kommunaler Ebene die Grundlage für eine erfolgreiche Kooperation bei der Implementierung und Verstetigung eines weiteren Bewegungsförderungsprojekts (GESTALT). Das führte wiederum zu verstärkten Kooperationen von Akteuren der lokalen Präventionspraxis und trägt inzwischen maßgeblich zur Entwicklung einer kommunalen Gesundheitsförderungsstrategie in Erlangen bei. Schlussfolgerung: Eine Wissenschafts-Praxis-Partnerschaft kann einen wesentlichen Beitrag zur kommunalen Strukturentwicklung in Hinblick auf die Verstetigung und Disseminierung von Gesundheitsförderungsprogrammen leisten. Um die Verstetigungschancen von Gesundheitsförderungsprogrammen zu verbessern, sollten solche Partnerschaften nicht mit Ablauf der Förderung wissenschaftlicher Modellprojekte enden, sondern langfristig weiter entwickelt werden. Dies erfordert auch Anpassungen der Forschungsförderungsstrukturen hin zu einer längerfristigen Begleitung nachhaltiger Implementierung durch die Wissenschaft.

ACS Style

A Wolff; Z Majzik; A Frahsa; A Rütten. Wissenschafts-Praxis-Partnerschaften – was stärkt wen? Welche Strukturentwicklung findet statt? Das Gesundheitswesen 2014, 76, A219 .

AMA Style

A Wolff, Z Majzik, A Frahsa, A Rütten. Wissenschafts-Praxis-Partnerschaften – was stärkt wen? Welche Strukturentwicklung findet statt? Das Gesundheitswesen. 2014; 76 (08/09):A219.

Chicago/Turabian Style

A Wolff; Z Majzik; A Frahsa; A Rütten. 2014. "Wissenschafts-Praxis-Partnerschaften – was stärkt wen? Welche Strukturentwicklung findet statt?" Das Gesundheitswesen 76, no. 08/09: A219.

Journal article
Published: 01 July 2014 in Journal of Physical Activity and Health
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Background:A multilevel theoretical framework of physical activity (PA) promotion that addresses supportive environments, PA behavior, community action, and PA promoting policies is related to research and development in an international comparative study.Methods:Most-different and most-similar case selection was applied to data from 8 European Union Member States. Data from semistructured key informant qualitative interviews, focus group interviews with experts and policy-makers, as well as document analysis were linked to corresponding Eurobarometer data.Results:The framework on the interplay of environment, PA behavior, community action and policies appears to be working across most different countries. Comprehensive systems of PA infrastructures are interlinked with relatively high levels of PA prevalence. These countries implement comprehensive national policies on PA promotion and show a positive perception of related local governments’ engagement. Less comprehensive systems of infrastructures interplay with lower levels of PA prevalence, less community action and fewer policies. Differences between similar cases are linked to country-specific contexts.Conclusions:Framework application and comparative analysis indicates how to relate theory to empirical research and complex data sets. In-depth analysis of country-specific contexts and longitudinal observation on changes within and between countries might advise on how to integrate the framework into intervention research.

ACS Style

Alfred Ruetten; Annika Frahsa; Luuk Engbers; Narcis Gusi; Jorge Mota; Rimantas Pacenka; Jens Troelsen; Jana Vasickova; Anne Vuillemin. Supportive Environments for Physical Activity, Community Action, and Policy in 8 European Union Member States: Comparative Analysis and Specificities of Context. Journal of Physical Activity and Health 2014, 11, 873 -883.

AMA Style

Alfred Ruetten, Annika Frahsa, Luuk Engbers, Narcis Gusi, Jorge Mota, Rimantas Pacenka, Jens Troelsen, Jana Vasickova, Anne Vuillemin. Supportive Environments for Physical Activity, Community Action, and Policy in 8 European Union Member States: Comparative Analysis and Specificities of Context. Journal of Physical Activity and Health. 2014; 11 (5):873-883.

Chicago/Turabian Style

Alfred Ruetten; Annika Frahsa; Luuk Engbers; Narcis Gusi; Jorge Mota; Rimantas Pacenka; Jens Troelsen; Jana Vasickova; Anne Vuillemin. 2014. "Supportive Environments for Physical Activity, Community Action, and Policy in 8 European Union Member States: Comparative Analysis and Specificities of Context." Journal of Physical Activity and Health 11, no. 5: 873-883.

Journal article
Published: 01 October 2013 in The European Journal of Public Health
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ACS Style

A Frahsa; A Rütten. Comparative analysis and specifies of contexts in physical activity behaviour,- supportive environments, community action, and policy in eight EU Member StatesAnnika Frahsa. The European Journal of Public Health 2013, 23, 1 .

AMA Style

A Frahsa, A Rütten. Comparative analysis and specifies of contexts in physical activity behaviour,- supportive environments, community action, and policy in eight EU Member StatesAnnika Frahsa. The European Journal of Public Health. 2013; 23 (suppl_1):1.

Chicago/Turabian Style

A Frahsa; A Rütten. 2013. "Comparative analysis and specifies of contexts in physical activity behaviour,- supportive environments, community action, and policy in eight EU Member StatesAnnika Frahsa." The European Journal of Public Health 23, no. suppl_1: 1.

Book chapter
Published: 16 May 2013 in Global Handbook on Noncommunicable Diseases and Health Promotion
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The purpose of this chapter is to give an overview of evidence on existing physical activity promotion strategies, to contribute to the development of theories that expand our focus beyond the individual level, and to provide insights about such interactions based on actual research projects. In the first part of this chapter, we review some of the existing evidence relating to physical activity promotion intervention strategies. We argue that there is an urgent need to develop and utilize theories that go beyond dynamics that occur at the individual level. The second section presents such a theoretical built on Giddens’ theory of structuration and on Sewell’s additions to incorporate structural change. The model also integrates Ostrom’s distinction between the operational level (where physical activity practice occurs) and the collective choice level (where physical activity-related policy-making takes place). In the third part of this chapter, we present two case studies for purposes of illustrating the cross-level interplay between structure and agency in health promotion. We conclude that future research should pay special attention to the specific processes at the collective choice level and to the fact that “what works” in public health might be different from “what works” in policy-making. In addition, from a global perspective, selecting appropriate interventions and policies and adapting existing ones to new contexts are questions of central importance. This will require closer investigation of national policy processes and context variables.

ACS Style

Alfred Rütten; Karim Abu-Omar; Annika Frahsa; Peter Gelius. Physical Inactivity and Health Promotion: Evidence and Challenges. Global Handbook on Noncommunicable Diseases and Health Promotion 2013, 137 -157.

AMA Style

Alfred Rütten, Karim Abu-Omar, Annika Frahsa, Peter Gelius. Physical Inactivity and Health Promotion: Evidence and Challenges. Global Handbook on Noncommunicable Diseases and Health Promotion. 2013; ():137-157.

Chicago/Turabian Style

Alfred Rütten; Karim Abu-Omar; Annika Frahsa; Peter Gelius. 2013. "Physical Inactivity and Health Promotion: Evidence and Challenges." Global Handbook on Noncommunicable Diseases and Health Promotion , no. : 137-157.

Journal article
Published: 09 April 2013 in Das Gesundheitswesen
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Der BIG-Ansatz zielt auf Bewegungs- und Gesundheitsförderung von sozial benachteiligten Frauen. BIG wurde in Erlangen/Bayern als Modellprojekt entwickelt und nachhaltig implementiert. Es folgte ein Transfer in andere Kommunen und Bundesländer. Wesentliche Faktoren für Nachhaltigkeit und Transfer im BIG-Projekt sind 1) Lebensstil- und Policy-Analyse, 2) „Aktivposten“-Ansatz 3) Empowerment der Zielgruppe sowie 4) Befähigung von Entscheidungsträgern und Fachleuten. The BIG approach aims at promoting physical activity and health among socially disadvantaged women. BIG has been developed and sustainably implemented in Erlangen/Bavaria. Subsequently, it has been transferred to other communities and states in Germany. Crucial factors for sustainability and transfer in BIG are (1) lifestyle and policy analysis, (2) assets approach, (3) empowerment of target group, (4) enabling of policy-makers and professionals.

ACS Style

A. Rütten; A. Frahsa; N. Rosenhäger; A. Wolff. Strukturelle Veränderung, Kontextualität und Transfer in der Gesundheitsförderung: die nachhaltige Implementierung des BIG-Projektes. Das Gesundheitswesen 2013, 77, S135 -S136.

AMA Style

A. Rütten, A. Frahsa, N. Rosenhäger, A. Wolff. Strukturelle Veränderung, Kontextualität und Transfer in der Gesundheitsförderung: die nachhaltige Implementierung des BIG-Projektes. Das Gesundheitswesen. 2013; 77 (S 01):S135-S136.

Chicago/Turabian Style

A. Rütten; A. Frahsa; N. Rosenhäger; A. Wolff. 2013. "Strukturelle Veränderung, Kontextualität und Transfer in der Gesundheitsförderung: die nachhaltige Implementierung des BIG-Projektes." Das Gesundheitswesen 77, no. S 01: S135-S136.