bluuebunny/crossref_metadata_2025 huggingface dataset:
S06-4 Exploring correlates of adolescent boys' muscular fitness: a mixed-methods formative study
Authors: Fairclough Stuart J , Clifford Laureen , Foweather Lawrence , Knowles Zoe , Boddy Lynne M , Ashworth Emma , Tyler Richard
Published: August 2022

Background

According to the Elaborated Environmental Stress Hypothesis, anxiety and depression in children are associated with poor motor competence, and these associations may be mediated by social support and self-perceptions. Improving children’s motor competence through school-based physical activity interventions may therefore be a mechanism for promoting positive mental health through psychosocial factors. Co-production provides opportunities to participate in intervention development processes, thereby ensuring that specific needs of stakeholders are targeted. The shared stakeholder ownership of the process provides a context-sensitive basis for acceptable interventions with increased likelihood of them being effectively implemented and resulting in positive outcomes. This presentation describes phase 1 of the Move Well, Feel Good study, which aimed to co-produce and evaluate the feasibility of a primary school physical activity intervention to improve children’s motor competence and mental health.

Methods

Five primary schools were recruited from a low socioeconomic status community in northwest England. From these schools, stakeholder groups were formed consisting of class teachers, school leaders, physical activity specialists, and children (aged 8-9 years). Stakeholders worked in single and multiple stakeholder groups through a 6-stage process aligned to the Double Diamond Design Approach by employing divergent and convergent thinking processes to discover, define, develop, and deliver a solution to the ‘problems’ of how best to improve children’s motor competence and mental health, and how best to facilitate real-world school context implementation of the intervention. Through this process the child and adult stakeholders worked separately in workshops and engaged in additional learning and consensus activities. The adult stakeholder co-production workshops were informed by the children’s views and current research evidence. Multiple-stakeholder groups worked collaboratively to develop intervention ideas, which were presented, critiqued, and refined in alignment with the TIDieR checklist.

Results

In the final stage of the process the research team presented the final co-produced interventions back to the stakeholders and a consensus vote was taken to decide which intervention would be implemented in the phase 2 feasibility trial in September 2022.

Conclusions

School stakeholders’ participation in intervention co-production ensures their ownership of the finalised programme, which may be important for subsequent implementation and engagement.
S07-1 Does goal orientation relate to changes in sports club participation from adolescence to early adulthood?
Authors: Rinta-Antila Katja , Gavin Kevin , Ooms Linda , Kokko Sami
Published: August 2022

Background

Sports club participation begins to decrease in adolescence. There is a lack of knowledge, how sports club participation changes from adolescence to early adulthood in Finland, and how goal orientation influences on it. Therefore, the aim of this study is to examine if goal orientation is associated to changes in sports club participation during afore mentioned critical years.

Methods

The study design is longitudinal. A sample of 366 (140 boys, 226 girls) adolescents were followed from age 15 (year 2014) to age 19 (year 2018). Sports club participation (yes/no) and goal orientation (no competitive goal, sports for hobby or physical development/regional, national or international success in adolescence/national, international or professional success in adulthood) were measured using questionnaires. In order to study changes in sports club participation, and goal orientation, descriptive statistics were performed. Gender differences were estimated using Chi-squared tests. A binary logistic regression analysis was carried out to examine the association between sports club participation, goal orientation and gender.

Results

By the age 19, 33% of boys and 43% of girls had dropped out from sports club, 45% of boys and 26% of girls had continued participation, and 21% of boys and 31% of girls never participated (p > 0.01). More boys (57%) than girls (31%) had a success in adulthood as a goal, and more girls (48%) than boys (27%) had a success in adolescence as a goal (p > 0.001). Adolescents with success in adulthood as a goal continued participation in sports club more likely than adolescents without competitive goal (OR = 4.81; 95% CI 2.26-10.23). Furthermore, boys were more likely to continue participation than girls (OR = 1.75; 95% CI 1.02-3.01).

Conclusions

The dropout from sports club activities from adolescence to early adulthood is obvious. Especially the adolescents without a competitive goal and girls are in danger to drop out. This indicates that contemporary forms of sports club activities support adolescents with strong competitive orientation. Therefore, there is a need for sports clubs to develop activities suitable for adolescents with less competitive orientation to ensure their continuous participation in sports club.
S07-2 Variability in physical activity levels in adolescent Gaelic football players across a competitive season
Authors: Gavin Kevin
Published: August 2022

Background

Gaelic football is the most popular team-based sport among Irish adolescents, yet research examining the physical activity (PA) levels attained during this sport is limited. Moreover, no research has examined the PA levels of participants across a competitive season, limiting the data collection to one, often undisclosed time point. Therefore, the aim of this study was to objectively measure changes in PA levels attained by adolescents during Gaelic football participation across two time points in a season and determine if these changes had an effect on the overall daily PA levels.

Methods

A total of 131 adolescents (67 male, 64 female; mean age 14.5 yrs.) were recruited from a convenience sample of three local clubs. Participants wore an activPAL3M accelerometer to determine total sitting/lying time, standing time, light intensity physical activity (LIPA) and moderate-to-vigorous physical activity (MVPA) during a seven-day measurement period, including Gaelic football participation. Physical activity measurement was completed at two separate time points, in line with the ?preseason? (round 1) and ?in-season? (round 2) periods of the Gaelic football calendar.

Results

Males accumulated significantly less time in MVPA during games in round 2 when compared to round 1 (round 1 = 36%; round 2 = 30%; p > 0.05). In contrast, females accumulated significantly more time in MVPA during both practices (round 1 = 19%; round 2 = 26%; p > 0.05) and games (round 1 = 27%; round 2=35%; p > 0.05) during round 2. The average daily minutes spent in MVPA by males significantly decreased between the two time points (round 1 = 36.5±12.9min; round 2 = 30.8±13.5min; p > 0.05), while daily MVPA in females significantly increased (round 1 = 26.3±8.9min; round 2 = 30.6±11.6min; p > 0.05). No significant differences in daily MVPA levels were observed between the genders during round 2 (p > 0.05).

Conclusion

The results demonstrate that the PA levels attained during Gaelic football participation change significantly across a competitive season. These changes may be a direct result of different coaching strategies implemented as the season progresses. The overall daily PA levels of the participants also changed significantly across the time points, resulting in males and females accumulating equal amounts of MVPA daily. This change in daily PA levels may be a consequence of the changes in PA levels attained during Gaelic football participation.
S09-2 The impact of mass-media campaigns on physical activity: a review of reviews through a policy lens
Authors: den Braver Nicolette R , Bengoechea Enrique Garcia , Messing Sven , Kelly Liam , Schoonmade Linda J , Volf Kevin , Zukowska Joanna , Gelius Peter , Forberger Sarah , Woods Catherine , Lakerveld J ,   on behalf of the Policy Evaluation Network (PEN) Consortium
Published: August 2022

Background

This review of reviews aims to summarize the evidence from published reviews on the effectiveness of mass-media campaigns to promote physical activity (PA), or PA-related determinants, and identify policy-relevant recommendations related to successful PA campaigns.

Methods

An extensive literature search was performed on March 1st, 2021. Reviews that evaluated the impact of campaigns on distal (e.g., PA) and/or proximal outcomes of PA (awareness, knowledge etc.) and that targeted the general population or subsets were included. Quality of reviews was assessed using the AMSTAR-2 tool. Policy-relevant recommendations were systematically derived and synthesized, and formulated as good practice statements. A protocol was registered beforehand (ID: CRD42021249184).

Results

A total of 1,915 studies were identified, of which 22 reviews were included. Results indicate that the most consistent evidence was found for the effectiveness of mass-media campaigns on proximal outcomes, while the evidence for distal outcomes was mixed. Good practice statements were derived: 1) to achieve behaviour change, mass-media is an important component of larger, multilevel, and multicomponent strategies, 2) mass-media strategies should be coordinated and aligned at local- and national-level, and be sustained, monitored and resourced at these levels, 3) media should be tailored to reduce socioeconomic inequalities.

Conclusions

Mass-media can play an important role in the promotion of PA. In general, evidence was more inconsistent for effectiveness on distal outcomes than for proximal outcomes. The policy-relevant recommendations identified will serve to inform the PA environment policy index (PA-EPI), a tool for monitoring, evaluating and benchmarking government progress in implementing public policies.
S09-3 Evidence of the impact of Sport Policies on physical activity and sport participation: A Systematic Mixed Studies Review
Authors: Volf Kevin , Kelly Liam , Bengoechea Enrique García , Casey Bláthín , Gelius Peter , Messing Sven , Forberger Sarah , Lakerveld Jeroen , Den Braver Nicolette R , Zukowska Joanna , Woods Catherine ,   on behalf of the PEN Consortium
Published: August 2022

Background

Sport is recognised as a potential public health intervention through its influence on physical activity (PA) levels and consequent health benefits. International policy actors such as the Council of Europe, the World Health Organisation and the International Society for Physical Activity and Health have recommended that sport for all is promoted both for public health and as a basic right.

Purpose: This review aims to provide evidence to support the development of policies aimed at maximising the opportunity to participate in PA and sporting activity.

Methods

We systematically searched six electronic databases for quantitative, qualitative, and review studies investigating how public sport policy affects PA and sport participation outcomes”. The scientific literature was screened according to predetermined eligibility criteria. Following study selection and data extraction, the quality was assessed using modified versions of existing quality assessment tools. Results were synthesised narratively.

Results

Database searches identified 3705 unique articles. A total of 93 full-text articles were assessed, with 31 meeting our inclusion criteria. Fourteen unique policy actions were identified and were categorised into the policy areas Build Sport Facilities, Reduce Financial Barriers, Build Capacity and Establish Partnerships with Sport Sector, and Promote Public Interest in Sports.

Conclusions

Policy actions to promote physical activity and sport participation have demonstrated qualified success but there is limited evidence of success in reaching hard to reach groups. Therefore, policymakers utilising sport to increase physical activity should treat it as a complementary intervention alongside other policy actions based on a systems perspective.
S09-4 The development of the Physical Activity Environment Policy Index (PA-EPI): a tool for monitoring and benchmarking government policies and actions to improve physical activity
Authors: Woods Catherine B , Kelly Liam , Volf Kevin , Gelius Peter , Messing Sven , Forberger Sarah , Lakerveld Jeroen , den Braver Nicolette R , Zukowska Joanna , Bengoechea Enrique García ,   on behalf of the PEN consortium
Published: August 2022

Background

Insufficient physical activity (PA) is a global issue for health. A multifaceted response, including government action, is essential to improve population levels of PA. The purpose of this study was to develop the ‘Physical Activity Environment Policy Index’ (PA-EPI) monitoring framework to assess government policies and actions for creating a healthy PA environment.

Methods

An iterative process was undertaken. This involved a review of policy documents from authoritative organisations, a policy audit of four European countries, and systematic reviews of scientific literature. This was followed by an online consultation with academic experts (N = 101; 20 countries, 72% response rate), and policymakers (N = 40, 4 EU countries). During this process, consensus workshops where quantitative and qualitative data alongside theoretical and pragmatic considerations were used to inform PA-EPI development.

Results

The PA-EPI is conceptualised as a two-component ‘policy’ and ‘infrastructure support’ framework. The two components comprise eight policy and seven infrastructure support domains. The policy domains are education, transport, urban design, healthcare, public education (including mass media), sport-for-all, workplaces and community. The infrastructure support domains are leadership, governance, monitoring and intelligence, funding and resources, platforms for interaction, workforce development, and health-in-all-policies. Forty-five ‘good practice statements’ (GPS) or indicators of ideal good practice within each domain concludes the PA-EPI. A potential eight-step process for conducting the PA-EPI is described.

Conclusions

Once pre-tested and piloted in several countries of various sizes and income levels, the PA-EPI GPS will evolve into benchmarks established by governments at the forefront of creating and implementing policies to address inactivity.
S10-2 Instruments for the analysis of national-level physical activity and sedentary behaviour policies: a systematic review
Authors: Pedišić Željko
Published: August 2022

Background

Researchers and policy makers have developed and used a variety of instruments to assess physical activity policies. Data on the available instruments and their properties have never been summarised in a systematic way. In this review we, therefore, aimed to identify and critically assess available instruments for the analysis of national-level physical activity and sedentary behaviour policies and provide recommendations for their future use.

Methods

A systematic search of grey and academic literature was conducted in Scopus, SPORTDiscus, PubMed/MEDLINE, Web of Science, Networked Digital Library of Theses and Dissertations, and Open Access Theses and Dissertations, on the websites of three large international organisations for physical activity promotion, and using Google. The Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework was used to assess and classify the instruments, based on their purpose, the policy sectors and scope of analysis they cover, and the policy types and stages of policy cycle they inquire about.

Results

Among a total of 22,071 screened references, we found 26 publications describing 16 instruments that met the inclusion criteria. All the available instruments are intended for analysing some aspects of physical activity policy. Only two instruments include questions about sedentary behaviour policy. None of the instruments can be used to analyse all the relevant policy components. Only a few instruments refer to the agenda-setting and endorsement/legitimisation stages, the effects of policy, and the research and tourism sectors. The termination and succession stages of the policy cycle and unwritten formal statements and informal policies were not addressed by any of the available instruments.

Conclusion

Our findings indicated there is a need to design new instruments or adapt the existing ones to facilitate a more comprehensive analysis of national physical activity and sedentary behaviour policy. It would be extremely time-consuming to analyse all important components of physical activity and sedentary behaviour policy in a single analysis; hence the development of complementary instruments, where each one of them inquires about a specific policy component, might be a way forward.
S11-3 Implementation of Community-Based Physical Activity Promotion Focusing on Individuals with Social Disadvantages, Developed Using a Participatory Approach
Authors: Semrau Jana
Published: August 2022

Background

Recently, the German Federal Ministry of Health has provided funding aimed at the sustainable implementation of the National Recommendations for Physical Activity and Physical Activity Promotion in German municipalities. This presentation reports on an ongoing project that employs a participatory action model for population-based physical activity (PA) promotion in these municipalities and gives insights into real-world experiences made during project implementation.

Methods

Using a participatory approach, an action model for PA promotion was developed in collaboration with 64 nationwide stakeholders (Phase I). Based on systematic criteria and in cooperation with the Federal Centre for Health Education (BzGA) and the German Statutory Health Insurance (GKV), three rural districts and three cities were then selected as pilot municipalities. In phase II, the action model was implemented in these six communities. Implementation steps included (1) preparation, (2) assessment, and (3) setting up a steering committee and a cooperative planning group in all communities. The entire process was closely coordinated with local administrations. Currently, cocreated measures adapted to local needs are being (4) developed and (5) implemented, with a particular focus on improving access to the development and usage of these measures for people with social disadvantages.

Results

Preliminary results indicate that steps (1) to (3) have been successfully implemented in all pilot municipalities. ‘Champions’ (persons committed to the local project) were found to be particularly important for each step. The involvement of political stakeholders (n = 2-13), experts (n = 2-12), representatives from the administration (n = 8-25), multipliers (n = 5-16), and citizens (n = 0-4) in the cooperative planning process varied across pilot municipalities. Participants from the administration represented different sectors (e.g. city planning, sports, health administration). Preliminary results show that a broad range of measures was developed to promote personal skills, infrastructures, policy actions, and community action for PA.

Conclusions

The action model proved suitable to promote PA in the pilot municipalities. In all six cases, adaptations had to be made to accommodate the intervention to the respective community-specific context. Our results indicate that involving individuals from a socially disadvantaged background remains a particular challenge of participatory PA promotion.
S11-5 Extending co-creation in physical activity and health promotion: The Practice Dive approach
Authors: Popp Johanna
Published: August 2022

Background

Recently, there has been an increasing interest in co-creation approaches in physical activity (PA) and health promotion. Co-creation involves researchers ?moving beyond the ivory tower? by collaborating with policymakers and practitioners to conjointly develop interventions, e.g. using a Cooperative Planning approach. In addition to the frequently reported benefits of cocreation, there is a growing number of critical voices that highlight the associated challenges, e.g. differing interests and perspectives that inhibit interaction. So far, research has not identified concrete solutions to these problems. This presentation introduces the Practice Dive approach as a potential way of improving cooperation between researchers and practitioners.

Methods

We observed and systematically described a real-life phenomenon in a German research project, which saw project researchers actively moving into practice to familiarize themselves with the setting and the target group (ranging, e.g., from guided factory tours in a manufacturing plant to working at the assembly line for a limited time). We conducted a literature search on similar and related phenomena in co-creational processes and subsequently developed on our observations and findings into a comprehensive concept.

Results

The Practice Dive approach assumes that a significant contribution to a better cooperation between co-creators is the immersion of researchers in the living/working environment of the target group at the beginning of a co-creation process. A stage model can be used to characterize the type and intensity of exchange within the setting and with the target group. Several requirements can be outlined for a successful Practice Dive on the side of the involved co-creators and the setting, including openness and communication skills. Regarding potential effects, different beneficial effects for both researchers and the practitioners can be hypothesized at both the knowledge and the socioemotional level (e.g. familiarity with contextual structures, perceived flatter hierarchies).

Conclusions

The Practice Dive approach has the potential to strengthen the cooperation between research and practice in the field of PA and health promotion and may thus improve the effectiveness of co-creation approaches such as Cooperative Planning. Future research should be aimed at empirically validating the concept and its postulated effects.
O2-3 Feasibility of the Move for Life intervention to help inactive adults 50 years and over increase their physical activity
Authors: Bengoechea Enrique Garcia , Ciaran Doyle , O'Regan Andrew , Glynn Liam , Clifford Amanda , Donnelly Alan , Gallagher Stephen , O'Sulllivan Nollaig , Murphy Andrew , Woods Catherine
Published: August 2022

Background

Substantial evidence shows that meeting physical activity guidelines is important for disease prevention, promoting physical and mental health and quality of life. In Ireland, only 38% of older adults are sufficiently active to meet the guidelines. The primary aim of this research was to conduct a feasibility study of the Move for Life intervention to reach and help inactive adults 50+ increase their physical activity.

Methods

Move for Life is a feasibility cluster randomised control trial where the Local Sports Partnerships hubs are the units of randomisation and individuals within the hubs are the units of analysis. The intervention augments regular programme content with behavioural skills, social support and group cohesion strategies, and includes a peer-mentoring component. Over seven hundred (N = 733) participants registered to become part of the intervention. Most (98%, n = 724) completed baseline measures. Participants were asked to complete self-report process evaluation questionnaires immediately after and 12 weeks after their programme had finished. Interviews were conducted with participants, physical activity instructors and peer mentors. Questionnaire responses across groups were compared with tests of statistical significance. Qualitative data complemented and assisted with interpretation of quantitative findings.

Results

A total of 601 participants met eligibility criteria (average age 63.06 years, range 50-91, 80.4% female). The study retention rate was 63%. Reported compliance rate with intervention strategies was over 75%. The intervention group were more likely to enjoy the programme than usual provision. Intervention participants were more likely to report the programme as interesting and worth the time they invested in it, and to recommend it to a friend than usual provision. They were also more likely to report enjoying learning about different strategies to keep physically active (ORs ranging from 2.56 to 3.76). At 3-month follow up, the intervention group were more likely to be aware of their Local Sports Partnership opportunities and to have contacted their Local Sports Partnership more frequently in comparison to usual provision (all p >.05).

Conclusions

Move for Life is a realistic and promising augmentation to existing physical activity programmes for older adults with potential for adoption and scalability following completion of a full trial.
O2-5 Mobilising People as Assets for community-based active ageing promotion: A multi-stakeholder perspective on peer volunteering initiatives
Authors: Stathi Afroditi , Withall Janet , Agyapong-Badu Sandra , Barrett Eva , Kritz Marlene , Thogersen-Ntoumani Cecilie , Whitaker Isobel , Toon Harry , Fox Kenneth
Published: August 2022

Background

Citizens who contribute as volunteers and peer mentors within a community are important assets that can be mobilised to improve health and wellbeing. In order to optimise the contribution of peer-volunteers to active ageing initiatives, we need to understand their experiences and identify ways to support them in preparing for the role and overcoming potential challenges.

Aim: This study synthesises the perspectives of a range of stakeholders involved in peer volunteering active ageing initiatives implemented in UK and provides an in-depth account of how such initiatives can effectively mobilise individuals as community assets. It draws on the experience of all actors involved in such initiatives, ranging from volunteers, recipients of volunteering actions, volunteer managers and volunteering service providers.

Methods

This evidence synthesis used qualitative data from (a) three studies focusing on the development (phase 1), feasibility trial evaluation (phase 2) and community roll-out (phase 3) of ACE (Active, Connected, Engaged), a peer volunteering active ageing intervention, alongside (b) the experiences of third sector organisations in providing peer volunteering programmes. Ten managers, 22 volunteers and 20 ACE participants were interviewed. Interviews were audio-recorded, transcribed verbatim and analysed using framework analysis.

Results

Seven main themes including 33 higher and 22 lower order themes were identified: Motives; Benefits; Characteristics of peer volunteers; Challenges; Training needs; Recruitment; Successful strategies for maintenance. Altruism, changes in life circumstances, opportunities to reconnect with the community and personal fulfilment were the main reasons for volunteering. Volunteering was described as being personally rewarding, an avenue to acquire new skills and knowledge, and increased social connections and physical activity. Effective volunteers are committed, reliable, have a good sense of humour, good interpersonal skills and are able to relate to the participants. When pairing volunteers with participants, clarity of role, level of time commitment, shared interests and geographical proximity are worth considering.

Conclusions

Successful implementation of peer-volunteering initiatives requires the use of appropriate recruitment routes, easy joining procedures, provision of ongoing support, good communication across all stakeholders, feedback and recognition of effort and a dedicated team to build resilience and provide volunteers with administrative support.
O2-7 Leading the Way Together: A cluster randomised controlled trial of the 5R Shared Leadership Program in older adult walking groups
Authors: Fransen Katrien , Boen Filip , Cruwys Tegan , Haslam Catherine , Iserbyt Peter , Seghers Jan , Vanderlinden Julie , Uffelen Jannique van
Published: August 2022

Background

With a rapidly ageing society, healthy ageing has become a key challenge for older adults. Engagement in physical activity, and particularly walking, is a key strategy that contributes to healthy ageing. The present study aimed to evaluate the efficacy of a group walking program for older adults that incorporates the 5R Shared Leadership Program (5RS), compared to a regular group walking program. By implementing a structure of shared leadership and strengthening peer leaders' identity leadership, 5RS has in other contexts been associated with greater performance and well-being.

Methods

Our cluster randomised controlled trial included 19 older adult walking groups (i.e., the clusters; N = 503; Mage = 69.23 years, SD = 6.68), which all participated in a 12-week structured group walking program. Nine of these walking groups (n = 304) were randomly assigned to the intervention condition and received additionally the 5RS program.

Results

Results revealed that 5RS was successful in strengthening the identity leadership qualities of the appointed peer leaders. Moreover, multilevel regressions showed that 5RS succeeded in increasing group cohesion and walking activity to a greater extent than a regular group walking program, while participants' group identification and well-being increased to a similar extent in both conditions. Furthermore, structural equation modelling revealed that group identification mediated the impact of peer leaders' identity leadership on group cohesion and well-being (but not walking activity).

Conclusion

We can conclude that by harnessing the capacity of the group and its peer leaders, 5RS constitutes a promising intervention to engage older adults in physical activity.
O3-6 The Healthy School Start Plus Study - A parental support programme to promote healthy behaviours and prevent childhood obesity in disadvantaged areas
Authors: Malek Mahnoush Etminan , Norman Åsa , Elinder Liselotte Schäfer , Patterson Emma , Nyberg Gisela
Published: August 2022

Background

The rise in childhood overweight and obesity worldwide demands effective health promotion and obesity prevention programmes, especially targeting socially disadvantaged areas. The aim of this study is to examine the effectiveness of a revised parental support programme, promoting physical activity and a healthy diet, and on preventing overweight and obesity among children in disadvantaged areas.

Methods

The effectiveness of this programme will be compared to standard school routines in a parallel group cluster randomised controlled trial. The 6-month programme included: 1) A health information brochure; 2) School nurses conducting motivational interviewing with parents; 3) Classroom activities and home assignments for children; 4) A self-test for type-2 diabetes risk for parents. Seventeen schools were enrolled including 352 six-year-old children (155 intervention/197 control). Physical activity and sedentary time were measured by accelerometry. Dietary intake was assessed by a newly developed mobile phone-based photo method. Weight and height were measured by trained researchers. All outcomes were measured at baseline and at 6 and 18 months post baseline. Parental level of education was self-reported, and the highest level achieved by either parent was used as an indicator of socioeconomic position (SEP). A mixed-effect regression analysis will be performed to evaluate the effectiveness of the programme.

Results

After the intervention, when adjusting for sex and parental education, the intervention group showed 6.4 mins more moderate to vigorous physical activity (MVPA) during weekdays than the control group (p = 0.03). No significant effect on MVPA was detected during weekends (p = 0.47). Further, no significant effect was detected on time spent sedentary during weekdays (p = 0.12) nor during weekends (p = 0.78).

According to IOTF classifications, 9.6% of the children had obesity, 16.4% overweight, 4.4% underweight and 69.6% normal weight. Results on changes in BMI, and dietary intake at 6 months will be presented.

Conclusions

The results from the evaluation of this parental support programme will add to the knowledge and advance intervention and implementation research in the Swedish/Nordic context relating to prevention of overweight and obesity in childhood.
O4-1 A scoping study of the international implementation of the World Health Organisation's global physical activity action plan
Authors: Walklett Jack , Crone Diane , Kolovou Vasiliki , Bolton Nicola
Published: August 2022

Background

Published in 2018, the World Health Organisation's Global Action Plan for Physical Activity (GAPPA) sets out 20 actions across 4 objectives (Active Societies, Active Environments, Active People, Active Systems) to reduce global inactivity by 15% by 2030. GAPPA takes a whole-systems approach (WSA), calling for cross-sectoral collaboration to address physical inactivity levels. This study sought to explore implementation to date, highlighting progress made and areas that require further focus.

Methods

A desk-based scoping study, using a systematic, but flexible approach, identified sites and personnel implementing GAPPA or a WSA. Methods of collection included a review of existing literature, snowball sampling of key individuals and internet searches. These methods identified a range of academics and practitioners who were subsequently contacted and interviewed on their use of GAPPA to date.

Results

Preliminary findings suggest that GAPPA's implementation currently varies greatly internationally. Some nations, including Finland and Scotland have embraced a WSA, taking steps to actively map their PA system. Elsewhere, countries such as Ireland and Australia are exploring practical approaches to implementing a WSA. GAPPA was only published in June 2018 and thus, where action is taking place, these countries offer important implementation evidence and opportunities for transferable learning. Regarding GAPPA's objectives, our review concludes that in nations that have embraced GAPPA, the Active Societies and Active Environments objectives are being actioned or have plans in development for action, while progress towards behaviour and system change objectives (Active People and Active Systems) appear less evident.

Conclusions

There is some promising evidence drawn from GAPPA's early implementation, although we conclude that if WHO targets are to be reached, wider adoption is needed. It appears that the nations who have best applied GAPPA, are those who arguably have pre-existing cross-sectoral networks in PA and public health. Therefore, perhaps a crucial first step in nationally implementing GAPPA is the establishment of these networks, laying foundations for collaborative action. Furthermore, the generation and dissemination of research by some of the early adopters is crucial to both reinforce knowledge transfer and guide others towards a whole-systems approach.
O4-3 An evaluation of the Time to Move workplace physical activity intervention
Authors: Ford Kat , Sharp Catherine , Hughes Karen , Bellis Mark A
Published: August 2022

Background

Workplace physical activity interventions have shown positive outcomes for employee health, productivity and absenteeism (1,2). However, the majority prescribe the duration and/or type of activity to be undertaken. In response to strong public opinion that employers should do more to improve the health of their workforce, Public Health Wales, the public health agency for Wales, developed a 12-month pilot physical activity initiative - Time to Move (TTM). TTM allowed participants to use one hour/week (pro rata) of paid work time for any physical activity. We evaluated TTM to understand its impact and identify learning.

Methods

Using pre-experimental time series design, data were collected from participating employees: baseline (June-August 2018), mid-initiative (December 2018) and at 12-months (June-August 2019). Using validated scales where possible, questionnaires recorded: physical activity (MET-minutes/week), general health (0, poor-100, good), mental well-being (SWEMWBS), job satisfaction (1, very dissatisfied-5, very satisfied) and demographics. Biometric measures (baseline, 12-months) included Body Mass Index (BMI) and blood pressure. Analyses used descriptive statistics, bivariate analysis and generalized linear modelling. Focus groups explored participants' perceptions of TTM, analysed thematically.

Results

542 participants completed all measures (63.1% of baseline). Compared to baseline, at 12-months 57.7% reported increased physical activity (30.6% decreased; 11.6% no change) with 75.3% meeting UK activity guidelines (58.8% baseline). Those with the lowest levels of physical activity at baseline (n = 223) increased their weekly moderate activity by > 2.5 hours, whilst those with moderate activity (n = 269) increased by 58 minutes/week. A small improvement was reported in mental well-being (mean scores; 22.4 baseline, 23.2 12-months), with participants with low mental well-being at baseline improving the most. Self-reported health and job satisfaction also improved. However, BMI and blood pressure changes were non-meaningful. Employee attitudes to TTM were positive. Organisational support was a motivating factor for participation, with competing demands a barrier.

Conclusions

The provision of paid time to engage in physical activity can improve employee health and well-being. TTM provides an example of how organisations can promote physical activity and change workplace culture. However, further research should explore the long-term impact of the intervention, including the potential impact of COVID-19-related restrictions.
O5-1 Physical activity promotion in long term illness patients: Preliminary results on a French national program
Authors: Robin Nicolas Salesse A , Maury Jonathan , Zaffuto Chloé , Ruspini Gauthier , Fuchs Amélie , Bigot Lucile , Herbinet Aline
Published: August 2022

Issue/problem

Since 2016, French doctors are allowed to prescribe adapted physical activity (APA) to patients with long-term illness (ALD) through the ‘sport sur ordonnance' program. Despite the goal of promoting physical activity in ALD patients, health authority recent reports unanimously highlight organisational and funding difficulties. Whereas most of the funding effort is based on national or mutual insurance companies, our intervention proposes to fix the organisational difficulties. We provided an optimized care pathway coordinated by an APA professional and an innovative online platform to ease medical prescription, patients access and follow-up to APA.

Problem description

Three main problems have been identified: Diagnostic heterogeneity, APA accessibility and Program evaluation. To fix these issues, the proposed intervention firstly included an initial evaluation based on a standardized diagnostic. Secondly, we evaluated APA structures following functional specifications and referenced those succeeding the criteria to ensure an optimized patients' orientation toward an adapted care service. Finally, pre- and post-care bio-psycho-social tests were mandatory. Interviews and evaluation data were stored via questionnaires on our securized platform for further analyses.

Results

2200 patients benefited from our program, and 116 yet finished the whole 2-years program. Patients description: 64 yo, 66% women, 35% cancer, 14% diabetes, 11% heart failure and 9% mental illnesses. 96% declared being motivated to maintain their physical activity after the program and reported a 4.8/5 in rating their APA care. Significant pre-post enhancements suggest that our program succeed in promoting and facilitating regular APA practice in ALD patients.

Lessons

The ecosystem built around insurance companies (APA professionals, doctors and patients) provides an appropriate response to the health policy dedicating to promote a regular APA practice for ALD patients. However, the expected efficiency depends on a structured, organized and innovative system. Firstly, evaluating the medicoeconomic impact is necessary to ensure the sustainability of this national policy. Systematically measuring the pre- and post-care intervention should allow reaching this objective. Secondly, we learned that the necessary next steps will rely on time saving and quality increase. We propose automatized detailed and patient specific APA prescription following HAS guidelines and automatized orientation toward the most adapted APA professional.
O5-2 Tele-rehabilitation program ‘Funktionstraining-online' in people with Multiple Sclerosis - preliminary results of a first online survey
Authors: Gemmerich Anne-Marie , Stephanie Woschek , Schubert Patrick , Scholl Nadine , Klump Charlotte , Christian Haas
Published: August 2022

Background

In 2019, the German Multiple Sclerosis (MS) Society was certified as a provider for ?Funktionstraining? (FT). FT is an exercise training program developed for people with disabilities or people at risk of disability, takes place weekly and is led by a qualified FT-therapist. It is prescribed by a physician (between 12 and 24 months) and is part of outpatient medical rehabilitation. Due to the COVID-19 pandemic, the tele-rehabilitation concept ‘Funktionstraining-online’ (FT-online) was developed for pwMS. This study examines the FT-online from a participants' point of view within an online survey.

Methods

We developed an online questionnaire that included data of sample characteristics, participants' experiences with FT-online in terms of usability and training content. Further, the survey captured the quality of FT-online and the FT-therapist and compared carefully FT-online with face-to-face training. The standardised questionnaires Self-Efficacy Scale - Short Form (ASKU), the Multiple Sclerosis Questionnaire for Physiotherapists MSQPT and the Fatigue-Questionnaire (WeiMuS) were included. The 103 interviewed people with MS (pwMS) participated in FT-online at least for three months.

Results

Data analyses are in process. The response rate was 75% (n = 78). The analysed sample is 53.4±8.1 years old with a disease duration of 18±8.7 years (male=7, female=71). Preliminary results in the ASKU certify a low self-efficacy in the sample (2.25 ±0.67). Qualitative results show the advantages for FT-online in the independence of mobility and infrastructure, flexibility, compatibility within job and family, group feeling in times of social distancing and an increase in quality of life. The disadvantages described by the sample are mainly technical problems and lack of socialising. 35% (n = 27) participants experienced both: FT-online and face-to-face. 44.4% (n = 12) of this sample prefer FT-online, 33.3% (n = 9) prefer the face-to-face training course and 22.2% (n = 6) rate both kinds of training equal.

Conclusions

The implementation of FT-online was an important step to ensure the exercise-related physical activity in pwMS during the COVID-19 pandemic. The descriptive analyses show high potential for FT-online training in pwMS. We are aware of the bias in current data, because of the pandemic situation both the free choice of FT-offers and the pandemic circumstances held influence in study outcomes. First results lead to the conclusion that FT-online may be beneficial for a broad range of persons with neurologic diseases, movement disorders and fatigue episodes and should be considered for future medical rehabilitation.
O5-3 Behavioural risk patterns among overweight and obese adolescents participating in the PRALIMAP-INES trial
Authors: Julia Chantal , Omorou Abdou , Guillemin Francis , Briançon Serge
Published: August 2022

Background

It has been suggested that risk behaviours including diet, physical activity (PA), sedentary behaviour (SB), smoking and alcohol consumption cluster among adolescents. Our objective was to investigate clustering of risk behaviours in overweight and obese adolescents from the French PRALIMAP-InèS trial and to identify their socioeconomic correlates.

Methods

Information on diet (fruit, vegetables, sugary products and beverages), PA, SB (week and week-end days), smoking and alcohol consumption (current frequency and intoxication episodes) and socio-demographical data were collected using self-reported questionnaires at the trial inclusion. Behavioural risk factors were entered as categorical variables in a two-step clustering procedure: multiple correspondence analyses followed by a two-way clustering procedure based on hierarchical methods. Associations between cluster membership and socio-economic variables were investigated using multivariable multinomial logistic regression.

Results

A total of 1391 participants were included in analyses and four clusters were identified: (1) “Moderate to high PA, low soft drinkers, low alcohol consumers low SB, non-smokers” (n = 543; 39.0%), (2) “High SB and low fruits and vegetables consumers” (n = 376; 26.8%), (3) “Smokers and alcohol consumers” (n = 247; 17.7%) and (4) “High fruits and vegetable consumers, soft drinkers and low PA” (n = 229; 16.5%). Compared to the healthiest cluster (cluster 1), adolescents from cluster 2&3 (unhealthy clusters) were more likely boys, older, attending vocational high school and not living with their two parents. Adolescents from cluster 4 were more socially advantaged (according to the WHO family affluence scale) than those of cluster 1.

Conclusions

Risk behaviour patterns in adolescents were shown to be clustered in both healthier and less healthy ways, with a complex interplay with socio-economic factors. Adapted to cluster Public health interventions may bring some benefits.
O5-6 The relation between domain-specific physical behavior and cardiorespiratory fitness: a compositional data analysis on the physical activity health paradox using accelerometer-assessed data
Authors: Cillekens Bart , Ketels Margo , Hallman David , Gupta Nidhi , Clays Els , Maaike Huysmans , Andreas Holtermann , Coenen Pieter
Published: August 2022

Background

In contrast to leisure time physical activity (LTPA), occupational physical activity (OPA) does not have similar beneficial health effects. These differential health effects, also known as the physical activity health paradox, might be explained by dissimilar effects of LTPA and OPA on cardiorespiratory fitness (CRF). This study aims to investigate the association between device-worn measures of physical behaviors during both work and leisure time and CRF among workers with high level of OPA.

Methods

Our results are based on a sample of 309 workers employed within the service and production sector from the cross-sectional FEPA (Flemish Employees' Physical Activity) study. OPA and LTPA were measured using two Axivity AX3 accelerometers, worn on the back and right thigh for 2 to 4 consecutive working days. CRF levels were obtained by the Harvard step test. Compositional multiple linear regression analyses were used to analyze the relations, adjusted for age, sex, education, smoking, BMI, moderate-to vigorous physical activity (MVPA), and physical work demands.

Results

During work time, more sedentary behavior (SB) was associated with higher CRF when compared relatively to time spent on other work behaviors, while more SB during leisure time was associated with lower CRF when compared to other leisure time behaviors. Reallocating more time to MVPA from the other behaviors within leisure time was positively associated with CRF, which was not the case for MVPA during work.

Conclusion

Our results emphasize the need for taking the domain-specific nature of physical activity into account to understand its relation to CRF. Guidelines usually do not differentiate between OPA and LTPA in their recommendation to participate in at least 150 min of physical activity per week, regardless of the OPA level. Workers already meeting this recommendations through OPA might therefore mistakenly think that they already meet the recommendations on physical activity and think they can spend their leisure time in a sedentary fashion. In reality, these types of workers might benefit from recommendations to take more sitting breaks during their work and to participate in leisure time MVPA to maintain or improve their CRF in order ‘to be fit for the job'.