{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:05:02Z","timestamp":1789538702317,"version":"build-2803163510"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      The German holistic health Kneipp concept (KC) consists of five elements: water applications, physical activity, healthy nutrition, herbs, and mind\u2013body practices. Well-known in German-speaking countries, the program\u2019s effects in early childhood education are little known. This analysis examined the qualitative portion of the larger mixed-method\n                      <jats:italic>Kita Kneipp Study<\/jats:italic>\n                      exploring the potential and challenges of implementing Kneipp in kindergartens to promote salutogenesis and prevent illness in children through teachers\u2019 and children\u2019s experiences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi-structured Expert interviews with teachers and field notes from focused ethnographies of Kneipp activities in kindergartens were used to triangulate data. Data were then thematically analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Teachers observed improved resilience to cold and calming effects of the interventions. Children learned to support their own and others\u2019 wellbeing by engaging in activities. Developing bodily awareness, Kneipp helped with self-regulation, promoted curiosity, self-confidence, and the ability to set boundaries. Acceptance by teachers, children, and parents indicated potential for long-term use. Reported challenges included initial skepticism among teachers and children. Structural issues like staff shortages, limited equipment, and low initial teachers\u2019 involvement were also mentioned. Parental misunderstandings, especially in low socio-economic areas, highlighted the importance of proactive communication and family involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The KC can be integrated into kindergartens, supporting physical and mental health while fostering mindfulness, social competence, and resilience. The study shows high acceptance and meaningful developmental benefits, with potential for sustainable implementation in early educational settings. These aspects may positively influence health promotion from an early age.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1911127","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:33:04Z","timestamp":1789536784000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mind, body, health: qualitative insights into a holistic health concept for preschoolers"],"prefix":"10.3389","volume":"13","author":[{"given":"Marinela","family":"Gerganova","sequence":"first","affiliation":[{"name":"Charit\u00e9 Competence Center for Traditional and Integrative Medicine (CCCTIM), Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin","place":["Berlin, Germany"]},{"name":"Department of Pediatric Oncology and Hematology, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin","place":["Berlin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Tekath","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Competence Center for Traditional and Integrative Medicine (CCCTIM), Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin","place":["Berlin, Germany"]},{"name":"Department of Pediatric Oncology and Hematology, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin","place":["Berlin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Seifert","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Competence Center for Traditional and Integrative Medicine (CCCTIM), Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin","place":["Berlin, Germany"]},{"name":"Department of Pediatric Oncology and Hematology, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin","place":["Berlin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiebke","family":"Stritter","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Competence Center for Traditional and Integrative Medicine (CCCTIM), Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin","place":["Berlin, Germany"]},{"name":"Department of Pediatric Oncology and Hematology, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin","place":["Berlin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah B.","family":"Blakeslee","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Competence Center for Traditional and Integrative Medicine (CCCTIM), Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin","place":["Berlin, Germany"]},{"name":"Department of Pediatric Oncology and Hematology, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin","place":["Berlin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1093\/heapro\/1.4.405","article-title":"Ottawa charter for health promotion","volume":"1","year":"1986","journal-title":"Health Promot 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