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BACKGROUND: Promotion of health literacy is an important goal in the context of promoting whole school health. Physical education teachers are of particular importance in achieving this goal. However, very limited empirical studies have addressed the health literacy of physical education teachers. This research aimed to test the structural validity and reliability of the HLS19-Q12, to measure health literacy among physical education teachers, and to evaluate associations of health literacy with health- and lifestyle-related indicators. METHODS: We conducted a cross-sectional study of Lithuanian physical education teachers. The participants completed a self-administered online survey that collected information on socio-demographics and health literacy (HLS19-Q12 for general health literacy and the optional package HLS19-DIGI to measure digital health literacy) as well as health behavior. RESULTS: A total of 332 participants completed the survey. The HLS19-Q12 demonstrated acceptable internal consistency (Cronbach's α of 0.73 and McDonald's ω of 0.75) and satisfactory structural validity (CFI = 0.924, TLI = 0.917, RMSEA = 0.081). Participants had an average score of 85.09 (SD = 17.23) when using the HLS19-Q12, with 19.3% and 48.8% displaying excellent and sufficient levels of health literacy, respectively. Regression analyses revealed that a higher level of health literacy was significantly associated with better health evaluation (ß = 0.15, p < 0.01), but no significant association was found with other health behavior and lifestyle indicators. CONCLUSIONS: Overall, the results suggest that teachers' general health literacy is relatively high. Our findings highlight the importance of conducting more in-depth studies to pursue the understanding of the whole school teachers' health literacy.

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BACKGROUND: The purpose of this study was to examine the relationship between perceived coach-created empowering and disempowering motivational climate and doping likelihood among athletes and whether the attitudes towards doping and doping self-regulatory efficacy mediates these relationships. METHODS: Athletes (N = 948; 50% male; mean age, 20.32, SD = 2.45) recruited from a variety of sports completed questionnaires assessing their perceptions of coach-created motivational climate, attitudes towards doping, doping self-regulatory efficacy, and doping likelihood. RESULTS: The study's results showed significant negative direct effects of a perceived empowering climate on doping likelihood (ß = -0.50) and attitudes towards doping (ß = -0.48), and a positive effect on self-regulatory efficacy (ß = 0.48). On the contrary, a disempowering climate had positive direct effects on doping likelihood (ß = 0.53) and attitudes towards doping (ß = 0.45), and a negative effect on self-regulatory efficacy (ß = -0.49). Significant indirect effects on doping likelihood via attitudes and self-regulatory efficacy were found. CONCLUSIONS: Our findings suggest that athletes who perceive a more empowering climate created by the coach are less likely to use banned substances due to their more negative attitudes towards doping and stronger belief in their ability to resist the temptation to use doping.

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BACKGROUND: Use of banned performance enhancing substances in sport is one of the most widely recognized anti-doping rules violation. Research evidence suggests that self-regulatory efficiency is one of the key psychosocial processes related with doping. Therefore, aiming to generate more insights on the self-regulatory efficacy, sport-specific doping self-regulatory efficacy scale was proposed. The aim of the present study was to adapt and validate the Lithuanian version of the sport-specific doping self-regulatory efficacy scale. MATERIAL AND METHODS: The scale construct validity and reliability was tested using a sample of 453 athletes (mean age 20.37, SD = 2.29; 46% male). Structural validity was assessed by exploratory and confirmatory factor analyses, convergent and discriminant validity of the scale were evaluated by assessing average variance extracted and also via correlational analyses. Cronbach's alpha and composite reliability values were used for reliability analysis. RESULTS: Exploratory and confirmatory factor analyses confirmed the one factor structure of the sport-specific doping self-regulatory efficacy scale. The results also indicated that the scale had sufficient convergent and discriminant validity. The results showed an excellent level of internal consistency. CONCLUSIONS: This study makes a contribution by confirming the validity and reliability of the Lithuanian version of the sport-specific doping self-regulatory efficacy scale.

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BACKGROUND: The Olympic Games is one of the biggest sports events which should express and promote Olympic ideals. Aiming to generate more insights on the expression of Olympic Values, the Olympic Value Scale (OVS) was developed to assess how people perceive values in relation to the Olympic Games. The aim of the present study was to examine the validity and reliability of the Lithuanian version of OVS (LT-OVS). METHODS: The scale construct validity and reliability was tested using a sample of 365 university students (mean age 22.02, SD = 6.58; 49.9% male). After the evaluation of the scale structure, convergent and discriminant validity as well as reliability of the scale were evaluated by assessing composite reliability and average variance extracted (AVE), examining the square root of the AVE. For further validity analysis, associations between the LT-OVS factors and other variables were examined. RESULTS: The original OVS captures three dimensions, which are appreciation of diversity, friendly relations with others, and achievement in competition. Exploratory and confirmatory factor analyses confirmed the original three-factor structure of the OVS. The internal consistency values for all three subscales of the LT-OVS were 0.80 and higher. Convergent and discriminant validity criterions were met. Relations between the LT-OVS dimensions and attitudes towards fair play and Olympic Games were also revealed and discussed. CONCLUSIONS: This study makes a contribution by confirming the validity of the LT-OVS and encouraging future adaptation of it into other cultures and research on Olympic Values.

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Research evidence suggests that athletes' attitudes towards banned substances are among the strongest predictors of intention to use or actual practice of doping. Previous research has found that personal morality was negatively related to doping attitudes. However, less is known about the role of athletes' perceptions of fair play on their attitudes towards doping. First, we examined whether moral identity was associated with athletes' attitudes towards doping and whether their perceptions of fair play mediated this relationship. The second purpose was to determine whether these associations differed among non-athletes. Overall, 365 university students (49.9% males, 55.3% athletes) participated in this study (mean age 22.02, SD = 6.58). They completed questionnaires measuring the aforementioned variables. The results showed that athletes' moral identity and endorsement of fair play were negatively associated with their attitudes towards doping. The mediation analyses showed that the effect of moral identity on attitudes towards doping was partially mediated by perceptions of fair play (indirect effect, ß = -0.10, p < 0.05). Unlike student athletes, non-athletes' moral identity negatively predicted attitudes towards doping only indirectly, via fair play perception (indirect effect, ß = -0.08, p < 0.05). The study provides insights into how a person's morality and perception of moral values in sport may act as factors related to doping in sport. The practical implications for the promotion of anti-doping attitudes for athletes and separately for student non-athletes were provided together with future research perspectives.

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Recently, discussion of the potential of health literacy (HL) for health promotion has increased; however, clear evidence illuminating the relationship between adolescents' HL and their physical activity (PA) remains scarce. This study aimed to assess the association between adolescents' HL and leisure time PA. A representative cross-sectional study was conducted with 2,369 Lithuanian adolescents aged 13-16 years. A self-reported questionnaire gathered information regarding HL, leisure time PA, and other confounders (gender, age, family affluence and parents' exercise). Descriptive statistics and the probabilities of being physically active were estimated using logistic regression. The results revealed that almost 60% of the participants were not sufficiently physically active. Having moderate or high levels of HL was positively associated with leisure time PA. Additionally, being male, belonging to a more affluent family, and having a father who exercise were significant predictors of adolescents' leisure time PA. This study revealed that moderate and high HL positively related to leisure time PA among Lithuanian adolescents. The study results highlighted the importance of encouraging schoolchildren's PA and including HL promotion in a school curriculum.

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The Global Matrix 3.0 "Report Card" assessment of physical activity was developed to achieve a better understanding of the global variability in child and youth physical activity. Lithuania joined the Global Matrix 3.0. The aim of this article is to summarize the results of the first Lithuanian Report Card, which included 10 indicators, as representative of individual behaviors, sources, and settings of influence indicators, and a health-related characteristic. The grades for each indicator were based on the best available Lithuanian data. The findings showed poor Overall Physical Activity, Active Transportation (C-), and Family and Peers (D). Sedentary behavior was graded C-, and Organized Sport Participation, Community and Environment, and Government were graded C. Physical Fitness and School indicators received the highest grade (C+). The first Lithuanian Report Card on Physical Activity of Children and Youth shows that Lithuanian children and youth have less than satisfactory levels of organized physical activity, active transportation to and from school, community and built environments, and government strategies and investments. The low levels of support from family and peers require more attention from health promoters. There is a gap in the evidence about active play that should be addressed by researchers and policy makers.

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Health literacy as a set of competencies to promote and sustain health has received significant research attention, particularly in studies on adults. Improving health literacy at an early age is crucial to personal health and development, so there is a need to investigate the health literacy of school-aged children. The aims of this study were to determine the level of subjective health literacy among adolescents in Lithuania and to examine the association between health literacy, school achievement, health education in schools, and family affluence. Health literacy was assessed using a brief Health Literacy for School-Aged Children instrument on a representative sample of 2369 subjects (from the 7th to 10th grades). Overall, 12.1% of all respondents had low, 70.5% moderate, and 17.4% a high level of health literacy. School achievements were found to be a significant predictor of health literacy, as were the number of school-based health promotion events. Family affluence also predicted an increased level of health literacy. This study was the first nationally representative examination of this topic in Lithuania and it highlighted the alarming finding that less than one-fifth of adolescents had high health literacy.

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This study aimed to investigate the relationship between health education and motives and barriers for university students' engagement in leisure-time physical activity (PA). The research sample included 709 students (312 females and 397 males) in different years of study, ranging in age between 18-25 years. A questionnaire survey method revealed a significant positive relationship between fitness and health motives and students' leisure-time PA. External barriers were negative predictors of students' leisure-time PA, while more health education-related courses per week were positively associated with students' leisure-time PA. Finally, we found that the number of health education-related courses per week moderated the relationship between fitness and health motives and students' leisure-time PA. These findings suggest that university students' fitness and health motives and external barriers to be physically active outweigh other motives and barriers in determining their leisure-time PA. In addition, health education in university studies can effectively increase students' health-related motivation for PA.

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The relationship between emotional intelligence (EI) and successful athletic performance has been previously recognized, but there remains a need to investigate how EI impacts athletes' sports motivation. This cross-sectional study investigated how different EI dimensions related to athletes' motivation among 239 adult basketball players (129 females) aged 18-34 years. Our research participants completed questionnaires that included the self-reported Emotional Intelligence Scale and Sport Motivation Scale II. We found significant correlations between total EI and intrinsic, integrated, identified, and introjected regulation. Higher EI was negatively related to athletes' amotivation. More specifically, the self-reported abilities to perceive emotion and manage others' emotions were significantly related to intrinsic, integrated, and identified regulation, and only managing one's own emotions negatively related to athletes' amotivation.

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The purpose of this study was to examine the relationship between participation in youth sport and adolescent⁻parent attachment. A mixed-method explanatory sequential study design was applied. In the first phase, 648 adolescent athletes and non-athletes completed the Inventory of Parent and Peer Attachment⁻Revised (IPPA⁻R). In the second phase, 15 adolescent athletes took part in semi-structured interviews. In the first, quantitative phase, three factors were predictors of adolescents’ attachment to parents and peers: trust, communication, and alienation. In the qualitative follow-up, three themes emerged: adolescents’ attachment to the sport; adolescent⁻parent attachment; adolescents’ thoughts about parents. The analysis of the adolescent⁻parent interpersonal relationship revealed that athlete adolescents’ relations and attachment to parents compared to non-athlete adolescents are more intensively expressed in all scales: trust, communication and alienation. Interviews with adolescent athletes revealed that parent⁻adolescent interpersonal relationship and attachment to parents is more important at the early period of sporting life, and becomes less appreciable or unwelcome when children gain sporting experience. The study indicated that the form and degree of parental involvement in children’s sporting activities impacts the effectiveness of parent⁻athlete interpersonal relationships. The degree and the form of parental involvement in children’s sports chosen by the parents are not always appropriate and encouraging, and they are not always supportive of adolescents’ opinions.

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BACKGROUND: Despite the large number of studies assessing health literacy, little research has been conducted with young adults. Since health literacy is related to the setting in which health information is provided, our study aim was to measure health literacy competencies in a sample of university students and to evaluate the relationships between these competencies and their university health education. METHODS: A total of 912 university students (aged 18-24 years) completed the 47-item European Health Literacy Survey Questionnaire (HLS-EU-Q47). RESULTS: Perceived difficulties with health information were related to gender, with male students reporting significantly lower health literacy scores. Studying more health education-related subjects was associated with a higher health literacy competency, due to these students' higher rates of accessing and understanding health information in the health promotion domain. CONCLUSION: Health literacy among young adult university students is insufficient. The subjects they study are related to their university health education; in particular, the number of health-related subjects they study is positively related to students' health promotion domain-based competencies.

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The concept of Olympic education and its use of moral education to shape the development of personality have received insufficient empirical support. The aim of this study was to examine the effects of an integrated Olympic education programme on the development of prosocial behaviour in adolescents. A natural experimental research design was applied in this study. The pre-test sample included 411 adolescents (aged 13-14) who were randomly selected from schools that had begun to apply an integrated Olympic education programme, along with 430 adolescents from schools without an Olympic education programme. The post-test sample included 381 students from schools implementing the Olympic education programme and 402 students from schools without an Olympic education programme. The revised prosocial tendencies measure was administered to the participants at pre- and post-test time points to assess changes in prosocial behaviour and specifically on six types of prosocial behaviour: public, anonymous, dire, emotional, compliant, and altruistic. The analyses showed significant improvements in prosocial behaviour in adolescents from schools that had implemented an integrated Olympic education programme. Changes in prosocial behaviour following the implementation of an integrated Olympic education programme were observed for the compliant, altruistic, and dire types of prosocial behaviour. In conclusion, these findings suggest that an integrated Olympic education programme effectively encourages prosocial behaviour in adolescents. This study expands our understanding of the efficiency of implementing an Olympic education programme in schools. We suggest that future research should investigate the behavioural changes in students of different ages from perspective of both teachers and students.

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This study examined links between parents' exercise habits and adolescents' participation in sports activities, considering the aspects of gender and age. It was hypothesized that regular exercise by both parents would be related to children's involvement in sport regardless of their gender and age. Moreover, it was hypothesized that children's sports activities would be more strongly related to their father's exercise activities. The study also examined the links between parents' exercise habits and children's motivation for sports. It was hypothesized that competition motives would be more important for children whose parents exercised regularly. The research sample included 2335 students from the seventh (n = 857), ninth (n = 960) and eleventh (n = 518) grades of various Lithuanian schools. The study used a questionnaire survey method, which revealed the links between parents' exercise habits and their children's participation in sport. Assessment of data for girls and boys showed that daughters' participation in sport could be predicted by both their fathers' and mothers' exercise habits, but sons' sports activities could be predicted only by the regular physical activities of their fathers. The assessment of children's sporting activities according to age revealed links between parental exercising and the engagement of older (15-16 years old), but not younger adolescents (13-14 years old). Analysis of sports motivation showed that competition motives were more important for boys than for girls. Fitness, well-being and appearance motives were more important for older adolescents (15-18 years old), while competition motives were more important for younger adolescents (13-14 years old). Research revealed the relationship between children's sport motives and fathers' exercise habits, while examination of mothers' exercise revealed no difference. Key pointsParental exercising significantly predicts adolescents' engagement in sport. Daughter's engagement in sport is related to both parents whereas son's involvement in sport is related only to father's exercise habits.Regular exercising of both mother and father predicts 13 - 14-year-old adolescents' engagement in sport. However, mother exercising is not related to older adolescents' involvement in sport.Research revealed the relation of adolescents' sport motives and father's exercising, and no differences were established depending on mother's exercise habits.