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      Exploring the relationship between physical activity, life goals and health-related quality of life among high school students: a cross-sectional study

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          Abstract

          Background

          Two models were developed to increase high school students’ participation in physical education (PE): “motion enjoyment” and “sport enjoyment”. The first model focuses on increasing knowledge about the health benefits of a physically active lifestyle and thereby promoting a positive attitude towards physical activity, whereas the second model focuses on techniques and practices for enhancing athletic performance. The aims of the present study are to investigate and understand the similarities and differences between students selecting “motion enjoyment” vs. “sport enjoyment” and to examine the extent to which life goals and reported physical activity are associated with health-related quality of life (HRQOL).

          Method

          A total of 156 high school students (mean age, 16 years [standard deviation = 0.8], 123 girls and 33 boys) were included in this cross-sectional study. HRQOL and life goals were measured using KIDSCREEN-10 and the Adolescent Life Goal Profile Scale, respectively. Physical activity was measured using a self-reporting questionnaire intended to describe the students’ leisure-time activity. Independent sample t-tests, chi-square, one-way analyses of variance and multiple regression analysis were applied.

          Results

          Self-reported physical activity level and HRQOL were higher among students in the “sport enjoyment” program, while the perceived importance of life goals was the same regardless of the preferred PE model. Multiple regression analyses revealed that the perceived importance of relations-oriented life goals (B = −5.61; 95 % confidence interval CI = −10.53 to −0.70; p = .026), perceived importance of generativity-oriented life goals (B = 4.14.; 95 % CI = 0.85 to 7.422; p = .014), perceived attainability of relations-oriented life goals (B = 7.28; 95 % CI = 2.49 to 12.07; p = .003), age (B = −7.29; 95 % CI = −11.38 to −3.20; p = .001) and gender, with boys as the reference group (B = −12.10; 95 % CI = −19.09 to −5.11; p = .001), were independently associated with increased HRQOL. In exploring the relationships of self-reported physical activity during leisure time, stage of change (B = 3.53; 95 % CI = 1.49 to 5.51; p = .001), gender, with boys as the reference group (B = −8.90; 95 % CI = −15.80 to −2.00; p = .012), and age (B = −6.62; 95 % CI = −10.57 to −2.66; p = .001) were independently associated with increased HRQOL.

          Conclusion

          Self-reported physical activity habits and life goals were associated with HRQOL to a limited extent. However, the perceived importance of life goals appears to reflect other aspects of individual well-being than HRQOL.

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          Most cited references33

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          The "What" and "Why" of Goal Pursuits: Human Needs and the Self-Determination of Behavior

          Psychological Inquiry, 11(4), 227-268
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            Motivating learning, performance, and persistence: the synergistic effects of intrinsic goal contents and autonomy-supportive contexts.

            Three field experiments with high school and college students tested the self-determination theory hypotheses that intrinsic (vs. extrinsic) goals and autonomy-supportive (vs. controlling) learning climates would improve students' learning, performance, and persistence. The learning of text material or physical exercises was framed in terms of intrinsic (community, personal growth, health) versus extrinsic (money, image) goals, which were presented in an autonomy-supportive versus controlling manner. Analyses of variance confirmed that both experimentally manipulated variables yielded main effects on depth of processing, test performance, and persistence (all ps <.001), and an interaction resulted in synergistically high deep processing and test performance (but not persistence) when both intrinsic goals and autonomy support were present. Effects were significantly mediated by autonomous motivation.
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              The European KIDSCREEN approach to measure quality of life and well-being in children: development, current application, and future advances

              Purpose The KIDSCREEN questionnaires were developed by a collaborative effort of European pediatric researchers for use in epidemiologic public health surveys, clinical intervention studies, and research projects. The article gives an overview of the development of the tool, summarizes its extensive applications in Europe, and describes the development of a new computerized adaptive test (KIDS-CAT) based on KIDSCREEN experiences. Methods The KIDSCREEN versions (self-report and proxy versions with 52, 27, and 10 items) were simultaneously developed in 13 different European countries to warrant cross-cultural applicability, using methods based on classical test theory (CTT: descriptive statistics, CFA and MAP, internal consistency, retest reliability measures) and item response theory (IRT: Rasch modeling, DIF analyses, etc.). The KIDS-CAT was developed (in cooperation with the US pediatric PROMIS project) based on archival data of European KIDSCREEN health surveys using IRT more extensively (IRC). Results Research has shown that the KIDSCREEN is a reliable, valid, sensitive, and conceptually/linguistically appropriate QoL measure in 38 countries/languages by now. European and national norm data are available. New insights from KIDSCREEN studies stimulate pediatric health care. Based on KIDSCREEN, the Kids-CAT promises to facilitate a very efficient, precise, as well as reliable and valid assessment of QoL. Conclusions The KIDSCREEN has standardized QoL measurement in Europe in children as a valid and cross-cultural comparable tool. The Kids-CAT has the potential to further advance pediatric health measurement and care via Internet application.
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                Author and article information

                Contributors
                juliesigvartsen89@gmail.com
                leiv.einar.gabrielsen@sshf.no
                eirik.abildsnes@kristiansand.kommune.no
                tonje.h.stea@uia.no
                csandvand@hotmail.com
                gudrun.e.rohde@uia.no
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                3 August 2016
                3 August 2016
                2016
                : 16
                : 709
                Affiliations
                [1 ]Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
                [2 ]Department for Child and Adolescent Mental Health, Sorlandet Hospital Health Enterprise, Kristiansand, Norway
                [3 ]Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
                [4 ]Department of Public Health, Sport and Nutrition, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
                Article
                3407
                10.1186/s12889-016-3407-0
                4972944
                27488255
                4d46a430-44a1-4c58-bf68-6b8a7803a786
                © The Author(s). 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 4 February 2016
                : 29 July 2016
                Funding
                Funded by: the Regional Research Fund Agder and University of Agder
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2016

                Public health
                adolescents,high school,health-related quality of life,life goals,physical education,physical activity

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