1. The worldview of pre-service and in-service teachers about health educationAndreja Špernjak, Andrej Šorgo, 2020, izvirni znanstveni članek Opis: Health is coconsidered as goodness; therefore, schools should be places where healthy habits, along with evidence-based medical knowledge and practices, are taught and practiced. The key persons in education are teachers, so their opinions and worldviews should not be neglected. The objective of this work was to identify opinions about health education among Slovenian teachers. We investigated the worldviews of and differences between pre-service and in-service Biology teachers about health education. The questionnaires were delivered to 163 Sloveian participants. Most differences in opinion occurred in the nutrition field between younger and older participants. The majority of participants (85%) agree that "Providing knowledge or developing behavior that is respectful of one's own health" is the main goal of health education.
Ključne besede: Biohead-Citizen project, teachers’ conceptions, health education
Objavljeno v DKUM: 19.06.2025; Ogledov: 0; Prenosov: 0
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2. EU Health Union : legal aspects and digital healthJasmina Cvahte, Andreja Primec, 2024, pregledni znanstveni članek Opis: Recurrent health crises and outbreaks of infectious diseases of
international concern have created a specific EU public health policy.
Its role was further strengthened by the COVID-19 pandemic, which
triggered the next stage in the integration process of the Member
States: the European Health Union. The research is carried out using a
literature review method (a review of literature and documents in the
field of public health policy and the European Health Union) and a
comparative-legal method for comparing EU legal acts on which the
Health Union is based (endogenous comparison) and the legal acts of
EU and the Republic of Slovenia (exogenous comparison). The findings
are examined using a qualitative content analysis method, which
allows for meaningful aggregation and use of the data under study to
answer the research questions. The European Health Union builds on
and extends existing areas of public health and requires greater
integration between Member States. One of its most essential pillars is
a single information system with a single database to improve the
health of individuals, resilience to cross-border health crises, patient
mobility, and joint research on the most severe diseases. Member
States, including Slovenia, must follow EU public health commitments.
As the Slovenian legislative proposal analysis on the digitalization of
healthcare shows, this challenging task will also require respect for the
institute (safeguards) of other areas of law.
Ključne besede: European Health Union, public health, European Data Space, health information system, regulatory framewor
Objavljeno v DKUM: 28.05.2025; Ogledov: 0; Prenosov: 0
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3. Validation of a Slovenian version of the healthy lifestyle and personal control questionnaire (HLPCQ) for use with patients in family medicineAdrijana Svenšek, Gregor Štiglic, Mateja Lorber, 2025, izvirni znanstveni članek Opis: Background Chronic non-communicable diseases are the world’s leading cause of death and disability. The
emerging field of lifestyle medicine requires equipping healthcare professionals with instruments, knowledge, skills
and competencies. Measuring an individual’s lifestyle with a valid and reliable instrument is the first step in promoting
it. The aim of the study was to validate the Slovenian adaptation of the Healthy Lifestyle and Personal Control
Questionnaire (HLPCQ).
Methods A cross-sectional study was conducted among 666 questionnaire participants, and they were adult
participants (aged 18 and above) from family medicine practices with cardiovascular diseases (CVDs) risk factors (e.g.,
hypertension, high cholesterol) but without a diagnosis of acute CVDs. The questionnaire included demographic
data and anthropological measures and a translated English HLPCQ questionnaire. The instrument was translated
using the forward-backwards translation method. The study was conducted in accordance with the principles of the
World Medical Association Declaration of Helsinki. In addition to assessing the construct validity of the questionnaire,
exploratory and confirmatory factor analyses were used to determine content and face validity, and internal
consistency reliability.
Results The mean age of male participants was 41.34 (± 13.220) years, the mean age of female participants was
40.31 (± 11.905) years. The Cronbach’s alpha was 0.852, and all questionnaire subscales had positive correlations.
Sampling adequacy was confirmed by the Kaiser-Meyer-Olkin (KMO) index (0.851), and Bartlett’s test of sphericity was
significant (χ² = 4647.694, p < 0.001), indicating suitability for Principal Component Analysis (PCA). PCA revealed a fivefactor solution, accounting for 50.67% of the total variance.
Conclusions The most influential factors for a healthy lifestyle were daily routine, healthy dietary choices, avoidance
of harmful dietary habits, organized physical activity, and social and mental balance. The Slovenian version had high
factor validity and reliability. It can be used in Slovenian Community Health Centre to assess an individual’s control over various lifestyle dimensions. The instrument also holds potential for use in public health initiatives, supporting
early identification of lifestyle-related risk factors and promoting preventive care strategies in the primary care setting.
Ključne besede: lifestyle, health behaviour, validity, public health, questionnaire, HLPCQ
Objavljeno v DKUM: 16.05.2025; Ogledov: 0; Prenosov: 0
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4. Evaluating the benefits and implementation challenges of digital health interventions for improving self-efficacy and patient activation in cancer survivors : single-case experimental prospective studyUmut Arioz, Urška Smrke, Valentino Šafran, Maja Ravnik, Matej Horvat, Vojko Flis, Izidor Mlakar, 2025, izvirni znanstveni članek Opis: Cancer survivors face numerous challenges, and digital health interventions can empower them by enhancing self-efficacy and patient activation. This prospective study aimed to assess the impact of a mHealth app on self-efficacy and patient activation in 166 breast and colorectal cancer survivors. Participants received a smart bracelet and used the app to access personalized care plans. Data were collected at baseline and follow-ups, including patient-reported outcomes and clinician feedback. The study demonstrated positive impacts on self-efficacy and patient activation. The overall trial retention rate was 75.3%. Participants reported high levels of activation (PAM levels 1–3: P = 1.0; level 4: P = 0.65) and expressed a willingness to stay informed about their disease (CASE-Cancer factor 1: P = 0.98; factor 2: P = 0.66; factor 3: P = 0.25). Usability of the app improved, with an increase in participants rating the system as having excellent usability (from 14.82% to 22.22%). Additional qualitative analysis revealed positive experiences from both patients and clinicians. This paper contributes significantly to cancer survivorship care by providing personalized care plans tailored to individual needs. The PERSIST platform shows promise in improving patient outcomes and enhancing self-management abilities in cancer survivors. Further research with larger and more diverse populations is needed to establish its effectiveness.
Ključne besede: cancer survivorship, self-efficacy, satisfaction, patient activation, digital health interventions
Objavljeno v DKUM: 25.04.2025; Ogledov: 0; Prenosov: 0 |
5. School-based exercise programs for promoting cardiorespiratory fitness in overweight and obese children aged 6 to 10Stefan Mijalković, Dušan Stanković, Mario Tomljanović, Maja Batez, Maki Grle, Ivana Grle, Ivan Brkljačić, Josip Jularić, Goran Sporiš, Suzana Žilič Fišer, 2022, pregledni znanstveni članek Opis: The aim of this study was to conduct a systematic review of the school-based exercise
programs for promoting cardiorespiratory fitness in overweight and obese children aged 6 to 10.
Electronic databases (Web of Science and PubMed) were used as searching tools for collecting
adequate studies published in the past 20 years. A total of 13 studies met the criteria for inclusion in
this review, with a total of 2810 participants, both male and female. According to the results of this
systematic review, overweight and obese children aged 6 to 10 who underwent certain interventions
had their CRF improved. Furthermore, evidence suggested that interventions carried out during
a longer period of time suggested led to greater improvement of cardiorespiratory fitness than
a shorter one, but the level of cardiorespiratory fitness gradually decreases after the intervention.
Ključne besede: physical activity, physical fitness, motor competence, children, health, monitoring and promoting, sport, sedentary behavior, obesity, well-being
Objavljeno v DKUM: 07.04.2025; Ogledov: 0; Prenosov: 3
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6. Online media use and COVID-19 vaccination in real-world personal networks : quantitative studyIulian Oană, Marian-Gabriel Hâncean, Matjaž Perc, Jürgen Lerner, Bianca-Elena Mihǎilǎ, Marius Geanta, José Luis Molina González, Isabela Tincă, Carolina Espina, 2024, izvirni znanstveni članek Ključne besede: vaccine hesitancy, online media, assortative mixing, personal network analysis, social network analysis, vaccination, health information
Objavljeno v DKUM: 21.03.2025; Ogledov: 0; Prenosov: 4
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7. Does health literacy mediate sociodemographic and economic inequalities in fruit and vegetable intake? : an analysis of Slovenian national HLS19 survey dataAndrej Kirbiš, Stefani Branilović, Maruša Lubej, 2025, izvirni znanstveni članek Opis: Health literacy plays an important role in promoting healthier behaviors. However, less is known about its impact on dietary habits, such as fruit and vegetable (FV) intake. This study examines the mediating role of health literacy in the relationship between FV intake and demographic and socioeconomic factors among Slovenian adults. We used Slovenian national data from the 19-country Health Literacy Survey 2019–2021 (HLS19) (n = 3360). Results indicate that health literacy plays a complex role in mediating the relationship between demographic and socioeconomic factors and FV intake. Women and financially stable individuals have higher levels of health literacy, which positively predicts higher FV intake. While older individuals demonstrated greater FV intake, they reported lower health literacy, suggesting other mechanisms may drive their dietary behavior. Additionally, while higher education was associated with improved health literacy, its direct relationship with FV intake was negative, though health literacy partially mitigated this effect. These results underscore the importance of health literacy as a mediating factor in improving dietary behaviors and highlight the need for targeted interventions and policies to enhance nutritional education, particularly for marginalized groups.
Ključne besede: health literacy, fruit and vegetable intake, mediation analyses, health, demographic inequalities, socioeconomic inequalities
Objavljeno v DKUM: 18.03.2025; Ogledov: 0; Prenosov: 5
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8. The validity and reliability of the Slovenian version of the health literacy questionnaire short-form (HLS-EU-Q16) among adults and older adultsMonika Lamot, Andrej Kirbiš, 2024, izvirni znanstveni članek Opis: Introduction: Health literacy is an important predictor of health behavior and self-rated health, playing a crucial role in shaping public health outcomes. Valid and reliable health literacy assessments are essential for effectively tailoring health interventions, particularly in different cultural contexts. Several questionnaires have been developed to measure health literacy, including the widely used 47-item Health Literacy Questionnaire and its shorter versions. However, the validity of these shorter and more time efficient HLS-EU versions, such as the 16-item HLS-EU-Q16, has been less extensively researched in different age subgroups. Given Slovenia’s aging population and the differences in health literacy between adults and older adults, it is important to assess whether the HLS-EU-Q16 performs reliably across these groups. Therefore, the present study aimed to examine the validity and reliability of the 16-item health literacy questionnaire (HLS-EU-Q16) in Slovenia across two age groups: adults and older adults. Methods: We analyzed representative Slovenian sample data from the Health Literacy of Adults study. The sample included 2,327 adults aged 23–64 years (53.7% women) and 876 older adults aged 65–99 years (55.7% women). Results: Construct validity revealed a modified three-factor structure of the HLS-EU-Q16 among adults, reflecting a broader conceptualization of health literacy that encompasses overlapping domains of health promotion, disease prevention, and health care. In contrast, a two-factor structure emerged among older adults, indicating a more consolidated approach where these domains are perceived as part of an integrated health management strategy. This suggests that adults may conceptualize health literacy across multiple, yet interconnected dimensions, while older adults approach it more holistically. Convergent validity, reliability, concurrent-predictive, concurrent, and discriminant validity results were satisfactory for both age groups. Predictive validity, however, provided somewhat inadequate results, as the tool poorly predicted certain health behaviors, such as smoking, alcohol consumption, and physical activity, in both age groups. Conclusion: Overall, the HLS-EU-Q16 demonstrated adequate validity and reliability among both adults and older adults, indicating that it is an appropriate instrument for assessing health literacy in Slovenia.
Ključne besede: HLS-EU-Q16, Slovenia, health literacy, adults, validity
Objavljeno v DKUM: 14.03.2025; Ogledov: 0; Prenosov: 10
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9. Are health literacy and physical literacy independent concepts? A gender-stratified analysis in medical school students from CroatiaMarijana Geets Kesic, Mia Perić, Barbara Gilić, Marko Manojlovic, Patrik Drid, Toni Modric, Željka Znidaric, Nataša Zenić, Aleksander Pajtler, 2022, izvirni znanstveni članek Opis: Health literacy (HL) and physical literacy (PL) are concepts responsible for achieving and
maintaining positive health behaviors. This study aimed to investigate gender-specific associations:
(i) between PL and HL; and (ii) among HL, PL, and body composition. We observed 253 students
attending health-area high schools from southern Croatia (181 girls; 16.9 ± 1.4 years). HL was
assessed by the European Health Literacy Survey Questionnaire, PL by the PLAYself questionnaire,
and body composition by bioimpedance analysis. The t-test was used to assess the differences
between genders, and Pearson’s correlation coefficients were calculated to establish the associations
between variables. The results showed a similar level of HL (t-test = 0.2; p = 0.83) and PL (t-test = 0.01;
p = 0.99) in boys and girls. Significant but small correlations were identified between HL and PL only
in the girls (<10% of common variance). The body composition indices were significantly correlated
with PL only in the boys (15–20% of common variance). Our research highlights the necessity of the
independent evaluation of HL and PL in adolescence. Further studies evaluating other indices of
health status in relation to PL and HL are warranted.
Ključne besede: health behavior, knowledge translation, public health, community-engaged research, youth, body build
Objavljeno v DKUM: 12.03.2025; Ogledov: 0; Prenosov: 6
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10. Sweet, fat and salty: snacks in vending machines in health and social care institutions in SloveniaUrška Rozman, Igor Pravst, Urška Pivk Kupirovič, Urška Blaznik, Primož Kocbek, Sonja Šostar-Turk, 2020, izvirni znanstveni članek Opis: Vending machines in health and social care facilities are often the only possible choice for a quick snack for workers and visitors, in many cases providing unhealthy dietary choices. Our study aimed to analyse the variety and nutritional quality of foods available in vending machines placed in social and health care institution in Slovenia. The available snacks were quantitatively assessed, using traffic light profiling. The model used for nutrient profiling was that of the Food Standards Australia New Zealand (FSANZ). Vending machines in 188 institutions were surveyed, resulting in 5625 food-items consisting of 267 unique product labels. Sweet products dominate in vending machines offers (about 70%), while nuts and seeds (8.4%), yoghurts (2.1%), fruits (1.4%) and milk (0.3%) are present in a very small proportion or are not available at all. According to FSANZ, 88.5% of all displayed food items in vending machines can be considered as lower nutritional quality or less healthy products. The authors’ future activities will be focused on ensuring wider availability of healthy dietary choices and on including official guidelines in tender conditions for vending machines in health and social care institutions in Slovenia.
Ključne besede: snacks, vending machines, social care institutions, health care institutions, Slovenia
Objavljeno v DKUM: 10.03.2025; Ogledov: 0; Prenosov: 9
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