Abstract Against the background of an ageing population, the target group of young adults holds strong societal relevance as the future workforce. At the same time, young adults find themselves in a critical phase of life regarding the manifestation of a healthy lifestyle. In this context, young adults’ health literacy gains importance. Web-based interventions implemented in educational settings offer the potential for promoting health literacy, although longitudinal studies remain scarce. Within a pre–post cluster randomized controlled trial with 6-month follow-up, this study investigated whether an 8-week web-based intervention in vocational schools (with or without an additional initial face-to-face measure) improves individual competencies within a structural model of health literacy (‘self-perception’, ‘proactive approach to health’, ‘dealing with health information’, ‘self-control’, ‘self-regulation’ and ‘communication and cooperation’). The control condition was regular school lessons following the curriculum only. A multi-level regression analysis was performed using the control group as reference. None of the interventions showed a significant improvement in any of the dimensions. Significant differences between the intervention and control were obtained for some dimensions, albeit showing reductions. Future research must examine how to build impactful health literacy promotion in educational settings. Investigations into linking digital and face-to-face measures should continue.

中文翻译：

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在年轻人中促进健康素养：德国职业学校的网络干预。

摘要在人口老龄化的背景下，目标年轻人群与未来的劳动力有着强烈的社会相关性。同时，年轻人表现出健康生活方式的生命处于关键阶段。在这种情况下，年轻人的健康素养越来越重要。尽管纵向研究仍然很少，但在教育环境中实施的基于网络的干预措施仍具有提高健康素养的潜力。在一项为期6个月的随访的前分组后随机对照试验中，该研究调查了在职业学校进行为期8周的基于网络的干预（有无其他初始面对面措施）是否能提高个体能力。健康素养的结构模型（“自我认知”，“主动采取健康方法”，“处理健康信息”，“自我控制”，“自我调节”和“沟通与合作”）。控制条件是仅遵循课程的常规学校课程。使用对照组作为参考进行多级回归分析。没有任何一项干预措施在任何方面都有明显改善。尽管有所减少，但在某些方面获得了干预与对照之间的显着差异。未来的研究必须研究如何在教育环境中建立有影响力的健康素养促进措施。有关将数字和面对面措施联系起来的调查应继续进行。以对照组为参考进行多层次回归分析。没有任何一项干预措施在任何方面都有明显改善。尽管有所减少，但在某些方面获得了干预与对照之间的显着差异。未来的研究必须研究如何在教育环境中建立有影响力的健康素养促进措施。有关将数字和面对面措施联系起来的调查应继续进行。以对照组为参考进行多层次回归分析。没有任何一项干预措施在任何方面都有明显改善。尽管有所减少，但在某些方面获得了干预与对照之间的显着差异。未来的研究必须研究如何在教育环境中建立有影响力的健康素养促进措施。有关将数字和面对面措施联系起来的调查应继续进行。