Klaus Pfeifer

Klaus Pfeifer
Friedrich-Alexander-University Erlangen-Nürnberg

Prof. Dr.

About

316
Publications
61,932
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
4,923
Citations
Citations since 2016
182 Research Items
3546 Citations
20162017201820192020202120220100200300400500600700
20162017201820192020202120220100200300400500600700
20162017201820192020202120220100200300400500600700
20162017201820192020202120220100200300400500600700
Additional affiliations
January 2005 - present
Friedrich-Alexander Universität Erlangen-Nürnberg
Position
  • Professor (Full)
October 2001 - December 2004
June 1991 - September 2001
Goethe-Universität Frankfurt am Main

Publications

Publications (316)
Article
Full-text available
Introduction In health and physical activity promotion, there is growing interest in co-creation approaches that involve researchers and non-academic stakeholders in developing new interventions. Previous research has shown the promising results of cooperative planning as a co-creation approach in building new capacities and implementing physical a...
Article
Zusammenfassung Von 2014 bis 2022 fördert das BMBF fünf Forschungsverbünde der Präventionsforschung und Gesundheitsförderung, die ebenfalls über eine gemeinsame Koordination verfügen (Forschungsnetzwerk Primärprävention und Gesundheitsförderung, www.fp2g.net). Die Forschenden haben eine Vielzahl relevanter Forschungsergebnisse erarbeitet und Erkenn...
Article
Full-text available
Background The extent to which people are physically inactive is dependent upon social gradients. Numerous studies have proven that individuals with social disadvantages are not active enough. Parallel to this, several researchers have raised concerns that public health interventions may increase inequalities in the population. However, little is k...
Article
Full-text available
Background Exercise referral schemes (ERS) are embedded in the routine practice of healthcare systems in many countries (e.g. Sweden and New Zealand). In primary healthcare, ERS are recommended to sustainably increase physical activity (PA) levels among patients with noncommunicable diseases (NCD). Yet, the German health care system currently only...
Article
Full-text available
A central problem of current efforts to promote health and physical activity (PA) is that many successful projects remain stuck in the demonstration phase and are not implemented successfully at scale. The use of participatory and/or co-creation approaches has been suggested to avoid this ?pilot project trap? and better adapt interventions to targe...
Article
Full-text available
Background There is a growing popularity of exercise referral schemes (ERS) and they are widely implemented in nations such as New Zealand and Sweden. To this point, the German health care system (GHCS) is not utilising a structurally implemented ERS, but a research project is currently conducted to develop and test a German ERS. In the first proje...
Article
Full-text available
Background Using Amartya Sen's capability approach (CA) to conceptualize physical activity (PA) promotion projects has been suggested as a promising alternative to conventional theories, as it focuses on the real opportunities people have to engage in PA rather than on PA behavior alone. The Capital4Health research consortium used the CA to concept...
Article
Full-text available
Background With the first initiatives dating back to the 1990s, the past two decades have seen a rapid increase in the use of exercise referral schemes (ERS) worldwide. Despite the accumulating evidence on their effectiveness, there are currently no international guidelines available to inform the design of such interventions. The key elements and...
Article
Full-text available
Background The holistic concept of physical literacy assumes that individuals require adequate cognitive (knowledge and understanding), affective (motivation and confidence), and physical (physical competence) qualities to engage in lifelong physical activity behavior. In recent years, the research field has undergone rapid development and has also...
Article
Full-text available
Background While effective physical activity referral schemes (PARSs) and related structures for promoting physical activity (PA) already exist in several countries, in Germany, PARSs have not yet been implemented systematically and nationwide. Through a co-production approach with relevant actors in the German healthcare system, a PARS was develop...
Article
Full-text available
Objective The aim of this paper was to develop a framework for the use of the capability approach in health promotion projects, which could guide future projects as well as improve the comparability of the projects’ effectiveness. Method The study involved a three-stage process comprising a total of six steps. We first developed a theoretical mode...
Chapter
Health promotion is understood as a “strategy” for social change towards better health for all and as a “field of practices” with research as one fundamental type of practice. As certain structures of social practices persistently preserve health inequalities, a strategy as well as a social practice for structural change is essential for health pro...
Article
Full-text available
Background Co-creation approaches are increasingly used in physical activity promotion to develop interventions tailored to the target group and setting. The resulting complexity of such interventions raises challenges in evaluation. Accordingly, little is known about the effectiveness of co-created interventions and the underlying processes that i...
Article
Full-text available
Community-based health promotion with a focus on people with social disadvantages is essential to address persistently existing health inequities. However, achieving an impact on public health requires scaling up such approaches beyond manifold funded pilot projects. The aim of this qualitative review is to provide an overview of scaling-up framewo...
Article
Zusammenfassung Die ärztlich-initiierte Verordnung von Bewegung kann als effektive Methode zur Bewegungsförderung von Menschen mit nichtübertragbaren Erkrankungen (non-communicable diseases – NCD) eingesetzt werden. Die Förderung der bewegungsbezogenen Gesundheitskompetenz (BGK) im Rahmen der verordneten Bewegung beeinflusst die Gesundheitswirkunge...
Conference Paper
Zur Bewegungsförderung auf Bevölkerungsebene werden kommunale Ansätze mit Fokus auf gesundheitlicher Chancengleichheit empfohlen. Für die Beurteilung des kommunalen Kontextes wurde das Konzept der „Community Readiness“ (CR) genutzt. Vorliegende Reviews untersuchten Ansätze zur Beurteilung der „Readiness“, die keinen spezifischen Bezug zu Bewegungsf...
Conference Paper
Die Nationalen Empfehlungen für Bewegung und Bewegungsförderung empfehlen Ansätze, die sich an die gesamte Bevölkerung richten und dabei einen Fokus auf die gesundheitliche Chancengleichheit legen. Für die Umsetzung solcher Ansätze in der Kommune wurde ein Handlungsmodell inklusive neun Schlüsselkomponenten (SK) koproduziert und in sechs Modellkomm...
Conference Paper
In Phase 1 von KOMBINE (Kommunale Bewegungsförderung zur Implementierung der Nationalen Empfehlungen) wurde mit Vertreter:innen aus Praxis, Politik und Wissenschaft ein Handlungsmodell mit neun Schlüsselkomponenten (z.B. Partizipation, Ressourcen, politische Unterstützung) für kommunale Bewegungsförderung mit Fokus auf gesundheitliche Chancengleich...
Conference Paper
Um eine wirkungsvolle und nachhaltige Implementierung von kommunaler Bewegungsförderung zu erreichen, wurde ein Interventionsansatz entwickelt, der vorhandene wissenschaftliche und praxisbasierte Erkenntnisse integriert. Nach der Erprobung in sechs Modellkommunen in Deutschland wird für die Verbreitung dieses Ansatzes ein geeignetes Konzept benötig...
Conference Paper
Gesundheitsförderung in der Lebenswelt Kommune mit dem Fokus auf strukturbildende Maßnahmen trägt entscheidend dazu bei, die anhaltende gesundheitliche Ungleichheit zu adressieren. Um jedoch einen größtmöglichen Public Health Impact zu erreichen, bedarf es der Verbreitung solcher Ansätze, die über besonders geförderte Modellprojekte hinausgehen. Al...
Conference Paper
Im Projekt KOMBINE (Kommunale Bewegungsförderung zur Implementierung der Nationalen Empfehlungen für Bewegung und Bewegungsförderung (NEBB)) wurde partizipativ ein Handlungsmodell zur kommunalen Bewegungsförderung entwickelt und in sechs Modellkommunen erprobt. Das Handlungsmodell enthält neun Schlüsselkomponenten. Welchen Einfluss die Schlüsselkom...
Article
The concept of physical literacy (PL) has gained increasing attention over the last decade and posits that individuals value and take responsibility for engagement in physical activities for life through (a) motivation/ confidence, (b) physical competence, and (c) knowledge/understanding. There is a mounting number of articles that have recently tr...
Article
Zusammenfassung Ziel Dieser Beitrag zielt auf die zusammenfassende Analyse des Status quo der Bewegungstherapie in der medizinischen Rehabilitation im Hinblick auf die Etablierung des biopsychosozialen Gesundheitsverständnisses mit einem besonderen Fokus auf das Thema Bewegungsförderung; darauf aufbauend werden Konsequenzen für die Optimierung der...
Book
Basierend auf den umfassenden Erfahrungen aus dem Projekt KOMBINE (Kommunale Bewegungsförderung zur Implementierung der Nationalen Empfehlungen) liefert das vorliegende Manual eine Schritt-für-Schritt-Anleitung zur kommunalen Umsetzung der Nationalen Empfehlungen für Bewegung und Bewegungsförderung. Es richtet sich an diejenigen Akteurinnen und Akt...
Article
Full-text available
Recently, there has been increasing interest in co-creation utilized for physical activity (PA) promotion and health promotion. Co-creation involves researchers and non-academic stakeholders conjointly developing and implementing interventions. In addition to the frequently reported benefits of co-creation, critical voices highlight the associated...
Article
Full-text available
Due to the beneficial impact of regular physical activity (PA) on non-communicable diseases, the number of countries integrating exercise referral schemes (ERSs) into their healthcare systems is growing. Owing to the limitations of existing PA promotion concepts in Germany's healthcare system, efforts are currently being made towards developing a n...
Article
Full-text available
German National Recommendations for Physical Activity (PA) and PA Promotion recommend community-based approaches to promote PA at the local level with a focus on health equity. In addition, the German Federal Prevention Act addresses health equity and strengthens setting-based health promotion in communities. However, the implementation of both in...
Article
Zusammenfassung Der Beitrag stellt die nationalen Empfehlungen für Bewegung und Bewegungsförderung für Menschen mit Typ 2-Diabetes vor. Diese sollten pro Woche möglichst 150 Minuten moderate oder 75 Minuten intensive Ausdaueraktivitäten erzielen; muskelkräftigende Aktivitäten sollten an mindestens zwei Tagen pro Woche durchgeführt werden. Bewegungs...
Article
Background: The COVID-19 pandemic is a major challenge for societies and governments around the world that severely affects all aspects of health promotion. This study assesses the potential influence of the first wave of the pandemic on national physical activity promotion policy in the European Union (EU). Methods: Data were collected using an...
Article
To promote health and counteract the decline associated with the disease, persons with multiple sclerosis (pwMS) are advised to lead healthy, physically active lifestyles. The physical activity-related health competence (PAHCO) model posits that individuals must meet three integrated, person-related requirements for the adoption of such a lifestyle...
Conference Paper
In Germany, National Recommendations for Physical Activity (PA) and PA Promotion were first developed and disseminated in 2016. The project KOMBINE (Community-based PA promotion to implement the National Recommendations) aims to implement the National Recommendations at the local level with a focus on socially disadvantaged people.
Conference Paper
Community-based physical activity initiatives (cPA) with a focus on people with social disadvantages are promising. The overall aim of this project is the development, implementation and evaluation of cPA in six German communities using a participatory approach.
Conference Paper
German National Recommendations for Physical Activity (PA) and PA Promotion recommend community-based physical activity promotion (cPA) at the local level with a focus on health equity. However, the implementation in the local context remains a challenge. The aim of KOMBINE phase 1 (Community-based PA promotion to implement the National Recommendat...
Article
Full-text available
Background The “can do, do do” concept aims at identifying subgroups among persons with chronic obstructive pulmonary disease (COPD). Following a two-dimensional categorization, individuals are binarily classified with respect to their levels of physical capacity (“can’t do” or “can do”) and physical activity (“don’t do” or “do do”), resulting in f...
Article
Zusammenfassung Hintergrund Im Jahr 2016 wurden erstmals in Deutschland evidenzbasierte Nationale Empfehlungen für Bewegung und Bewegungsförderung veröffentlicht. Diese richten sich primär an Fachleute, Entscheidungsträger/-innen sowie Multiplikatoren. Ziel der Arbeit Der Artikel beschreibt die Entwicklung von Strategien zur Disseminierung dieser E...
Article
Full-text available
In this study, we examined the conditional indirect and direct relations of pain-related cognitions to depression. Subjective helplessness was included as presumably mediating the relations of catastrophizing and thought suppression to depression due to motivational deficits. In addition, moderating effects of dispositional action versus state orie...
Article
Full-text available
Purpose: This Stay Active after Rehabilitation (STAR) study examined the effects of a pedometer-based behavioral intervention for individuals with COPD during three weeks of inpatient pulmonary rehabilitation (PR) on patients' physical activity levels six weeks and six months after PR, including steps (primary outcome), moderate-intensity physical...
Article
Full-text available
Introduction In its attempt to establish effective physical activity promotion methods, research on physical activity referral schemes (PARS) is attracting significant attention. Sometimes known as physical activity on prescription schemes, PARS involve a well-defined procedure whereby a primary healthcare professional introduces a participant to t...
Article
Full-text available
Background The long-term effects of behavioural medical rehabilitation (BMR), as a type of multidisciplinary rehabilitation, in the treatment of chronic non-specific low back pain (CLBP) have been shown. However, the specific effects of behavioural exercise therapy (BET) compared to standard exercise therapy (SET) within BMR are not well understood...
Article
Full-text available
Background: To tackle complex societal challenges such as the high prevalence of physical inactivity, research funding is increasingly channeled toward cross-disciplinary research consortia. This study focused on exchange and cooperation (E&C) among the scientists of a five-year transdisciplinary research initiative in Germany. Researchers’ percept...
Article
Full-text available
Research cultivates a multitude of frameworks, models, and theories with different determinants internal and/or external to the individual contributing to the understanding and explaining of physical activity levels. The physical activity–related health competence (PAHCO) model can be located at the interface between research of health literacy and...
Article
Full-text available
Zusammenfassung Von 2014 bis 2022 erforschen die 5 deutschen Forschungsverbünde AEQUIPA, CAPITAL4HEALTH, HLCA, PartKommPlus und SMARTACT Themen der Primärprävention und Gesundheitsförderung mit dem Ziel, die Evidenzgrundlagen in diesen Bereichen weiterzuentwickeln. In diesem Beitrag wird die Arbeit der 5 Forschungsverbünde für Primärprävention und...
Article
Full-text available
Background Identifying pain-related response patterns and understanding functional mechanisms of symptom formation and recovery are important for improving treatment. Objectives We aimed to replicate pain-related avoidance-endurance response patterns associated with the Fear-Avoidance Model, and its extension, the Avoidance-Endurance Model, and ex...
Article
Full-text available
Background Co-creation strategies, such as cooperative planning, are promising as a means to ensure that physical activity interventions address real-world problems and are tailored to the target group. This has already been validated in diverse settings. However, questions targeting the transferability of cooperative planning to new settings and t...
Article
Full-text available
The integrative Physical Activity-related Health Competence (PAHCO) model specifies competences (movement competence, control competence, and self-regulation competence) that enable people to lead a physically active lifestyle. This longitudinal study analyses the predictive quality of a multidimensional PAHCO assessment for levels of physical acti...
Article
Full-text available
Introduction Physical activity referral schemes (PARSs) are recommended to promote physical activity (PA) among adults at risk of developing or with established non-communicable diseases (NCDs). In Germany, this kind of referral schemes has not yet been implemented systematically and nationwide. In this study protocol, we present the methodological...
Article
Full-text available
Introduction. The numerous health benefits of physical activity (PA) for people with non-communicable diseases (NCDs) are well-documented. In Germany, there are limited data on whether adults with NCDs fulfill health-oriented PA recommendations. This study describes the prevalence of meeting PA recommendations among adults with select NCDs. Method...
Preprint
Full-text available
Background: Co-creation strategies, such as cooperative planning, are promising as a means to ensure that physical activity interventions address real-world problems and are tailored to the target group. This has already been validated in diverse settings. However, questions targeting the transferability of cooperative planning to new settings and...
Article
Full-text available
A key prerequisite for implementing biopsychosocial exercise therapy concepts as parts of multimodal rehabilitation programs is interprofessional teamwork. Based on a nationwide survey of exercise therapy using a mixed methods design, it is of interest to determine to what extent there are links between team-related processes (e.g., interprofession...
Article
Full-text available
The physical activity-related health competence (PAHCO) model assumes that individuals require movement competence, control competence, and self-regulation competence to lead a healthy, physically active lifestyle. Although previous research has already established some measurement factors ( n = 8) of the three dimensions, no attempts have so far b...
Article
Full-text available
Background Despite various national and international political initiatives for promoting physical activity at the population level, the development of effective interventions for physical activity promotion remains a challenge. In this context, there is a growing interest in participatory approaches that actively involve central setting actors in...
Article
Full-text available
Background: Consumer activity monitors and smartphones have gained relevance for the assessment and promotion of physical activity. The aim of this study was to determine the concurrent validity of various consumer activity monitor models and smartphone models for measuring steps. Methods: Participants completed three activity protocols: (1) overgr...
Article
Full-text available
The two-minute walk test (2MWT) is a frequently used walking capacity test in persons with multiple sclerosis (pwMS). However, less is known about its relevance with regards to walking capacity during free-living walking performance. Therefore, the ecological validity of the 2MWT was tested by 1. computing free-living minutes with the same intensit...
Chapter
Körperliche Aktivität ist gleichzeitig Bestandteil und Ziel der medizinischen Rehabilitation. Als therapeutische Leistung geht es in der Sport- und Bewegungstherapie sowie der Physiotherapie zunächst (proximal) um den Erhalt bzw. die Verbesserung von Körperfunktion und -strukturen sowie um bewegungsbezogen relevante Aktivitäten. Entsprechende Verbe...
Article
Zusammenfassung Aufgrund einer zunehmenden körperlichen Inaktivität der Weltbevölkerung haben durch Bewegungsmangel induzierte Erkrankungen in den letzten Jahren stark zugenommen. Nicht nur zur Prävention nichtübertragbarer Erkrankungen (noncommunicable diseases: NCD), sondern auch aus rehabilitativer Perspektive ist regelmäßige körperliche Aktivit...
Article
Acute cardiovascular exercise has shown to promote neuroplastic processes supporting the consolidation of newly acquired motor skills in healthy adults. First results suggest that this concept may be transferred to populations with motor and cognitive dysfunctions. In this context, Parkinson’s disease (PD) is highly relevant since patients demonstr...
Article
Full-text available
Background: This study aims to investigate the relationship between post-diagnosis physical activity and mortality in patients with selected noncommunicable diseases, including breast cancer, lung cancer, type 2 diabetes, ischemic heart disease, stroke, chronic obstructive pulmonary disease (COPD), osteoarthritis, low back pain and major depressiv...
Article
Purpose: The model of physical activity-related health competence (PAHCO) provides an integrative and interdisciplinary view on competencies that are necessary when people want to lead a healthy, physically active lifestyle. Given the need to accumulate potential further evidence on the validity of this model through the development of an assessmen...
Article
Full-text available
Background: Multimodal rehabilitation improves fatigue and mobility in persons with multiple sclerosis (PwMS). Effects are transient and may be conserved by internet-based physical activity promotion programs. Objective: Evaluate the effects of internet-based physical activity and exercise promotion on fatigue, quality of life, and gait in PwMS...
Article
Full-text available
Background: Although the health benefits of physical activity (PA) are well known, young people's level of PA is often insufficient and tends to decline in adolescence. Numerous studies have investigated the effectiveness of PA-promoting interventions among young people, but none have reviewed the effectiveness of PA interventions in the vocationa...
Article
Background: The World Health Organization's Global Action Plan on Physical Activity 2018-2030 states that physical activity interventions should strengthen peoples' competencies for health. Yet, frameworks that bundle pivotal competencies for a healthy and physically active lifestyle have not been extensively discussed in the past. Results: In t...
Preprint
Full-text available
Acute cardiovascular exercise has shown to promote neuroplastic processes, and thus to improve the consolidation of newly acquired motor skills in healthy adults. First results suggest that this concept may be transferred to populations with motor and cognitive dysfunctions. In this context, Parkinson’s disease (PD) is highly relevant since patient...
Preprint
Full-text available
The model of physical activity-related health competence (PAHCO) assumes that individuals require movement competence, control competence, and self-regulation competence to lead a healthy, physically active lifestyle. Although previous research has already established some measurement factors (n = 8) of the three dimensions, no attempts have so far...