bluuebunny/crossref_metadata_2025_split huggingface dataset:
37 Developing a practical tool for reaching consensus about shared outcome measurement in cross-sector health-enhancing physical activity partnerships
Authors: Kolovou Vasiliki , Crone Diane , Bolton Nicola 
Published: September 2024

Abstract

Purpose
To identify specific needs, priorities, and challenges to cross-sector partnerships, and to develop a practical tool for consensus-building on shared outcomes.

Methods
This work included a desk-based collation of case studies (cross-sector partnerships) and a Delphi study to seek input on the tool’s design, functionality, and usability. During Round 1, a survey was launched in the HEPA conference 2023 and conference participants were invited to complete a qualitative online survey, to define key terms and definitions across sectors, and for recommending desirable partnership outcomes. Open-ended questions were used to encourage diverse perspectives and a wider range of opinions. Inductive content analysis will be used to identify and inform the development of statements for Round 2. A stakeholder workshop may be planned to engage participants and a wider audience for using and refining the partnership tool.

Results
Case studies (N = 19) were identified as promoting or increasing physical activity and being driven by cross-sector partnership working. The relationships between the partners were reviewed and the process of developing and agreeing shared outcomes was collated to inform the Delphi study. Findings from the Delphi will be presented once it is completed but are anticipated to reflect the strength of agreement across the Delphi participants (N = 18, Round 1). Both case studies and Delphi surveys will lead to a partnership tool being developed to be used by real-world practitioners to develop shared partnership outcomes.

Conclusion
This study is unique in its scope and aims to develop a practical tool for guiding cross-sector partners in agreeing shared outcomes that recognise impact in the whole system. Widening criteria for success in cross-sector partnerships promotes inclusivity for stakeholders, recognises the complexity in changing health behaviours and a whole systems approach to resolving physical inactivity. Establishing a shared measurement of success in partnerships can promote diverse organisations and stakeholders to contribute to tackling physical inactivity, in line with the WHO’s Global Action Plan for Physical Activity.

Support/Funding source
This project was supported by the WHO Europe office for Noncommunicable diseases, as part of the lead investigator’s, Vasiliki Kolovou’s, participation in the HEPA Early Career Development Programme.
30 Dynapenia and risk factors in Immune-Mediated Rheumatic Diseases: A Systematic Review
Authors: Santo Rafaela Espírito , Melo Geiziane , Agostinis-Sobrinho Cesar 
Published: September 2024

Abstract

Dynapenia, the age-related decline in muscle strength, poses significant challenges to the quality of life, autonomy, and health of individuals, becoming a major public health concern. Immune-Mediated Rheumatic Diseases (IMRDs) patients often experience dynapenia, regardless of age. Therefore, our aims were to assess the association between changes in muscle strength and changes in clinical features in IMRDs. Additionally, to evaluate risk factors for adverse health outcomes in IMRDs. A systematic review of longitudinal studies published in English was conducted using PubMed, Embase, Web of Science and Scopus to November 2023. Search strategies were based on pre-defined keywords and medical subject headings. The methodological quality of included studies was assessed using the Newcastle-Ottawa Scale. Of 11.692 potential studies (5138 duplicate publication) screened for inclusion in the study, twenty-one were included. Of these 21 studies included, one study was with systematic sclerosis (Ss) patients, two studies were with systemic erythematosus lupus (SLE) patients and eighteen studies were with rheumatoid arthritis (RA) patients. The decrease in muscle strength was associated with worsening clinical features over time in both SLE and RA patients. Lastly, low muscle strength was linked to multiple falls and reduced 5-year survival in RA patients. Therefore, changes in muscle strength are associated with changes in clinical features over time, and low muscle strength is linked to adverse health outcomes. The study emphasizes the importance of targeted exercise interventions aimed at improving muscle strength to mitigate adverse health outcomes and enhance clinical features in IMRDs patients.
116 Expert Agreement on definitions for compensatory protective step strategies: Delphi method study
Authors: Melo-Alonso Maria , Murillo-Garcia Alvaro , Padilla-Moledo Carmen , Villafaina Santos , Carmen Gomez-Alvaro Maria , Morcillo-Parras Felipe Alejandro , Leon-Llamas Juan Luis , Gusi Narcis 
Published: September 2024

Abstract

Purpose
The older adults have a high probability of suffering an unexpected fall during activities of daily living, this can generate fear of fall, changes in gait patterns, decreased mobility, reduced social contact and impaired ability to perform different activities. Previous studies of gait in the presence of a perturbance identified and analyzed several protective gait strategies to prevent a fall. But there was a lack of common wording and definitions for the same strategy that limits the comparison and scientific synergic advance among researchers and professionals.

Objective
to elaborate and clarify the definitions of compensatory protective step strategies to create a single common terminology to be used by all related-professionals (e.g., physical educators, physiotherapists, occupational therapists, doctors and researchers).

Methods
the study followed the Conducting and Reporting of Delphi Studies guideline (CREDES) and a chronological order 1) review of the literature (scoping review), 2) step-by-step creating a quantitative questionnaire (Likert-type scale from 1 to 5) and qualitative assessment of degree the pertinence, wording and identification of each of the definitions (items=14), 3) same number of experts selection from different professional backgrounds (N = 14), 4) Aike's V coefficient was used to determine content validity.

Results
showed demanding levels of validity (V ≥ 0.68) and none of the strategy definitions were eliminated, all of them passed Aiken’s V critical value. Conclusion: the definitions of 14 compensatory protective step strategies (13 strategies mentioned in the scoping review and one added by the panel of experts) have been elaborated and clarified. The limb collisions were not included by the consensus of the panel of experts because it was considered as an isolated action and information about its protective function is lacking. These identifications could be used as innovative specific targets to include in health enhancing physical activity programs

Funding
The Spanish National R + D + i Plan co-funded by the Spanish Ministry of Sciences and Innovation (reference PID2019-107191RB I00/AEI/10.13039/501100011033). The author J.L.L.-L. was supported by a grant from the Spanish Ministry of Education, Culture and Sport (FPU18/05655).
98 Health care practitioners’ knowledge, use and confidence of PA guidelines and tools during pregnancy on the island of Ireland: a protocol and preliminary data
Authors: Deery Elizabeth , Faulkner Maria , Currie Sinead , Fitzpatrick Ben 
Published: September 2024

Abstract

Purpose
Regular physical activity (PA) during pregnancy is associated with benefits to maternal and foetal health, and the World Health Organisation recommend 150 minutes of weekly PA during pregnancy. Despite this, PA participation often decreases during pregnancy, and this may negatively impact mother-child PA participation later in life. Healthcare practitioners (HCPs) are considered well-placed to deliver health-behaviour messaging; however, little is known about the delivery of this in a maternity context. This study therefore aims to evaluate the delivery of PA guidance by HCPs during pregnancy, their knowledge of PA guidelines and resources, and their confidence in implementing these, across the island of Ireland.

Methods
Ethical approval will be sought from Ulster University research ethics committee. From June to September 2024, participants, who will be HCP involved in maternity care on the island of Ireland, will be invited to take part in an anonymous, online survey. Invitations will be circulated via professional bodies, networks, social media, and snowball sampling. The survey, which will be developed in conjunction with an expert advisory panel, will assess HCP knowledge, confidence, and delivery of PA guidelines and tools during pregnancy, and assess training received on PA guidance and PA tools during pregnancy. Statistical analysis will include independent t-tests, chi-squared, Pearson correlation, frequencies, and descriptive data. Content analysis will be used to analyse data produced from open-ended questions.

Results
Preliminary findings will include participant demographics and descriptive data regarding the knowledge, confidence, training in and prevalence of delivering PA guidance and PA tools during pregnancy. Statistical analysis will be subject to sample-size achievement at this preliminary stage.

Conclusions
The findings from this study have the potential to identify gaps in the knowledge and confidence of HCP delivering PA guidance during pregnancy. This will add knowledge to the extant literature and can provide a foundation to inform interventions and strategies aimed at enhancing the delivery of evidence-based practice regarding PA during pregnancy. This would have the potential to improve the quality of prenatal care, promote maternal and fetal health, and enhance health promoting health-enhancing PA in the prenatal population.

Funding Source
No funding to declare.
141 Implementation of exercise program after multidisciplinary treatment of chronic widespread musculoskeletal pain in the primary healthcare – study protocol
Authors: Pustivšek Suzana , Dakskobler Maja , Furlan Andraž 
Published: September 2024

Abstract

Purpose
Chronic musculoskeletal pain (CMS) is affecting approximately one third of the adult population. There is a lack of evidence in the literature for multicomponent exercise programmes for patients with CMS pain and adherence to these programmes is rarely reported. The main research question is: Does the supervised, individualised, patient-centered exercise programme implemented following a multidisciplinary programme for the treatment of CMS pain have an additional impact on patients’ perceptions of their own health and well-being and adherence to physical activity?

Methods
The study is a cohort study; the estimated sample size is 140 subjects. Participants will receive 16 supervised sessions. The first and last session will be individual, the other 14 will be group sessions with 8 participants led by a kinesiologist. Each session is divided in two parts: First includes warm-up and functional exercises, second includes breath-centered yoga practice with deep relaxation. Both, functional exercises and yoga practice will be graded through the sessions, with particular attention paid to the individualization of the participants. Outcome assessments will occur at baseline (1st session), end of intervention (16th session) and 8 weeks after the intervention. The main parameters will be patients’ perception of their own health and well-being (SF – 12 questionnaire), exercise adherence (ATEMPT questionnaire), physical fitness (senior fitness test battery) and pain level (numerical rating scale). Pre-specified analyses will evaluate the main effects of the treatment by comparing pre, post and follow-up results.

Results
The study will start in April 2024, with first preliminary results expected by the end of the year.

Conclusion
This research will use a novel approach to treating CMS pain, as a programme combining graded functional exercises and breath-centered yoga practice will be an extension of multidisciplinary CMS pain management. If the programme shows significant benefits for users, it can be used as a maintenance programme for an active lifestyle for people with CMS pain. In this way, the burden of CMS pain on the healthcare sector can be reduced.

Fundings
The project “Upgrading treatment of musculoskeletal pain at the primary level” is being implemented within the framework of the Recovery and Resilience Plan.
109 Optimising Community-Based Physical Activity for Chronic Condition Management in Ireland: A Comprehensive Systems Analysis guided by RE-AIM
Authors: O’Connor Rachael , McGrath Aisling , Lodge Clare , Murphy Niamh 
Published: September 2024

Abstract

Purpose
The prevalence of chronic conditions (CC) is rising rapidly and coupled with an aging demographic, poses a significant threat to the well-being of populations and overburdened healthcare systems. The negative impact of CC on physical, mental, and social well-being requires innovative approaches to combat decline in quality of life (QOL). The concept of “exercise as medicine” demonstrates the value of physical activity (PA) in treating CCs. Community-based PA initiatives are accessible solutions to improve QOL and prevent disease progression in CC populations, yet contextual factors impacting implementation are not widely understood. Therefore, as part of a broader study, this research will provide a comprehensive qualitative systems analysis of community-based PA interventions for populations with CC in Ireland.

Methods
This study will employ a qualitative data approach guided by systems approaches and implementation science. Following a desk-based review, semi-structured interviews guided by the RE-AIM framework will be conducted with multiple stakeholders to inform a comprehensive understanding of the landscape (intricacies and contextual factors) of community-based PA for populations with CC. Purposive and snowball sampling will recruit diverse stakeholders (providers, referrers, policymakers, funders) across sites. A hybrid coding approach of inductive and deductive coding guided by implementation science frameworks will be used for analysis of qualitative data.

Results
This study aims to understand the key components and interconnections within the current system of community-based PA for CC in Ireland. This study will provide insights into barriers and facilitators influencing effectiveness and sustainability of community-based PA initiatives and aid in identifying implementation strategies to enhance the pathway of care into such initiatives for individuals with CC in Ireland.

Conclusions
To ensure effective implementation of community-based PA programmes, a clear understanding of the overall landscape, relationships, interdependencies is required. Implications of this study will inform the broader project through identifying barriers influencing effective implementation of community-based programmes. This process will contribute to identifying a suitable delivery model for these programmes, leading to scale-up of facilities, enhancing QOL of individuals.

Funding source
Funded by SETU Co-fund programme and Carlow Sports Partnership.
102 Parous women perform less moderate to vigorous physical activity than their nulliparous peers: a population-based study in Denmark
Authors: Bueno Solvej Videbæk , Nielsen Rasmus Oestergaard , Kallestrup Per , Ryom Knud , Morgan Kelly , Elsborg Peter , Petersen Christina Bjørk , Jacobsen Julie Sandell 
Published: September 2024

Abstract

Purpose
The World Health Organisation (WHO) highlights parous women as a key population for monitoring trends of physical activity (PA). We aimed to estimate the proportion of Danish women non-adhering to WHO PA guidelines in parous women compared with nulliparous women, and to describe leisure-time PA intensity in each of these groups.

Methods
This population-based study builds on a sample of 27,668 women aged 16-40 years from the Danish National Health Survey 2021. These data were linked with childbirth data from the Danish National Birth Registry. The primary outcome was self-reported weekly hours of moderate to vigorous leisure-time PA (MVPA) dichotomized into: (i) Adhering to WHO guidelines for MVPA, or (ii) Not adhering to WHO guidelines for MVPA. Binomial regression analysis was used to calculate prevalence proportions (PP) and prevalence proportion ratios (PPR).

Results
Of the 27,668 women, a total of 20,022 were included; 9,338 (46.6%) parous women and 10,684 (53.4%) nulliparous women. The PP of women non-adhering to WHO PA guidelines was 63.8% (95% CI 62.9-64.8) for parous and 51.3% (95% CI 50.4-52.3) for nulliparous women, corresponding to a PPR of 1.24 (95% CI 1.21;1.27).

Conclusions
The proportion of parous women who did not adhere to WHO PA guidelines for MVPA was 24% higher than that of nulliparous women. This highlights parous women as a subgroup of the adult population at increased risk of non-adherence to WHO PA guidelines. These findings call for future research to inform new strategies aiming to promote PA in parous women.

Support/Funding
This work was supported by the Health Foundation (20-B-0260).
225 Perceptions of Physical Activity and Structured Exercise in South Carolinian Adult Native Americans
Authors: Cavallini Maria Felicia , Dyck David J 
Published: September 2024

Abstract

Due to the current developments of obesity, diabetes, cardiovascular diseases, alcoholism, hypertension and high suicide rates, the overall health of Indigenous citizens is of considerable concern. Physical activity (PA) plays a key role in overall health and well-being. However, appropriate strategies for PA connection, preferences, motivation, and promotion levels for Natives is lacking and in dire need. The purpose of this study is to examine the adult relationship with PA as well as to investigate the perceived influence of PA not only on physical health but mental, emotional, social, and psychological health among adult Native Americans in South Carolina. Fifteen key informant interviews were conducted with diverse adult Native Americans including four Chiefs. Questions pertaining to beliefs, outlook, preferences, attitude, barriers, gym perception, and motivators towards lifestyle PA versus structured exercise were explored and discussed, as well as PA’s relationship to overall wellness. Qualitative methods with phenomenological underpinnings were used. Using the note transcriptions from the non-taped interviews, we concluded lifestyle physical activity (LPA) was overwhelmingly preferred over structured exercise. Natives found LPA to be an essential part of their culture and way of life. In addition to signifying that the U.S. PA guidelines could be met through LPA, the Native American participants indicated that lack of time was their number one barrier (whether real or psychological), and that being outdoors and engaging in LPA was preferred over the gym environment. Health and feeling good, and being happier afterwards were the main motivators to engaging in LPA. Furthermore, South Carolinian Natives felt that regular participation in LPA would positively affect and directly improve mental, emotional, social, and psychological health. A second more quantitative phase (questionnaire) will follow, with a recruitment of as many Native Americans from South Carlina as possible i.e. 300+. Ultimately, the goal is to develop new and innovative culturally based PA intervention strategies and customized programs for the Native American community through a heritage, health, and cultural center to address the PA and wellness needs of Indigenous people while promoting Native need for community involvement, a wholistic approach to life, and connection to land and the environment.
47 Physical activity, sedentary behavior, and sleep across lifespan in adults across European countries: Background and Design
Authors: Shiran Roksana , Nigg Claudio R 
Published: September 2024

Abstract

Introduction
Regular physical activity (PA) has benefits for health throughout the lifespan. In adults, PA benefits musculoskeletal, cardiometabolic health, and overall well-being (Dale et al., 2019). To promote health and well-being, the World Health Organization (WHO) recommends at least 150 minutes of moderate to vigorous (MV)PA or 75 min of vigorous-intensity PA (Bull et al., 2020). However, about 40 – 60% of the EU adults population is leading a predominantly sedentary lifestyle (Nikitara et al., 2021).
Sedentary behavior (SB) includes activities such as watching television, playing computer games, and browsing the Internet (Wang et al., 2019). High levels of SB have been associated with decline of PA which, in turn, is associated with negative health outcomes, including obesity. Furthermore, there has been a growing focus on exploring the relationship between SB and sleep duration. This relation between SB and sleep duration is noteworthy, especially when considering that sleep duration guidelines recommend 7-9 hours of sleep for adults in the EU. In 2018, a systematic review synthesized findings from 56 studies that employed iso-temporal substitution models in PA, SB and sleep. Research has shown that changes in the time spent on these movement-related behaviors that make up a 24-h day can interact to influence health outcomes (Trembley et al., 2016). However, to -date, there are no specific recommendations on SB, and sleep is often not included. Therefore, this project will present the background, methods and design of a 24 hour movement summary of behaviors (PA, SB, sleep) for Europe.

Methods
Utilizing a cross-sectional design we will analyze existing data for PA, SB, and sleep from the Eurostat Organization on European adults 18 to 65+. Descriptive analysis using mean, median, and 95% Confidence Intervals, will be complemented by frequency distributions and histograms.

Results
The findings from this research have the potential to inform surveillance efforts, public health strategies, evidence-based guidelines, and possibly improve overall well-being.

Conclusion
Implications of this research may inform researchers on further questions to pursue, policy makers in resource allocation, and practitioners on where to focus intervention efforts.