bluuebunny/crossref_metadata_2025_split huggingface dataset:
160 MoveWell: Providing Healthcare Professionals the opportunity to support patients with specific chronic conditions to be active for better health
Authors: Kelleher Caroline 
Published: September 2024

Abstract

MoveWell is a programme dedicated to promoting physical activity among individuals with low activity levels and specific chronic diseases, aiming to reduce the risks associated with chronic conditions, and premature death. Despite the significant health benefits of physical activity, only 46% of the population meets national guidelines, with 64% expressing a desire for change but lacking guidance(1).
Healthcare professionals often feel uncertain about advising individuals with symptomatic medical conditions, and fear of exacerbating symptoms hinders people from increasing their physical activity(2). MoveWell supports the delivery of integrated secondary prevention services in the community that Healthcare professionals can be confident and happy referring to.
MoveWell focuses on providing suitable and confidence-inspiring activity opportunities for patients with chronic diseases, acknowledging their higher likelihood of relapse in physical activity behaviour.

Description
This low-intensity resistance exercise class, led by qualified exercise professionals, caters to patients with Type II Diabetes, Asthma, COPD, and Cardiovascular Disease. MoveWell aims to enhance confidence for independent physical activity. It is not a rehabilitation programme but it does give Healthcare professionals the opportunity to recommend low-intensity activities in a safe environment.

Development & Implementation
MoveWell was developed and implemented in partnership with local stakeholders. Primary care professional identified the need, Health Promotion and Improvement designed the solution. Cork Sports Partnership secured initial funding and LeisureWorld Bishopstown provide the venue and tutor.
Implementation began with one weekly class, expanding to two classes per week through targeted promotion to primary care staff and community outreach.

Evaluation
MoveWell is still in a pilot stage and evaluation is just beginning.
The evaluation will involve participants completing a survey when they join the class, which asks about activity levels, confidence being physically active, and participation in community based activities. At 12 and 24 weeks they are surveyed again to monitor any changes.

Dissemination & Conclusions
MoveWell’s expansion is underway, with plans to embed it in various networks, providing a cost-effective pathway that links chronic disease hubs, ICPOP, and local community networks. The programme’s structured approach, emphasising simplicity and accessibility, contributes to its potential to positively impact the physical activity levels of individuals with chronic conditions.
190 A feasibility randomised controlled trial of an intervention to increase physical activity and reduce sedentary behaviour in people with severe mental illness
Authors: Howes Sarah , Brady John , Clarke Mary , Clarke Mike , Dillon Maurice , McAuley Judith , McDonough Catherine , Murphy Marie , Niven Ailsa , Tully Mark , Williams Julie , Wilson Iseult , McDonough Suzanne 
Published: September 2024

Abstract

Purpose
People with severe mental illness (SMI), such as schizophrenia, psychosis, bipolar disorder and major depressive disorder, are less physically active and more sedentary than healthy controls, contributing to poorer physical health outcomes in this population. This study aimed to test the feasibility of a multi-component behaviour change intervention aimed at increasing physical activity (PA) and reducing sedentary behaviour (SB) compared with a one-off education session in people with SMI.

Methods
The Walking fOR Health (WORtH) study was a 13-week feasibility randomised controlled trial (RCT) that recruited adults with SMI. Participants were randomised (2:1) to the WORtH intervention or a one-off education session. The WORtH intervention comprised an education session, a wrist-worn activity monitor and six health coaching sessions. Primary outcomes were feasibility (recruitment, retention and adherence rates) and acceptability (semi-structured interviews with participants and clinicians delivering the intervention). Secondary outcomes, including device-measured (Axivity AX3) and self-reported PA and SB, were reported descriptively.

Results
Fifty-four participants (25 male:29 female; mean age 51.6 years) were recruited, representing 90% target recruitment, and 94% provided follow-up data. Adherence with all core intervention components was &gt;80%. Qualitative feedback indicated high levels of satisfaction, particularly related to walking an acceptable form of PA and the activity tracker and coach. Valid device-measured moderate-vigorous PA (MVPA), the intended primary outcome for a definitive trial, was obtained from 90% participants at baseline and 75% participants at post-intervention. Point estimates indicated a mean increase of 8.6 minutes/day of MVPA in the intervention group at post-intervention, and a mean increase of 1.0 minute/day in the control group.

Conclusions
The findings of this study support the feasibility of a multicomponent behaviour change intervention aimed at improving PA and SB in adults with SMI and will be used to optimise the design of a definitive RCT. Supporting adults with SMI to engage in and sustain PA could reduce the health disparity observed in this population.

Support/Funding Source
Funding by the European Union’s INTERREG VA Programme, managed by the Special EU Programmes Body, awarded to the Health and Social Care Research & Development Division Cross-border Healthcare Intervention Trials in Ireland Network (CHITIN) programme.
32 A Qualitative Analysis of Elite Athletes Perceptions of Pregnancy in the United Kingdom
Authors: Caro Catherine , Trow Storm , Bell Zoë , Flynn Angela , Lavelle Fiona 
Published: September 2024

Abstract

Purpose
Female athletes train and compete at an elite level during their reproductive years, with an increasing number of athletes navigating an athletic career alongside pregnancy. There is a paucity of research exploring the antenatal experiences of elite athletes. The purpose of this study was to explore the experiences of elite athletes in the United Kingdom as they navigated pregnancy and provide considerations for future research and policy surrounding elite sport participation during pregnancy.

Methods
Semi-structured online interviews were conducted in elite athletes ≥ 18 years old, who resided in the UK, and who trained and/or competed at the highest level of their sport prior to and/or during pregnancy. A topic guide was used to cover the athletes’ experiences in elite sport, specifically during preconception, pregnancy and the postpartum period. The interviews were recorded, transcribed and analysed using inductive thematic analysis. Demographic data was summarised using IBM SPSS Statistics.

Results
Eleven UK athletes (mean age 31 ± 3 years) from nine team and individual sports, including sprint, endurance, ball game, power, precision and technical and combat, participated in the study. Four key themes; (1) The identity shift: athlete to mother, (2) From podium to parenthood: preconception and pregnancy planning, (3) Is that my career over?: upon becoming pregnant (4) Navigating the bump: elite training and pregnancy, were developed. The participants spoke about the intrinsic and extrinic challenges, decisions and considerations related to maternal health and elite sport. The experiences described the shifting paradigm of being an athlete and becoming a mother, physical and mental health changes, adapting training, support networks and gaps in knowledge, research and guidance around pregnancy and elite sport.

Conclusions
This study highlights the challenges elite athletes encounter in balancing an athletic career with motherhood. The findings support policy and research recommendations, advocating for improved access to physical and mental health support, modified training behaviours, tailored nutrition guidance, increased preconception health awareness and maternity funding to enhance inclusivity and better support elite athletes during pregnancy.
132 Behavioural change for Parkinson’s Disease: A randomised controlled feasibility study to promote physical activity and exercise adherence among people with Parkinson’s Disease
Authors: Ahern Leanne , Timmons Suzanne , Lamb Sarah E , McCullagh Ruth 
Published: September 2024

Abstract

Background
Physical activity and exercise can improve health, but many people with Parkinson’s (PwP) have trouble achieving the recommended dosage. Our novel behavioural change intervention is informed by a recent literature review, qualitative study, and patient-public input. This is designed to complement an existing exercise programme, to improve exercise adherence and physical activity.

Objective
To evaluate recruitment, data collection procedures, acceptability of the program, resources required for the study, and trends in the range and variability in measures of physical activity, function, and self-efficacy in PwP.

Methods
A parallel-arm, single blinded, randomised feasibility study. Participants (Hoehn and Yahr stage 1-3) were recruited from a physiotherapy primary-care waiting list and randomly allocated (stratified by sex) to the intervention (PEEP+BC) or the control group (PEEP). Both groups received usual care; a 12-week program of weekly multidisciplinary education sessions, supervised exercise, and prescribed home exercises. The intervention group received additional behavioural change techniques, targeting behaviour regulation, belief about capabilities and social influences. Enrolment, attendance and exercise adherence rates, and negative events were recorded. Physical activity, function, falls, and exercise self-efficacy were measured. We used surveys to examine acceptability and satisfaction and exit interviews to further explore the experience of the behavioural change techniques.

Results
Twenty-six people were screened; sixteen people participated. Attendance rates (PEEP+BC; 86%, PEEP; 75%), and home adherence (PEEP+BC, 83%; PEEP, 70%) were high. No negative events were detected. Time resources were estimated as acceptable [2-2.5 hours per week] and pre-post assessments took an average of 30 minutes. Accelerometery data, self-efficacy and exercise endurance were most sensitive to changes. The acceptability of behavioural change techniques was mixed and suggests that profiling preferences could lead to a more individualised intervention. All participants enjoyed the group dynamic and gaining knowledge and skills was frequently perceived as important.

Conclusion
Findings suggest that the study of PEEP+BC is feasible and acceptable in PwP. Preference profiling could lead to a more tailored behavioural change intervention. Future research is required to compare effectiveness in a larger sample.

Trial Registration
ClincialTrials.gov NCT06192628

Support/Funding Source
Irish Research Council Enterprise Partnership Scheme (in conjunction with the Parkinson’s Association of Ireland).
96 Building the customer experience in sports services
Authors: Harmokivi-Saloranta Paula , Stellberg Tuulia 
Published: September 2024

Abstract

Purpose
The experience of the service is not a conscious decision. Customer experience is built on the customer’s interpretations and feelings that they experience during customer journey. The customer experience is influenced by different interaction situations, as well as, for example, the physical environment. In sports services, customers and instructors are in various interaction situations during service journey. Each customer experiences the service in their own way, and for this reason, the experiences of sports services vary between customers. The aim of this study was to examine the factors that influence customer experience in sports services.

Methods
The study was carried out using qualitative methods. There were 22 participants in the study who occasionally use or do not use sports services. On average, the participants were 48 years old. The data were collected through written stories during autumn 2023. Participants described thoughts and feelings related to different phases of sports service journey with the help of assistive questions. The data were analyzed using content analysis.

Results
The results showed that safety experience, encounters, and the instructor’s expertise strengthen the customer experience in sports services. The experience of safety was related to the activities of the sports service and the instructor, the content of the group, other participants of the group, and the surrounding environment. When using the sports service, customers experience fear of how their own competence, fitness, and skill fit into the selected group.

Conclusion
This study provided a broader understanding of the construction of customer experience in sports services. It makes visible which are the main elements that strengthen the customer experience in sports services. The results can be used to develop the customer experience of users of sports services and to promote the use of people’s sports services as part of physical activity promotion.
The research has been co-funded by the European Union.
208 Correlates of sedentary behaviour and physical activity in individuals with Crohn’s disease
Authors: Wilson Jason , Lynch Barry , Graham Nathan , McClean Conor , Tully Mark 
Published: September 2024

Abstract

Purpose
Evidence suggests that being physically active could offer a range of benefits for those with Crohn’s disease. However, there is a need to extend this evidence base to increase certainty in how physical activity may provide benefits in terms of quality of life, mental health and wellbeing. There is also a need to examine the correlates of physical activity in Crohn’s disease, and the role reducing levels of sedentary behaviour might have on the health status in this specific population. This study aimed to explore the correlates of sedentary behaviour and physical activity in individuals with Crohn’s disease.

Methods
Adults with Crohn’s disease from the UK and Ireland completed an online survey. Participants completed questions on: demographic characteristics; physical activity; sedentary behaviour; Crohn’s disease severity; health-related quality of life (QOL); anxiety and depressive symptoms; and mental wellbeing. Multiple linear regression analysis using forward selection based on likelihood ratio statistics explored the correlates of sedentary behaviour and physical activity.

Results
One-hundred and eleven individuals (78% female) completed the survey. For sedentary behaviour, mean time was 9.40±3.20 hours/day and the only correlate was age (β = −0.07, t(107) = −2.65, p = 0.009). For both total (mean MET/minutes=2251.49±2363.78) and vigorous physical activity, the QOL physical domain was the only correlate (β = 29.14, t(107)=2.53, p = 0.013 and β = 23.10, t(107)=3.55, p = &lt;0.001, respectively). For moderate physical activity, sex was the only correlate (β = −510.54, t(106) = −2.68, p = 0.009). For walking, there were no correlates.

Conclusions
Higher levels of daily sedentary behaviour were associated with lower age, potentially due to the type of work younger participants were undertaking (i.e. office-based jobs). Higher levels of total physical activity were associated with higher QOL physical domain scores, which demonstrates the potential role partaking in physical activity might have in improving quality of life in individuals with Crohn’s disease. There is a need for more research using device-based tools (i.e. accelerometry) to more accurately measure sedentary behaviour and physical activity in individuals with Crohn’s disease, as these might be useful lifestyle variables to target for health improvement.

Support/Funding Source
This study received no funding, but was supported through advertising by Crohn’s & Colitis Ireland and IBD Relief.
99 Delivery of advice on physical activity by general practitioners in Germany: a cross-sectional population survey in people with chronic ischemic heart disease (OptiCor study)
Authors: Hoppe Sabrina , Kotz Daniel , Mons Ute , Prinz Alicia , Kastaun Sabrina 
Published: September 2024

Abstract

Purpose
The current German treatment guideline “chronic ischemic heart disease (IHD)” recommends that general practitioners (GPs) deliver advice on physical activity (PA) to patients with IHD. Such advice is particularly effective in motivating individuals to increase their PA when it consists of three elements: (1) asking for/assessing the PA level, (2) advising on PA, and (3) assisting with PA (e.g., providing concrete support/recommendations). However, in Germany, current and representative data on the receipt of these elements of GP advice in individuals with IHD is lacking. This study aims at collecting such data on a population level.

Methods
Nationwide, computer-assisted, face-to-face cross-sectional survey of ≃1000 individuals (35+ years) with self-reported IHD on the receipt of the three elements of GP advice on PA (ask/assess, advise, assist) since their last remembered IHD-event/intervention (e.g., myocardial infarction, stent insertion). The survey started in June 2023 and will continue until May 2024. Six of eight survey waves have been completed. When the complete data set is available, associations with person characteristics (e.g., sex, income, region of living, body mass index, PA level) will be analysed using adjusted regression models. Results on the associations will be presented at the conference.

Results
Of the current sample of 682 individuals with IHD, 35.3% (95% confidence interval (CI) = 32-39) received all three elements of GP advice (ask/assess, advise, assist), 44.4% (95%CI = 41-48) received one or two elements (e.g., ask/assess only), and 10.0% (95%CI = 8-12) received any advice (2.9% received the advice to refrain from PA, 7.3% did not remember/refused to answer). Men (38.0%; 95%CI = 34-43) versus women (30.5%; 95%CI = 25-36), individuals from urban (40.7%; 95%CI = 36-46) versus rural regions (26.2%; 95%CI = 21-32), and those with a PA level of 1-149 minutes/week (43.1%; 95%CI = 36-51) and of 150+ minutes/week (39.0%; 95%CI = 31-47) versus non-active individuals (20.7%; 95%CI = 15-28) reported the receipt of all elements of PA advice more often.

Conclusions
In Germany, about one third of individuals with IHD received all relevant elements of GP advice on PA since their last IHD-event/intervention. In order to increase the delivery and enhance the effectiveness of GP advice, target group-specific measures need to be implemented.

Funding
German Ministry of Education and Research (01GY2103).
79 Developmental Patterns of Objectively Measured Motor Competence and Musculoskeletal Fitness among Finnish Adolescents
Authors: Jaakkola Timo 
Published: September 2024

Abstract

Purpose
This study aims to examine the developmental patterns (rate of change) between motor competence (locomotor, object control, stability skills) and musculoskeletal fitness (upper body and abdominal) in a large sample of Finnish adolescents over four years. The previous evidence does not explicitly explore developmental patterns between musculoskeletal fitness and motor competence. Additionally, most previous studies have not examined specific aspects of musculoskeletal fitness (i.e., muscle groups), rather a focus on overall muscular fitness has been reported.

Methods
Data was collected annually at five time points during scheduled physical education lessons. At baseline, 1147 (582 males, 565 females) Finnish adolescents aged 11.27 (0.33) years participated in data collection. Throwing-catching combination (object control), 5-leaps (locomotion) and side-to-side jumping (stability) tests were used to measure students’ motor competence. Curl-up (abdominal muscles) and push-up (upper body muscles) tests were used to analyze their musculoskeletal fitness. To answer the research question, a parallel latent growth curve model was implemented. The latent variables (Level, Slope) based on the observed variables with residuals (ε) were estimated.

Results
Developmental changes (improvements) in push-ups were positively associated with improvements in all motor competency variables, demonstrating greater increases in upper body musculoskeletal fitness was related to greater increases for versatile motor skills (locomotor, object control, stability). Similarly, developmental changes in curl-ups were positively associated with improvements in 5-leaps and side-to-side jumping scores, demonstrating greater increases in abdominal musculoskeletal fitness was associated with greater improvements for locomotor and stability skills, but not for object control.

Conclusions
It is likely that the relationship between individual motor skills and separate fitness variables is more complex given the multi-joint nature of motor skills and the inherent neuromuscular demand to perform with high effort in various physical activities and sports. For instance, at a neuromuscular level high levels of intra- and inter-muscular control and co-ordination are needed to effectively perform a range of fundamental movement skills. Thus, the development of musculoskeletal fitness and motor competence appear to be fundamentally linked, directly via neuromuscular function, and indirectly via psychosocial and behavioral mechanisms.

Funding source
The Finnish ministry of education and culture funded this study.
125 Financial and prosocial incentives promote bike choices in a consequential laboratory task
Authors: Kroker Valentina , Lange Florian 
Published: September 2024

Abstract

Purpose
Incentives are a popular tool for fostering pro-environmental behavior. However, it is still largely unknown which types of incentives are most effective and whether their effectiveness persists beyond incentive discontinuation. To address this gap in literature, we designed an experiment, where we tested the comparative effectiveness of two different incentive structures in encouraging active and sustainable mobility in the laboratory. We expected that both financial and prosocial incentives would increase the number of bike choices in a consequential laboratory task compared to a no-incentive control group. To our knowledge, this has not been done in the pro-environmental behavior and active mobility literature.

Methods
In a preregistered experiment, N = 238 participants were repeatedly given the choice to save actual energy at a real waiting-time cost in the Pro-Environmental Behavior Task. This was done by giving them the choice between the car option, which included shorter waiting periods but led to actual more CO2 emission, and the bike option, which always had a longer waiting time but did not emit extra CO2. We performed planned contrasts to estimate the effectiveness of the incentives compared to the control group.

Results
Incentivizing participants with a 5-cent bonus payment (financial incentive) led to a significant increase in bike choices compared to a control group (d = 0.68). Similarly, incentivizing the energy-saving option with a 5-cent donation to charity (prosocial incentive) had a significant effect (d = 0.28). It therefore led to more bike choices in this incentive group compared to the control group. The difference between the incentive conditions was also significant (d = 0.41). In the second session, where we discontinued the incentives, the effect disappeared.

Conclusion
These data illustrate the (temporally) effectiveness of financial and prosocial incentives. We show that incentives can encourage bike choices over car choices when incentives are employed. As a next step, we aim to test this in the field. A possible collaboration within the “Active Cities” project is being discussed at this moment.

Support/Funding Source
This research was supported by a FWO postdoctoral fellowship (No 12U1221N) awarded to Florian Lange.