bluuebunny/crossref_metadata_2025_split huggingface dataset:
214 Moving Forward - Exercise Promotion At A Major Trauma Centre
Authors: Connolly Ruairi , MacSuibhne Eanna , Long Sinead , Dunphy Michael , Halpin Stephen 
Published: September 2024

Abstract

Purpose
Returning to exercise after traumatic injuries is essential. Regular movement plays a crucial role in rehabilitation and long-term health. Returning to exercise post trauma can be difficult due to new impairment, pain and fear of re-injury. With our initiative – Moving Forward – we aimed to integrate exercise promotion into care provision at a major trauma centre. The goal was to empower patients to exercise by providing them with personalised exercise programmes, information and peer support from inclusive sports organisations in their communities.

Project Description
Development: Patients required insight into their injuries and personalised exercise programmes to support their rehabilitation. Collaborating closely with trauma facing services we developed a trauma care booklet. Each booklet was personalised to the patient and provided insights into their injuries as well as a tailor made exercise programme. The booklet highlighted the benefits of exercise, personalised exercise progressions and named contacts for peer support networks and sports communities in their region. A networking exercise facilitated identification of inclusive exercise resources. Booklet design was supported by an innovation designer.

Implementation
A key worker was nominated for each patient who provided the trauma care booklet. Early provision of this document allowed the patient time to implement exercises in a supported environment. Exercise programmes were personalised and designed in collaboration with a Rehabilitation Medicine Consultant and trauma physiotherapists. Patients also availed of trauma psychology support. Liaison with suitable sports organisations and community services were made prior to hospital discharge.

Evaluation
Patient outcomes, satisfaction and adherence to exercise programs were assessed. Feedback was incorporated to refine and enhance our services, ensuring it remained responsive to the diverse needs of our patients.

Dissemination
Our experiences and methodologies are being shared through conferences and collaborative networks to inspire similar initiatives and foster a culture of exercise promotion within trauma care settings globally.

Conclusions
Integrating exercise promotion into trauma care is possible. Empowering patients with personalised exercise programmes and peer support facilitates long term adherence to exercise. Fostering links with inclusive sports organisations can support patients to pursue sports and exercise long after discharge from a major trauma centre.
209 A pilot rehabilitation programme for individuals experiencing symptoms of long-COVID: Results from a service evaluation
Authors: Wilson Jason , Kensett Kim , O’Reilly Rachel , Tully Mark 
Published: September 2024

Abstract

Purpose
In the wake of the COVID-19 pandemic, long-COVID has emerged as a public health issue. There are unique challenges when it comes to exercising for those with long-COVID. Therefore, this service evaluation aimed to highlight the impact of a 12-week physical activity instructor-led programme, delivered via video-conferencing, on mental wellbeing and physical function in individuals experiencing symptoms of long-COVID.

Methods
Thirty-three adults with long COVID, who had previously completed a physiotherapy-led rehabilitation programme, were invited to take part in a 12-week physical activity instructor-led pilot rehabilitation programme between June 2021 and August 2022. The intervention was delivered virtually, twice weekly, by two qualified physical activity instructors. Activities included strength and balance work, core-strengthening, and functional movement exercises. Outcome measures were collected at baseline, 6 weeks and 12 weeks (post-intervention), including self-reported mental wellbeing and physical function (i.e. 2-minute walk test/2MWT, 1-minute sit-to-stand test/1MSTST and handgrip dynamometry). Due to the exploratory nature of the intervention, minimal clinically important differences (MCID) were used to determine the intervention’s impact.

Results
Twenty participants completed the full intervention (i.e. 39.4% attrition rate). On average, mental-wellbeing scores increased by 2.05±2.70 units at post-intervention compared to baseline, which is within the estimated MCID of 1-3 units. In terms of the 1MSTST, this increased by 1.25±3.45 repetitions at post-intervention compared to baseline, although did not exceed the estimated MCID of at least 3 repetitions. Distance covered in the 2MWT increased by 5.96±17.42 metres at post-intervention compared to baseline, which exceeded the estimated MCID of at least 5.50 metres. Although dominant handgrip strength increased by 3.58±6.71 kilograms at post-intervention compared to baseline, this did not exceed the estimated MCID of at least 5.00 kilograms.

Conclusions
A virtually delivered 12-week pilot rehabilitation programme resulted in improved mental wellbeing and aerobic capacity, in comparison to MCIDs established in other clinical populations, in individuals experiencing symptoms of long-COVID. The findings demonstrate that virtually delivered exercise interventions specifically designed for those with symptoms of long-COVID, using activities which require little-to-no equipment, may result in clinically meaningful health benefits.

Support/Funding Source
This study received funding from the Belfast Health Development Unit.
187 A Systematic Review of Dance Programs on Health and Wellbeing of Children and Adolescents
Authors: O’Connor Fergal , O’Reilly Siobhán , Clifford Amanda , Brosnan Patrick , Whiston Aoife 
Published: September 2024

Abstract

Background
Physical inactivity is a prevalent issue in youths, with less than 25% of children achieving the recommended 60 minutes of physical activity daily. Dance is a form of physical activity that can improve physical and mental wellbeing within different populations. The primary aim of this review was to explore the effectiveness of dance as a form of physical activity for children and adolescents.

Methods
A structured search strategy was conducted across seven databases to identify randomised controlled trials that investigated the effectiveness of dance programs on school-going children and adolescents. Studies published from January 2003 to December 2023 were included. Data regarding study characteristics including participants, dance interventions, and outcomes of interest were extracted and narratively synthesised. A meta-analysis was performed on outcomes where possible.

Results
Seventeen studies met the inclusion criteria, the majority of which were of good quality and had a low risk of bias based on the Physiotherapy Evidence Database (PEDro) scale and Risk of Bias 2 tools respectively. Despite most studies reporting positive effects, following meta-analysis, no significant improvements were found on working memory or non-executive cognitive function, with high levels of heterogeneity observed for both groups. Negative effects on non-executive cognitive function were reported by one study which incorporated a short dance intervention (10 minutes per week x 9 weeks) In general, the effect of dance interventions on physical activity and on physiological characteristics were equivocal showing either no effect, slight improvements, or significant improvements. These mixed results indicated that dance had similar effects as regular physical education (PE) classes but showed slight improvements over educational lessons and no intervention.

Conclusion
Of the studies included, there were mixed results regarding the effect of dance interventions on cognitive, physical activity, and physiological outcomes for children and adolescents. The studies that used a suitable intervention duration reported no negative effects which suggests that dance can be used as a safe exercise modality and provide similar benefits to regular PE lessons. Further research should include larger sample sizes, interventions tailored towards the intended outcome, and use established core outcome sets to facilitate easier comparability across trials.
83 Barriers and Enablers to Interrupting Sedentary Behaviour when Working from Home in a Desk-Based Occupation: A Qualitative Exploration of the Older Employee Experience
Authors: Mott Lily , Money Annemarie , Parchment Amelia , Johnson Sheena , Todd Chris 
Published: September 2024

Abstract

Purpose
Those employed in desk-based occupations sit for large amounts of their working day, often in long uninterrupted bouts, exposing them to the health risks associated with sedentary behaviour (SB). With more workplaces offering home-working options, it is important to explore how this environment influences SB. With the number of older workers (≥50) increasing, it is vital to promote healthy ageing in the workplace and ensure this population are not put at increased risk due to occupational sitting. This is especially important considering the increased risk of health conditions as we age. This study aims to use the Theoretical Domains Framework (TDF) alongside the Capability Opportunity Motivation Behaviour (COM-B) model to identify the barriers and enablers to interrupting and reducing SB in older employees (≥50) working from home in desk-based occupations. Targeting older employees in the homeworking environment is an understudied area of research.

Methods
Twenty-two participants aged ≥50 took part in one-to-one semi-structured Zoom interviews from an employer within Greater Manchester. Reflexive thematic analysis is being used to inductively develop themes and sub-themes which will be then deductively mapped and linked to the COM-B and TDF.

Results
Initial responses from participants reveal workload and the nature of work tasks as a key barrier to interrupting SB when working from home. Participants shared they often forget to break up their sitting, demonstrating the habitual nature of SB. Final interviews are being conducted with data analysis to be completed in time for the conference where a more specific presentation of main themes and sub-themes will be presented.

Conclusions
As working from home is imbedded in many workplaces, it is critical to develop a better understanding of how this setting may influence SB in desk-based older workers. This will help inform the development of suitable interventions to reduce and interrupt SB to promote healthy ageing at work prior to retirement.

Support/Funding Source
Dunhill Medical Trust, The NIHR, The University of Manchester
163 Co-Production of a Physical Activity Intervention for Individuals with Severe Mental Illness in a Secure Forensic Ward – A Study Protocol
Authors: Feeney Rebecca , Breslin Gavin , Dempster Martin , Shannon Stephen , Brick Noel , Leavey Gerard 
Published: September 2024

Abstract

Background
Individuals living with Severe Mental Illness (SMI) experience significant health disparities in comparison to the general population including poorer physical health outcomes and reduced life expectancy. Physical activity (PA) plays a key role for improving physical and mental health outcomes in individuals living with SMI, especially those within secure forensic units. However, unique challenges exist in these settings, such as medication side effects, restrictive environments, lack of autonomy, and staff availability to accompany patient engagement in PA.

Purpose
This study protocol describes a co-produce a physical activity intervention development for individuals living with SMI in a secure forensic ward. The intervention will incorporate psychological theory and linked behaviour change techniques, with the main objective of improving mental and physical health outcomes. The co-production model will firstly entail exploring barriers and facilitators influencing behavioural engagement in people with SMI. Second, understanding the staff’s role in promoting PA and establishing a theoretical framework to map PA behaviours throughout the intervention will be described.

Method
The co-production process will involve patients with SMI, clinical staff, and university researchers. Theoretical Domains Framework (TDF) will be applied to identify implementation problems and determinants of behaviour, and will guide focus group discussions. The TIDieR checklist will be completed to provide a detailed intervention description.

Results
The results will inform a co-produced physical activity intervention. The intervention will be embedded in behaviour change theory, incorporating behaviour change techniques.

Conclusion
Understanding the factors that influence PA engagement in individuals living with SMI in secure forensic wards is crucial to developing effective interventions. Co- production of a theory-informed PA intervention will contribute to understanding methods to improve health outcomes in an understudied, hard-to-reach population residing in a challenging environment for achievement of behaviour change.

Funding
This PhD programme of research is funded by the Department of Education (DfE).
S01-1: A systems-based approach to physical activity in Scotland: A framework for national and local action
Authors: Jackson Flora 
Published: September 2024

Abstract

Purpose
To share learning from the Public Health Scotland development and application of a pragmatic, evidence-driven, systems-based approach to physical activity policy in Scotland at a national and local level.

Development
Public Health Scotland led the development of A Systems-based Approach to Physical Activity in Scotland: A Framework for National and Local Action. This involved translating the WHO Global Action Plan for Physical Activity (GAPPA) and ISPAH Eight Investments That Work for Physical Activity into a Scottish context and the facilitation of workshops, engaging 80 stakeholders from 47 organisations with a role in the physical activity system.
Through these workshops the approach was tested and refined, core strategic delivery outcomes and associated actions were identified, and a strategic outcomes framework and process developed, that can be used to direct physical activity policy development within national and local government.
Underpinned by the core principles of public health, this approach uses methods familiar to policymakers and practitioners including outcomes focused planning, evidence-based knowledge into action and quality improvement methodologies that operate alongside aspects of systems thinking.

Implementation and dissemination
Adopted by Scottish Government and national partners, the approach has been used collaboratively to develop a new Physical Activity for Health Strategy for Scotland and revise the previously acclaimed Active Scotland Outcomes Framework devised to monitor, evaluate and review progress.
Working in partnership, sportscotland and Public Health Scotland are supporting local government partners apply the systems-based approach, to guide the development of local and regional evidence-based physical activity strategies and action plans.

Evaluation
Implementation is monitored and evaluated via governance structures, national surveillance indicators, process indicators and an ongoing cycle of quality improvement and policy review.

Conclusions and implications for policy and practice
This approach has influenced and guided the development of national and local physical activity strategies and actions plans that embrace the evidence that works to increase population levels of physical activity and reduce inactivity.
S04-1: The PA-EPI: Physical Activity Environment Policy Index
Authors: Woods Catherine 
Published: September 2024

Abstract

Purpose
The ‘Physical Activity Environment Policy Index’ (PA-EPI) is a monitoring tool and framework to assess the extent of implementation of government policies and actions for creating a healthy physical activity (PA) environment.

Methods
The PA-EPI is conceptualised as a two-component ‘policy’ and ‘infrastructure support’ framework. The two components comprise eight policy and seven infrastructure support domains. The policy domains are education, transport, urban design, healthcare, public education (including mass media), sport-for-all, workplaces and community. The infrastructure support domains are leadership, governance, monitoring and intelligence, funding and resources, platforms for interaction, workforce development, and health-in-all-policies. Forty-five ‘good practice statements’ (GPS) or indicators of ideal good practice within each domain concludes the PA-EPI. There is an eight-step process for conducting the PA-EPI which involves developing an evidence document, working with government officials to validate the evidence and benchmarking this evidence with country special PA-EPI councils representing stakeholders and citizens.

Results
Two countries –Ireland and the Netherlands – have completed the PA-EPI. An additional five countries–Germany, Lithuania, Poland, Romania and Slovenia - are in the process. The PA-EPI scores for Ireland and the Netherlands range from little or no evidence of implementation (0) to full implementation (4) across each of the eight policy and seven infrastructure domains. In Ireland of the 45 PA-EPI indicators, one received an implementation rating of ‘very little’, 25 a rating of ‘low’, 19 ‘ medium’ and no indicator was scored ‘full implementation’. For example, indicator SP01 ‘sport policies prioritise investment in initatives that target the least active’ received a medium, while ‘regulations in healthcare include routine screening for physical activity’ was rated to have a low implementation status. Recommendations for addressing critical implementation gaps are being addressed by each country.

Conclusions
The PA-EPI can help policymakers determine where their country is now in relation to the implementation of PA policies and what is possible to change. It also provides pathways for policymakers on how to reach goals to address critical implementation gaps and a mechanism for documenting progress. In time, benchmarks will be established by governments at the forefront of creating and implementing policies to address population levels of inactivity.

Funding source
Policy Evaluation Network (PEN) a Joint Programming Initiative (JPI) “A Healthy Diet for a Healthy Life” and ERA4Health; GA N° 101095426 of the EU Horizon Europe Research and Innovation Programme
S07-1: Why are specific parts of an urban green area used more than others among older adults? A case study utilizing GPS and environmental geographic data
Authors: Keskinen Kirsi E , Kim Eun-Kyeong , Stenholm Sari , Rantanen Taina 
Published: September 2024

Abstract

Purpose
Green areas are known as places attracting physical activity, but less is known about factors contributing to the usage of their specific parts among older adults. Using as study area the ‘Green loop’, an urban green area surrounding Jyväskylä city center, we investigated differences in land use types and on-foot accessibility between ‘Green loop’ parts with different usage intensities among older adults.

Methods
GPS measurements (SenseDocTM 2.0) were conducted over 1-5 days for 231 community-dwelling people over 78 years who lived in Jyväskylä, Finland and participated in the AGNES follow-up study in 2021-22. We identified GPS points indicating active transport and locating in the ‘Green loop’. We generated a point-density map and classified it into three tiers of usage intensity (low/moderate/high). Digiroad data was used to locate walkway entry points and Corine Land Cover data to define land use types (residential/service/industry and transport/nature and green) in the ‘Green loop’. We examined entry point density and, by using the Chi-square test, differences in land use type distributions between the ‘Green loop’ parts with different usage intensities.

Results
More than half (60%) of the ‘Green loop’ area was classified as low-use and only 7 % as high-use. Overall, residential land use type was more common in high than low and moderate-use areas, service more common in low than moderate-use areas, industry and transport more common in moderate than high and low-use areas and more common in high than low-use areas, and green and nature more common in low than high and moderate-use areas (p&lt;.05 for all). Around entry points, service was more common in low than moderate (p&lt;.05) and high-use (p = 0.057) areas. Entry point density was the highest in high and lowest in low-use areas.

Conclusions
Only a limited portion of the ‘Green loop’ area was actively utilized by older adults. Having green spaces located close to residential buildings and more accessible entry points to the green spaces may encourage older adults to spend more time in urban green areas.

Funding Source
European Research Council (TR), Academy of Finland (TR), Ministry of Education and Culture, Finland (TR), Juho Vainio Foundation (KK).
S10-2: Promoting active mobility as a win-win opportunity for sustainable physical activity promotion
Authors: Kahlmeier Sonja 
Published: September 2024

Abstract

Purpose
Promoting active mobility (e.g. cycling, walking) provides win-win opportunities but requires consideration of these often overlooked modes in transport policy and practice. This presentation will introduce the well-tested, evidence-based practical Health Economic Assessment Tool (HEAT) for Walking and Cycling.

Project or policy description
The HEAT calculates: if x people walk or cycle a distance of y on most days, what is the economic value of impacts on premature mortality, taking into account effects of physical activity, air pollution and road fatalities, as well as on carbon emissions. It is developed through an open-ended, evidence- and multidisciplinary-based approach, led by the WHO and an interdisciplinary coordinating team. Each development step is done through consensus meetings with ad-hoc invited international experts from various fields. Since 2021, a globally applicable version of the HEAT is available.
HEAT has been named the “most-used tool for health-impact assessment in transport”, with scientific, policy and practice-related applications across the world. Selected case studies will be presented to illustrate different use-cases as well as its user-interface and workflow.

Conclusions
Since its launch in 2009, the HEAT provides a win-win opportunity for sustainable physical activity promotion, particularly by allowing to also assess carbon-related emission reductions of different transport options on a population level.
The HEAT fosters advocating for transport-solutions that prioritize active transport by using an economic approach customarily used in transport planning.

Funding
The HEAT has been supported by a range of donors, the WHO Regional Office for Europe and WHO Headquarters as well as European Union research projects. A full list of donors can be found on www.heatwalkingcycling.org.