Explaining the longitudinal effect of the PAHCO subscales on leisure-time PA and HRQOL
chronic obstructive pulmonary patients
SUDECK
The second research goal, which postulated a positive effect of the PAHCO subscales on leisure-time PA and HRQOL in OWs can be confirmed for the PASR subscale, which displayed a positive, small to moderate effect on leisure-time PA and HRQOL. Alongside this, the subscale of CCPT showed a positive small to moderate effect on HRQOL, which also supports the second research goal. Yet the subscales of CCPT and PAAR did not indicate an effect on leisure-time PA and PAAR showed no noteworthy longitudinal effect on HRQOL.In general, although the measures on PA and HRQOL were deviating from our study, these findings are in agreement with cross-sectional studies on PAHCO, PA and HRQOL in adult populations [Alongside this person-oriented study, our findings are partly in agreement with the results of a longitudinal study on PAHCO in chronic obstructive pulmonary patients, which found a positive, bivariate relationship between the subscales of PAAR and PASR after a rehabilitation program and the PA level 6 months after the program [In addition, our findings on PAAR and HRQOL differ from the results found by Sudeck et al. [In addition to these studies, which address PAHCO directly, the results on the subscale of PASR are in line with reviews on PA-self efficacy [With regard to the connections of the closely related constructs of health and physical literacy with leisure-time PA and HRQOL, a review on health literacy and PA found positive connections between these concepts but no intervention effects of health literacy on PA [