bluuebunny/crossref_metadata_2025 huggingface dataset:
S1-4 Decisive factors for movement in Danish schools
Authors: Neilson Jacob Have
Published: September 2023

Purpose

What is needed to succeed with implementation of movement as a natural part of the school day? This question has often been asked to different stakeholders in the Danish school system.

Methods

Based on a systemic approach, the Practice Center for School Sport and Movement conducted a Delphi study inviting stakeholders from all sectors of the system in order to identify important factors based on dialogue and common understanding across sectors. 57 practitioners representing all sectors in the Danish school system from national politicians to pupils participated in the process of identifying decisive factors for movement in Danish schools.

449 inputs were identified from three different sources. 1) Literature review, 2) Experiences from experts working with promoting implementation of movement in Danish schools and 3) Experiences from practitioners collected via surveys distributed through Social Media channels.

Results

The 449 inputs resulted in 169 factors which the expert panel rated in an online survey. Consequently 136 factors qualified for further discussion. The 136 factors were distributed in 12 areas reflecting the sectors of the school system, and panelists were asked to rank factors within an area from ‘most important’ to ‘least important’ in a pyramid model. Panelists wrote arguments for factors placed as most and least important, which served as feedback supporting the dialogue in the two following workshops where they in groups across sectors discussed and prioritized factors within each area.

The panel identified common understanding of movement as a didactical tool which supports variation in school day activities. Furthermore, the panel pointed at priority in terms of time to create culture, structures which support culture and resource persons or teams who support colleagues in development of competencies. Implementation in teacher education and strong leadership at national and municipality levels are key to support successful implementation of movement in Danish schools.

Conclusion

The school system is complex, many factors are important, and these are present within all sectors of the school system. Thus, all parts of the system must take responsibility and engage to succeed.

Funding

This project was supported by Dansk Skoleidræt
S3-1 Explorations of physical activity programmes among people with chronic diseases
Authors:   Chair(s):, Mouton Alexandre , McDonough Suzanne , Vuillemin Anne
Published: September 2023

Regular physical activity throughout life contributes to optimized mental, social, and physical health of individuals. Yet, a significant ratio of the global population does not meet WHO’s recommended levels of physical activity (WHO, 2022). Promoting physical activity is particularly important among people with chronic diseases, as those longterm noncommunicable conditions are the world’s leading cause of mortality and represent an increasing burden on healthcare systems, economic development, and wellbeing of a large proportion of the population, particularly those aged 50 or above.

When a chronic disease is first identified, the health care sector is generally well organized to provide healthcare management of the condition itself, but there isn’t a consistent approach to adopt and maintain a healthy lifestyle as people move back into community settings. Promoting physical activity as part of routine patient care is a particularly important approach for reaching the least active people, and those living with (or at risk of) chronic disease. Although many healthcare professional believe they should play a role in supporting people to be more active there are barriers to doing so in terms of time and know-how.

To overcome those barriers, programmes have been developed to bridge health care into community settings with a common goal to optimise the adoption and maintenance of physical activity longterm. These programmes are very diverse according to their location (in- or out- of hospital), their duration, the type and frequency of activity proposed, the level of education of the coaches, or the individual characteristics of each participant.

The studies presented in this symposium explore then the effectiveness of physical activity programmes amongst people with chronic diseases. These explorations are carried out using both quantitative and qualitative approaches, in order to identify as accurately as possible the ins and outs of successful and meaningful support. Holistic consideration of the people’s pathway to an active lifestyle is explored in those studies, embracing particularly the concept of physical literacy.
S6-1 Implementing interventions to promote physical activity among middle aged and older adults: opportunities and challenges
Authors:   Chair(s):, Boekhout Janet , Peels Denise
Published: September 2023

Extensive research has demonstrated the effectiveness of physical activity interventions for middle aged and older adults (MAOA). Despite this effectiveness, the actual reach of the target population participating in these interventions in a real-world setting remains relatively low. This demonstrates the urgent need for further implementation research. In the Netherlands, this need has been recognized earlier, leading to the foundation of the ZonMW financed Implementation Network Sports and Physical Activity: the presenters in this symposium are all members of that network.

The aim of this symposium is to describe barriers and facilitators regarding implementation that were determined by qualitative studies among MOAO and stakeholders. In addition, the development of a practical tool that stimulates implementation by stakeholders is presented. These studies were grounded in relevant scientific frameworks such as Consolidated Framework for Implementation Research (CFIR) and Implementation Mapping. This symposium also provides recommendations for future research and practice in the shape of potential strategies that can be applied when implementing interventions.
S7-1 Physical activity and planetary health
Authors:   Chair(s):, Abu-Omar Karim
Published: September 2023

The symposium intends to showcase research that seeks to connect physical activity to planetary health. Such research is warranted by the thread of global warming and the loss of biodiversity, but at the same time it is still in its early stages and many open questions remain. Concepts such as one health and planetary health have now been developed and provide more general frameworks on how to map the impacts of (health) behavior on the environment. However, while these frameworks are still quite new for our field of study, it is worthwhile exploring how they can be utilized in our research.

After a brief introduction of the interconnections between physical activity and planetary health, it is the objective of the symposium to present some projects that have begun to go beyond individual and public health and also consider issues of planetary health. This research will touch upon the issue of active transport, but also on the carbon footprint caused by sport and exercise. The symposium will give room for debate, to also allow raising some of the more difficult questions such as on how to deal with types of sport and exercise, that might be good for individual and public health, but have negative effects on the environment. Further objectives of the symposium are to create a better understanding on how the issue of planetary health might be integrated in physical activity research. Also, by bringing together researchers who are interested and have worked on this topic, to foster networking and collaboration.
S7-3 The contribution of walking policy in Ireland to the global sustainable development agenda
Authors: Power Dylan , Lambe Barry , Murphy Niamh
Published: September 2023

Purpose

Increasing population levels of walking holds benefits for public and planetary health. While individual level interventions to promote walking have been shown to be efficacious, upstream interventions such as policies harness the greatest potential for impact at the population level. However, little is known about the nature and presence of walking policy in Ireland and the extent to which it aligns to national and global goals. This research provides an overview of a policy analysis of walking policy in Ireland.

Methods

This study used multiple methods to provide a critical overview of walking policy. Firstly, a six-phase process was employed to conduct a content analysis of local and national walking policy in Ireland. Secondly, conceptual linkage exercises were conducted to assess the contribution of walking policy in Ireland to Ireland’s National Strategic Outcomes and the United Nations Sustainable Development Goals.

Results

Overall, half (n = 13) of the counties in the Republic of Ireland were found to have no local level walking policies. Walking was identified to hold the potential to contribute to over half (n = 7) of the United Nations Sustainable Development Goals. Ireland’s only national level walking specific policy, the Get Ireland Walking Strategy and Action Plan 2017-2020, was identified to potentially contribute to four of Ireland’s National Strategic Outcomes and three United Nations Sustainable Development Goals. There were no actions within national walking policy in Ireland which were identified as contributing to SDG 13 Climate Action.

Conclusions

Multidisciplinary action is required to update walking-related policy with embedded evaluation and governance mechanisms in all local walking systems. Furthermore, analysing walking policy in Ireland through the lens of the Sustainable Development Goals has informed the direction of future walking policy in Ireland. As of January 2023, the results of this research have shaped the next iteration of Get Ireland Walking’s national policy to ensure alignment with global sustainable development goals.

Support/Funding Source

This research was co-funded by South East Technological University and Get Ireland Walking.
S8-2 Health Promoting Sports Federations: theoretical foundations and guidelines
Authors: Van Hoye Aurélie , Geidne Susanna , Vuillemin Anne , Dowd Kieran , Glibo Iva , Heck Sandra , Ibsen Bjarne , Johnson Stacey , Kingsland Melanie , Kokko Sami , Lane Aoife , Ooms Linda , Overbye Marie , Woods Catherine , Zeimers Geraldine , Whiting Stephen , Winand Mathieu
Published: September 2023

Purpose

The potential for organised sports to promote health has been underexploited so far, according to researchers and policy-makers. Sports clubs have limited capacity to promote health due to their voluntary nature and have called for support from their national sports federations. The present article provides guidelines based on health promoting sports clubs theoretical foundations, and an analysis of practical tools and proven strategies to support national sports federations’ investment in health promotion (HP).

Methods

A qualitative iterative study was undertaken, based on five two-hour meetings of a group of 15 international researchers in health promotion in sports clubs. Notes and minutes from meetings, as well as shared outputs were analyzed based on the health promoting sports club framework.

Results

Guidelines for national sports federations to promote health includes a definition of a health promoting sports federation, a description of the settings-based approach stages adapted to national sports federations, as well as practical applications of the health promoting sports club’s intervention strategies. The analysis of existing tools demonstrated that most tools are centered on a single dimension of health (social, mental, physical, spiritual or community), and often on a specific health topic. Furthermore, they do not cover HP as a continuous process or support of sports clubs’ members health, but are generally short-term programs. The HPSF clarifies theoretical concepts, their practical implementation via case studies and outlines intervention components and tools useful for sports federations in their implementation of HP.

Conclusions

The guidelines are meant to facilitate national sports federations to acknowledge, reinforce and foster their further investment in HP.

Funding source

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 101028401. This work was funded by a grant from the World Health Organization in partnership with Santé publique France, Université de Lorraine and Université Côte d’Azur.
S11-3 Hurdles and springboards in involving different health care workers with physical activity on prescription: an EUPAP experience
Authors: Lipkens Luc , Devloo Karlien
Published: September 2023

Purpose

In Flanders General Practitioners (GP) can use Physical Activity on Prescription (PAP) since 2017. GPs can start a prescription and refer their patients to a PAP-coach. This PAP-coach finishes off the prescription. The PAP-coach follows the patient and reports back to the GP. The Flemish government pays the largest part of the PAP-coaching. In 2019 a collaboration, funded by EU, between different European regions was set up in order to implement a European Physical Activity on Prescription model (EUPAP). In other countries, other Health Care Workers (HCW) used PAP as well. In 12 pilot regions in Flanders, they were allowed to do so. The purpose was to increase the use of PAP and thus increase the physical activity level of patients.

Project description

Development: starting from the experience with GPs and other European regions, a proposal of implementation was made. This proposal was adapted to the feedback of professional associations of HCW.

Implementation

In the 12 pilot regions, network groups were responsible for the local implementation. They received a proposed plan, information, (promotion) materials and content for the training of HCW in PAP. The professional associations were asked to inform their members about PAP.

Evaluation

After 4 months of implementation the local implementators joined two focus groups about the implementation process and their first impressions. After 12 months of implementation two online questionnaires were distributed: one for patients that uses PAP and one for prescribers that could have been using PAP. The first results indicate that (1) it is difficult to inform HCW, (2) most HCW are positive, (3) HCW start making use of PAP but not as much as hoped by PAP-coaches.

Scaling up

An evaluation report with lessons learnt from the 12 pilot regions will be handed over to the Flemish government for scaling up the use of PAP by HCW.

Conclusion

Reaching more patients to become more active through other HCW, than GPs, was implemented in 12 regions. Hurdles and springboards are identified in order to learn from for scaling this up.
S12-5 Physical activity trends among second-level Active School Flag programme 2019-2021
Authors: Ng Kwok , Grady Caera , McHale Fiona , McNally Kathleen , Conneelly Maeve , Woods Catherine
Published: September 2023

Purpose

Schools in the second level Active School Flag (ASF) programme are required to carry out a whole school survey to capture the student voice within the programme. Data from these surveys can be used to measure changes in physical activity behaviours at the school level. This presentation outlines the changes in physical activity levels over a three-year period from students in ASF schools.

Methods

From five schools involved in the ASF programme from 2019 to 2021, students reported frequencies of 60 minutes of aerobic physical activity, muscle strengthening, and active transport. Students were grouped into inactive (0-2 days), somewhat active (3-4 days), active (5-6 days) and daily active (7 days), as well as meeting muscle strengthening guidelines (3+ days/week) and not meeting (0 – 2 days). Furthermore, only students who lived within 5km of their school were included in the active transport analyses, where active transport was a combination of walking and cycling. Contingency tables were produced, and logistic regressions were used to analyse changes between 2019 (reference), 2020 (COVID-19 lockdown), and 2021, with age as confounders and stratified by gender.

Results

There was an 80% response rate across the five schools. Of the 7646 students (male 33%, female 65%, other 2%), minimal changes in ‘daily active’ students were observed from 2019 (12%), 2020 (13%), to 2021 (12%), whereas ‘inactive’ students decreased from 25% in 2019 to 23% in both 2020 and 2021. Rates of meeting muscle-strengthening guidelines remained steady over the years for both males and females. Active transport increased from 55% in 2019 to 66% in 2021 for males and 50% in 2019, 63% in 2020, to 65% in 2021 for females. In addition to these overall trends, idiosyncratic analyses of the schools revealed different trends from being in the ASF programme.

Conclusions

There were high level of responses from the whole school survey. The ASF intervention contains adaptable components due to the complex adaptive sub-systems and may shed light on the differences in physical activity over time. Furthermore, COVID-19 restrictions may have affected the program-related results.
S14-4 The unique role of community sport motivators in ‘connecting the dots’ in the Netherlands
Authors: Schijvens Lonneke , van Aggelen Willemijn , Kronenburg Jacqueline
Published: September 2023

Purpose

In 98 % of all municipalities in the Netherlands, community sport motivators (in Dutch: Buurtsportcoaches) connect the dots between the sports sector, social sector, schools, care and childcare and even more. Their goal: motivating people of all ages to take up sport or become physically more active.

Project description

With now almost 6.000 of these professionals, their role is vital in Dutch sport policy and implementation, with tasks such as physical activity education, organizing events and activities, and advise clubs and childcare organizations. They work with local and social organizations and strengthen intersectoral collaboration. The implementation is coordinated on a national and local level and the co-funding is innovative: the government funds 40%, municipalities or local sport organisations 60%. The role of these professionals has been defined in national policies. One of the success factors is the fact that the tasks can be locally customized, according to the needs on a local level.

Evaluation has been performed with quantitative and qualitative research. For instance, research shows that community sports coaches are responsible for both organising (95%) and supervising (86%) extracurricular sports activities at schools. A large majority (82%) of municipalities want to use community sports coaches to ensure that more children meet the exercise standard and that their motor skills improve.

Conclusions

Community sports motivators are here to stay in the Netherlands. Long-term sport policy is needed to build up the confidence in and capacities of this new sport professional. Their role is evolving: in the new National Sports Agreement (2022), strengthening implementation power is one of the targets. Community sports motivators will be more often deployed to organise or realise the referral of inactive people to the existing offer. And with the new School & Environment programme, the Dutch government is committed to equal opportunities by giving sufficient sports and exercise an extra impulse. This starts in the neighbourhoods where the most vulnerable children live, also lagging behind in sports and exercise participation. Among started schools, good examples are already visible where clubs, community sports coaches and commercial sport providers make an important contribution to children's development.
S15-1 Health-enhancing physical activity: does an active body make an active brain?
Authors:   Chair(s):, Cardon Greet , van Uffelen Jannique
Published: September 2023

The cognitive health of older adults has become an increasingly important topic as the world's population continues to age. This symposium discusses the latest research and best practices for promoting and maintaining cognitive health in older adults, with an emphasis on the role of physical activity. Four expert presentations will delve into various aspects of this complex topic.

The first presentation will provide a bibliometric analysis of the scientific literature about the link between lifestyle and cognition.

The second presentation will present cross-sectional findings on the relationship between 24-hour movement behaviours and cognition in adults aged 55 years and above.

The third presentation will present the effects and process evaluation of a cognitively enriched walking program for older adults, focusing on the challenges of research in real-life settings.

The final presentation will highlight the impact of a combined physical and cognitive activity program on executive function and walking speed in adults aged 70-85 years.

The bibliometric analysis and cross-sectional findings will provide a broad overview of the current state of research in this area, while the intervention studies will offer practical insights into the design and implementation of physical activity programs that target cognitive health in older adults. This symposium is a valuable opportunity for researchers, practitioners, and policy makers to learn about the latest developments in this field and discuss the future direction of research and policy.
O.1.1-6 Active in Mind: a 6-year synthesis of the effects of a physical activity and mental health-focused programme on young people in a school-based setting
Authors: Burgin Alice , Slavin Lucy
Published: September 2023

Purpose

Mental health issues in young people are rising and have many adverse impacts on their health, development and education. The Active in Mind programme is a free to access, school-based intervention that uses physical activity as a vehicle for improving young people’s physical, mental and social wellbeing, whilst addressing physical inactivity. The programme is led by an Athlete Mentor, alongside student mentors, and targets young people with low-moderate mental health issues, who are not receiving statutory support, as mentees.

Project description

The Active in Mind programme was first piloted in 2016. Subsequent iterations of the programme have been based on evidence from both previous approaches of each implementation and evaluation, as well as the evolution of the needs of young people and schools. Together, the Active in Mind programme has always sought to address the current needs of schools and young people, with evidence-based core components that can be adapted based on school needs. To date, the programme has reached 21,216 young people. Survey data from young people at baseline and post-programme across this time period has been synthesised. Overall, synthesised outcome data from a subset of young people demonstrates improvements in mentees’ physical activity levels, mental and social wellbeing, whilst improving mentors’ life skills such as leadership, team working and communication skills. Differences in outcomes between mentors and mentees are present, as well as differences in young people from less and more affluent backgrounds.

Conclusion

The current synthesis of self-reported data demonstrates the effectiveness of a free to access school-based physical activity programme on young people’s physical activity levels, mental and social wellbeing and life skills. A strength of the programme is its evidence-based implementation and evaluation and that it provides a solution for the current challenges schools are facing around young people’s mental and physical wellbeing.

The programme’s evaluations have contributed to design and development of future Youth Sport Trust programmes. In addition, evaluations of the programme have also evolved across the time period to ensure the most influential format of evidence is created, in order to influence external policymakers and decision makers at the time.
O.1.2-8 Wants to, but doesn’t do: conflict between goals and activities in community-dwelling older people
Authors: Rantakokko Merja , Saajanaho Milla , Kokko Katja , Törmäkangas Timo , Portegijs Erja , Rantanen Taina
Published: September 2023

Purpose

Active aging refers to the process where older people strive for activity in line with their goals, abilities and opportunities. However, the will does not always lead to action, creating a conflict between goals and actions. The aim of this study was to determine in which activities older people have conflicting goals and actions, and whether ability and perceived opportunity to engage in these activities explain this difference.

Methods

The study included 1021 participants aged 75, 80, or 85 years, who were interviewed for the Active Ageing (AGNES) project in Jyväskylä in 2017-2018. The University of Jyvaskyla Active Aging Scale (UJACAS) includes 17 activities, and for each one, participants were asked about their desire, ability, opportunity, and frequency of participation. A conflict between goals and actions was identified if a participant expressed a desire to participate in an activity but did it rarely or not at all. Logistic regression was used for analyses.

Results

The most common conflicts were related to participating in events to do with studying, clubs or associations (29%), helping others (25%), and participating in hobbies related to art and music (22%). Reduced ability to participate in art and music hobbies was associated with a conflict between goals and actions in that activity (OR 1.39, 95% CI 1.02-1.91). Perceived lack of opportunity was associated with the conflict in helping others (OR 2.04, 95% CI 1.31-3.20), when ability to engage in the activity was taken into account. Reduced ability and lack of opportunity were not associated with the conflict between goals and actions in participating in events of studying, clubs or associations.

Conclusion

Ability and perceived opportunity to engage in activities only partially explain why people do not do what they want to do. Older people may prioritize their time and resources, choosing to engage in activities they consider most important. Therefore, policies and programs that promote active ageing should consider the unique needs that older people have and support access to community-based resources.

The study is funded by European Research Council and Academy of Finland.
O.1.3-5 A review of NHS Scotland policies and strategies on employee wellbeing: the promotion of physical activity
Authors: Ryde Gemma Cathrine , Hoyle Louise Patricia
Published: September 2023

Purpose

The NHS in Scotland is under increasing strain to deliver essential health services since the 2019 COVID. This is in part due to pressures caused by employee absences which even before the pandemic were increasing and at a higher rate than the national average. Promoting lifestyle choices such as physical activity to NHS employees can potentially improve this issue. However, the extent to which employees are encourage and supported to be active at a policy or strategic level is unknown. The aim of this study was to assess the number of health boards that had a policy or strategy document focusing on employee health and to assess the extent to which physical activity was part of this.

Methods

Freedom of Information Requests (FOI) were sent to all 14 Scottish NHS Health Boards to request any workplace documents (both strategic and non-strategic) which focus on employee health and wellbeing. Online searches were also conducted for each health board to look for any additional documents related to staff wellbeing. After removing duplicates, titles and content were assessed for relevance to employee health and wellbeing. The content of include documents were reviewed and any mention of physical activity recorded.

Results

Thirteen documents were retrieved with 11 of the 14 Health Boards having a at least one policy or strategy document that focused on employee health and wellbeing. The oldest document dated back to 2013 with four published since 2020. Of the 13 documents, nine documents mention physical activity but mainly in relation to current activities rather than in the context of a future healthy workforce.

Conclusion

Despite the importance of a healthy NHS workforce, some Health Boards still do not have policy or strategy documents to support this. Those that do are potentially limited by the lack of reference to lifestyle behaviours such as physical activity. In order to improve employee health and wellbeing in the NHS, organisational level documents that encourage health behaviours for staff such as increasing physical activity are needed.
O.1.3-7 Hungarian Active Lifestyle (HEPA) Strategy 2033
Authors: Lacza Gyöngyvér
Published: September 2023

Inactivity and obesity crisis is getting serious in Hungary in the last decade. According to the latest Eurobarometer studies (2022) 59% of the population are inactive and do not meet the WHO minimum physical activity recommendations. Besides, research shows that nearly 60% of Hungarian adults are overweight or obese, and every fifth child as well. As a respond to these challenges in 2023 the first ever Hungarian Active Leisure (HEPA) strategy has been prepared. As a first step we have created a sectoral map and interviewed potential action partners, including all the most recognized stakeholders from the recreation, sport, health and education sector. After a deep overview of the relevant literature, international guidelines and best practices the team of experts chose the OECD/WHO ‘Policy options to increase PA intervention’ model to follow (2023) as theoretical framework for future interventions. The major focus areas of interventions such as School-based interventions, Workplace-based interventions, Interventions of the Healthcare settings, Interventions in the sports sector and Information and communication policies must have been extended with three more areas: Urban design and transport policies, Natural environment and at last Seniors and Socially and economically disadvantaged citizens. A number of programs have already been piloted (just like Active School Program, Sport Clubs for Health, Workplace interventions or Senior - Pre-school children’s recreational-sport activities together) with great results. Indicators are not only the growing numbers of participants but also successful pilot programs are spreading and more and more work-places, local communities and sport clubs open up to follow these examples all over the country. Hopefully, in the medium and long term both physical activity rates will increase and health and well-being benefits are going to be significant too.

Sources: https://sport.ec.europa.eu/news/new-eurobarometer-on-sport-and-physical-activity

https://read.oecd-ilibrary.org/social-issues-migration-health/step-up-tackling-the-burden-of-insufficient-physical-activity-in-europe_540a3e56-en#page1
O.2.3-3 Are we working (too) comfortably?: developing and testing an evidence-informed toolkit to reduce sedentary behaviour when working at home
Authors: Morton Sarah , Fitzsimons Claire , Coral-Almeida Eva , Sivaramakrishnan Divya , Niven Ailsa
Published: September 2023

Covid-19 permanently changed how desk-based workers spend their day, with many working at home (W@H) some/all of the working week. W@H is associated with increased levels of sedentary behaviour (SB), when compared to office sitting. There are adverse mental and physical health outcomes associated with prolonged SB. A solution is needed to support those who W@H to move more across the day, reducing the negative effects of SB.

Informed by a rapid review and focus groups with desk-based workers, we developed a ‘Toolkit’ comprising educational information about SB, suggestions for reducing SB, and action planning resources. ‘Toolkit’ components were grouped into themes and delivered over 4-weeks by e-newsletter: 1) Move During Meetings; 2) Active Breaks; 3) Home-to-Home Commute; 4) DIY Tech. Scottish Government employees tested the ‘Toolkit’ and provided feedback to allow us to refine ahead of wider rollout.

Staff reported enjoying using the ‘Toolkit’ and found the weekly e-newsletters were a useful reminder to move more when W@H. Suggestions were considered practical, low-cost, and didn’t require additional resource (e.g. buying equipment) to engage with. In terms of refinements, staff felt it would be useful to have organisational support for permission to take breaks when W@H and that there were occasions when it could be difficult to implement suggestions, e.g. during meetings, when busy, and limitations of job requirements. Each participant had their own favourite strategy. The ‘Toolkit’ could be further enhanced through options to personalise. The Active Break week was the favourite theme with 39% of final evaluation respondents indicating preference for this. DIY Tech week was the least favourite (11%).

W@H employees are aware of the risks of prolonged SB, and want to reduce this behaviour without impacting on job role. Validation from employers will nurture a culture of permission to move, however resources providing employees with individualised suggestions of when to move and what to do will be imperative to encourage long-term behaviour change. Through our research, we have developed and tested an intervention ‘Toolkit’ for supporting those W@H to reduce SB. The next stage is to explore AI-based opportunities for personalisation and rolling out more widely.
O.3.3-2 Promoting physical activity to patients: a scoping review of the perceptions of doctors in the United Kingdom
Authors: Baker Graham , Woodhead Gemma , Sivaramakrishnan Divya
Published: September 2023

Purpose

The physician–patient encounter presents an ideal opportunity for physical activity (PA) promotion. This review aims to: i) explore the breadth and depth of existing literature investigating doctors’ perceptions of PA promotion in the United Kingdom (UK); and ii) identify factors influencing the extent to which doctors engage in PA promotion during patient interactions.

Methods

A five-stage scoping review methodology and the PRISMA-ScR guidance were followed. Stage 1 – research questions specified. Stage 2 – relevant studies identified by searching five electronic databases and manual screening of references. Stage 3 – studies screened using Covidence™. Stage 4 – study data extracted and charted. Stage 5 – findings from included studies were analysed, summarised and reported using: i) descriptive numerical analysis to provide insight into study characteristics; and ii) narrative summary of the evidence categorised by factors that influence doctors’ engagement with PA promotion.

Results

In total, 16,961 studies were screened. Nineteen studies were included in the review with most conducted in primary care focusing on the perceptions of general practitioners. Seven influencing factors were identified: knowledge and training, personal interest and PA level, time, resources, confidence, the perceived role of the doctor and patient relevance.

Conclusions

This review provides new evidence that historical barriers and influencing factors have a persisting impact on the ability and willingness of UK doctors to engage with PA promotion with patients. Previous efforts to address these factors would appear to have had limited success. Further intervention efforts are required to ensure more widespread and effective PA promotion to patients.
O.3.3-10 The why and how of co-production between professionals and volunteers: a qualitative study of community-based healthcare in Denmark
Authors: Rasmussen Lene Gissel , Skjerning Halfdan Thorsø , Burau Viola
Published: September 2023

Purpose

The purpose of the present study was to explore co-production in practice by examining how public health service and voluntary sports clubs collaborate to support people with chronic illness to participate in physical activity in a Danish community setting. Specifically, our research asked the following questions: Which institutional logics guide the practice of co-production in municipalities and voluntary sports clubs? And how do the involved stakeholders co-produce community-based healthcare? The study adopted a critical perspective on the use of co-production to promote physical activity by linking public health service and voluntary sports clubs.

Methods

The study used a critical case study approach to examine the practice of co-production. The analysis was built on qualitative data from nine semi-structured interviews, two information interviews and project documents. Interviews were recorded, transcribed verbatim and coded drawing on the theory of institutional logics.

Results

The findings document how the interplay between professionals and volunteers has implications in their everyday practice and offer three central insights into the practice of co-production: Firstly, in the process of co-production the interplay between different and sometimes contradictory logics may lead to conflict, dilemmas, feelings of conflicting pressures and unfulfilled expectations amongst the involved stakeholders. Secondly, the study offers examples of how different logics can be combined and balanced. Here, the stakeholders especially draw on strategies based on the network logic, which facilitates mutual understanding and matching of expectations. Thirdly, the study highlights context-specific variation, where co-production emerged as highly contingent, reflecting the dynamic interaction between logics and the context-specific management by the involved professionals and the sports club volunteers.

Conclusions

This study makes an original contribution to the conceptual understanding of co-production in healthcare service, thus emphasising the benefit of paying attention to the network logic when building bridges between public healthcare service and voluntary sports clubs to promote physical activity – and to unite the seemingly contradictory “why” and “how” of co-production in practice.

Support/Funding Source

No funding to declare.

Published in Journal of Sociology and Social Policy, 2022, Vol. 43 No. 1/2, pp. 197-213. https://doi.org/10.1108/IJSSP-01-2022-0027
O.4.1-8 Association of sit-to-stand capacity and free-living performance using thigh-worn accelerometers among 60-90-year-old adults
Authors: Löppönen Antti , Delecluse Christophe , Suorsa Kristin , Karavirta Laura , Leskinen Tuija , Meulemans Lien , Portegijs Erja , Finni Taija , Rantanen Taina , Stenholm Sari , Rantalainen Timo , Van Roie Evelien
Published: September 2023

Introduction

Five times sit-to-stand (STS) test is commonly used as a clinical assessment of lower-extremity functional ability, but its association with free-living performance has not been studied. Therefore, we investigated the association between laboratory-based STS capacity and free-living STS performance using accelerometry. The results were stratified according to age and functional ability groups.

Methods

This cross-sectional study included 497 (63% women) participants aged 60–90 years from three independent studies. A thigh-worn tri-axial accelerometer was used to estimate angular velocity in maximal laboratory-based STS capacity and in free-living STS transitions over 3-7 days of continuous monitoring. Functional ability was assessed with Short Physical Performance Battery (SPPB).

Results

Laboratory-based STS capacity was moderately associated with the free-living mean and maximal STS performance (r = 0.52 - 0.65, p < .01). Angular velocity was lower in older compared to younger and in low- versus high-functioning groups, both in capacity and free-living STS variables (all p < .05). Overall, angular velocity was higher in capacity compared to free-living STS performance. The STS reserve (test capacity – free-living maximal performance) was larger in younger and in high-functioning compared to older and low-functioning groups (all p < .05).

Conclusion

Laboratory-based STS capacity and free-living performance were found to be associated. However, capacity and performance are not interchangeable, but rather provide complementary information. Older and low-functioning individuals seemed to perform free-living STS movements at a higher percentage of their maximal capacity compared to younger and high-functioning individuals. Therefore, we postulate that low capacity may limit free-living performance.

Support/Funding Source

This study was supported by the Research Foundation Flanders, Belgium, the Academy of Finland, the Finnish Ministry of Education and Culture and an Advanced Grant from the European Research Council.
O.4.3-1 Girls with low motor competence may be particularly at risk of insufficient skeletal loading; latent profiles analysis of a four-year follow-up of Finnish adolescents
Authors: Rantalainen Timo , Gråsten Arto , Haapala Eero A , Ortega Francisco B , Huhtiniemi Mikko , Jaakkola Timo
Published: September 2023

Purpose

Adequate skeletal loads during the adolescent growth spurt are elemental in building a robust skeleton. Adolescents with poorer motor competence are less active and develop a less robust skeleton compared to their peers with better develop motor competence. However, few longitudinal examinations of motor competence and skeletal loading through adolescence have been reported. Therefore, the purpose of the present study was to explore the association between motor competence and free-living bone-generating (osteogenic) skeletal load trajectories among adolescents.

Methods

A total of N = 562 5th graders (11 to 13 years-of-age) were initially included in the sample and were followed up annually for four years from 2017 to 2020 (N = 239 in 2020). The children were asked to wear a waist-worn accelerometer for 7 days and motor competence was assessed with 5-leap and side-to-side jumping tests once a year. Latent profiles were identified based on motor competence, and skeletal loading was estimated using an osteogenic index, which combines the number of loading peaks in particular intensity categories akin to counting steps but with accounting for the magnitude of the impact.

Results

Three motor competence groups arose from the data for both boys and girls and all groups exhibited persistent low, mid or high motor competence throughout the follow-up. The latent group with the low motor competence consistently exhibited the lowest skeletal loads (10 to 20% below the highest motor competence), and the highest motor competence group the highest with the mid-group in between. All latent groups declined in skeletal loads over the follow-up (from osteogenic index 420 SD[80] to 300[90]) with no difference in the steepness of the decline among boys. However, the lowest motor competence group among girls had a slightly steeper decline in skeletal loads than the other groups.

Conclusions

the finding that motor competence is associated with skeletal loading among adolescents was confirmed in this longitudinal study. Notably, girls with the lowest motor competence had the steepest decline in skeletal loading over the follow-up. Policies aiming to improve fundamental movement skills could be expected to improve skeletal development particularly among less motor competent girls.
O.4.4-2 Cross-sectoral sporting programs aimed at children from low-income families: lessons learnt from the Netherlands
Authors: Ooms Linda , Gutter Kirsten , van Lindert Caroline
Published: September 2023

Purpose

Children from low-income families participate less often in sport and physical activity than children from high-income families. In the Netherlands, sporting programs were implemented by sports clubs in collaboration with other local organizations to stimulate physical activity among children from poor families. These programs were funded by the Dutch government within the program ‘Sport Impulse Youth from Low Income Neighborhoods’ (2014-2020). The aim of the research was to get insight into the implementation and successfulness of these sporting programs with regard to increasing sport participation among the target group.

Methods

After the two-year funding period, online questionnaires were sent to project coordinators and group interviews were conducted with project coordinators and collaborating partners (funding period 2014-2017). During the final funding period (2018-2020), also group interviews were conducted with participating children and parents. The research focused on the reach and implementation of the programs, involvement of parents, experienced effects, and factors influencing sport participation among the target group.

Results

Sporting programs were often adapted to the local context. Furthermore, there was little collaboration with key figures in the neighborhood that were close to the target group. The target group was predominantly reached through providing sport activities at schools in low-income neighborhoods. Providing different sport activities and personal guidance, stimulated children’s participation. However, a lack of follow-up activities and a lack of parental involvement, hindered structural sport participation.

Conclusions

The target group can be reached with these kind of sporting programs. To enhance program effectiveness, it is important to involve parents and to ensure suited follow-up activities are available. Furthermore, it is important that the sport coach is someone who is familiar with the background of the target group. Moreover, collaborations with key figures in the neighborhood could help in attracting more participants. Finally, adaptations in sporting programs should be thoroughly monitored.

Funding source

This study was funded by ZonMw, The Netherlands.
O.4.4-3 Developing a bespoke undergraduate physical activity course for a Portuguese Medical School - the VANGUARD European Union Erasmus+ project
Authors: Mendes Romeu , Barbosa Ana , Afonso Alberto Caldas , Beirão Idalina , Barros Henrique
Published: September 2023

Purpose

Embedding physical activity in the undergraduate curricula of frontline health professionals is one of the policies recommended by the World Health Organization and the European Commission to promote health-enhancing physical activity (HEPA).

The VANGUARD project is supported by the European Union Erasmus+ Programme, and aims to embed physical activity in the undergraduate curricula of healthcare professionals in European countries.

Within this project, this work aimed to describe the bespoke development of a physical activity and health course integrated into the undergraduate medical curriculum of a Portuguese Medical School.

Project or policy description

The School of Medicine and Biomedical Sciences of the University of Porto (ICBAS) was the invited Medical School to implement the VANGUARD project in Portugal - led by the Institute of Public Health of the University of Porto (ISPUP).

An auscultation process with the undergraduate medical students was held to evaluate the importance of HEPA in their curriculum and assess the preferred operational characteristics of including a physical activity and health course in the Integrated Master’s degree in Medicine.

A course proposal structure was then developed by the VANGUARD project Portuguese team from ISPUP, the Director of the Integrated Master’s degree in Medicine, and the Coordinator of the Medical Education Office of ICBAS, based on the students’ acceptability, the Medical School constraints, and VANGUARD project goals and resources.

The course integrates 26 lessons, from physical activity technical terminology, epidemiology and guidelines, going through its relation with noncommunicable diseases (using #MovementForMovement resources), to Portuguese National Health Service brief intervention tools and community-based exercise programs - in a total of 20 hours of contact, including continuous evaluation and final case studies analysis. The course will be offered on an optional basis to 2nd-year medical students, on an online training platform, using a self-paced learning method.

After embedding this course in ICBAS, it will be presented to the Council of Portuguese Medical Schools to be scaled up nationally.

Conclusions

Medical doctors and Medical Schools are key stakeholders in HEPA promotion, especially in the health sector. Successful implementation of HEPA policies requires tailored solutions to organizations and direct involvement of target groups in policy development.