{
  "abstract": "Objective: To examine whether a theoretically grounded, 8-week physical literacy intervention incorporating salutogenic model components (sense of coherence, social support, and self-efficacy) could improve physical activity levels and clinical outcomes in young and middle-aged adults with Grade 1 hypertension, and to explore participants’ subjective experiences of the program.\n\nMethods: A mixed-methods quasi-experimental study was conducted between August and October 2024. Forty patients aged 18–59 years were recruited from a community healthcare center and allocated to the intervention group (n = 20) or control group (n = 20). The intervention group received a multidimensional physical-literacy program, while the control group received usual care. Five participants were lost to follow-up; 35 (intervention: n = 17; control: n = 18) completed all three assessments: baseline (T0), post-intervention (T1), and one-month follow-up (T2). Quantitative outcomes (SBP, BMI, physical-literacy scores, social support, sense of coherence, self-efficacy, and physical activity) were analyzed using independent t -tests or Mann-Whitney U tests for between-group comparisons and paired t -tests or Wilcoxon signed-rank tests for within-group changes, with significance set at α = 0.05 (two-tailed). Qualitative data from semi-structured interviews were analyzed using inductive content analysis.\n\nResults: Of the 40 recruited participants, 35 (87.5%) completed the study. Post-intervention, the intervention group demonstrated significant reductions in systolic blood pressure (SBP), body weight, and BMI compared to baseline (all P < 0.05). Significant improvements were also observed in PL scores, social support, sense of coherence, and self-efficacy ( P < 0.05). Qualitative findings corroborated these results, highlighting enhanced health literacy and stress alleviation, despite some logistical challenges.\n\nConclusion: The PL intervention is a feasible and effective strategy to improve health outcomes and psychosocial resilience in hypertensive adults, offering a promising approach for community-based chronic disease management.",
  "abstract_shown": true,
  "affiliations": [
    "School of Nursing, Anhui University of Chinese Medicine",
    "Key Laboratory of Geriatric Nursing and Health, Anhui University of Chinese Medicine"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 1,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Guiyue Ma"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/8yv77pkvfs6w1.bib",
  "cited_by": 0,
  "doi": "10.3389/fendo.2026.1944805",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13727378/?tool=EBI",
  "id": "8yv77pkvfs6w1",
  "issns": [
    "1664-2392"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fendo.2026.1944805/full",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2737|Physical Activity and Health"
    ]
  ],
  "openalex": "W7223033534",
  "pdf_url": "https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2026.1944805/pdf",
  "pmcid": "PMC13727378",
  "pmid": "42974652",
  "published": "2026-10-20",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/8yv77pkvfs6w1.ris",
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      "native_id": "10.3389/fendo.2026.1944805",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fendo.2026.1944805/full"
    },
    {
      "first_seen": "2026-11-03T15:20:51Z",
      "native_id": "PMC:PMC13727378",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13727378"
    },
    {
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      "url": "https://europepmc.org/article/MED/42974652"
    },
    {
      "first_seen": "2026-11-05T12:23:28Z",
      "native_id": "PMC13727378",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fendo.2026.1944805"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2737|Physical Activity and Health",
      "subfield": "physiology"
    }
  ],
  "title": "Effectiveness of a physical literacy intervention program for young and middle-aged adults with hypertension: a mixed-methods quasi-experimental study",
  "title_text": "Effectiveness of a physical literacy intervention program for young and middle-aged adults with hypertension: a mixed-methods quasi-experimental study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:23:04Z",
  "url": "https://research.draconitic.com/paper/8yv77pkvfs6w1",
  "venue": "Frontiers in Endocrinology",
  "versions": []
}