bluuebunny/crossref_metadata_2025 huggingface dataset:
A proposed checklist for climate-friendly sport and exercise programmes
Authors: Abu-Omar Karim , Messing Sven , Tcymbal Antonina , Fleuren Tobias , Richardson Diana , Whiting Stephen , Gelius Peter , Wickramasinghe Kremlin
Published: August 2022

Background

Fighting the climate crisis is the greatest challenge of our time and will touch all aspects of people’s lives. In this context, the United Nations (UN) have called on the sport sector to reduce its negative impacts on the environment and show ‘climate leadership’. While some efforts have already been made with regards to mega sport events, there is still a dearth of approaches on limiting the climate impact of recreational sport and exercise programmes.

Methods

Based on the UN-Framework ‘Sports for Climate Action’, literature reviews and additional desk research, a checklist to support local level stakeholders in providing climate-friendly sport and exercise programmes was developed.

Results

The proposed checklist consists of five dimensions that need to be considered when designing and offering a climate-friendly sport and exercise programme: (i) active transport to exercise programmes, (ii) the carbon footprint of different types of exercises, (iii) low carbon sport clothing and equipment, (iv) instructors as champions for climate action and (v) advertising and communication. These five dimensions result in a 16-item checklist that supports the planning, advertising, implementation and evaluation of climate-friendly sport and exercise programmes.

Conclusions

The proposed checklist intends to facilitate the development of climate-friendly sport and exercise programmes. However, additional work is needed to test the implementation of the checklist at the local level. While the sport sector can make its own contributions to reduce its climate impact, intersectoral action is needed to improve infrastructure for active transport and to build sustainable sport facilities.
S02 Physical activity surveillance across the life-course: from data to policy
Authors: Whiting Stephen , Williams Julianne , Mendes Romeu , Milanovic Sanja Music , Kovacs Viktoria A , Wickramasinghe Kremlin
Published: August 2022

As a major risk factor for non-communicable diseases (NCDs), physical inactivity is a prominent challenge for public health. The purpose of this symposium is to present an overview of physical inactivity prevalence in Europe using data collected through international surveillance initiatives, while highlighting successes and discussing future challenges for utilising data to promote physical activity across the life course.

The World Health Organization (WHO) is involved in several physical activity surveillance systems on which discussions during this symposium will be based:

1. The WHO European Childhood Obesity Surveillance Initiative (COSI) is the largest survey of its kind in the world. An overview of results from the most recent round of COSI will be presented focusing on prevalence estimates for physical activity, screen time and sleep. Variations between countries of the socioeconomic determinants of physical inactivity, as well as the impact of the COVID-19 pandemic, will demonstrate the ongoing need for quality data to guide targeted policy actions in support of vulnerable groups throughout the life course. 2. The WHO’s STEPwise approach to surveillance (STEPS) survey provides important national level prevalence data on the behavioural and metabolic risk factors for NCDs. For many countries, the STEPS survey has provided the first estimates of physical inactivity and sedentary behaviour in the population and has been essential in raising awareness of the need for national policy actions to increase population levels of physical activity. 3. The European Commission, with the support of the WHO Regional Office for Europe, has established the European Union Physical Activity Focal Points Network to monitor implementation of the 23 indicators of the Health-Enhancing Physical Activity (HEPA) monitoring framework on physical activity policy development and implementation. 4. Within the European Union Physical Activity Focal Points Network, and during the COVID-19 pandemic, some countries established a survey on physical activity and screen time in children and adolescents.
S03-3 Staying active together in sports - the importance of and how to promote the emotional domain of Physical literacy
Authors: Nielsen Glen , Bentsen Peter , Elsborg Peter
Published: August 2022

Background

Club-based sports participation through adolescent years is associated with improved health and wellbeing and is therefore considered and important part of health promotion in Scandinavian welfare states. Participation rates are very high among children whereas dropout rates increase during the adolescent years. Many studies have shown how intentions to continue in sport is dependent on autonomous motivation, which is dependent on basic psychological needs satisfaction and hence needs support in the social environment of the team. It has also been shown that the coach has central influence on social environment of the team. The SATS study is a prospective study on the influence of coach-created social climate on young club-sport participants’ psychological needs satisfaction, motivation and continuation the following season.

Methods

Participants were 6400 adolescent members of leisure time club-organized Basketball, Handball, Football and Gymnastics in Denmark. In the baseline-season coach-created climate was measured with the EDMCQ-C, Basic Psychological needs satisfaction and frustration was measured with PNSS-S and behavioral regulation (motivation) was measured with BRSQ. The participants’ continuation or dropout the next season was measured with a short SMS based questionnaire the next season.

Results

Task oriented, social supportive and autonomy supportive coach behaviors were associated with higher basic needs satisfaction, autonomous motivation and continuation the next season across sports, ages, levels and genders. Ego-oriented and controlling coaching behaviors were associated with needs frustration, controlled motivation and dropout.

Conclusions

Empowering Coaching behavior is important for young sports participants’ wellbeing and continuation in sport.
S04 Sports Club for Health (SCforH) approach: evidence on importance and examples of implementation activities
Authors: Pedišić Željko , Titze Sylvia
Published: August 2022

There are more than 60 million sports club members in the EU, which makes sports clubs an organizational settings with a huge potential for health promotion. The Sports Club for Health (SCforH) initiative started in 2008, to assist sports clubs in promoting health-enhancing physical activity. In support of this endeavour, SCforH guidelines were issued in 2011 and updated in 2017. The SCforH initiative has been supported by three large European Union grants and included partner organisations from 18 countries. In 2013, the Council of the European Union proposed the national implementation of SCforH guidelines as one of the 23 indicators for evaluation of HEPA levels and policies in the European Union member states. Recently, the European Commission recognised the SCforH initiative as a ‘success story' and an example of good practice. The aim of this symposium is to summarize recent evidence relevant to the promotion of health-enhancing physical activity through sports clubs in the EU and to discuss about future directions and challenges for EU public health efforts in this area. The symposium will include five 10-minute presentations on: [i] the findings of an updated systematic review on health benefits of different sport disciplines; [ii] Hungarian implementation of a SCforH intervention; [iii] the effectiveness of a coordinated action between the healthcare sector and local sports clubs to promote physical activity; [iv]; tracking participants in Jackpot.fit program?an Austrian sport promotion initiative; and [v] the development of a SCforH online learning tool. The symposium program will also include: Introduction by Chair (5 minutes), 25 minutes of Q&A, and conclusion by Discussant (10 minutes).

Discussant: Prof Nanette Mutrie, Moray House School of Education and Sport, ISPEHS research cluster, University of Edinburgh, United Kingdom - nanette.mutrie@ed.ac.uk
S04-5 Development of the Sports Club for Health (SCforH) online learning tool
Authors: Jurakic Danijel , Matolic Tena , Pedisic Zeljko
Published: August 2022

Background

In 2019, the European Commission provided funding of nearly 400 thousand Euro for the third round of the Sports Club for Health (SCforH) project. The objective of this project is to increase participation in sport and HEPA in the European Union by encouraging sports clubs and associations to implement SCforH principles in their activities. To achieve the objective of the project, in this study we aimed to develop a SCforH online learning tool.

Methods

Through a comprehensive literature search and consultations with the stakeholders in the area of sport, we created a list of examples of good practice in implementing SCforH initiatives and other related HEPA promotion practices in the sports context. The list was used to inform the development of the SCforH online learning tool. The SCforH online learning tool was developed through a consultation process including 15 experts in the area of sport and health.

Results

The SCforH online learning tool includes: a participation consent form; a module for setting learning objectives, textual, pictorial, and video learning materials; interactive learning exercises; in-course quizzes and self-assessment modules; a link to the database of SCforH initiatives and other related practices in the European Union; links to other available online materials for those who want to know more; a module for the assessment of acquired knowledge; a participant feedback module; an optional survey including questions relevant for the evaluation of SCforH activities.

Conclusions

The SCforH online learning tool will enable the realisation of other aims of the current SCforH project, in particular, raising the awareness of the SCforH guidelines among: European sports clubs; sport associations; HEPA promoters; policymakers; and students of physical education, sport science, and public health.
S05 Active ageing from theory to practice: success stories from Belgium, Finland, Germany and the Netherlands
Authors: Borodulin Katja , Boen Filip , Preller Liesbeth , Starck Heli , Mueller-Steck Ute , van Uffelen Jannique
Published: August 2022

Introduction

Research increases our understanding on the efficacy of exercise and physical activity on older adults' health and well-being. However, the scientific output is relevant in experimental or clinical settings only and cannot be easily implemented in real-life setting. Consequently, the public health impact of the research output fails to be scaled-up for audiences and target groups at large. We therefore need more evidence on theory-to-practice approaches, in which physical activity interventions pay more attention to practical implementation.

Aim

The aim of this symposium is to describe successful examples on active ageing from research-to-practice. Examples are from 4 countries where different approaches are being used to improve adoption, implementation and maintenance physical activity among older people. Relevant scientific frameworks like RE-AIM and implementation science are utilized.
S05-2 Tenth anniversary of ‘moment! - motor learning and mental training for people with a beginning dementia'
Authors: Mueller-Steck Ute , Zacharides K Karen
Published: August 2022

Currently 1.7 million people in Germany are living with dementia and two out of three such persons are nursed at home. Considering this challenging situation, we started in 2010 the project “moment! - motor learning and mental training for people with an incipient dementia”. Our aim was to develop a special qualification for people who are interested in conducting physical exercise groups for persons suffering from dementia. It has been scientifically proven that physical exercises show a positive impact on people with dementia: Training in groups is motivating and influences the emotional state in a positive way. Furthermore, social contacts are supported and maintained and prevent from social isolation. Therefore, a higher life fulfillment can be increased temporarily, and self-confidence is growing as well. Socio political goals are the integration of affected persons into existing social structures like sports associations, the raise of public awareness for dementia, and to strengthen the possibilities of integrating people suffering from dementia into regular social life. All scientific analysis proves that motion has a positive impact on the process of dementia and is a successful prophylactic and therapeutic support of the common medical treatment.

The project includes a qualification for multipliers such as care assistants, trainers in local sport associations, nursing staff and volunteers in care organisations in order to support people suffering from dementia. This training consists of five days (and a total of 40 learning units) and is offered as an attendance seminar. During the course the participants will be trained in basic knowledge and clinical pictures of dementia, above all they receive many ideas for practical motor and mental exercises. Additionally, all participants receive a workbook and a music CD for the rhythm and dance lessons. Within the last 10 years we have qualified about 440 people in 27 trainings. Many “moment!” training-groups have been built - most of them in nursing homes and a few in cooperation with a local sports club.
S06-1 Putting young people at the heart of physical activity research design: The Walking In ScHools (WISH) Study
Authors: Murphy Marie H , Gallagher Alison M , Carlin Angela , Maria O’Kane S , Doherty Leanne C , Lahart Ian M , Jago Russell , Faulkner Maria
Published: August 2022

Background

Young people have the right to be informed and consulted about decisions affecting their lives. Youth Patient and Public Involvement (PPI) should be encouraged to ensure research is carried out ‘with' or ‘by' young people rather than ‘to', ‘about' or ‘for' them. PPI can ensure research is relevant, results are accessible and recruitment rates are improved. Young people have had limited involvement in the design, implementation and dissemination of public health research and there have been calls for a greater focus on youth PPI in research.

Methods

Following the WISH feasibility study that consulted young people pre and post-intervention, a Youth Advisory Group (YAG) was set up within the main trial. The WISH study is a clustered randomised controlled trial in which a peer-led, school-based, brisk walking intervention is compared to usual physical activity in adolescent females. The YAG was introduced to inform intervention delivery and provide researchers with an understanding of what would encourage/discourage participation. Schools were asked to invite pupils aged 12-14 years (participants) and 15-18 years (walk leaders). Participative methods were used to develop and review study documentation. The YAG completed a short questionnaire and recruitment rates were monitored.

Results

Fourteen pupils from 3 schools attended the 2019 YAG meeting. The YAG agreed the meeting was a good way of getting young people involved in research (93%) and attendees enjoyed the meeting (100%). As a result, changes were made to study documentation, incentives were purchased and recruitment materials developed. Participant recruitment was higher in schools who participated in the YAG (54%) compared to those who did not (47%). In 2021 the second YAG occurred and 1 teacher, 12 participants and 10 walk leaders from 2 schools provided feedback on the trials COVID-19 contingency plan. The girls felt their feedback was valued (100%) and it was important young people had the chance to contribute to research studies (100%).

Conclusions

The views of young people have been central to the development of the WISH Study and although youth PPI is not without challenges, there are many benefits for researchers, the study and the young people involved.
S07-3 The health promoting sports club model: intervention theory design
Authors: Johnson Stacey
Published: August 2022

Background

Sports clubs have been acknowledged as health promoting settings by researchers and policymakers. Limited research has linked the health promoting sports club (HPSC) concept with evidence-driven strategies to provide sports clubs a framework to develop health promotion interventions. As implementation science insists on the creation of theoretically grounded interventions, the objective of this work was to provide sports clubs an evidence-driven intervention framework to implement health promotion in sports clubs.

Methods

An iterative qualitative process in three steps was undertaken to accomplish the objective: (1) adaptation from the HPSC concept to create the HPSC model, (2) reformulation of published evidence-driven guidelines into implementable intervention components (ICs) and (3) merging of the model with the ICs to provide an evidence-based intervention framework for sports clubs. The research team first defined the various elements of the model and formulated ICs, then three groups (French sport students, French experts and Swedish experts) classified the ICs into the HPSC model. In order to retain classification, at least a 2 group agreement was required.

Results

To aid with theory selection, the research team drafted 5 indicators to consider sports clubs as a health promoting setting. Guided by these indicators, the theoretical ‘HPSC concept' was chosen as the basis to define and create the ‘HPSC model', which defines three sports club levels (club, directors, coaches) and four health determinants (organizational, social, environmental, economic) per level. Published guidelines from two literature reviews were used to develop 14 strategies with 55 intervention components. IC categorization by the three focus groups included: 79 classifications at the club level, 67 classifications at the director level and the coaching level retained 48 classifications.

Conclusions

The theoretical HPSC model and designed framework are a starting point to plan, select and deliver interventions to increase HP efforts by stakeholders in several ways: (1) clubs can apply strategies based on goals, (2) clubs can target specific levels with corresponding ICs or (3) ICs can be employed to affect particular determinants of health.
S08 Do results from physical activity questionnaires (IPAQ, GPAQ, EHIS and Eurobarometer) and accelerometer tell same story - results from 18 countries in the EUPASMOS project
Authors: Vasankari Tommi , Rocha Paulo , de Hollander Ellen
Published: August 2022

Physical activity (PA) is associated with reduced risk of many noncommunicable diseases while a high volume of sedentary behavior (SB) is also considered to increase the risk of these diseases. Accurate measurement of both PA and SB is crucial for estimating these risk factors, and accelerometers together with standardized questionnaires are suggested a feasible way to measure these behaviors. However, collecting raw acceleration data of PA, SB and sleep in a standardized and similar way on a large scale has not been done before. In the European Union Physical Activity and Sport Monitoring System project (EUPASMOS), this has been done for the first time in 18 EU Member States.
S08-4 In terms of individual fitness, people with low cardiorespiratory fitness are physically the most active
Authors: Husu Pauliina
Published: August 2022

Background

Depending on cardiorespiratory fitness (CRF), people may perceive differently the exertion of incident physical activity (PA). It has been proposed to use thresholds relative to individual fitness in PA monitoring when it is feasible.

Methods

1952 adults (803 men, 1149 women), aged 20-69 years participated in the FinFit2017 (EUPASMOS) -study. Their VO2max was predicted with 6 min walking test and they had accelerometer wear time at least four days with minimum of 24 h/day during seven consecutive days of measurement period. The participants were divided into CRF thirds by age groups and sex. Acceleration data was analyzed in 6s epochs and intensity in MET (metabolic equivalent) values was calculated for each epoch. MET values were smoothed with 1min exponential moving average. The epoch activity was classified into moderate-to-vigorous PA (MVPA) using both absolute (3.0MET) and individual (40% of the oxygen uptake reserve) thresholds. The accumulated MVPA time was calculated for bouts at least 0.1, 1.5, 3.0, 5.0, 10.0, 15.0, 20.0, 30.0 and 60.0 minutes. Population-weighted average of accumulated PA times in CRF-thirds and partial Spearman correlations controlled by age and sex between bout lengths and VO2max were calculated for both absolute and relative thresholds.

Results

Participants in the lowest CRF-third accumulated the most (p > 0.05) MVPA time with relative threshold (22min (low); 15min (middle); 12min (high)) and the highest third (40min (low); 50min (middle); 56min (high)) with absolute threshold. The correlations were negative with individual thresholds, if short bouts were counted into accumulated time, and significant positive correlation (r = 0.048) was achieved only with at least 60.0min bouts. The correlations were significantly positive for all bout lengths with absolute thresholds and the highest correlation was achieved with at least 0.1min bouts (r = 0.295).

Conclusions

The lowest fitness third was the most active when the PA intensity was analyzed using relative thresholds. Their PA was mostly accumulated from short, few minute bouts. Thus, they had to utilize more of their aerobic capacity on daily basis just to keep up with their daily routines and the peers.
S10-3 The Global Observatory for Physical Activity-GoPA! Policy Inventory: Progress and methods
Authors: Varela Andrea Ramirez
Published: August 2022

Background

In 2015, GoPA! was launched to monitor progress on Physical Activity (PA) surveillance, policy and research globally. In 2017, the GoPA! started developing a PA Policy Inventory to enable collecting comparable data on PA policy worldwide.

Methods

The instrument was developed in three stages. Stage-1: Critical assessment of the Policy Inventory version 1.0 was based on a review of other policy instruments/frameworks including: Health enhancing physical activity policy audit tool; the monitoring framework from the EU Recommendation on Health-Enhancing Physical Activity Across Sectors; and the Comprehensive Analysis of Policy on Physical Activity framework. Feedback from 14 GoPA! Country Contacts was received in 2017. Additional critical assessment was conducted from February to May 2019, and four PA policy experts drafted the Policy Inventory version 2.0. Stage-2: Open discussions about the Policy Inventory draft took place between May and August 2019 with seven policy experts. Based on the discussions, the draft questionnaire was revised three times to produce the GoPA! Policy Inventory version 2.0. Stage-3: Ten GoPA! Country Contacts provided their feedback on the Inventory version 2.0. The expert team from Stage 2 reviewed the suggestions and incorporated most of them into the GoPA! Policy Inventory version 3.0.

Results

The GoPA! Policy Inventory version 3.0 contains: (i) a consent form; (ii) three questions about the respondent; and (iii) 20 questions about physical activity and sedentary behaviour policy. It is available in two formats: (i) an online survey in Qualtrics software; and (ii) an interactive Word document. The instrument collects the information related to: (i) national PA plans/policies; (iii) PA policy implementation; (iv) national recommendations on PA; (v) health surveillance or monitoring system that includes measures of PA; (vi) ministries or departments in national governments with an active role in PA promotion; (vii) quantifiable national targets related to PA; and (viii) comprehensiveness and effectiveness of the overall national PA policy.

Conclusions

The instrument will be used to collect policy data for the 2020 GoPA! Country Cards to be launched at ISPAH2020 and, may further be used by PA researchers and policy analysts to monitor, audit, assess, and analyse national PA policies.
S11-1 The cooperative planning approach in health promotion: Theoretical foundation, theoretical classification and key elements
Authors: Gelius Peter
Published: August 2022

Background

Implementing effective physical activity (PA) interventions into routine practice is challenging once research funds run out, and only a minority of programs are successfully moved from research to practice settings and become embedded in a system. Participatory approaches are seen as a means to overcome this trap and sustainably implement and scale-up programs. This presentation provides methodological and methodological overview of the cooperative planning approach (CP), a participatory method increasingly used in PA promotion in the last years.

Methods

We reviewed the literature to trace the origins of the CP approach, outline its basic theoretical foundations, and summarize its central components and procedures. In addition, we compiled a structured overview of previous CP projects to highlight potential application contexts of the approach. Building on the results of a scoping review, we position the CP method within the body of existing participatory approaches based on Arnstein's ladder of participation.

Results

From a theoretical point of view, CP can be traced to the literature on knowledge co-creation and participatory research. It bears conceptual similarities with various organization-based planning methods. There are several distinctive characteristics that set it apart, including (a) the heterogeneity and expertise of participants, (b) a specific process sequence, (c) key success indicators, and (d) structured outputs. Variations of the approach have been successfully employed in sports development and physical activity promotion for target groups across the life-course. Positioning CP within the universe of existing approaches shows that it offers comparatively high levels of participation, is focused on later stages of the implementation process, and is well-suited to be combined with other methods of participation (e.g. citizen science).

Conclusions

The CP approach constitutes an alternative to existing knowledge co-creation and participatory approaches that may help overcome the problem of the pilot project trap. It can be easily adapted to different contexts but is especially suitable for settings where the development of specific measures for PA promotion is required. However, a successful implementation of the CP process depends on a number of prerequisites, e.g. sufficient resources and the engagement of key persons identified as ‘champions'.
S11-2 Cooperative planning with coaching elements in childcare centres: a qualitative investigation of childcare directors' perspectives
Authors: Müller Christina
Published: August 2022

Background

Interventions to promote health-enhancing physical activity in early childhood education and care settings are most successful when tailored to the specific needs of each childcare centre and providing ongoing support to address context-specific barriers. Our research project therefore initiated organizational development processes in 12 childcare centres in Southern Germany supported by coaching and self-assessment tools. The staff of each centre was instructed to set three centre-specific SMART goals targeting physical activity and to use Goal Attainment Scaling in order to track the success at implementation. This qualitative study aims at exploring childcare centre directors' views on the guided planning process and identifying facilitators and barriers for its implementation.

Methods

We conducted guided semi-structured interviews with the directors of the centres after the 12- month organizational development process. 9 out of 12 directors were interviewed. The interviews were recorded, transcribed and analysed using qualitative content analysis with inductive category development.

Results

Childcare directors mainly considered themselves to be the person with the greatest responsibility for the success of the process. The coaching was regarded as helpful for structuring the process, involving the whole team and becoming clearer about goals. Several factors were identified as facilitators: a beneficial personnel situation, the intrinsic motivation of staff, good team cooperation, a high priority of physical activity, previous experience with similar projects, pressure for change, individual drivers, a good infrastructure, parents' support and support from the administrating organization. Reported barriers included team conflicts, lack of willingness to accept change and shortness of time.

Conclusions

Several contextual and interpersonal factors seem to influence the extent to which a cooperative planning process can be implemented by the staff of a childcare centre. The results help understand the process of change as a complex interventional system in which the intervention cannot be considered separately from the context.
O1-7 MoveHealthy: improving health and sustaining participation of youth in sports through sports injury prevention
Authors: de Jong Johan
Published: August 2022

Background

Sport injuries are a major reason for reduced participation and drop-out from sports and physical education. Refraining from sport participation has negative effects on mental and physical well-being, which tracks into adulthood. It is therefore important for youth to be facilitated into lifelong active participation in physical activity and sport. Despite the importance of sports injury prevention in youth, no broad scale approaches that work in real-life situations with significant positive effects exist. Sports coaches (SC) and physical educators (PE) experience current approaches exercises as not context specific, time consuming and not contributing to their training goals. This leads to poor uptake, implementation and maintenance of current sports injury prevention exercises. To overcome current barriers, the Move Healthy project develops ICT based video material of routines for and with PE and SC, which supports them to prevent sports injuries in youth. The purpose of this crucial mapping phase is to identify the wishes and needs of the end-users PE and SC regarding injury prevention.

Methods

A mapping procedure was conducted to identify the wishes and needs of PE and SC regarding integration of injury prevention in their daily work. For that, focus groups, with PE from primary and secondary education and basketball and soccer coaches from 6 EU countries, were held.

Results

A total of 31 PE (primary and secondary school) and 37 sport coaches (basketball and soccer) from 6 EU countries were included. The qualitative results from SC state that injury preventive routines should focus on: sport performance, good quality of movement, dynamic combinations of existing exercises and it should be fun and challenging. PE tend to focus more on: motivation aspects, how to overcome barriers and implementation aspects. For both groups, a clear and specific explanation about the why, what and how regarding injury prevention based on principles of motor learning should be included in the approach.

Conclusions

The results from the mapping phase will lead to guidelines, statements regarding educational concepts, content and design criteria for video material on the ICT based support platform for SC and PE.

Acknowledgements

This project is financially co-funded by the Erasmus+ Sport program from the European Union.
O2-1 Improving diet and physical activity in older adults living at home: protocol for the ALAPAGE cluster randomized controlled trial
Authors: Vinet Agnès , Bocquier Aurélie , Dubois Christophe , Verger Pierre , Darmon Nicole
Published: August 2022

Background

Adequate nutrition and regular physical activity (PA) are key elements in healthy aging. In France, behavioural interventions promoting healthy eating and PA in older adults consist mainly in collective workshops organised by pension and health insurance funds. After analyzing pre-existing workshops, we designed the co-constructed project ALAPAGE to improve these workshops and assess their impact on diet and PA.

Methods

ALAPAGE is a cluster randomized controlled trial; 60 collective workshops in southeastern France will be randomized in a 2:1 (intervention/control) ratio. We will recruit 900 autonomous older adults (? 60 years) living at home and will make specific efforts to recruit socially isolated and/or economically vulnerable people. In the intervention group, collective workshop period will include 7 sessions (1 session/week): 1 introductory, 4 diet and 2 PA (to teach principles of functional dual-task exercise focused on strength, flexibility and physical functioning). During the following 3-months, participants will be recommended to perform exercises as often as possible and will participate in post-workshop activities. The control group will first participate to other types of workshops and then to a diet and PA workshop (waiting-list design).

Results

The dietary practices (using experimental economics), physical activity (battery of field test and habitual PA), quality of life, and cost-effectiveness will be assessed at the first and last session, and 3 months later.

Conclusion

Results will guide decision-makers to organize actions and their dissemination. Transferability to other regions will be facilitated by the fact that key stakeholders involved in ALAPAGE belong to structured national networks.
O2-2 Should I stay or should I go? A mixed-methods, longitudinal investigation of predictors, barriers and enablers of adherence to REACT, a 12-month group-based, active-ageing programme
Authors: Withall Janet , de Koning Jolanthe , Cross Rosina , Sutton Kate , Greaves Colin , Bollen Jess , Moorlock Sarah , Lee Linda , Clynes James , Stathi Afroditi
Published: August 2022

Background

Physical activity (PA) programmes targeting older adults often report relatively low attendance rates which limits impact. Research into barriers and enablers of PA adherence is often qualitative and rarely tests outcomes against objectively monitored adherence to assess whether what people say is actually reflected in what they do. This study adopts a rare, mixed methods, longitudinal perspective identifying subjective and objective predictors of and associations with adherence to REtirement in ACTion (REACT), a 12-month physical activity intervention for frail or pre-frail older adults.

Methods

Semi-structured interviews conducted at six (n = 17) and 12 months (n = 10) explored barriers and enablers to adherence. Thematic analysis led to ten adherence related research hypotheses. These were tested by examining correlations between REACT programme attendance and physical function (Short Physical Performance Battery), self-rated physical function (mobility assessment tool-short form (MAT-sf)), dominant hand grip strength assessed by digital dynamometer, Ageing Well profile (social scale), process evaluation data at baseline (n = 411) and six-months (n = 348) and open-ended participant feedback at six-months (n = 307). Each participant response was scored -1) for a negative comment, 1 for positive or zero for no comment or balancing negative and positive comments.

Results

Higher adherence correlated with younger age (r=-0.162, p > 0.001), better physical function, both objectively measured (r = 0.118, p > 0.05) and self-rated (r = 0.134, p > 0.01), greater grip strength (r = 0.118, p > 0.05) and having less social contact (r=-0.134, p > 0.01), at baseline. It also correlated with an improvement in objectively measured physical function between baseline and six months (r = 0.200, p > 0.001). At 6-months enjoyment of the programme (r = 0.263, p > 0.001), specifically enjoyment of muscle-strengthening exercises (r = 0.142, p > 0.027), perception of positive social interactions (from questionnaire data (r = 0.212, p > 0.001) and open-ended feedback (r = 0.157, p > 0.01)) and perceptions of an autonomy-supportive teaching style (r = 0.213, p > 0.001) all correlated with higher adherence.

Conclusions

PA programmes for older adults should encourage the development of social connections and group cohesion but should take a flexible approach to avoid negatively affecting adherence amongst those with pre-existing high levels of social contact. Building confidence in PA and physical function as these improve during the programme, promoting enjoyment and utilising an autonomy-supportive leader teaching style are important in order to support adherence.
O3-1 Key factors for sustainable implementation of community-based physical activity promotion with a focus on individuals with social disadvantages: a systematic review with narrative synthesis
Authors: Helsper Natalie , Semrau Jana , Kohler Simone , Dippon Lea , Karim Abu-Omar , Rütten Alfred , Klaus Pfeifer
Published: August 2022

Background

According to the German prevention law (§ 20a SGB V) of 2016, statutory health insurances are legally bound to integrate sustainable setting-based health promotion in their activities. This includes the development of sustainable concepts for community-based physical activity promotion (cbPAP) with a focus on socially disadvantaged individuals (SDI) (e.g. individuals with low income, low social status) to improve health equity. The aim of the systematic review with a narrative synthesis is to identify context-specific factors for the sustainable implementation of cbPAP and further, to inform the project KOMBINE (German acronym for ‘Community-Based PA Promotion to Implement National Recommendations’) for a scientific and practice-based implementation of the National Recommendations for Physical Activity and Physical Activity Promotion in communities.

Methods

A systematic review with narrative synthesis was conducted. The search was carried out in the databases PubMed, Scopus, CINAHL, PsycINFO/SportDiscus, and WebofScience. Searches were limited to only include studies published up until 04/2020, in English and German. Altogether, qualitative, quantitative, “mixed-method” studies, reports and reviews were considered. Articles referring to factors of sustainable implementation of community-based physical activity promotion with a whole-system approach were included. Although this was not an inclusion criterion, articles addressing accessibility for SDI were specifically taken into account. The framework by Schell et al. (2013) was used for data extraction and analysis, while the four main elements from Popay et al. (2006) were applied in the narrative synthesis process.

Results

29 studies (13 qualitative, 1 quantitative, 9 “mixed-method” studies, 3 reviews, 3 reports) were included in the review. 137 references to sustainability factors were identified. According to the framework by Schell et al. (2013), factors were most frequently reported in domains of organizational levels (21), partnerships (18) and financial stability (16). Additional factors in the domains of accessibilities for SDI (11), infrastructure (7), participation (9), and cultural context (10) were identified by the authors. The relationship between the factors and the context of the programs are considered as well.

Conclusions

The identified factors for sustainability should be systematically addressed at an early stage in the conception of cbPAP measures for SDI to ensure sustainability after implementation.
O3-4 Progress on addressing the cornerstones of physical activity policy for children and youth in England
Authors: Milton Karen , Chalkley Anna
Published: August 2022

Background

There has been an increasing focus on the importance of national policy to address population levels of physical inactivity. It has been suggested that the four ?cornerstones' of policy comprise: 1) national guidelines on physical activity levels; 2) setting population goals and targets; 3) surveillance or health monitoring systems; and 4) public education. The aim of the current paper was to analyse the policy actions which have addressed each of these elements for children and youth in England and to identify areas of progress and remaining challenges.

Methods

A literature search was undertaken to identify past and present documents relevant to physical activity policy for children and youth in England. Each document was analysed to identify content relevant to the four ?cornerstones' of policy.

Results

Physical activity guidelines for children and youth have been in place since 1998 and reviewed periodically to ensure they reflect the latest scientific evidence. The setting of physical activity targets has focused on the provision of opportunities for physical activity, particularly through physical education (PE) in schools, rather than in relation to the proportion of children meeting recommended physical activity levels. There has been much surveillance of children's physical activity but this has been undertaken infrequently over time, by a wide range of organisations, and with varying inclusion of different domains of activity such as school PE, leisure time activity and active travel. There has only been one campaign in England targeted at children and their intermediaries (Change4Life), which was an obesity campaign focussing on dietary behaviour in combination with physical activity. Most recently an infographic supporting the physical activity guidelines for children and young people was developed, but details of its dissemination and usage are unknown.

Conclusions

There have been many developments in physical activity policy in England targeted at children and youth. The area of greatest progress is national physical activity guidelines. Establishing prevalence targets, streamlining surveillance systems, and investing in public education would strengthen national policy efforts to reduce physical inactivity.
O3-5 Family Health Climate, parental outcome expectations and physical activity of children in primary-school age
Authors: Ziegeldorf Alexandra , Niermann Christina , Speer Andreas , Wulff Hagen , Streicher Heike , Wagner Petra
Published: August 2022

Introduction

Children's health related behaviors, such as physical activity develop are maintained in the family environment. A large amount of studies examined different family influences on children's health behaviors. It has been shown that the Family Health Climate (FHC) (Niermann et al., 2015), and parents' general beliefs and expectations regarding children's PA are related to children's behaviour (Fredricks & Eccles, 2004). However, there is a lack of studies that examined changes in these variables over time and their relation to changes in children's physical activity. The aim of this study was to investigate a) if FHC and outcome expectations change from first to fourth grade in primary school and b) how they are related to decrease or increase of children's physical activity.

Methods

380 consulted parents of primary-school age children (46,6 % male) continuously answered questions about their PA-related outcome expectations, FHC (predictor) and daily PA (outcome) of their children over four school years, starting 2014 with first grade (t1), third grade (t2), fourth grade (t3) in Leipzig, Germany. Repeated measures ANOVA were used to analyse changes over time.

Results

Analysis showed no significant difference for FHC (F(1.96, 743.27) = 1.92, p =.15) an for parent's PA-related outcome expectations (F(1.98, 749.58) = 0.097, p = .91). Children's daily PA decrease significant over time (t1 to t3) (.04, 95%-CI[0.004, 0.343], p = .043).

Conclusion

The results indicate stability of the FHC and parents' outcome expectations during primary school. In contrast, physical activity decreases over time, which is in line with previous studies. In further analyses we will examine how FHC and parents' outcome parents outcome expectations are related to changes in physical activity. In addition, future analyses should be performed gender-specific.
O7-2 Structure and Trends in Preference of Individual Physical Activities in the Light of Physical Activity Recommendations
Authors: Kudlacek Michal , Fromel Karel , Groffik Dorota
Published: August 2022

Background

Regularly observed and sufficient physical activity (PA) of young people depends on the creation of conditions for success in the preferred PA. Therefore, we consider the diagnostics of PA preferences to be an irreplaceable part of PA diagnostics.

The aim of this study is thus to (a) detect the state and trends in the preferences of individually oriented PA of young people in different education and sports environments in the context of weekly PA; (b) to detect the associations among developing preferences of track and field and the fulfilment of recommendations within a weekly PA.

Methods

In the research conducted from 2007 to 2017 participated in total 16116 participants aged from 14 to 26. We have realized a sports preferences questionnaire and weekly PA questionnaire IPAQ-long in order to detect the preferences in the individually oriented types of PA.

Results

The biggest long-term stability among the Czech and Polish boys and the Czech girls showed swimming and cycling and among Polish girls swimming and skating. The most significant increase of preferences was detected in track and field, especially among the Czech girls and boys. The girls and boys who prefer track and field meet weekly PA recommendations significantly more than those who do not prefer it. Both Czech and Polish boys and girls showed that those who prefer athletic/running activities fulfil significantly more recommendations to a weekly PA; specifically at least 5 times a week for a minimum of 60 minutes of MVPA and simultaneously at least 3 times a week for a minimum of 20 minutes of vigorous PA. Preferences of athletic/running activities also increase the chance of fulfilment of above-mentioned recommendations to a weekly PA with both girls (OR = 1.801, CI = 1.571-2.065) and boys (OR = 1.655, CI = 1.437-1.905). These preferences are also important predictors for fulfilment of PA recommendations.

Conclusions

The knowledge of trends in preferred types of PA has a predictive meaning for supporting physically active lifestyle of young people and for creation of optimal conditions to pursue popular types of PA.