bluuebunny/crossref_metadata_2025 huggingface dataset:
31 Barriers to Physical Activity in Pregnant Women: An Explanatory Sequential Mixed Method Study
Authors: Omrani Atefeh , Fili Romina , Nazmi Sana , Behmanesh Fereshteh , Nikbakht Hossein-Ali , Farahani Leila Amiri
Published: September 2024

Purpose

Regular physical activity during pregnancy has many benefits including reducing the risk of preeclampsia, gestational diabetes, improving physical fitness and reducing the risk of excessive maternal weight gain. However, pregnant women often choose a more sedentary lifestyle, driven by false misconceptions and beliefs (Coll et al., 2017). Gaining insights into the obstacles that hinder women from engaging in physical activity during pregnancy is crucial for guiding future interventions aimed at enhancing physical activity levels. The research aims to identify barriers to physical activity among pregnant women using an explanatory sequential mixed-methods approach.

Methods

This research employs an explanatory sequential mixed-methods design. The project will be implemented in two separate phases. In the first phase, a quantitative cross-sectional study will be conducted with 358 eligible pregnant women aged 18-45 years in collaborations with researchers in Iran and the UK. The collection of quantitative data will involve the use of the Barriers to Physical Activity during Pregnancy Scale (BPAPS) along with questionnaires gathering demographic and obstetric data. Following the analysis of the quantitative data and the identification of qualitative objectives, the study will progress to its second phase. During this stage, a qualitative investigation will take place, employing individual semi-structured interviews utilizing a content analysis approach.

Results

This is an ongoing study (Fili et al., 2024). Initially, the mean score of BPAPS and its subscales, along with the correlation between demographic and obstetric variables and the mean score of BPAPS, will be reported. Subsequently, the qualitative phase will encompass the reporting of categories and the main themes. Finally, the interpretation of the quantitative phase findings will be detailed, incorporating insights gained from the qualitative phase.

Conclusions

Since regular physical activity during pregnancy has many benefits for maternal and fetal health, the findings of this study can play a vital role in strategic planning to address women’s false beliefs and misconceptions regarding physical activity during pregnancy. In addition, this study will contribute to designing interventions to remove barriers to physical activity, encouraging physical activity participation in pregnant women, hence improving the overall health and wellbeing of women, especially during pregnancy.
147 Development of the Czech version of the tool for assessing physical activity policy at national and sub-national level
Authors: Mitáš Josef , Pratt Michael , Ramírez-Varela Andrea , Resendiz Eugen , Mejía-Grueso Juliana , Jakubec Aleš , Salvo Deborah
Published: September 2024

Purpose

This study aimed to adapt and implement the Czech version of the “Interaction between National and Local Government Levels in Development and Implementation of Physical Activity Policies Tool” (INTEGRATE-PA-Pol). This tool examines the cross-level interactions between national and sub-national government levels during the development and implementation of health-enhancing physical activity (HEPA) policies.

Methods

The research was carried out in three stages: (1) translation of the English tool into Czech by three independent translators; (2) adapt the local-level sections of the six questionnaires to assess regional-level interactions; (3) conduct cognitive response testing and item modification to validate the translation in terms of Czech terminology; and (4) pilot test of the tool across national, regional and local levels of government.

Results

The Czech version of the INTEGRATE PA-Pol tool evaluates the cross-level perspective of collaboration between national, regional, and local governments during the development and implementation of HEPA policies. This version was tested at the national level, regional (Olomouc), and local levels (Olomouc city). We successfully identified involved sectors and key contacts and collected data for policymakers at the national (n = 2), regional (n = 2), and local (n = 1) levels.

Conclusions

The Czech adaptation of the INTEGRATE PA-Pol tool was developed to gain a deeper understanding of the design and implementation of physical activity policies at all levels of government involved in the physical activity policies in the Czech Republic. Our study showed the feasibility of adapting the tool to Czech and collecting data for the regional leveĺs involvement in HEPA policies in a European country. Our results will contribute to developing and implementing GoPA!’s global HEPA policy monitoring system. The interview process itself demonstrated important differences in prioritization for physical activity between sectors and government levels.
194 Evaluating the Acute Physiological Response of People Living with Dementia and Care Partners to a Ceili Dance Exercise Class
Authors: Kelly Niamh , Skelly Fiona , Dowd Kieran , O’Neill Desmond , McCaffery Noel , McDermott Clare
Published: September 2024

Exercise prescription is designed using the FITT principle, this includes Frequency, Intensity, Time and Type 1. WHO recommends adults engage in 150 minutes of moderate exercise per week 2. It is difficult to verify the best methodology for reliable and validated results in exercise intensity 3. Exercise programs often do not know the intensity level of the delivered exercise. Research is further limited for people living with dementia (PLWD) and care partners 4. Determining exercise intensity is essential for understanding the most beneficial exercise for PLWD and care partners 4.

Participants (N = 15) attending a Ceili dance exercise class were recruited to take part in this study. Three variables to measure intensity were recorded for each participant during the class. Heart rate (HR) using a polar H10 monitor, rate of perceived exertion (RPE) using the modified Borg CR-10 scale and physical activity intensity using an ActivPAL monitor. Resting HR was recorded, on commencement of the class HR was documented every 5 minutes and a further 15 minutes after class. RPE was recorded after each section of the class. The ActivPAL recorded 15 second epochs throughout the class. All measures were analysed. HR and ActivPAL data were computed to determine intensity for each participant. The Karvonen formula was used to calculate HR intensity. SPSS version 25 will be used to statistically analyse the data.

There are currently preliminary results available for this study. These results are based on 3 participants. The average resting HR was 86bpm. The average HR for the warmup was 117bpm, dance section was 116bpm, strength section was 108bpm and cool down was 97bpm. Moderate intensity based on HR was found to be between 113 - 125bpm for this group. The average RPE for the class was 3. The ActivPAL data has yet to be analysed.

The results show the participants are working at moderate intensity during the main phase of the class. This confirms that dance exercise is an effective approach for PLWD to exercise at a moderate intensity.

This study is funded by the President’s Doctoral Scholarship Award from the Technological University of the Shannon.
13 Evaluation of Project „Polygon For Physical Activity of School-Aged Children “for Strengthening Physical Education in Primary Schools without Sport Halls
Authors: Krtalić Slaven , Milanovic Sanja Music
Published: September 2024

Purpose

In school year 2014/2015, 120 out of 860 central primary schools failed to meet the minimum technical, material and spatial requirements (no access to a sport hall) and, could not carry out the full-time compulsory Physical Education class. To ensure equal opportunities for all pupils to regularly attend Physical Education and help teachers teach to lower grades, the Croatian Institute of Public Health has designed a Set of kinesiological aids and implemented the project “Polygon for the Physical Activity of School-Aged Children”.

Methods

The evaluation of the project was implemented by method of questionnaire. Data were collected in three online questionnaires (Evaluation of the “Polygon” questionnaire 1 (Q1), Evaluation of the “Polygon” questionnaire 2 (Q2), Evaluation of the “Polygon” questionnaire 3 (Q3)) in 120 schools lacking a sport hall. The questionnaires targeted all members of school teams included in the project (two class teachers and one kinesiologist), making up 360 teachers. Online questionnaires were distributed by e-mail to members of school teams for completion, with instructions how to log in, fill it out, and in what deadline. Questions offered multiple answers to choose one or more from, and provided space for additional replies. Respondent teachers voluntarily, completed Q1 at the beginning of second semester, and Q2 and Q3 at the end of the second semester of school year 2015/2016. Response rate for Q1 was 310, for Q2, 178, and for Q3, 121 of overall 360 teachers.

Results

Project evaluation has shown improved conditions and increased pupil interest in Physical Education. A statistically significant difference (χ2=65.30, df = 4, p < 0.001) was noted in teachers perception concerning the suitability of equipment for the youngest pupils before and after the project. The Set was regularly used by 85.59% teachers, whereof 82.88% believed that the pupils loved it. Most teachers believe that this project could help advance the quality of the Physical Education class, and would recommend this Set.

Conclusion

This project presents a positive innovation for the teaching process and a strong potential for lessening the spatial-material problems many schools are experiencing.

Funding

The Croatian Ministry of Health funded the Sets of kinesiological aids.
191 Fostering Self-Sufficiency Among Elderly Life: Perspective of Functional Ability to Achieve Healthy Aging
Authors: Singh Suditi , Pandey Atul Kumar
Published: September 2024

Purpose

Elderly life refers to the post-older adult (45-59 years) phase, when individuals reach 60 years old. The Basic Activities of Daily Living (BADL) such as feeding, dressing, bathing, grooming etc. is a fundamental component to assess the healthy ageing among elderly in India. These activities associated with caregivers, nursing homes and healthcare services (Arokiasamy et al., 2021). The circumstance is compounded by additional social inequalities, including caste and class, which intersect and lead to the emergence of many kinds of marginalization encountered by the elderly population (Bloom et al., 2021). The purpose of this study is to assess the major functional ability issues among elderly to in terms of BADL/IADLs, considering socioeconomic inequalities.

Methods

Research uses Longitudinal Ageing Study in India (LASI) 2017-19 having 31464 sample from age 60 years and above. The bivariate and multivariate regression methods help to examine the variations among population.

Results

In Indian context, at least one BADL was performed by 26.4% of females and 20.9% of males. Furthermore, it was found that males (33.9%) and females (56.7%) necessitated support with a minimum of one Instrumental Activity of Daily Living (IADL). Approximately 25.7% of females and 23.8% of males required assistance with both BADLs and IADLs. IADL had an odds ratio of 1.69 (95% CI: 1.60-1.78, p < 0.001), whereas BADL dependence had an odds ratio of 1.35 (95% CI: 1.27-1.44, p < 0.001). In terms of IADLs, the most prevalent limitation identified was the inability to navigate unfamiliar environments; this occurred at rates of 19.3% for males and 39.1% for females. Comparing those in the highest income quintile to those in the lowest income quintile, the likelihood of requiring assistance with at least one ADL was 0.89 (95% CI: 0.82-0.98, p < 0.05).

Conclusion

Socio-economic factors play a vital role in determining the dependence for BADL and IADL among elderly. In Indian context elderly and long-term care help to enhance the impact of universal health coverage under various age and healthcare preference cohort.

Support/Funding Source

This study does not have any funding support or source from the institution or outside.
167 Holistic wellbeing in older persons with a chronic lung disease: The communication about sexuality (COSY) randomized controlled trial (RCT)
Authors: Frei Anja , Lana Kaba Dalla , Radtke Thomas , Braun Julia , Puhan Milo , Steurer-Stey Claudia
Published: September 2024

Purpose

Experiencing a fulfilling sexuality is important for human wellbeing. However, problems with sexuality are common in older and chronically ill people like persons with COPD, and the topic is rarely addressed by health care professionals (HCP). The aim of this RCT was to evaluate acceptability and effectiveness of the COmmunication about SexualitY (COSY) intervention on health outcomes and physical activity in people with COPD (NCT05696730).

Methods

Persons with COPD recruited from general population and primary care setting were randomized into intervention (IG; 1 face-to-face and 2 phone counselling sessions by trained HCP, 6 communication instruments) or control group (CG; usual care). Primary outcome was change in quality of life (CASP-12) from baseline to 3 months follow-up, secondary outcomes change in physical activity (accelerometer, ActiGraph), functional exercise capacity, and COPD specific health outcomes. Acceptability of the IG participants was assessed by interviews at the end of the study.

Results

36 persons were randomized (17 IG, 19 CG), 44.4% (n = 16) females, mean (SD) age 71.1 (6.9) years. They conducted on average 6074 (4043) step per day and 39 (35) minutes in moderate/vigorous physical activity. 27 participants (13 IG) already completed 3-months follow-up (assessments still running, effectiveness results expected by end of April 2024). So far, 54% of the interviewed IG participants stated that they were very happy and 46% that they were happy with the intervention (5-point Likert scale, 1=very happy to 5=not happy at all). They reported that the COSY instruments helped them to discover and discuss needs, goals, and barriers for sexual wellbeing, to support motivation to conduct individually defined actions for communication about their needs and for healthy behaviours.

Conclusions

Preliminary results showed that communication about sexual wellbeing was well accepted by these older, chronically ill persons. Successful implementation requires not only a competent, but also an open and respectful HCP. Effectiveness results regarding health outcomes and physical activity are not available yet but will be presented at the conference.

Funding

The project was funded by the foundation LUNGE ZURICH (main funding source) and AstraZeneca and OM Pharma (additional funding sources).
152 The Role of Physical Activity and Strength Training on the Mental Health Outcomes of University Students Across the COVID-19 Pandemic: A Repeated Cross-Sectional Study
Authors: Noonan Aoife , Kennedy Sarah , Norton Catherine , Tierney Audrey , Ng Kwok , Woods Catherine
Published: September 2024

Purpose

The COVID-19 pandemic heightened mental health challenges experienced by university students. While benefits of regular moderate-to-vigorous physical activity (MVPA) and strength training physical activity (STPA) on mental health are well documented, confinements related to the pandemic restricted opportunities to engage. This paper aims to investigate associations between MVPA and STPA on the mental health and happiness of university students, prior to (2019), during (2020 & 2021) and post COVID-19 pandemic-related confinements (2022).

Methods

Data from an annual repeated cross-sectional survey over 4 years (2019-2022) were analyzed. Measures included MVPA (IPAQ-SF), STPA (item from CSSPA+YA), mental health (MHI-5: dichotomized as good vs poor), happiness (single item scored from 1-10 from SAPAS) and demographic items. All measures were previously validated in the context of university students. After post-stratification weighting, independent samples t-tests and chi-square tests were conducted using IBM SPSS 29. Associations between mental health outcomes of individuals meeting weekly MVPA (150 minutes) and STPA (≥ 2 sessions) guidelines were compared to non-compliers.

Results

Final participants (N = 3221) had a mean age of 21.7 (SD = 6.45) with 50.5% identifying as female. Pre-pandemic (2019), 63.4% met MVPA guidelines, compared to 50.3% (2020), 65.9% (2021) and 48.2% (2022) in subsequent years. Meeting STPA did not change from 2019 - 2021 (55% - 56%) but increased to 62% post-confinements (2022). Both happiness and mental health were statistically significantly higher pre-pandemic compared with during and post-pandemic (p-values < 0.05). Positive associations were found in all four years between meeting STPA guidelines and both mental health (p < 0.05) and happiness (p < 0.05). No associations were observed between meeting MVPA guidelines and mental health any year. Nonetheless, in 2021, meeting MVPA guidelines was associated with higher happiness scores (p = .020, g = .230). Contrary in 2022, a negative association was observed (p = 0.04, g = .119).

Conclusion

STPA engagement prior to, during, and post pandemic restrictions was associated with better mental health outcomes, although associations with MVPA were inconclusive. While future research is needed, findings may be of interest to researchers and health professionals.

Funding source

Healthy UL, University of Limerick.
146 The vAdBeCeDa® program improves postural stability in non-visual older adults living in the community
Authors: Tomazin Katja , Zupan Zala , Knific Tjasa , Dolenc Maja
Published: September 2024

Purpose

The vAdBeCeDa® program is a novel multicomponent exercise program for the prevention of falls and frailty in community-dwelling older adults by improving strength, stability, balance, flexibility and walking speed through targeted exercises. The aim of the study was to investigate how vAdBeCeDa® affects postural performance under non-visual conditions.

Methods

Forty-three community-dwelling older adults were recruited (age: 72.3±5.3 years, height: 166.1±12.5; mass: 75.9±15.0 cm). The Balance Error Scoring System (BESS) was used to assess postural performance under non-visual conditions. The BESS was performed in three stances (two-legged, tandem and one-legged) and under two conditions (firm and foam) without vison. In each posture, the observers counted the errors in deviations from the correct posture. Postural control under visual conditions was assessed with a one-legged stance on firm ground. All measurements were taken at the beginning of the study, 8 weeks later (control condition) and 16 weeks later (after 8 weeks of the vAdBeCeDa® program). The vAdBeCeDa® program was performed twice a week, with each session lasting 60 minutes. The exercises were designed to train strength, flexibility, aerobic fitness, balance and coordination (all exercises were designed in 4 levels so that the right intensity was achieved for all participants).

Results

The preliminary results show that the vAdBeCeDa® program is a promising tool to improve postural performance under visual and non-visual conditions.

Discussion

Vision impairments are commonly observed in older adults; therefore, the vAdBeCeDa® program appears to efficiently improve postural stability when older adults need to redistribute sensory information required for postural control from visual to somatosensory and/or vestibular cues.

Support/Funding Source

The project is funded by the Ministry of Health of the Republic of Slovenia and the European Union – NextGenerationEU. The project is implemented in accordance with the plan under the development area: Health and Social Security, Component 1: Health (C4 K1), Investment: Strengthening the competences of health care staff to ensure quality of care, Project: Integration of Geriatric Care for the Elderly.
108 Why do we run? Motivation profiles and training characterstics in the Garmin-RUNSAFE Running Health Study
Authors: Skejø Sebastian , Blacket Chloe T , Nielsen Rasmus Østergaard , Fuller Joel T , Bennett Hunter , Crozier Alyson J , Arnold John B
Published: September 2024

Purpose

To identify differences in training between runners with different motivation profiles.

Methods

We invited runners enrolled in the Garmin-RUNSAFE Running Health Study to answer the Behavioural Regulations in Exercise Questionnaire, version 3 (BREQ-3) – a 24-item, six subscale questionnaire assessing motivation.

For each runner, we computed the mean weekly number of running sessions (Mfreq), the mean weekly running distance (Mkmwk), the mean weekly running duration (Mdurwk) and the average pace (Mminkm) in the four weeks preceding BREQ-3 completion.

We identified motivation profiles using latent profile analysis on the BREQ-3 subscale scores and compared profiles’ training using Kruskal-Wallis and Dunn’s test with Bonferroni correction with statistical significance set at p < 0.05.

Results

2278 runners completed the BREQ-3. We identified four motivation profiles: ‘balanced engagers’ (n = 620, Mfreq = 2.6, Mkmwk = 23.6 km, Mdurwk = 2.3 hours, Mminkm = 6.15 min/km) with moderate-to-high levels of autonomous motivation; ‘autonomy achievers’ (n = 1379, Mfreq = 3.4, Mkmwk = 31.3 km, Mdurwk = 3.1 hours, Mminkm = 6.10 min/km) with high levels of autonomous motivation; ‘reluctant runners’ (n = 117, Mfreq = 1.9, Mkmwk = 13.2 km, Mdurwk = 1.4 hours, Mminkm = 6.46 min/km) with low levels of autonomous motivation; and ‘controlled engagers’ (n = 162, Mfreq = 2.9, Mkmwk = 24.5 km, Mdurwk = 2.5 hours, Mminkm = 6.38 min/km) with high amotivation and extrisinc motivation, but also high autonomous motivation.

‘Autonomy achievers’ had higher Mfreq, Mkmwk, Mdurwk and Mminkm compared to all other profiles (p < 0.001), while ‘reluctant runners’ had lower Mfreq, Mkmwk and Mdurwk than all other profiles (p < 0.001).

Conclusions

Running is one of the most popular forms of physical activity. Our findings show that runners have different motivation profiles which are associated with distinct training patterns. Therefore, it may be important to consider runners’ motivational orientation when designing policies and interventions aimed at enhancing physical activity through running.

Support

The study is supported by unconditional grants from Aarhus University Research Foundation (grant number: AUFF-E-2015-FLS-9-9) and the Danish Rheumatism Association (grant number: R160-A5157).
S01-3: Developing a new physical activity outcomes framework for Scotland
Authors: Taylor Niall , Love Jennifer
Published: September 2024

Purpose

To share learning from the development of a new physical activity outcomes framework as part of the application of a systems-based approach to physical activity policy in Scotland.

Development

The Active Scotland Outcomes Framework first published in 2014 focused on six high level outcomes against which national progress was monitored.

The Public Health Scotland (PHS) systems-based approach to physical activity (PA) proposed the adoption of eight thematic delivery outcomes, prompting the revision of the Active Scotland Outcomes Framework and associated indicators.

This coincided with the development of a Population Health Plan for Scotland and the need to identify a PA target to sit alongside other health improvement targets. Application of the WHO target to reduce the relative global prevalence of physical inactivity in adults and adolescents by 15% by 2030 was identified as the logical target to follow, but to do so it would need to be defined and quantified in a Scottish context.

Implementation and dissemination

Subsequently the revised Active Scotland Outcomes Framework now states a long-term vision underpinned by eight delivery outcomes mapped against associated indicators and aligned to the WHO target to reduce the relative global prevalence of physical inactivity in adults and adolescents by 15% by 2030.

WHO guidance indicates 2016 as the baseline year for this target. In that year 36% of adults and 39% of children in Scotland were classed as inactive (not meeting the recommended levels of MVPA). Therefore, by 2030 a relative reduction in inactivity in Scotland would equate to 30% of adults and 33% of children.

Evaluation

The revised outcomes framework associated indicators and target are used to evaluate the new Physical Activity for Health strategy. Data are largely derived from two annual national surveillance surveys: The Scottish Health Survey and the Scottish Household Survey.

Conclusions and practical implications

Adoption of a systems-based approach derived from international evidence and best practice, translated into a Scottish context provides a robust framework through which a new strategy, outcomes framework and target for Scotland were developed.
S01-4: Implementing the systems-based approach to physical activity in Scottish Local Authorities
Authors: McAuley Dawn
Published: September 2024

Purpose

To share learning from the application of a pragmatic, evidence-driven, systems-based approach to physical activity policy in Scotland at a national and local level from a sportscotland (national agency for sport) perspective.

Development

sportscotland invests in and work with all 32 local authorities and leisure trusts to deliver shared local and national outcomes and priorities for sport and physical activity.

Working in partnership, sportscotland and Public Health Scotland are supporting local government partners apply the systems-based approach used nationally, to guide the development of local and regional evidence-based physical activity strategies and action plans.

Implementation and dissemination

Local government in Scotland is made up of 32 local authorities which vary in size, demographics, and population. We are implementing the approach across a range of settings including Island, rural, city, and mixed urban/rural.

Collectively we provide leadership and support to enable local partners at a local level to adopt a systems-based approach to physical activity to shape the local strategic direction of physical activity and sport.

We provide support, guidance, and resources to local governance groups to help design and shape the local approach and co-facilitate workshops to engage key stakeholders from health, social care and, local government departments including sport and leisure, education, planning, place and transport.

Evaluation

Each local strategy and associated action plans identify local outcomes, outputs and indicators and local governance groups oversee implementation. Accountability and reporting arrangements vary and are aligned to local structures which include Community Planning Partnership.s, Health Boards and/or Council Committees.

Conclusions and practical implications

Local implementation of the systems-based approach is critical to ensuring we reduce physical inactivity across Scotland.

Successful application of the approach is dependent on local leadership, capacity, and commitment.

Partners provide staff time within existing resources. Financial resources are limited across local government and health, the approach aims to maximise use of existing capital, revenue and human resource.
S02-2: Integrating “routine” practice into the monitoring of physical activity promotion for adults and vulnerable groups: lessons learned
Authors: Birkholz Leonie , Abu-Omar Karim , Gelius Peter , Geidl Wolfgang , Pfeifer Klaus , Messing Sven
Published: September 2024

Purpose

To support policy development, a number of tools are available to inform policymakers about the current status of PA promotion in a specific country. However, an exchange between policymakers and researchers revealed a major gap on the systematic assessment of “routine practice”, i.e. PA promotion activities already taking place on a large scale and on a regular basis (e.g., programs run by governmental or civil society organizations such as municipalities, schools, sports federations, or cycling federations). This study aims to provide an overview of routine practice for PA promotion in Germany as part of the newly developed TARGET:PA tool.

Methods

A systematic search for routine practice at the national level was conducted for adults and for vulnerable groups (older adults, adults with noncommunicable diseases). Based on a search on Google and websites of relevant stakeholders in the field of PA promotion in Germany, the results were categorized by relevant sectors and settings (e.g., sport, health, transport). In addition, the efficacy, reach, and maintenance of the identified routine practice were examined. Finally, scientists and stakeholders were involved to verify the routine practice for PA promotion.

Results

The systematic approach yielded more than 100 routine practices of PA promotion in Germany. They focused both on behavior change (e.g., “bike to work” campaign, exercise referral schemes) and on structural interventions (e.g., public funding of sports for all). Most were identified for adults, especially for the sport sector. The results informed the development of policy briefs on PA promotion for adults, older adults, and adults with noncommunicable diseases published by the German Federal Ministry of Health.

Conclusions

Routine practice is particularly relevant for policymakers as it already has a high reach, and substantial public health impact might be generated by further optimizing it rather than introducing new measures. Integrating this aspect into the monitoring of PA promotion could be an added value, and the approach has the potential to be adapted to other countries.
S05-2: National Strength in Old Age Program: 20 years of committed municipalities and intersectoral collaboration
Authors: Starck Heli , Kalmari Pirjo , Hänninen Saila , Borodulin Katja
Published: September 2024

Purpose

To prepare for increasing numbers of older persons, a National Program to promote functional capacity among older persons aged 75+ years was launched.

Development

The Strength in Old Age Program (on-going since 2004) in Finland aims to launch health-enhancing exercise for independently living older adults with decreased functional capacity. Age Institute coordinates the Program and mentors the municipalities, each participating for a three-year-period. The Program is primarily funded by Ministry of Social Affairs and Health.

Implementation

Participating municipalities implement good practices in exercise counseling, strength and balance exercise and outdoor exercise. They commit to implementation through intersectoral collaboration without extra funding. The sectors include eg. social, health care, sports services, and NGOs. Local cross-sectoral work is supported by the mentoring of Age Institute including counseling, continuing education, materials, network events, development tools, and collection of follow-up data.

Evaluation

109 municipalities out of 297 have participated in the Program. Results from the municipalities state that 79% perceived receiving high or very high benefits from participation in the Program and 89% were committed to continue the good practices after the 3-year mentoring phase. They were most satisfied with tailored counseling, free continuing education, and materials. They also met challenges, e.g. high turnover of workers and lack of support from decision-makers. The Program develops solutions to local challenges by learning from others and using the good practices.

The amount of exercise groups has increased in most municipalities. A survey of exercise group participants has been made in three waves (2015-2023). The participants perceived mostly good or strong benefits from their participation in the groups. Physical functioning test results show that majority of the participants improved their strength and balance.

Dissemination

A systematic dissemination has been carried out by Age Institute. Scale-up is limited to availability of resources. Until 2023, individual municipalities applied to the 3-year-Program. In future, the Program will focus the dissemination to Wellbeing Services Counties, after the social and health care reform.

Conclusions

The Program has shown substantial results in all participating municipalities, where key elements include commitment of the municipalities, support from Age Institute and participation of older persons.
S06 Organisation of physical activity for people with acute or chronic diseases: the mechanisms, the barriers, and the possible solutions
Authors: Harvey Juliet , Crabbé Marie , Morris Jacqui , Lion Alexis
Published: September 2024

Purpose

Physical activity (PA) is a promising therapeutic tool to treat and manage several chronic diseases. However, few patients are engaged in regular PA or are sufficiently active.

This symposium investigated different mechanisms, barriers, and solutions which may explain the low PA engagement of patients with chronic diseases. Possible solutions will also be discussed.

Project/policy description

The first presentation aimed to tackle the deconditioning during the acute phase of the treatment of chronic diseases in Scotland (UK) using a collaborative method. A Special Interest Group was formed and consisted in a collaborative hub where staff networked, supported each other, conducted projects, and shared their findings and challenges. It resulted in the development of resources, audit tools and training material.

The second presentation aimed to investigate the barriers explaining the lack of PA in cancer patients in Flanders (Belgium). Barriers experienced by patients and health and exercise professionals were identified and used to elaborate a tool allowing professionals to assist cancer patients more effectively in their exercise routines.

In third presentation aimed to developing and pilot testing a dyadic intervention to promote outdoor walking in people after stroke in Scotland (UK). The collected data illustrate the potential of dyadic interventions with this clinical population. The data highlight the need for careful matching of dyads, facilitation of dyadic working by practitioners who can support development of dyadic relationships; and community structures linked to healthcare pathways that support implementation.

The last presentation aimed to understand how outpatient PA for cardiac patients is organised in Luxembourg and its 3 surrounding countries. Organisation was different in the 4 countries. Guidelines on the organisation of the outpatient PA for cardiac patients are needed to harmonise the organisation with may help to increase the participation.

Conclusions

Organisation of the PA offer for people with chronic diseases, which include a better promotion from healthcare professionals and more patient-centred programmes/initiatives, may increase the participation. These examples will open a discussion between the speakers and the audience attending the symposium. It will feed into the reflections of the Working Group on HEPA Promotion in healthcare settings.
S07-3: Exploring association between characteristics of green space and HEPA behaviour of teenagers in Slovenia
Authors: Erjavec Ina Šuklje , Kozamernik Jana , Žlender Vita
Published: September 2024

Purpose

Different characteristics of public green areas are important spatial conditions for sustainable development as well as for promotion and quality of everyday physical activity (PA). However, not all green places are suitable for all kinds of PA and different people have different needs, preferences and motivations that should be considered for suitable provision of the sustainable and inclusive environment for HEPA. One of the less investigated and thus understood population groups is teenagers. Their needs and motivations as well as behaviour patterns are often overlooked when researching and planning for quality of living environment although there is a growing concern about their physical inactivity and sedentary lifestyles.

Methods

This study focuses on the role of physical environment in elevating PA. It questions how we can plan outdoor green spaces to create a safe and quality environment to sustain and encourage PA among teenagers. It aims to provide answers by (1) inspecting the needs, wishes and preferences of teenagers regarding PA and, (2) identifying facilitators and barriers to outdoor PA. A national-wide survey with 165 respondents and two workshops with more than 100 high school participants were used to collect data from teenagers in Slovenia.

Results

Respondents’ main activities were walking, socializing outdoors, and hiking. However, 70% of them did not reach sufficient PA, mainly due to the lack of time and company for PA. Whilst a recreational paths network and a space to play ball were the main encouragements for outdoor PA, crowdedness, rain, bad smell and trash were among main barriers.

Conclusions

Our results suggest that young people appreciate similar green space characteristics to other population groups as secure access and use, natural shade, closeness to home, and trees. But there are some specific aspects as playing ball settings, possibilities for socializing and the evening use, WI-FI provision and similar that should be taken into consideration. However, we can conclude that providing large, clean, and well-maintained semi-natural or natural-like green spaces close to people's homes may be an effective strategy to improve PA and youth’s health.

Funding Source

Slovenian Research and Innovation agency (ARIS).
S07-4: How to promote HEPA in local urban communities in an eco-friendly way? Learn more about City, Green, Go! Toolkit
Authors: Veress Réka
Published: September 2024

Purpose

The purpose of the City, Green, Go! project is to promote environmental sustainability in the grassroots sport sector. The focus is on promoting health-enhancing physical activities in the urban environment, that are taking into consideration the physical characteristics of the environment and spreading environmental messages. For empowering the grassroots sports’ actors, a toolkit has been developed according to the needs of municipalities, sport and environmental organisations, local communities to provide capacity building and a path for collaborative work.

Project description

In the framework of a 2-year-long Erasmus+ sport collaborative partnership project, 5 main partners and an associated municipality have developed the City, Green, Go! Toolkit, the Toolkit for eco-friendly grassroots sports initiatives in urban settings.

With the coordination of Budapest Sport Service Provider Non-profit Ltd, Isinnova research institute has led the research and the collection of relevant good practices, which are available on the project website. Based on the good-practice compilation, the International Sport and Culture Association (ISCA) has led the development of the Toolkit, focusing on the following chapters:

 • Why should we promote eco-friendly grassroots sport initiatives in urban settings?

 • What can eco-friendly grassroots sport initiatives bring to society?

 • Key steps to be taken to create eco-friendly grassroots sport initiatives in urban settings

 • Useful Resources

Sport and Sustainability International (SandSI) coordinates the organisation of online and onsite testing workshops, that are for disseminate and further develop the toolkit. These workshops are used also as evaluation platforms. Based on the feedback of the participants, the toolkit will be improved.

The Toolkit is based on Principles for Environmental Conservation and Regeneration in Sport Events. Biodersity, Social Equity, Health and Wellness are also addressed among the principles.

For the effective use of the Toolkit, itineraries for organisations of online and onsite workshops will be created.

Dissemination is partly done during the workshops and in the framework of cooperation with like-minded Erasmus+ projects, which creates synergies among similar actions.

Conclusions

By learning about the Principles for Environmental Conservation and Regeneration in Sport events, the environment and the members of the local communities will jointly benefit from eco-friendly grassroots sport events.
S08-1: How can we scale up local physical activity policy monitoring initiatives?
Authors: Messing Sven , Van Hoye Aurélie , Abu-Omar Karim , Gelius Peter , Riquier Olivier , Tcymbal Antonina , Tezier Benjamin
Published: September 2024

Purpose

There is a growing body of evidence on the effectiveness of physical activity (PA) policies, and numerous tools have been developed to monitor such policies. However, a recent literature review revealed that only a limited number of tools focus on PA policy monitoring at the local level. While some of these tools focus on an in-depth data collection in single municipalities, there are only selected examples of large-scale policy monitoring initiatives. This raises the question how to scale up local physical activity policy monitoring initiatives in different countries and considering local contexts.

Methods

To generate knowledge on local PA policy monitoring, a qualitative iterative research design was adopted, including (a) the mapping of indicators of established local PA policy monitoring tools and (b) a co-construction process with policy-makers in France and Germany. The co-construction process with local level policy-makers from different sectors generated data on facilitators and barriers for large-scale policy monitoring, and helped to design a preliminary strategy for scaling up PA policy monitoring at local level.

Results

The comparison of established tools provided a systematic overview of indicators and processes used to monitor local PA policy. Based on the co-construction process, a shortlist of indicators with a high relevance for the involved municipalities was created, considering the perspective of policy-makers from different sectors and countries. The preliminary strategy for scaling up local PA policy monitoring initiatives addresses the two aspects of increasing the reach (number of municipalities involved) and frequency of respective initiatives.

Conclusions

The results show that a strategy for scaling up local PA policy monitoring can be developed based on a co-construction process with policymakers. However, only a limited number of municipalities was involved in this explorative study. Further research is needed to validate the findings for France and Germany, and to test the transferability of this strategy to other countries.

Funding Source

This project has received funding by BayFrance under the grant agreement number FK-06-23.
S09 Exploring the sport and physical activity experiences of people with disabilities and members of the LGBTQ+ community in Ireland: Breaking down barriers, building new relationships
Authors: Cullen Benny
Published: September 2024

Sport Ireland (SI) will deliver a symposium that will provide valuable insights on the importance of inclusive sport and physical activity environments and opportunities that cater for the needs of all in society. The symposium will share results from a selection of studies funded by the SI Research Grant Scheme (RGS), which has funded 49 projects across 13 universities since its inception in 2021. The RGS focuses on projects that address issues of inclusion in sport and physical activity with a view to empowering marginalised communities. The symposium will bring together the lead investigators from four such projects, who seek to impact their chosen field of study while implementing programmes that will initiate change in both policy and the lives of those they engage with.

Led by Robert Purcell, Active Disability Ireland’s study explores the experiences of young people with disabilities in Ireland; including barriers to physical activity, parent/guardian perceptions of need and lack of available supports / facilities.

Lisa Flynn, Vision Sports Ireland, will provide new insights on physical activity experience for children and adults with a visual impairment. The study focuses on children who attend mainstream schools and explores the experiences of their PE teachers. This programme is an ongoing collaboration between Vision Sports Ireland, the Department of Education and DCU.

Dr. Hayley Kavanagh from Special Olympics Ireland and DCU will present findings from a study on fundamental movement skills (FMS) in children with an intellectual disability and the development of a new coaching programme to address the many issues uncovered.

Mr Seamus Nugent, Sport Inclusion lead at Kilkenny Recreation & Sport Partnership, will present findings from ‘Equality in the Field’, a study that examines the experience of LGBTQ+ Youth participation in sport.

The symposium will be chaired by Mr Benny Cullen, the Director of Sport and Innovation Unit at Sport Ireland. Mr Cullen has led on several largescale population studies, including the Irish Sport Monitor and Children’s Sport & Physical Activity study. Mr Cullen will start the symposium with a brief introduction of Sport and Physical Activity policy in Ireland as it relates to diversity and inclusion.
S09-3: Play to Prevent: An 8-week coach led FMS for children with intellectual disabilities
Authors: Kavanagh Hayley
Published: September 2024

Purpose

Fundamental movement skills (FMS) represent the ‘building blocks’ of specific movement skills, like jumping and running, and are necessary for engaging in physical activity and sports. Children with intellectual disabilities (CwID) must be provided with opportunities to learn, practice and reinforce these skills.

Methods

A meta-analysis of studies comparing the FMS proficiency of CwID to typically developing children (TDC) (n = 3525, age 4-12 years) showed that the standardised mean difference in FMS performance between these groups is large (g = 1.24). Research investigating FMS proficiency of CwID attending the Special Olympics Ireland (SOI) Young Athletes programme and their typically developing peers (n = 96, 60% aged 5-12 years) demonstrated higher levels of FMS mastery/near mastery amongst TDC. Overall, findings highlighted sub optimal levels of FMS proficiency amongst CwID and the need for tailored FMS interventions targeting specific skill weakness for this population. Currently within the literature, there are no recommended gold standard FMS interventions for improving motor skill proficiency amongst CwID. This study sought to investigate whether a coach led FMS intervention incorporating parental involvement, improves FMS proficiency in CwID attending the SOI YA programme. CwID (n = 90) between 4-12 years participated in the 8-week intervention delivered by coaches (n = 8) in clubs (n = 8) across the island of Ireland. The FMS intervention involved a three-pronged approach, 30 children were in the control group, 30 children in the FMS intervention and 30 children participated in FMS + parent group. Parents of children involved in the third intervention group (n = 30) undertook PLAYshop, a physical literacy workshop designed to upskill parents on the importance of FMS/physical literacy.

Results

Significant improvements were seen in FMS proficiency of children participating in the FMS only and FMS + parent groups. Parents' self-reported knowledge and confidence to support their child's FMS development significantly increased after PLAYshop participation.

Conclusions

Findings support an 8-week, coach led FMS intervention with parental involvement can significantly improve motor skill proficiency of CwID.

Support/Funding Source

Sport Ireland, SOI, Dublin City University.