bluuebunny/crossref_metadata_2025_split huggingface dataset:
153 ”We’re unburdened” - Audio diaries as a novel and inclusive approach to movement behaviours in mental health
Authors: Pina Ilaria , Anderson Kirstie , Oliver Emily J 
Published: September 2024

Abstract

Physical activity, sedentary time and sleep are traditionally measured with quantitative approaches, limiting the possibility to capture information on type and context of these behaviours. Here, we adopted a flexible approach with audio diaries to explore movement behaviours in people living with severe mental illness (SMI). Audio diaries are an affordable approach, potentially able to overcome health inequalities and literacy levels. However, the use of this method in exploring movement behaviours in mental health is limited.
Qualitative data were generated using audio diaries for 7 days with 9 participants experiencing SMI. Semi-structured interviews on the method were performed at the end of data generation. These were conducted online or in-person and analysed using reflexive thematic analysis. This study was grounded ontologically in relativism and epistemologically in constructionism, with an experiential orientation to data interpretation to capture participants’ perspectives of movement behaviours. The protocol for the use of audio diaries has been co-produced with a lived experience advisory panel.
Four themes were developed: finding themselves in a “vicious circle” with physical, mental issues impacting movement behaviours and vice versa; daily internal dialogue – repetitive thoughts that attempt to override daily functioning, movement and sleep; “Do not let fatigue win” by pushing through the day – motivation vs commitment; positive AND negative awareness of the importance of movement behaviours. The fluidity in speech enabling an immediate response and the control over how participants recorded their account, led to high acceptability and completion rates. The use of audio diaries was experienced as cathartic in that it helped to reflect upon the challenges in movement behaviours when the emotional load had a severe impact on daily life.
Participants showed awareness of the need to be physically active. However, when people faced increased mental or physical burden, this contributed to feelings of frustration, with completion of activities driven by guilt rather than enjoyment. Attention should be given to public health messaging for movement behaviours in mental health with involvement of people with lived experience of SMI. The value of verbalisation with audio diaries could offer an in-depth understanding of processes underpinning health-related behaviours.
162 A qualitative investigation into causal mechanisms underpinning adherence to physical activity programmes among people with serious mental illness
Authors: Machaczek Katarzyna , Quirk Helen , Burton Hannah 
Published: September 2024

Abstract

Purpose
Increasing physical activity could reduce the mortality gap experienced by people with serious mental illness (SMI). To be beneficial, physical activity needs to be undertaken regularly over an extended period. This study provides insights into how best to support continued activity for people with SMI by uncovering the underpinning causal mechanisms.

Methods
An international sample of stakeholders (n = 19) were consulted. In-depth, semi-structured interviews were undertaken with i) peer physical activity practitioners (n = 5) who were involved in the design and delivery of physical activity programmes for people with SMI, ii) physical activity leaders (n = 3) and iii) people with SMI who participated in these physical activity programmes (n = 25). Data were analysed using Framework analysis.

Results
Activity that is designed specifically for people with SMI and incorporates structured socialisation opportunities facilitates adherence. Gradual exposure to the group is needed, along with 1-to-1 support incorporating personalised goals. Socialisation opportunities require meticulous planning by the practitioners to carefully curate social interactions that encourage bonding between participants.
Adherence is supported when programmes are scheduled, regular and have no end date. Programmes must address accessibility needs of participants, for example, ensuring that people are supported to get to and from physical activity venues and help them overcome social anxiety. Tailoring support to the fluctuating symptoms of SMI is also imperative.
Qualities of practitioners deemed essential for adherence include soft skills such as the ability to foster warm connections, be accepting and non-judgemental, cultivate mutual respect, not put pressure on participants and encourage autonomous motivation. Mutual compatibility between the participant and practitioner is important and therefore having a choice of practitioners is critical. Adherence is supported when programmes are (co)delivered by practitioners who have lived experience of SMI and who are genuine and vulnerable (they share personal mental health experiences).

Conclusions
A combination of soft skills in practitioners and resource-intensive intervention components determine adherence to physical activity programmes among people with SMI. Ensuring that programmes are adequately planned, supported and resourced with consideration to these mechanisms will be critical for their ability to foster prolonged participation.

Funding
This study was supported by the NIHR Clinical Research Network.
39 Are you well? An investigation into the health-related behaviours and wellbeing of Dundalk Institute of Technology (DKIT) students. A pilot study
Authors: Kilroy Sean , O’Connor Sinead , Hackett Fiona , Gregory Noeleen ,   BSc (Hons) Health & Physical Activity Students
Published: September 2024

Abstract

Introduction
For young adults, adjustment into student life can often be a difficult and challenging time with students facing academic demands, social network changes, financial constraints, and the transition to independence. As a result, many college students tend to engage in harmful health related behaviours which may consequently impact their overall wellbeing. Physical inactivity, alcohol abuse, smoking tobacco, and poor dietary habits are considered main contributing factors associated with chronic disease. In addition, risky health related behaviours and poor wellbeing are associated with attendance issues, cognitive decline, and poor academic performance in the student population.

Aims
To examine the health-related behaviours and wellbeing of students attending DKIT.

Methods
A cross-sectional sample of DKIT students over the age of 18 were recruited by convenience sampling through flyers, peer referrals and word-of-mouth. Participants provided informed consent prior to completing a fitness assessment and self-report survey to examine their body mass index (BMI), physical activity levels (IPAQ-SF), sporting participation, sedentary behavior, sleep quality (PSQI), dietary habits, smoking status, and alcohol consumption.

Results
In total, 169 students (52% Males and 45% Females) took part in the study. Of the sample, 32% were overweight or obese, 23% reported being insufficiently active, 27% did not take part in sport while the average sitting time of students on a typical weekday was 6 hours. In addition, 27% consumed alcohol at least once a week, 8% regularly smoke tobacco and 21% currently use E-cigarettes. Regarding dietary habits, only 50% of students had fruit and 45% had vegetables once or more a day. Finally, 56% of students experienced poor sleep quality and over 15% of the participants reported poor wellbeing.

Conclusion
Understanding these risky health related behaviours in the student population may help guide colleges and universities to adopt better health promotion strategies and interventions to increase awareness, further educate and provide additional support and opportunities for the wellbeing of students.
145 Co-producing a physical activity referral scheme for the German healthcare system: A qualitative analysis of stakeholder experiences
Authors: Klamroth Sarah , Mino Eriselda , Weissenfels Anja , Naber Inga , Geidl Wolfgang , Gelius Peter , Abu-Omar Karim , Pfeifer Klaus 
Published: September 2024

Abstract

Purpose
Physical activity referral schemes (PARS) are a promising strategy to promote physical activity within healthcare settings. Despite the perceived potential of PARS, no national scheme has yet been implemented in Germany. This study investigated stakeholders’ experiences with the development of a PARS in the German healthcare system using a co-production approach. The focus was on examining facilitators and challenges, along with gathering insights on potential modifications to the joint development process, all from the viewpoint of stakeholders.

Methods
Based on 25 stakeholders participating in the co-production process, seven stakeholders were purposefully selected for one-to-one semi-structured interviews. Following the maximum variation principle, interview partners represented a variety of participating stakeholders regarding the health sector they belong to, the stakeholders’ position within their organization and their attendance during the development phase. We analyzed the interview transcripts using summarizing qualitative content analysis (software MAXQDA 2022).

Results
The following factors were identified as facilitators of the development process: co-production approach, process of co-production, multi-sector stakeholder group, possibility of active participation, coordinating role of researchers, communication, atmosphere and interaction. In contrast, differences in roles and hierarchy, merging of different perspectives, clarification of intervention costs, and competition and conflicting interests were pointed out as challenges. Interviewees made a few suggestions for improving group composition and cooperation among stakeholders.

Conclusions
Overall, stakeholder experiences with the development process were overwhelmingly positive, indicating that co-production is a beneficial approach for the development of PARS intended for integration into healthcare systems. To further improve co-production of PARS models and other interdisciplinary health services, scientists should report on and evaluate the collaborative development processes more frequently and systematically.

Support/Funding Source
The study is funded by the Federal Ministry of Health based on a resolution of the German ‘Bundestag’ by the federal government.
140 Development of public facing physical activity messages to accompany the updated National Physical Activity and Sedentary Behaviour Guidelines for Ireland
Authors: Williamson Chloë , Power Dylan , Murtagh Elaine 
Published: September 2024

Abstract

Purpose
One assumption that has been made previously is that physical activity (PA) guidelines themselves double up as effective PA messages, yet PA guideline knowledge remains low. This study aimed to develop public-facing messages to accompany the Updated National Physical Activity and Sedentary Behaviour Guidelines for Ireland (forthcoming – March 2024).

Methods
For each guideline population subgroup (n = 6), available evidence relating to concepts within the Physical Activity Messaging Framework was used to develop two messages sets with distinct aims. Using the Behaviour Change Wheel, set 1 utilised education, aiming to increase knowledge. Set 2 utilised persuasion, aiming to improve perceptions, attitudes, and motivation. Messages were shared with the public in an online survey comprising Likert scale questions to assess clarity and relevance (set 1) and motivation and appeal (set 2), and open-ended questions to gain feedback on messages. Feedback was discussed at a Stakeholder Consensus Meeting which informed consensus on final messages for each subgroup.

Results
The survey received 215 public responses (70% female). Overall, there was strong agreement that message sets 1 and 2 were clear, relevant, motivational, and appealing to the reader. For each subgroup, consensus was reached on a bank of messages for sets 1 and 2. For message set 1, a preference for presenting guidelines as hours and minutes (e.g., 2 hours and 30 minutes) as opposed to minutes (e.g., 150 minutes) was identified. For message set 2, top ranked messages focused on shorter term benefits of PA such as mental and social health outcomes. “Every move is a good move” and “Every move counts” were proposed as overall taglines to link messages.

Conclusions
This was the first study to apply the PAMF prescriptively to develop public facing PA messages concurrent with the development of updated national PA guidelines. This process allowed for a bank of evidence-based and targeted PA messages for dissemination in Ireland for 6 population subgroups. In line with the Global Action Plan for Physical Activity 2018-2030, these messages have the potential to change PA knowledge, perceptions, and attitudes, and contribute to promoting population level health-enhancing PA.

Funding Source
Health Service Executive (HSE).
202 Football Cooperative, a community-based physical activity social intervention for men: The development of an implementation strategy for scale-up
Authors: Mcdermott Christopher 
Published: September 2024

Abstract

Purpose
Gender-sensitised health promotion strategies are crucial for men for several reasons including; Addressing male-specific health issues, Improving mental health, and promoting healthy lifestyles. Football Cooperative (FC) provides social games aimed at enhancing overall health and well-being among men and has the potential to return benefits including decreased blood pressure, heart rate, and fat mass, which presents solutions to address existing challenges in men’s health.
This study aims to evaluate FC and gain insights into operating characteristics, both internally and externally, and learn from good practices, to develop a scalable implementation strategy for FC.

Methods
The Consolidated Framework for Implementation Research (CFIR) guided qualitative data collection from various stakeholders for this study, including; Interviews (n = 26), Ad hoc Interviews (n = 9), and Focus Groups (n = 3). Ethnographic data was collected through researcher participation in weekly games and completing reflective logs (n = 8).
Data was recorded, transcribed verbatim, and analysed via thematic analysis. This analytical approach was guided by CFIR and in collaboration with a multi-disciplinary research team.

Results
Six main determinants were identified from the data including 1: Culture defined by inclusivity and diversity, developing community, creating a pressure-free environment and embracing values such as respect, 2: Game Characteristics - which are the structure of how games are implemented, 3: Motivations to Participate - which are the key factors that bring men to FC games, 4: Benefits of Participation is concerned with the positive benefits the games have on their lives, 5: Facilitators of Participation defined by anything that makes games accessible to men, and 6: Barriers to Participation is defined by anything that make participation challenging.

Conclusions
Various elements are essential to replicating FC at new sites and their inclusion should form a final strategy. Bringing the FC Culture to new venues, avoiding late start times, and ensuring flexibility when working with new stakeholders regionally are important, as are branding and communication alignment. Volunteer recruitment and management are at the core of FC and policy to support this is critical, as is the accessibility of games in terms of price, ability, and ease of joining games.

Funding
South East Technological University & UEFA
211 From Motion by Emotion to Well-Being: How Regular Physical Activity Enhances Life Satisfaction through Self–Control and Emotion Regulation
Authors: Potoczny Wiktor , Krzywoszanski Lukasz , Herzog-Krzywoszanska Radoslawa 
Published: September 2024

Abstract

Purpose
Physical activity is crucial for maintaining good health and preventing chronic diseases. Regular participation in sports-related activities contributes to psychophysiological and social well-being. Researchers are investigating the psychological factors that may be responsible for this mechanism. Current research is one of the first to explore the mediating effects of self-control and emotion regulation on the relationship between exercise and life satisfaction. The main objective of this study was to examine the possible intermediate impact of self–control and two common forms of emotion regulation: cognitive reappraisal and expressive suppression on the relationship between involvement in regular physical activity and satisfaction with life.

Methods
A total of 186 adults participated in the online survey, providing information about their regular participation in physical activity or training and completing questionnaires assessing life satisfaction, self-control, and two aspects of emotion regulation. Based on self-reported average minutes spent exercising per week over the past year, participants were classified into four levels of physical activity according to the World Health Organization guidelines on physical activity and sedentary behavior.

Results
The results of the mediation analysis showed that dispositional self-control and cognitive reappraisal fully mediated the relationship between the levels of physical activity and life satisfaction. Expressive suppression, a second strategy of emotion regulation, did not mediate this relationship. This suggests that regular physical activity may increase levels of self-control and cognitive reappraisal, which in turn leads to greater life satisfaction.

Conclusions
Regular physical activity and time spent on training support such forms of regulating one’s own emotions and actions which consequently may lead to greater life satisfaction. These findings underscore the importance of regular exercise in promoting psychological well-being through its beneficial effects on self-control and emotional regulation.
123 Green/grey spaces - What is the best urban setting to enhance physical activity? Preliminary findings of the Health Benefits of Outdoor Physical Activity (HOPA) study
Authors: Gomes Thayse Natacha , Sullivan Adam , Suikkanen Sara , Rääsk Triin , Kuu Saima , Väänänen Ilkka , Donnelly Alan 
Published: September 2024

Abstract

Purpose
Strategies aimed at increasing physical activity (PA) must be feasible and easy for participants to adhere to. Outdoor public spaces emerge as relevant venues due to their easy accessibility and lack of cost. However, it is not clear what kind of urban spaces (“nature-based” or “road/sidewalk-based”) contribute the most to increasing PA. This study seeks to investigate the effect of an outdoor intervention on enhancing PA levels and reducing sedentary time (SED) among inactive adults.

Methods
HOPA was a multi-centre parallel-group randomised control trial (ISRCTN64480977), carried out in three European cities (Lahti, Limerick, Tallinn). The sample comprised 101 adults, self-reported as inactive at baseline (IPAQ), aged between 25-65 years. Participants were instructed to engage in outdoor PA (walking/running) at least three times/week, at least 30 minutes/session, over eight weeks. They were randomly allocated into two groups, based on the type of outdoor spaces where they would perform their activities: “nature-based” and “road/sidewalk-based” spaces. PA (light PA, LPA; moderate-to-vigorous PA, MVPA) and SED were measured at baseline and during week-8 of the intervention, over 9-consecutive days, using activPAL accelerometers. Between- and within-group differences were analysed using General Linear Model, adopting a significance level of 95%.

Results
There were no significant between-groups differences. A significant time-effect was observed for total weekly LPA (ρ = 0.014;η2=0.06) and MVPA (ρ &lt; 0.001;η2=0.126), but not for weekly average SED (ρ = 0.117). Specifically, LPA decreased from 511.1min/week to 489.1min/week in “nature-based” group, and from 539.3min/week to 498.2min/week in “road/sidewalk-based” group. Conversely, MVPA increased from 219.5min/week to 262min/week in “nature-based” group, and from 227.6min/week to 269.6min/week in “road/sidewalk-based” group. No significant group-time effect was observed, indicating that both “nature-based” and “road/sidewalk-based” groups provide changes in PA.

Conclusions
Outdoor spaces can be relevant venues for promoting PA engagement and increasing MVPA. Further analysis can provide insights into the relationship between environmental quality and PA, but these preliminary findings suggest that both “nature-based” and road/sidewalk-based” spaces have shown to be relevant to getting people active. Urban cities must develop strategic plans aimed at designing urban spaces that are conducive to PA, promoting its practice, that would positively impact population health.

Funding
EU-2020 (DOI:10.3030/869764).
205 Hidden benefits in non-effective interventions: A subgroup analysis of associations between characteristics of study participants and changes in prolonged sedentary time using compositional data analysis
Authors: Voigt Lisa , Ullrich Antje , Kleinke Fabian , van den Berg Neeltje , Doerr Marcus , Ulbricht Sabina 
Published: September 2024

Abstract

Purpose
Interventions aiming to increase physical activity (PA) or reduce sedentary time (ST) often suffer from selection bias of highly active individuals. Subgroup analysis among most sedentary participants may reveal information about beneficial behaviour changes beyond non-significant intervention effects. We aimed to identify characteristics of participants of a non-effective intervention study associated with a reduction of time spent in prolonged sedentary bouts using compositional data analysis (CoDA) in a subsample of those with highest baseline bout levels.

Methods
Data was used from an intervention study aiming to increase PA and reduce ST via brief feedback letters among adults from the general population aged ≥65 years. Participants wore ActiGraph-accelerometers on the hip during waking hours for seven days at baseline and 12-months follow-up (N = 130). We conducted a subgroup analysis among participants of the upper half of the distribution of ST spent in &gt; 30min-bouts (i.e., median split at 2.6h/day; n = 69). CoDA was used to build a z1 coordinate representing the change in ST spent in &gt; 30min-bouts, relative to the change of time spent in PA and in ≤ 30min-ST-bouts. Quantile regressions were used to investigate associations of age, sex, partnership, baseline waist circumference (WC), and baseline &gt;30min-ST-bouts with z1 on percentiles 25, 50, and 75 of the z1 distribution.

Results
Participants were aged 72±5.1 years, 61% were female, 74% lived with a partner, and baseline WC was 91±12.8 cm in women and 101±11.6 cm in men. At baseline (and follow-up), individuals spent 26% (25%) of time in &gt; 30min-ST-bouts, 37% (38%) in PA, and 37% (37%) in ≤ 30min-ST-bouts. At the 25th percentile, female sex and higher WC were predictive for a higher reduction of &gt; 30min-ST-bouts (ps&lt;.05).

Conclusions
In a non-effective intervention, among those with highest baseline levels (&gt;2.6h/day) and highest reduction of prolonged ST (25th percentile), females and those with higher baseline WC reduced prolonged ST more than males and those with lower baseline WC. Intervention studies without significant efficacy may yield valuable information about individuals who showed beneficial behaviour changes.

Funding Source
Federal Ministry of Education and Research (BMBF) as a site project of the German Centre for Cardiovascular Research (no. 81Z7400174)