bluuebunny/crossref_metadata_2025_split huggingface dataset:
122 ”Chi si muove, si ama!” a multi-stakeholder and multi-disciplinary sub-national campaign to promote active lifestyle and physical activity in Italy
Authors: Bigica Marco , Zanuso Silvano , Alberti Federica 
Published: September 2024

Abstract

Purpose
Physical activity is crucial for longevity, yet many adults have a sedentary lifestyle which increases the risks of non-communicable diseases (NCDs) such as diabetes, hypertension, and cancer. National and local institutions must prioritize physical activity promotion to mitigate NCDs incidence, enhance citizens’ well-being, and reduce healthcare expenditures. “Chi si muove, si ama!” (“Moving is loving”) is an innovative campaign in Emilia-Romagna, Italy, targeting sedentary adults aged 40-60. It employs unconventional communication and engages public, private, and third-sector stakeholders including general practitioners, pharmacies, sports centers, gyms, and walking groups. This collaborative effort represents a holistic approach to health promotion, offering a coordinated health-promotion message and diverse avenues to increase physical activity levels.

Project description
This project was developed as a collaboration between local and regional health authorities, professional associations of GPs and pharmacists, sports centres, gyms and health-promoting gyms, and walking groups. The project is coordinated by the Wellness Foundation.
The campaign was launched at the end of 2023 and is ongoing. It is based on the tailored contribution from various stakeholders: GPs offer personalized advice and educational material on physical activity; pharmacists assess bodily parameters and lifestyle habits via a questionnaire. Gyms and sports centers offer an introductory meeting and a free class, and walking groups welcome new participants free of charge. These distinct contributions are supported by a unique branded communication through leaflets, posters, social media contents and a dedicated web-page.
Evaluation is currently ongoing. Campaign will be evaluated based on both stakeholder participation and impact on the target population. Stakeholder participation will be assessed by the number of GPs, pharmacies, sports centres and gyms that take part to the program. Campaign impact on the population will be assessed via changes in physical activity levels and bodily parameter through longitudinal data collected by pharmacists at baseline, 3-month and 6-month intervals.

Conclusion
“Chi si muove, si ama!” campaign represents a multi-stakeholder, cross-sectoral approach to promote physical activity among sedentary adults at regional level. This innovative initiative offers valuable insights for informing policies and practices aimed at improving public health outcomes and promoting population well-being on a broader scale.
210 A project to promote the teaching of independent cycling to children with ambulant Cerebral Palsy in Ireland
Authors: Renshaw Aisling 
Published: September 2024

Abstract

The purpose of this project is to promote the teaching of cycling to children with ambulant Cerebral Palsy (CP). Research in Australia has shown that a lower proportion of children with ambulant CP can ride compared to typically developing peers and those that could, learn later.
For children with CP, there are numerous health benefits to independent cycling such as overall cardiovascular fitness and weight-management, sense of empowerment and achievement of a common childhood goal. It can be an additional mobility option and a great family activity option. It is possible that balance could improve and it may be beneficial to have exercise options which are low-impact and reduced weight-bearing. The mental health benefits also include improved sense of self-esteem and confidence alongside opportunities for social interaction and friendships.
The target group for this project are a wide range of stakeholders, from therapists working with children with CP; sports inclusion officers; Cycle Right trainers and families of children with ambulant CP.
Project aims to target a broad spectrum of ways for people to access support for learning to cycle.
During the development of this project, a small focus group was formed with parents and children with CP who had learnt independent cycling. Cycling can be an activity which fits into a family and child-centred approach to therapy. The benefits of their new skills was discussed under the themes of the ‘F words’ of disability. An initial teaching You-Tube video was made for children with milder co-ordination difficulties. A further video is planned teaching the more specific points when working with children with hemiplegia or asymmetrical diplegia. A workshop was developed for physiotherapists focusing on how to teach cycling skills to children with CP. Further links are being established with other stakeholders to maximise roll-out of the resources and workshops.
Cycling is such a fun and important activity and some specific skills are required when teaching, especially when the children have hemiplegia. This project aims to spread these teaching skills to a wide audience in the hope of as many children with CP in Ireland learning how to cycle as possible.
193 An exploratory review of the sedentary behaviours of clinical populations in Northern Ireland
Authors: Henderson Annette , Bradley Judy , Costley Jill , Jones Jennifer , O’Shea Orlagh , Wilson Jason , O’Neill Brenda 
Published: September 2024

Abstract

Purpose
To describe the sedentary behaviours of cardiorespiratory clinical populations in Northern Ireland. Increasing evidence highlights adults should limit their sedentary time to less than 9.5 hours/day as such behaviour increases cardiovascular and all-cause mortality. Sedentary behaviours refer to activities typically sitting or lying that do not substantially increase energy expenditure above resting.

Development
UK physical activity guidelines recommend that adults should aim to be physically active daily and minimise sedentary time by breaking up periods of inactivity. Implementation of these recommendations is challenging unless measurement of sedentary behaviours in clinical settings in Northern Ireland is feasible.

Implementation
Three studies quantified sedentary behaviours (SB) in cardiorespiratory populations in Northern Ireland. 63 people with bronchiectasis wore an ActiGraph; 53 had valid data with SB duration of 10 hours 34 mins (± 77 mins) (Bradley et al. 2015). 50 participants with COPD also wore an ActiGraph; 45 had valid data and SB duration of 10 hours and 45 minutes (± 81 mins) (O’Shea et al. 2015; O’Neill et al. 2018); 105 people joining a cardiac rehabilitation program wore an activPAL; 101 had valid data and SB of 10 hours 32 mins (± 2 hours 14 mins) and on program completion SB of 9 hours 44 mins (± 2 hours 33 mins) (Jones et al. 2022).

Evaluation
Measuring the postural aspect of sedentary behaviour using an accelerometer (ActiGraph or activPAL), appears acceptable and feasible in clinical settings (91% valid data). SB in all 3 studies exceeded the recommended 9.5 hours/day. However, SB is modifiable and inclusion of objective measurement of SB in clinical practice would enable targets to be set to support patients to change.

Dissemination
Evaluating interventions that address high levels of SB in cardiorespiratory populations could inform clinical practice guidelines. Determining the most effective device and protocol to evaluate SB, would also enable SB evaluation to become part of routine chronic disease management plans.

Conclusion
Sedentary behaviours in clinical populations demonstrate patients currently exceed recommendations. Raising awareness, as well as further research testing interventions to reduce SB could drive changes in policy and practice to improve outcomes for these patients.
111 Crawling Before We Walk: Transdisciplinary Insights into Improving the Liveability and Walkability of Campus Settings
Authors: D’Arcy Lorraine , McGillicuddy Eoin , Gallagher Caren , McConnell Leo 
Published: September 2024

Abstract

Purpose
Since the 1960s, development patterns influenced by upstream land use planning policies have favoured a more suburban car-based approach for street and neighbourhood design (McGrath, 1992), subsequently influencing transport system needs and scheme design. In turn, transport policy and design influence population physical activity levels and emissions. As we moved to this more suburban design, our university campuses followed suit and now we have challenges that deter physical activity to and through our university campuses. Furthermore, air quality issues encouraged by a suburban design can enhance an individual’s discomfort in participating in physical activity and may influence their decision to drive rather than walk or cycle, exasperating the air quality (An et al., 2018). Central to this transdisciplinary issue are differences in terminology and unfamiliarity with the needs, objectives and processes of other disciplines which can make communication difficult between professional groups (Fitzsimons D’Arcy, 2013). Therefore, the key to delivering walkable and liveable places lies with consulting transdisciplinary practitioners and policy-makers, encouraging the avoidance of siloed working practices (Rutter et al., 2017).

Methods
Building upon the findings of the World Café at the Walk21 Ireland conference in 2022, the research team seek to understand the challenges and needs within Ireland of a transdisciplinary group of stakeholders from planning, engineering, health and environmental backgrounds. A thematic analysis is applied to collate key themes relating to the challenges and needs faced by stakeholders and how to avoid siloed working practices.

Results
The results will grant the identification of transdisciplinary challenges and needs, laying the foundations of a collective approach to design for and deliver on walkability and liveability which will subsequently be applied using TU Dublin’s campuses as a testbed. Finding opportunities to improve the walkability and liveability of suburban campuses in a more cohesive approach can have transferability of good practice to other suburban campus settings including employment and healthcare, while having a resounding impact on population health and wellbeing through enhancing physical activity.

Support/Funding Source
This project is funded under the Science Foundation Ireland National Challenge Fund Sustainable Communities Challenge
158 Evaluation of a multi-modal rehabilitation programme for people affected by cancer: the Active Together service
Authors: Rosenthal Kerry , Frith Gabbi , Keen Carol , Myers Anna , Phillips Gail , Pickering Katie , Thelwell Michael , Humphreys Liam , Copeland Robert 
Published: September 2024

Abstract

Purpose
Rehabilitation (including prehabilitation) can help cancer patients prepare for and recover well from treatment, improve physical and psychological outcomes, and reduce demand on healthcare resources.

Project description
Active Together is a novel evidence-based multi-modal rehabilitation service for patients with cancer before, during and after their treatment. It was developed collaboratively by Sheffield Hallam University’s Advanced Wellbeing Research Centre (AWRC) and Sheffield Teaching Hospitals NHS Trust and funded by Yorkshire Cancer Research charity. The service is personalised to individual needs and includes exercise, nutrition, and psychological support. The service is delivered by a clinical team combining physiotherapists, exercise specialists, dietitians, and clinical psychologists at the AWRC and two community health and exercise facilities, with plans to extend to more sites as the service expands.
Since launching in 2022, over 600 patients with either lung, colorectal, or upper gastrointestinal cancer have received support from the Active Together service. The evaluation of the service examines physical and psychological outcomes, alongside healthcare resource use. Service uptake and attrition rates will be examined by demographics such as age, gender, and ethnicity. The evaluation is due be completed in August 2024; therefore, the results will be available for this presentation.

Conclusions
The evaluation of this service will assess the feasibility and effectiveness of the Active Together Service in improving the lives of cancer patients, and addressing the health inequalities and barriers which may prevent someone from accessing the Active Together service. If the evaluation produces positive outcomes, it will support the case for embedding multimodal rehabilitation services within routine cancer care.

Funding
The Active Together service is funded by Yorkshire Cancer Research.
218 Understanding Recruitment into Structured Exercise Classes for Individuals with Chronic Conditions
Authors: Pyne Tadhg , O’Regan Andrew , Toomey Clodagh , Woods Catherine 
Published: September 2024

Abstract

As populations are ageing, the prevalence of chronic health conditions is rising and while physical activity is an established treatment for chronic conditions, involving people in community-based classes is challenging. The aim of this project is to understand challenges associated with recruiting individuals with chronic diseases into community-based structured exercise classes purposefully designed for the management of their condition in the Midwest of Ireland. ULMedX is one such class.

Methods
A focus group with individuals who had attended ULMedx or equivalent was undertaken. The facilitators and barriers they had experienced when trying to attend classes were discussed. Data were used to form a systems map representing the participants’ perspectives. A 1-day consultative workshop with professionals, namely referrers/signposters, who direct individuals with chronic disease towards structured exercise opportunities; service providers who lead the exercise classes; and researchers expert in this area followed. In mixed professional groups they undertook three workshop activities. Activity i) involved listing what they thought would enable or hinder participants attending exercise classes. In activity ii) they compared their ideas to those on the participant map, and highlighted differences. Activity iii) involved reflecting on a final comprehensive map (both participant and professionals), identifying key leverage points to facilitate referral and to improve access to classes for patients. Strategies to meet leverage points were also discussed. All data were collected via maps and detailed written notes by table facilitators.

Results
Preliminary results from the focus group (N = 5; 3 cardiovascular patients, 2 COPD patients, 60% male) identified ‘parking’, ‘having to go back to your GP’ and ‘fear of unknown’ as barriers to attending an exercise class. Barriers identified by professionals (N = 40; 47% referrers, 15% exercise providers, 38% researchers) included ‘trusting the service provider’, ‘liability of the referrer’. Key strategies suggested a repository of accredited exercise opportunities, a registry of trained exercise service providers and education to empower individuals to self-mange and demedicalise their condition.

Conclusions
Insights gained from the consultations will be utilised to implement a system-wide approach to improve access to existing structured exercise opportunities for individuals with chronic conditions across CHO3.
85 A synthesis of the qualitative evidence exploring participants’ experiences of intergenerational dance programmes
Authors: O’Reilly Siobhán , Ní Bhriain Orfhlaith , Dillon Sarah , Clifford Amanda 
Published: September 2024

Abstract

Purpose
The aim of this review was to synthesise the qualitative evidence that explored participants’ experiences in intergenerational dance programmes. Low levels of physical activity (PA) and loneliness are prevalent concerns affecting physical and emotional health across the lifespan. Dance interventions can improve health and reduce loneliness by creating a sense of belonging. Intergenerational interventions can create bonds and improve relationships between older and younger cohorts. To date, no qualitative review has specifically explored experiences of people who participated in intergenerational dance programmes.

Methods
Nine interdisciplinary databases were searched. The inclusion criteria were qualitative or mixed-methods studies that explored participants’ experiences of intergenerational dance. Exclusion criteria were dance movement therapy and no generational gap. Thomas and Harden’s (2008) method of thematic synthesis was used to analyse data. Five papers were coded using NVivo and a coding tree was generated, with descriptive themes identified. The quality of papers was assessed using the Critical Appraisal Skills Programme.

Results
Five papers were included in the analysis, three qualitative and two mixed-methods (n = 133). Dance genre was not specified, however all involved intergenerational activity. Two themes were identified. Theme one was Socialisation, Communication and Participant Connections. An experience for both cohorts was relationship building. Loneliness was identified as a motivating factor for participation in older adults, with some participants feeling more connected to their community afterwards. The second theme was A Beneficial Experience. Older adults felt positive emotions towards the programmes. Self-reported health improvements were highlighted such as staying out of the doctor’s office. Caregivers noticed improvements in participants. Older adults found that communication with students helped build support systems. Younger people gained a greater understanding of older adults.

Conclusions
Intergenerational dance programmes were found to be a valuable way to connect with communities. Both older adults and young people have found the interventions enjoyable and beneficial. Loneliness has been linked to increased physician visits, and this review shows emerging evidence to suggest that these programmes can mitigate this, which may reduce overall healthcare costs. These programmes should be considered as viable methods to encourage PA and socialisation within communities.

Funding
Irish Research Council GOIPG/2023/4704
183 Association between mental health and different patterns of physical activity in adolescents in Luxembourg – HBSC 2022
Authors: Mendes Felipe , Ferreira Joana Lopes , Catunda Carolina 
Published: September 2024

Abstract

Purpose
Regular physical activity (PA) is a key protective factor for health in youths. The WHO recommends that adolescents do at least an average of 60 minutes per day of moderate-to-vigorous physical activity (MVPA) and incorporate vigorous-intensity aerobic activities (VPA) at least 3 days a week. Nonetheless, lower amounts of PA already carry benefits. This study aims to explore and to examine association between well-being and PA levels in adolescents in Luxembourg.

Methods
A representative sample of 8117 adolescents (11-to-18-years-old) took part in the 2022 Health Behaviour in School-aged Children (HBSC) Luxembourg survey. Based on the WHO-5 Index adolescents were categorised as “depression symptomatology”, “low mood” and normal well-being. In addition, they were categorised as frequency per week (0 to 7 days) of MVPA and VPA practice. Multinomial logistic regressions were performed, controlling by sex and SES. Normal well-being and physical inactivity were the respective refence groups.

Results
The results showed an association between mental well-being and both MVPA and VPA (p&lt;.001). Compared to their inactive peers and independently of sex and SES, adolescents in Luxembourg who practiced MVPA 4 days per week or VPA 2 times per week had decreased odds to present low mood (ORMVPA=0.63, 95%CI[0.45-0.87] and ORVPA=0.75, 95%CI[0.60-0.92]) and PA even in a small frequency (1 day per week) already decreased the odds to have depressive symptoms (ORMVPA=0.67, 95%CI[0.51-0.89] and ORVPA=0.61, 95%CI[0.49-0.75]).

Conclusions
These findings highlight the significance of physical activity in fostering well-being, revealing an inverse relationship between the frequency of physical activity and the occurrence of depressive symptomatology and low well-being. In this regard, the advantages of engaging in physical activity are linked not only to physiological benefits but also to social interactions within these practices. In this context, the benefits of regular physical activity extend beyond its direct impact on mental health, encompassing both physiological and social dimensions.
84 Context Analysis for Scaling-Up a Community-Based Physical Activity Promotion Approach: a Comparative Case Study of 10 German Pilot Communities
Authors: Birkholz Leonie , Weber Philipp , Dippon Lea , Helsper Natalie , Kohler Simone , Pfeifer Klaus , Rütten Alfred , Semrau Jana 
Published: September 2024

Abstract

Purpose
To achieve an impact on public health through community-based physical activity promotion (CBPA), it is crucial to navigate the resources available to build up structures for health promotion and health equity. As communities reveal different contexts and therefore varying needs for external support, an in-depth understanding of the initial conditions for successful large-scale implementation is required. This study aims to fill this gap by (1) analyzing the initial contextual conditions in 10 German pilot communities for the scale-up of a CBPA approach and (2) evaluating variations based on potential external support needs.

Methods
We examined 10 German pilot communities, varying in type, geographical area, readiness, and socioeconomic deprivation. Employing a comparative case study design, we conducted online focus groups following a semi-structured interview guide with key stakeholders in each community. These included political stakeholders, administrative representatives, experts, and ‘door openers’ with links to socially disadvantaged people. Qualitative content analysis was used to compare similarities and differences in the initial conditions for the following 9 key components “resources”, “political support”, “communication”, “competence/qualification”, “existing structures”, “offers”, “strategic planning”, “intersectoral cooperation” and “participation”. We also compared them with the optimal external support for communities, based on the reported need for external support for implementation.

Results
10 focus group interviews, each lasting 90 minutes, were conducted with 6-12 participants at the beginning of the implementation process. Differences were found in the 9 key components analysed in terms of type and socioeconomic deprivation. Moreover, differences were identified in the key components of “resources”, “political support”, “intersectoral cooperation” and “participation”. It was found that the key components of support needs are interdependent, so that a lack of resources, for example, is likely to occur in the absence of political support.

Conclusions
The results provide important insights into the impact of external support for scaling up a CBPA approach. Based on the identified support needs of the pilot communities, tailored support formats such as workshops, consultations and manuals could be developed. This could facilitate further scaling-up processes.

Support/Funding Source
This research was funded by the GKV Alliance for Health, grant number Z2/5-01-20-16.