bluuebunny/crossref_metadata_2025 huggingface dataset:
O.4.4-7 Motives and Barriers for Leisure Time Physical Activity among rural mothers with young children
Authors: Eizagirre-Sagastibeltza Olaia , Fernandez-Lasa Uxue , Usabiaga Oidui
Published: September 2023

Purpose

The aim of this study was to analyse the motives and barriers for mothers with young children in rural areas to engage in leisure time physical activity (LTPA), based on the following research question: What LTPA needs and interests do mothers with young children living in rural areas of Gipuzkoa have?

Methods

Four focus groups were conducted in 4 different rural districts of Gipuzkoa, in which 19 women with at least one child under 9 years of age participated. The transcripts were analysed inductively by reading them repeatedly and then organised through triangulation by the researchers from a socio-ecological perspective.

Results

Regarding intrapersonal factors, because of work and informal caregiving duties, they had no time nor energy for LTPA. They felt the need to take time for themselves but put their own needs on the back burner, giving priority to the needs of their children and caregiving tasks. Moreover, they did not like being physically active, nor did they like the fact that most of users of sports facilities were men.

Concerning interpersonal factors, they enjoyed doing LTPA with their friends. However, if their friends were also mothers, they found it difficult to coincide with each other. In addition, leaving their children with someone else so that they could do LTPA, made them feel guilty. Moreover, they liked the idea of doing LTPA with their family but when they put it into practice, it did not meet their personal needs.

With respect to environmental factors, deficiencies in the facilities for LTPA physical activity in their rural municipalities, distances to municipalities with sports facilities and rugged terrain were barriers to LTPA.

Conclusions

This study has helped to understand the LTPA interests and needs of the many mothers with young children living in rural areas of Gipuzkoa. These aspects are considered important to consider when developing LTPA promotion policies and may also be of interest for similar contexts.

Furthermore, these results may be important for enhancing women's well-being and quality of life through the promotion of LTPA, as well as struggling gender inequalities in leisure time for women.
O.4.4-8 Promoting men’s health through sports clubs: a rapid realist review
Authors: Timm Anne , van Hoye Aurelie , Sharp Paul , Andersen Tue Helms , Krustrup Peter , Hansen Louise , Cortsen Kenneth Holm , Iversen Peter Bindslev , Rod Morten Hulvej , Klinker Charlotte Demant
Published: September 2023

Purpose

Traditional health promotion interventions have failed to engage men. Sports clubs offer male-friendly environments that have been identified as an attractive setting for men’s health promotion, but little is known about implementable intervention strategies and subsequent effects. This rapid realist review (RRR) aims to close this gap by assessing context, mechanisms and effects of health promotion interventions targeting men by or in collaboration with sports clubs.

Methods

The RRR methodology was developed in collaboration with a panel of Danish practice and policy representatives and international academics. A systematic literature search was conducted in February 2023 for studies published after 2013 in MEDLINE, Embase, and SportDiscus databases. Included studies: 1) targeted men aged 18+ years, 2) reported health promotion outcomes, and 3) were delivered primarily by or in collaboration with sports clubs. A grey literature search of National Sports Associations and Federations and non-government men’s health organizations was also performed. Dalkin’s conceptualization of mechanisms in realist methodology was used to identify context- mechanism-outcome configurations (CMOc) and develop a program theory. The study follows Cochrane’s guidance for rapid reviews and is registered in Research Registry (ID: reviewregistry1556).

Results

We identified 2.720 studies after duplicates removal. Preliminary analyses indicate that interventions delivered through sports clubs show promise for engaging men and producing favorable health outcomes (e.g., weight loss, increased physical activity and improved social support). The realist synthesis suggests that health interventions delivered through sports clubs (resource mechanism) targeted at men who have high attachment to the sport or club (context), may align with their interests and identities (mechanism), to increase the potential for engagement and health behavior change (outcome). The analysis will be finalised by August.

Conclusions

Our study indicates that men’s health promotion through sports clubs is emergent. While great strides have been made to increase men’s involvement in health promoting activities by delivering interventions through sports clubs, research has predominantly focused on select behaviours (e.g., physical activity) and sub-groups (e.g., sports fans).

Support/Funding Source

This work was funded by the five Steno Diabetes Centers in Denmark, which are partly funded by the Novo Nordisk Foundation.
O.4.4-9 Organized sport and physical activity for older adults – salutogenic settings-based recommendations
Authors: Ericson Helena , Geidne Susanna
Published: September 2023

Sport and physical activity is important to address healthy aging. There are recommendations on how much physical activity people should do, but no recommendations for how organizations should organize activities to suit as many as possible.

The purpose of this study was to explore the characteristics of sport and physical activity initiatives that older adults participate in. Different ongoing sport and physical activity initiatives that involve older adults were investigated regarding their focus, organization, intensity and organizer, and in relation to their costs, booking opportunities and recruitment.

The study was conducted with a cross-sectional design using the Salutogenic Physical Activity Health Resources Questionnaire (SPAHRQ). The study included 27 different initiatives with 372 participants (60% women) ranging from 60 to 96 years of age. A health-promoting, salutogenic, settings-based approach, and specifically the concepts drop-in, drop-through and drop-over (Geidne and Quennerstedt, 2021) were used in discussing recommendations for the organization of sport and physical activity for older adults.

The main findings were that who (sports clubs or senior associations) organizes the sport and physical activity initiative seems to affect the characteristics of how (for example intensity and characteristics of the activities) it is organized and what characterizes the participants in it. Despite the differing characters of sport and physical activity initiatives, the majority of older adults are recruited by internal contacts like friends and family. The lowest costs are found in senior associations, leisure-focused initiatives, individual initiatives, and low-intensity activities.

In senior associations, most activities were booked per semester 60%. In sport clubs the most common booking system was per occasion, 40%.

In team sports (almost always in sport clubs), the most common way of booking was per semester (46%). Which older adults participate in which initiatives is explained mostly by the age and gender of the participants.

In conclusion, to attract as many older adults as possible, organizations should work with lowering the thresholds into, as well as within and between, organizations, and raise the threshold for dropping out of sports and physical activity.

Support/Funding Source

The study was funded in a PhD-project at Örebro University.
O.4.4-11 Must we tell people to be less active to save the planet? The dilemma of physical activity promotion from a holistic health perspective
Authors: Gelius Peter , Till Maike , Messing Sven , Tcymbal Antonina , Abu-Omar Karim
Published: September 2023

Purpose

The emerging climate crisis poses major challenges for the planet and leaves us to critically reconsider our physical activity (PA) behavior and its potentially negative effects on the environment and climate. Until now, both PA guidelines for individuals and PA promotion policies follow a logic of “more is better”. We argue that this is because PA promotion is still largely based on an individualistic concept of health, while broader concepts such as Global Health, One Health, and Planetary Health are largely ignored. We aim to provide some initial input and guidance on how PA promotion would have to change if it were based on the different concepts.

Methods

Using a qualitative analysis of relevant approaches, we developed a framework to distinguish three classes of health perspectives and their implications for PA promotion. We analyzed their current application in PA promotion and point out potential omissions and shortcomings.

The findings were used to critically review the pros and cons of a potential paradigm shift for PA promotion and its implications for the field.

Results

We identified a total of nine health perspectives, which can be categorized into three main classes ranging from narrow to a wide: 1) individual perspectives, 2) population perspectives and 3) holistic perspectives. While there are numerous types of PA for individuals to choose from to improve health from perspectives purely focused on the individual, broader perspectives increasingly limit the range of options: The more aspects (other people, foreign countries, animals, the global climate) are considered, the more physical activities may have to be considered as “unhealthy”. If such perspectives are accepted, this may have far-reaching implications for future PA recommendations, programs and policies.

Conclusions

Taking on more holistic health perspectives on PA promotion would have far-reaching implications for the field and leave research, policy and civil society with major challenges. In particular, this may imply a need to include animal and environmental health in new PA guidelines for individuals and public policy, and to work towards a “modal shift” towards promoting more environmentally and climate friendly forms of PA and sport.
O.4.5-4 What do young people want in a sport program: formative evaluation using Concept Mapping
Authors: Donaldson Alex , Staley Kiera , Randle Erica , Nicholson Matthew
Published: September 2023

Purpose

Engaging young people in sport and physical activity (PA) requires awareness of their preferences and priorities. This study provided less active young people (14–17 years of age) with an opportunity to articulate their perspective on an ideal sport program.

Methods

We used online concept mapping, involving qualitative data collection and quantitative data analysis. Forty-eight less active young people in regional Victoria, Australia brainstormed 65 relevant, unique and single-focus statements in response to the prompt: The features of a sport program that I would really like to participate in are…. Twenty-four participants then sorted these statements into groups based on similarity of meaning, and 37 participants rated each statement on 5 point Likert scales for its importance (1 = completely unimportant; 5 = very important) in a program and how common (1 = never; 5 = always) it is in the programs they participate in. We analysed sorting data using multi-dimensional scaling and hierarchical cluster analysis, and rating data using descriptive statistics.

Results

We identified a map with the following nine clusters (in order of relative mean importance ratings)—access and convenience (mean importance rating = 4.11 out of 5; mean common rating 3.83 out of 5); social connection (3.98; 3.78); inclusion and belonging (3.98; 3.53); confidence (3.86; 3.46); design and structure (3.85; 3.65); skill development and goals (3.84; 3.60); cost and time (3.80; 3.30); age and gender (3.61; 3.41); and specific features (3.53; 3.25)—as the most appropriate representation of the participants’ sorting data. The two single statements—both in the inclusion and belonging cluster—rated most important were a sport program where you are accepted (4.57) and in which you do not feel judged (4.51).

Conclusions

Young people want affordable, accessible, convenient, safe, welcoming, socially engaging and inclusive sport and PA programs. They want programs to be well organised, delivered by experienced coaches with flexible content that builds their confidence, fitness and skills through challenging and fun activities. Youth sport and PA program designers can use this data to inform program development and delivery planning.

Support/Funding Source

Victorian Health Promotion Foundation (VicHealth).
O.4.5-6 Psychosocial approach of dysfunctional eating attitude and behaviors in endurance sport: comparison of competitive and practice periods
Authors: Mériaux-Scoffier Stéphanie , Meignie Alice , Antero Juliana , Hanon Christine
Published: September 2023

Purpose

Most of the determinants of the dysfunctional eating attitude and behaviors (DEAB) mentioned so far have been reported in aesthetic sports or weight categories and may therefore not be representative of all endurance athletes. Moreover, to our knowledge, very few studies have focused on the evolutionary nature of these variables during a sports season. The objective of this research was to identify the triggers of the implementation of inappropriate behaviors for the health and performance of endurance athletes.

Methods

The sample consisted of 14 French female athletes aged 18 or over who practiced an endurance sport more than 12 hours a week for more than 5 years. All athletes were at the national or international level. For one year, participants answered online questionnaires through an Athlete Management System. They were followed daily on the sports period, weekly on self-regulation of eating attitude in sport, and self-perceptions and quarterly on psychosocial parameters related to DEAB.

Results

The ANOVA performed showed that anxiety levels were higher and resilience levels lower in athletes with DEAB compared to other athletes, and anxiety levels tended to increase during competitive periods only in athletes with DEAB. On the other hand, the level of resilience of athletes does not vary significantly depending on the period of competition or training. The analyses performed revealed also indicate dietary regulation behaviors and a higher level of internalization of slimming standards when athletes were in competition compared to training phases.

Conclusions

Although DEAB are an increasing concern in the sport context, the specificity of DEAB in athletes can represent a challenge for stakeholders. It seems necessary that stakeholders from all fields to have a precise knowledge of the personal characteristics related to sports practice that could favor the DEAB development, to be able to carry out an appropriate evaluation allowing subsequently to propose avenues of intervention adapted to the realities of them.

Support/Funding Source

This research project was supported by the French athletics federation and financially supported by “Sport pour elles, FDJ”.
O.4.5-10 Self-control and self-efficacy positively influence physical activity levels
Authors: Herzog-Krzywoszanska Radoslawa , Potoczny Wiktor , Krzywoszanski Lukasz
Published: September 2023

Purpose

Physical activity is essential for maintaining good health and preventing chronic diseases such as obesity, cardiovascular disease, and type 2 diabetes. Understanding the factors that influence physical activity can help to design interventions that promote physical activity and prevent these diseases.The purpose of this study was to investigate the relationship between self-control, self-efficacy, and physical activity.

Methods

The study included 375 participants between the ages of 19 and 43 who completed the Brief Self-Control Scale (BSCS), Generalized Self-Efficacy Scale (GSES), and a physical activity inventory. A linear regression model was used to analyze the relationships between self-control and physical activity, with self-efficacy as a mediating variable.

Results

The analysis of the data showed that self-control positively correlated with the number of hours per week devoted to physical activity. The results also indicated that self-efficacy mediated this relationship. Specifically, higher levels of self-control were associated with higher levels of self-efficacy, which in turn were associated with higher levels of physical activity.

Conclusions

The findings of this study highlight the importance of both self-control and self-efficacy in promoting physical activity. Improving self-control and self-efficacy may be effective strategies for increasing physical activity levels.
O.4.5-11 The association between health literacy and objectively measured physical activity in Norwegian young adult students
Authors: Salazar Tania Milena , Grotle Ann-Katrin
Published: September 2023

Background

Insufficient physical activity (PA) is a significant public health challenge, with a drastic decline in activity levels observed in young adulthood likely contributing to increases in cardiometabolic risk factors with age. Recent research suggests that health literacy (HL) may be an important modifiable factor associated with reduced physical activity levels and poor health outcomes in elderly and disease-prone populations. However, limited research has focused on young adulthood when the drastic decline in PA is observed. Moreover, most previous studies have only assessed self-reported PA, which has limited accuracy. Therefore, the purpose of this study was to assess the relationship between HL and objectively measured PA levels in healthy young adults.

Method

28 young adult (18-25 years) college students participated in the study (men: n = 7, women: n = 21). PA was measured objectively and subjectively using an accelerometer (Actigraph GT3X+) and the IPAQ questionnaire, respectively. The HLS19 instrument was used to assess HL, which was developed within “HLS19 – the International Health Literacy Population Survey 2019-2021” of M-POHL. Participants were categorized as having low or high health literacy based on the classification defined in the Norwegian HLS-19 report (2021). Additionally, each response was assigned a value (1-4) to calculate a summative health literacy point score, with a higher summative value indicating greater health literacy.

Results

In our cohort, 60% (n = 17) of the participants were categorized as having low and 39% (n = 11) as having high health literacy. There was no group difference in objective and subjective PA levels between those with low and high HL (all comparisons: p > 0.05). However, we observed a significant positive correlation between health literacy (point score) and objectively measured moderate to high-intensity PA (r = 0.52, p = 0.002). Likewise, there was a significant correlation between health literacy (point score) and self-reported total PA (r = 0.34, p = 0.03).

Conclusion

This is the first study to show a positive relationship between HL and PA in healthy young adult students, highlighting the potential role of HL in modulating PA in this population. Thus, further research is needed to determine whether targeting HL could effectively increase PA levels in young adults.
O.4.6-3 How collaboration between school, health & sport policy areas resulted in an online platform to activate adolescents: SWEEP
Authors: De Meester Femke
Published: September 2023

Purpose

Excessive sedentary behaviour and low levels of physical activity are associated with several adverse physiological and psychological health indicators in adolescents. Yet, many adolescents spend the majority of the day sedentary and adolescents' participation rates in physical activity are low. Therefore, the Flanders Institute for Healthy Living and the Flemish Agency for Care and Health, Sports Flanders, MOEV and the Department of Education and Training combined their forces to develop, evaluate and implement a multi-component intervention (SWEEP) to activate 12 to 18 year old adolescents during school hours and their leisure time.

Project or policy description

The SWEEP intervention is evidence-based and was developed iteratively with adolescents and secondary school teachers using a participatory approach. It is a project for all young people, but with extra attention for those whom we know experience high barriers to exercise (e.g. girls, young people with a migration background, young people in a socially vulnerable situation, older adolescents). SWEEP is an online platform with a section for adolescents and a section for teachers. Both start from a short questionnaire with which adolescents can discover who they are (there are 6 profiles) and teachers can discover how they can get young people into action, how they can upgrade their classes with more movement and which actions suit them best. After they filled in the questionnaire, adolescents are offered activities in line with their profile and therefore with their interests. The teachers get feasible tips, teaching materials and boxes with challenges that can be used in any subject and that matches their own preferences, capabilities and interests.

Conclusion

Between April 2022 and October 2022, SWEEP was pilot tested in the province Antwerp in Flanders. The results of the process- and product evaluation were available in spring of 2023. Overall, SWEEP was generally well accepted and based on the results, the feedback and the suggestions SWEEP was optimized and launched in March 2023 in Flanders.
O.4.6-5 Evaluation of physical activity policies in Scotland: results from the 2021 Active Healthy Kids Scotland Report Card
Authors: Tomaz Simone A , Reilly John J , Johnstone Avril , Hughes Adrienne , Robertson Jenni , Craig Leone C A , Bardid Farid
Published: September 2023

Purpose

The benefits of physical activity (PA) are well established for children and adolescents, and national policies can play an important role in increasing child and adolescent PA. As part of the Active Healthy Kids Global Alliance initiative, the 2021 Active Healthy Kids Scotland Report Card summarised the status of PA and health in Scottish children and adolescents prior to the COVID-19 pandemic—reporting on a range of indicators (Bardid et al., 2022). This study provides a detailed examination of the evidence informing the Government and Policy indicator.

Methods

Current Scottish PA policy documents (n = 18) published in 2011-2020—not including responses to COVID-19—were reviewed for grading. The grade was determined using an adapted version of the Policy Audit Tool version 2 (Ward et al., 2021). Key criteria in the scoring rubric include number and breadth of policies, identified funding, identifiable reporting structures, and monitoring and evaluation plan.

Results

A C- grade was assigned to the Government and Policy indicator. There is clear evidence of leadership and commitment to increasing levels of PA and providing PA opportunities for children and adolescents. The allocation of funds and resources for implementation of policy has increased substantially since the publication of previous report cards. Progress through the key stages of public policymaking—policy agenda and formation—has improved. However, some policy documents do not identify accountable organisations, whilst others do not include details regarding reporting structures. Moreover, many policy documents do not provide information on monitoring and evaluation.

Conclusions

Scotland has many creditable policies at national level. There appears to be good links between government directorates, policies and organisations responsible for implementation. Child and adolescent PA is clearly a priority in Scotland; it is not only an outcome, but also a means to achieve other goals (e.g., active travel to take climate action). However, current policies provide limited information on how delivery of proposed actions will be monitored and evaluated in practice. Future policies should therefore include more information on monitoring, evaluation, and reporting of delivery of actions, in order to better understand and support policy implementation and its impact on PA in children and adolescents.
O.4.6-7 The role of external providers for Physical Education and extracurricular physical activity in Irish primary schools
Authors: Teehan Mairéad , Kelly Lisa , Lane Aoife , Cheilleachair Niamh Ní , Dowd Kieran
Published: September 2023

Purpose

In Irish primary schools, Physical Education (PE) is taught by generalist teachers. While PE is critical in developing essential skills for lifelong physical activity (PA) participation, studies show teacher confidence and competence to teach PE is low due to negative personal experiences and insufficient training. Many schools utilise external providers to supplement PE provision and provide extracurricular PA. However, this provision is largely unregulated, without clear distinction between the two. This study aims to examine the role of external providers for PE and PA in Irish primary schools.

Methods

An online survey for principals and teachers was developed and validated using a modified Delphi technique. It included 57 questions examining current practices for PE provision schools. A link to the survey was emailed to all Irish primary schools and shared on social media. SPSS version 27 was used for data analysis.

Results

Of the 513 respondents, 81.7% were female, 17.9% male and 0.4% didn’t say. A majority (82%) regularly use external providers for extracurricular PA, which takes place mostly during the school day (89%). Although intended as activity not related to PE provision, it is used by teachers as the only PE provided either sometimes (45.5%) or all of the time (21.6%). External providers teach specific strands of the PE curriculum in 52.9% of schools, with Games being the strand most provided. While this provision is taking place, most teachers stay with their class and assist (61.9%).

Conclusion

Results show external providers are extensively used in Irish primary schools to supplement PE provision rather than solely providing extracurricular PA. Games being the most commonly delivered strand by external providers is reflective of the number of sports coaches providing this service to schools. Teachers using extracurricular PA as their PE can be problematic as external providers often lack suitable qualifications and provision may not align with PE curriculum guidelines. Support is needed for schools to provide good quality PE and approaches such as regulating the use of external providers or engaging specialist PE teachers to support delivery should be examined in order to improve PE in Irish primary schools.
O.4.6-11 MOVEOUT: a cluster randomised wait list design to investigate the effect of education outside the classroom on pupil’s physical activity
Authors: Elsborg Peter , Mygind Lærke , Bølling Mads , Klinker Charlotte Demant , Melby Paulina S , Andreasen Anne Helms , Brønd Jan Christian , Bentsen Peter , Nielsen Glen
Published: September 2023

Purpose

Education outside the classroom (EOtC) is a physical activity (PA)-integrating pedagogical approach that aligns PA with the primary goals of schools and is therefore thought to present an acceptable, feasible, and efficacious model for school-based PA. The aim of this study was to investigate the efficacy of an EOtC intervention that aims to increase adolescents’ (ages 10-16 years) school-based and overall PA by providing a course on the pedagogical and didactic methods of EOtC to teachers across 30 Danish schools, and subsequently the teachers implementing EOTC in their classes > 5 hours weekly over the course of one school year. We expect that pupils in the intervention group will retain higher PA intensities compared to the control group, specifically 1a) more MVPA, 1b) more LPA, 1c) less SED time. Further, we hypothesise that pupils in the intervention group will retain 2a) more running, 2b) more walking, 2c) more standing, 2d) less sitting time compared to the control group.

Methods

The intervention was evaluated using a cluster randomised wait list study comparing PA behaviours amongst pupils in the intervention group with pupils in the waitlist control group.

Results

In this presentation, we will present novel results from data that is currently underway. Data collection is expected to be finalised in June 2023.

Conclusions

Almost 20% of Danish schools practice some form of EOtC, and the findings of this study will inform whether such practice should be further encouraged in Denmark and elsewhere, or whether alterations are required to support more pupils in meeting PA recommendations. The findings have important implications for school-based PA promotion.

Novo Nordisk Foundation (grant no. 0062703), ClinicalTrials.gov (NCT number: NCT05237674). Peter Elsborg and Lærke Mygind share first-authorship.
O.5.1-3 Co-creation of an active transportation promotion intervention: a concept mapping study
Authors: Siriaporn Nuttanun , de Nazelle Audrey , Vuillemin Anne
Published: September 2023

Purpose

Active transportation (AT) is an efficient way to increase daily physical activity and reduce pollution from the transportation sector. Mhealth has contributed to behavior change in fields like physical activity and has been explored to encourage AT. Most interventions, however, did not incorporate evidence-based behavior change techniques and were not co-created with potential users. We aim to understand how AT can be promoted via mhealth intervention by using a bottom-up participatory approach.

Methods

Concept mapping was done online via GroupWisdom platform, with the public of Alpes-Maritimes County, France. Participants were asked to brainstorm, sort, and rate ideas about mobile app features to encourage AT. Multidimensional scaling algorithm and hierarchical cluster analysis were used to create visual cluster maps to illustrate the participants’ conceptual thinking of the topic. We compared the data by participants’ age, education, and typical transportation mode to understand how different groups perceived each idea and clusters.

Results

Participants generated 44 unique ideas that they believe would encourage AT behaviors. Six themes emerged, from highest to lowest cluster rating: Infrastructure (n = 9 ideas) and Itinerary (n = 9 ideas), which were consistently rated across groups; Contact with government (n = 4 ideas); Data (n = 12 ideas), with the most number of ideas generated; App usability (n = 6 ideas); and Legislation and code of conduct (n = 4 ideas), with the least number of ideas.

Conclusions

Our findings showed various ways AT can be promoted. Even though the participants were asked about mobile apps features, they quickly pointed out ideas unrelated to mobile apps. The built environment and infrastructure are clearly the most important factors to promote AT, for our participants. However, they have also identified other soft measures like information, participation in decision making, and social aspects that can contribute to behavior change and support sustainable and healthy modes of transportation. Therefore, a systemic and multifaceted approach is recommended to promote AT.

Support/Funding Source

This work was supported by the French government, managed by the Agence Nationale de la Recherche under the project Investissements d'Avenir UCAJEDI with the reference n° ANR-15-IDEX-01.
O.5.1-6 Bucking the mid-life inactivity trend: a study of 40–64-year-olds' participation in Zwift, a real-time online exercise community, through a social identity lens
Authors: Richards Toby , Figgins Sean , Day Melissa , Slater Matthew , Easterbrook Matthew
Published: September 2023

Purpose

Despite evidence suggesting a decline in the physical activity of middle-aged adults, 40–64-year-olds participation in group exercise is actually increasing. One potential reason for this increase in activity is the increase in a range of different online group exercise formats and contexts. Recent research suggests that people join, participate, and stay involved in, exercise groups that reflect who they are - a process of social identification. The purpose of this research is to qualitatively explore participants’ experiences and facilitators of social identification related to the online group exercise platform known as Zwift.

Methods

Zwift participants (n = 17) aged between 40-64 (midlife) (13 Men, 4 Women) were recruited into the study for three stages of data collection: (stage 1) an initial semi-structured interview exploring participant exercise history and use of Zwift, (stage 2) completing a two-week post exercise diary to capture their experiences of social identification after participation, (stage 3) a follow up final interview to explore topics raised over the first two data collection steps. This generated 23 hours of interviews, that were then transcribed and combined with the participant diaries resulting in 468 pages of data.

Results

Reflexive thematic analysis was used to identify themes from the data. The results from this analysis indicate the following themes from the data: (1) Online exercise as an enabling facilitator of exercise identity; (2). Online exercise provides exercise identity continuity or exercise identity creation depending on the exercisers, exercise history; (3) Online exercise identification via communities goes through phases of identification; (4) Two-way communication contributes to perceptions of identification phases of identification; and (5) Social identity leadership is demonstrated by online exercisers norms, behaviours and beliefs

Conclusions

Overall, this research highlights three key suggestions for mid-life physical activity promotion: (1) That facilitators and processes of social identification may be context specific; (2) That social identification processes should be considered in the design of online exercise; and (3) That online exercise that enables social identification should be considered as a vehicle of maintaining/ increasing exercise participation

Funding

The study was funded by the researcher.
O.5.1-7 Travel patterns and CO2 emissions of recreational league play in football and handball in Germany - an explorative study
Authors: Resch Julian , Dittrich Michael , Ziemainz Heiko , Abu-Omar Karim
Published: September 2023

Purpose

Recreational sports are commonly recommended for their health-enhancing effects. But broadening the perspective on planetary health raises the question of how they impact the environment. While there is a body of evidence on the impacts of professional sports on planetary health, there is currently a lack of studies investigating the sustainability of grassroots level sports, in particular team sports in recreational leagues. This study set out to explore travel patterns in different recreational leagues in the sports of football and handball in Germany.

Methods

We derived data including club location and game schedules for amateur football and handball teams in the region of Erlangen, Germany, from official websites of sport federations. Using google maps, we calculated the travel distances for every match-up in season 2022/23 and highlighted the distribution of teams in divisions by mapping.

Results

Even on a low recreational level, significant travel distances are accrued by teams over a season. In general, playing in a more competitive league results in longer travel distances for football teams. On average, women teams cover longer travel distances compared to men’s teams. Playing handball results in more travel compared to playing football. The current set-up of divisions can be improved to limit travel distances.

Conclusions

Despite some limitations (e.g., number of included divisions or difficulty translating the distances into CO2 emissions), this investigation sheds light on the environmental impact of recreational league play. The sheer number of sports teams suggests the importance of investigating recreational league play and supporting sport federations to optimize game schedules to limit travel emissions.

Funding Source

The study was not funded.
O.5.2-7 Listening to the patients’ voice: a conceptual framework of the walking experience
Authors: Delgado-Ortiz Laura , Polhemus Ashley , Keogh Alison , Sutton Norman , Remmele Werner , Hansen Clint , Kluge Felix , Sharrack Basil , Becker Clemens , Troosters Thierry , Maetzler Walter , Rochester Lynn , Frei Anja , Puhan Milo , Garcia-Aymerich Judith
Published: September 2023

Purpose

Walking is crucial for an active and healthy ageing, but it changes with age and in the presence of diverse health conditions, such as non-communicable diseases and injuries. So far, conceptual frameworks of walking have not included the impact of these conditions and individuals’ lived experiences on their walking. Thus, we aimed to identify and synthesize evidence describing the walking experience from the perspective of individuals living with highly prevalent walking-impairing conditions of diverse aetiology (i.e., Parkinson’s disease, multiple sclerosis, chronic obstructive pulmonary disease, heart failure, hip fracture, frailty and sarcopenia).

Methods

We conducted a systematic review and meta-ethnography of qualitative evidence, following appropriate guidance.

Results

Out of 2,552 unique records, 117 were deemed eligible for the meta-ethnographic synthesis. We identified seven common themes that explain the experience of walking: (1) becoming aware of the walking experience, (2) the walking experience as a link between individuals’ activities and sense of self, (3) the physical walking experience, (4) the mental and emotional walking experience, (5) the social walking experience, (6) the context of the walking experience, and (7) behavioral and attitudinal adaptations resulting from the walking experience.

Conclusion

We proposed a framework that describes the interplay between these themes, providing a conceptualization of walking that is grounded in the experiences of individuals recovering from a hip fracture or living with other walking-impairing health conditions, and that may be used to set priorities and improve patient centricity in clinical practice, research and public health initiatives.

Support/Funding Source

This work was supported by the Mobilise-D project that has received funding from the Innovative Medicines Initiative 2 Joint Undertaking (JU) under grant agreement No. 820820. This JU receives support from the European Union’s Horizon 2020 research and innovation programme and the European Federation of Pharmaceutical Industries and Associations (EFPIA).
O.5.2-9 Development of an active lifestyle intervention to promote physical activity sustainably in stroke patients: study design
Authors: Bakker Martijn , Schuling Rhoda , de Jong Johan , Dekker Rienk
Published: September 2023

Purpose

Physical inactivity is a major public health concern and a growing problem among stroke patients. Despite existing interventions, current approaches are not successful in promoting physical activity sustainably in stroke patients, particularly when transitioning from clinical care to the home environment. In co-creation with patients and healthcare professionals, this study develops an active lifestyle intervention, tailored to patients' personal, social, and environmental determinants, to promote an active lifestyle in their own living environment.

Methods

A co-creative design-based approach will be used for the development of an active lifestyle intervention. The design process involved collaboration with stroke patients, physiatrists, physiotherapists, lifestyle coaches and health behavior professionals. A classic design thinking process will be used to structure the research activities in five phases: empathize, define, ideate, prototype, and test phases. To gather the needs and requirements for the intervention, interviews (n = 15) and focus group sessions (n = 15) will be held. An iterative process of prototyping will lead to a final version of the active lifestyle intervention.

Results

At the conference, our team will be able to present the design of the study, focusing in particular on the aspect of engaging patients to co-create the design-based intervention so that patients’ personal, social and environmental determinants for sustained behavior change in the home environment can be adhered to.

Conclusion

Designing an active lifestyle intervention together with patients and professionals, using the co-creative design-based approach, will help to gain deeper insights in the specific needs and requirements of stroke patients transitioning from clinical care to the home environment.
O.5.2-10 Barriers to physical activity among parous women postpartum: a qualitative study in Denmark
Authors: Bueno Solvej Videbæk , Clausen Dagmar , Sevdalis Vassilis , Nielsen Rasmus Østergaard
Published: September 2023

Purpose

Physical activity (PA) among parous women postpartum has multiple health benefits to mother and child. Knowledge of the barriers to PA among parous women postpartum is necessary to support future health-enhancing PA interventions. The purpose of this study was to explore the barriers to PA in parous women six to 10 months after giving birth.

Methods

In this qualitative study, we used a phenomenological–hermeneutic approach to explore barriers to PA among parous women six to 10 months postpartum. Semi-structured interviews were conducted including 16 parous women from Central Denmark Region. These women were physically active before pregnancy; had a mean age of 29 years; differed in level of education; and represented both vaginal birth and caesarian section. The women were recruited from two sources. 1) a video on Facebook, which had >10.000 views, and 2) the Department of Health Visitors at Aarhus Municipality. Nvivo was used for analysis. We used open and closed coding, and quotes from the interviews were used to support claims and illustrate the identified barriers.

Results

Three categories of barriers were identified. 1) The individual level: lack of motivation to engage in PA, insufficient self-efficacy in PA, limited economical resources, and bodily physical changes. 2) The interpersonal level: lack of a training partner, childcare, and missing community-based activities in sports clubs. 3) The structural level: lack of guidance and directions on PA from the healthcare system, lack of training facilities, the accessibility of training facilities, and the weather. Fourteen of the 16 included women felt “lack of guidance on PA from the healthcare system” as a barrier to PA postpartum.

Conclusions

11 barriers to PA among parous women were identified. On a policy level, “lack of guidance and directions from the health care system” is a modifiable barrier, calling for intervention. Health-enhancing PA in parous women postpartum may be improved by addressing this barrier, when future maternity care programs are developed.

Support/Funding

No funding source was applied for this study.
O.5.3-1 Implementation of an online group model for work-related well-being among sport instructors
Authors: Punna Mari , Laiho Tiina , Laitinen-Väänänen Sirpa , Harmokivi-Saloranta Paula
Published: September 2023

Purpose

Sports instructors, who work in small and mid-sized municipalities and the public sector, provide physical activity counselling and group guidance for municipality residents of all age groups. Sport instructors execute a variety of physical activity and well-being promotion activities. Many of them are working independently, having only little collegial or community support. Additionally, only little is known about work-related well-being of their own as well as methods on how to improve it.

Project description

Within research and development project TOGETHER -Towards an online community among sport instructors, an online group for work-related well-being was created and piloted. There were 32 participants who were working as sport instructor in small or mid-size municipalities in Finland. Before the start of the group meeting process, the participants were interviewed about their perceptions about work-related well-being. The group process consisted of six online small group meetings with four to six participants and the facilitator in a group. Each of the biweekly group meetings took 1,5 hours. The themes of group meetings were pre-stated, nevertheless, the participants' own reflections and discussions were highlighted. The main themes focusing on work-related well-being were sense of community, autonomy, capability and social support.

The participants were instructed to set their own aims for their individual work-related well-being process. Between the group meetings the participants have made written reflections about the themes and the process. After the last group meeting, group interviews will be made to find out the outcomes and reflections of the process. They will be shown in the presentation.

Conclusions

Based on the reflections and findings of the implemented online group meeting process, the model will be further modified. The final outcome of the project will be a tested online model for increasing work-related well-being among sport instructors working in municipalities, which will be presented.

The research has been funded by the Finnish Work Environment Fund.
O.5.3-5 Existing structures for physical activity promotion: the role of resources, political support, intersectoral collaboration, and participation in six pilot communities - a comparative case study-
Authors: Helsper Natalie , Dippon Lea , Kohler Simone , Birkholz Leonie , Weber Philipp , Pfeifer Klaus , Ruetten Alfred , Semrau Jana
Published: September 2023

Purpose

The German Recommendations for Physical Activity (PA) and PA Promotion recommend community-based PA promotion (c-PAP) with focus on health equity. As communities are complex systems with dynamic relationships and interactions, a deeper understanding of the community’s structures is crucial for implementation. Therefore, the aim of this study is to analyse the initial structures in six diverse pilot communities (PC).

Methods

A framework for c-PAP was co-produced and implemented in six PC, which varied in terms of type (urban, rural), region, readiness, and socioeconomic deprivation.

Using a comparative case study design, we conducted qualitative interviews with key stakeholders from each PC including political stakeholders, experts, representatives of the administration, “door-openers” with contact to people with social disadvantages, and community facilitators. The development of a semi-structured interview guideline was based on the co-produced nine KC. With a qualitative content analysis, we compared similarities and differences in the initial structures of the six PC along the following four KC: “resources”, “political support”, “intersectoral collaboration”, and “participation”.

Results

32 interviews revealed differences in the four analysed KC according to the community type, the socioeconomic deprivation as well as the readiness. “Intersectoral collaboration” was stronger in most urban-PC. The KC “participation” varied according to previous experiences in participatory approaches. Although urban PC have had more experiences, these were not necessarily positive and sometimes lead to reservation about new approaches. “Political support” seemed to be higher in rural-PC. Available resources differed according to the socioeconomic deprivation and rural-PC in general had fewer financial and personnel resources at disposal.

Conclusions

A thorough analysis of the initial community structures will contribute to a better understanding of how the structures influence process, output, and outcome of community-based PA promotion. Finally, it will support an enhanced exploration of the impact regarding sustainable and equitable structural change for PA promotion at community level.

Funding Source

This work was supported by the Federal Centre of Health Education (BZgA) on behalf of and with funds from the statutory health insurances according to § 20a SGB V in the context of the GKV Alliance for Health (www.gkv-buendnis.de).