bluuebunny/crossref_metadata_2025_split huggingface dataset:
S03-1 Falls Management Exercise for those at high or intermediate risk of falls. Improving habitual physical activity, function and reducing falls
Authors: Skelton Dawn 
Published: September 2024

Abstract

Purpose
FaME, a group based multi-component exercise programme, was developed by researchers to reduce the risk of falls and help participants regain confidence and self-efficacy to increase physical activity, as fallers often avoid activity through concern about falls. Uniquely, FaME includes retraining the ability to get up from the floor, reducing fear of falling and potential ambulance call outs for participants. The original FaME RCT (history of frequent falls, 9mths programme) and the ProAct65+ RCT (sedentary older people, 6mths programme) showed reduced falls and improved habitual physical activity (extra 105 mins MVPA/wk), even 24 months post intervention. These benefits have been seen in robust randomised controlled trials, service evaluations and peer-reviewed published ‘real-life’ delivery across the UK. It has been adapted as an EXERGAME App, and a dance intervention by researchers and organisations.

Project description
FaME is delivered by trained Postural Stability Instructors (PSIs) and is cited as a cost-effective exercise programme by the Department of Health and Social Care, Public Health England, Public Health Wales, the Scottish Government, the Royal College of Physicians, the Royal Osteoporosis Society, the Chartered Society of Physiotherapy, the Centre for Ageing Better, the Royal Society for the Prevention of Accidents and Age UK. Outside of the UK, FaME is embedded in the Norwegian Health Ministry programme Sterk Og Stødig, a case study in the World Health Organisation’s Step Safely Report, an effective intervention endorsed by the Centre for Disease Prevention in the US and is recommended in the World Falls Guidelines. Implementation studies are examining how scaling up has led to adapted delivery which does not always meet key fidelity parameters for effectiveness (duration, dose, components included, equipment, progression, and transition). Regular CPD offered to PSIs and a community of practice can support real life implementation.

Conclusions
FaME is the first falls prevention exercise programme to show sustained positive effects up to 2 years post intervention on habitual physical activity. The rollout of FaME has the potential to change the activity and frailty trajectory of older people with a history of falls.
S04 Making Sense of Physical Activity Policy Assessment: Lessons Learned, Challenges, Next Steps
Authors: Gelius Peter , Sandu Petru 
Published: September 2024

Abstract
Increasing population levels of physical activity is an important global health priority. The World Health Organization and many countries have developed evidence-based public health recommendations and action plans to do so. However, implementing these recommendations and plans remains limited in almost all countries, even Europe, where priorities and resources seem well aligned. Several research groups have developed policy assessment tools to understand better these challenges to evaluate policy development and implementation. The process has proved to be complex for several reasons. Increasing physical activity among populations depends upon actions in many sectors. Thus, policies must engage and include sectors beyond health. While policy is typically developed nationally, implementation often occurs at sub-national levels such as states and cities. Balancing the need for collecting complex data across multiple sectors and government levels while keeping instruments short enough to be useful for public health practitioners and appealing to policymakers takes work. In this session, we will hear from six research groups that have developed and applied policy assessment tools in Europe, Latin America, and Japan at national and sub-national levels. Each presenter will share their experiences, strengths, and weaknesses of the instruments, challenges, and planned next steps. The brief presentations will be followed by a panel discussion guided by a discussant to synthesize the research to date, summarize progress and remaining challenges, and suggest the way forward for both policy research and public health practice.
S05 National Implementation Programmes to promote Active Ageing: Points of Success and Challenges
Authors: Borodulin Katja 
Published: September 2024

Abstract

After retirement, nowadays, we can expect to live from 20 to 40 years of time. For such a long time window, plenty of opportunities should be offered to support active aging. It is surprising how few countries have developed national physical activity programs for older people, particularly knowing the benefits of physical activity for maintenance of functional capacity, prevention of non-communicable diseases and postponing of care and services. Physical activity promotion among older persons has great potential, while it requires more public discussion and sharing the existing good practices.
In this symposium we share three examples of national physical activity programs for older persons. We present their aims, target groups, and main activities. All programs rely on research-based evidence in their implementation, collect results and regularly evaluate their activities. They present action that has increased physical activity, promoted knowledge and education, and improved co-operation. Country examples include issues on scaling-up, sustainability, and communications. Furthermore, challenges and potential solutions in each case are shared and discussed. We discuss and share the take-home-messages and ask the audience to share their views for improved action towards the future.

Presentations in the symposium include
Katja Borodulin (chair and discussant, Age Institute, Helsinki, Finland).
S06-1: Collaborating across diverse clinical areas and locations to tackle deconditioning in the acute healthcare setting #ActiveWards
Authors: Harvey Juliet 
Published: September 2024

Abstract

Purpose
To provide opportunity to reduce deconditioning in the clinical in-patient environment by using person-centred practice development methods to empower staff to be agents of change in their local specialty area.

Project Description
In the acute hospital setting deconditioning is a major risk factor with around 90% of the day spent sitting/lying. In this setting we have the opportunity to promote physical activity and reduce sedentary behaviour. As experts in activity and movement, Physiotherapists and Occupational Therapists routinely assess function/activity of patients and provide support from brief intervention through to complex rehabilitation, behaviour change interventions and lifestyle prescription, as well as signposting or referring on to other services. The therapists work in multi-disciplinary teams to provide person-centred care to the patient in the treatment of injury, illness, or disability. To scope the situation a survey was conducted resulting in the formation of a Special Interest Group (SIG). The purpose of the group was to provide peer-support and act as a platform for sharing resources and ideas relating to patient activity. Group members (N = 23) were from across NHS Greater Glasgow and Clyde including Older Peoples Services, Stroke, Medical, Surgical, Orthopaedics, Oncology, Critical Care, Neurology and Physical Disability Teams.
The SIG provided a collaborative hub where staff networked, supported each other, conducted projects, and shared their findings and challenges. Members worked with staff groups, patients, carers, health improvement, medical illustrations, digital, patient experience, equality and diversity teams, volunteer services, third sector organisations and international consensus groups. The outputs from the group were shared widely (#ActiveWards) and included development of resources, audit tools and training material. The group formed Active Wards Principles, which are now included in board-wide guidelines and standards.

Conclusion
Tackling deconditioning in the clinical environment requires complex interventions that are tailored to the patient, teams, and local circumstance. The work demonstrates what can be achieved when staff are provided with a little time and given ownership of change processes. There are now &gt;50 members in the group. The work has had a ripple effect across our health board and to other organisations.
S08-3: Goals and realities in local goverments’ involvement in PA promotion for diverse populations subgroups – a comparative analysis of municipalities from 5 countries
Authors: Sandu Petru , Gelius Peter , Messing Sven , Noel-Racine Antoine , Oguma Yuko , Onatsu Tanja , Papiu Antonia Paula , Saito Yoshinobu , Takeda Noriko , Tuunanen Katariina , Vuillemin Anne , Chereches Razvan Mircea 
Published: September 2024

Abstract

Although cross-sectoral cooperation is important at all levels, in practice it often remains at a declarative level. Different sectoral policies and the resulting measures to promote HEPA are usually disconnected, uncoordinated and without the necessary synergies. This pertains especially to local environments with less financial and expert support, such as small rural communities, where people have few HEPA options that are suitable and attractive for vulnerable groups: children and adolescents, elderly and people with disabilities.
“Development of indicators for the assessment of the provision of settlements with green spaces for outdoor physical activity” is a research project co-funded by the Slovenian Research and Innovation Agency, the Ministry of Health and the Ministry of Natural Resources and Spatial Planning and implemented at the Urban Planning Institute of the Republic of Slovenia. The aim of the project is to define indicator(s) for the provision of green spaces for PA and active lifestyles in settlements, which could be used at local level to assess, improve, and monitor the situation. We took a medium-sized city and a small rural community as pilot projects, the latter often being a disadvantaged environment in terms of HEPA in spatial planning compared to larger cities. On the pilots, our objectives have been to establish cooperation at the local level between at least three different sectors and to test methodology and indicators developed in the project to assess the provision of green spaces to promote PA in selected environments, thus enabling more equitable and inclusive spatial conditions for HEPA at the local level.
The presentation will present the approach, results and overall experiences with the work implemented in the pilot project of a rural community. It will highlight the benefits of cross-sectoral cooperation for more effective local level HEPA policies to ensure the inclusive and equitable access to green spaces in settlements.

Funding source
Slovenian Research and Innovation Agency, grant no. V5-2232
S09-2: Physical activity in the Irish vision impaired and blind population
Authors: Flynn Lisa 
Published: September 2024

Abstract

Purpose
Physical activity (PA) is known to improve physical and mental health. Research suggests that adults and children who are vision impaired (VI) have reduced levels of PA compared to their sighted peers. In the Irish context, census data suggests that up to 40% of people with VI struggle to participate in leisure and social activities. This project aims to understand PA levels, and the barriers/motivators to participation, in the Irish VI population.

Methods
Questionnaires were used to assess self-reported PA, sports participation, perceived barriers to participation and mental health/well-being levels using validated and reliable tools (CSPPA, Kidscreen-10, HSBC survey) ​(Booth et al., 2001; Woods CB et al., 2018)​. Fundamental movement skills (FMS) and VO2 max were assessed in VI children using the TGMD-3 and the Queen’s College Step ​(Maciej Serda et al., 2018)​.

Results
The children’s results (n = 61, mean 12.2 years (range 6-16 years)) showed just 12.7% were active more than 30 mins daily each week. Barriers in this cohort included fear of injury (82%) and a lack of confidence (63%). Further analysis (n = 59, age 12.34 ± 2.40) indicate that just 52.2% of females and 68.6% of males were in the healthy fitness zone according to their VO2 max. Worst performed FMS included two-hand strike, kick and throw with 30.5%, 22% and 30.5% achieving mastery/near-mastery respectively.
The adult population (n = 258, f = 138, m = 173, non-binary = 16, mean = 25 years (range 17-78)) showed the most popular forms of PA included gym classes (18.49%), walking (15.96%) and running (9.80%). Lack of transport (25.8%) and lack of accessible facilities (15.2%) were the most commonly cited barriers to PA.

Conclusion
PA levels were low in both the youth and adult VI populations when compared to the general population. Future research should focus on further exploring the barriers to participation.

Support/Funding Source
Vision Sport Ireland, Institute of Education, Dublin City University, Sport Ireland.
S10 How can HEPA research contribute to shifting modes of transport towards active mobility?
Authors: Tcymbal Antonia , Abi-Omar Karim 
Published: September 2024

Abstract
Active mobility represents a win-win for individual and planetary health. With this in mind, the question on how to shift modes of transport towards walking and biking becomes an increasingly urgent one for HEPA research. The symposium presents different approaches on how to foster active transport: the use of GIS data to identify bikeable neighborhoods for adolescent; the HEAT – a widely used tool that enables to calculate the economic value of active mobility; a science-based project on the determinants of biking among children; and an interdisciplinary collaboration to explore how the transition towards active mobility can be accelerated.
By integrating science- and practice-based presentations, the symposium will provide attendees with an excellent opportunity to reflect on the complexity of fostering active mobility. It will also enhance participants’ understanding on how active mobility is linked to planetary health and how research-driven approaches can address transport choices.
S12 Optimising health enhancing physical activity by using a human rights-based approach
Authors: Messing Sven 
Published: September 2024

Abstract
The World Health Organization calls to employ a human rights-based approach for the implementation of the Global Action Plan on Physical Activity. However, research on physical activity promotion does usually not adopt a human rights perspective, even though there are overlaps with established fields of research such as health equity. The symposium is based on theoretical considerations on the potential status of physical activity as a human right, and aims to discuss how a human rights-based approach could be utilized to further develop physical activity promotion for vulnerable target groups.
Presentation 1 describes a framework that supports the use of a human rights-based approach to promote physical activity for vulnerable groups. The framework is based on four criteria (availability, accessibility, acceptability, and quality) which are discussed in the other presentations of the symposium. Presentation 2 focuses on the rights of persons with disabilities and investigates the perceptions of disability rights groups on the #Wethe15 campaign after the 2021 Paralympic Games. Presentation 3 systematically analyses a physical activity program for women in difficult life situations using a human rights-based approach based on semi-structured interviews.
Interaction with the audience will be stimulated by an interactive discussion on how a human rights-based approach could be integrated into PA promotion research, and whether this would be an added value from a political and scientific perspective.
S12-1: Can a human rights-based approach help to promote physical activity for vulnerable groups?
Authors: Messing Sven , Abu-Omar Karim , Gelius Peter 
Published: September 2024

Abstract

Purpose
As physical activity was limited in some countries during the pandemic-related lockdowns, the question whether humans have a right to be active was discussed in public and academia. A recent scientific study has shown how a right to physical activity can be derived from well-established human rights such as the right to health, the right to rest and leisure, the right to education, and the principle of nondiscrimination. However, this is a new perspective for the field of PA promotion, and examples of studies using a human rights-based approach systematically are rare.
This study aimed to develop a framework for utilizing a human rights-based approach in physical activity research.

Methods
In an interdisciplinary process, a framework was developed by experts for human rights policy and physical activity promotion. This framework is based on a conceptualization of the United Nation’s Committee on Economic, Social and Cultural Rights which defined – originally for the right to health – four attributes. These attributes were linked systematically to the field of physical activity promotion.

Results
The framework is based on four attributes of PA as a human right: The availability, accessibility, acceptability and quality of PA programmes, facilities and services: (1) Availability includes, for example, the provision of exercise programs for vulnerable groups. (2) Accessibility has four overlapping dimensions: Nondiscrimination, physical accessibility, economic accessibility, and information accessibility. (3) Acceptability can include the sensitivity of a PA program for the culture of participating individuals and/or gender requirements. (4) And the quality of PA programmes, facilities and services, is, among other aspects, related to the pre- and in-service training of professionals.

Conclusions
A framework based on the attributes of PA as a human right can be applied to promote PA among vulnerable groups. The framework can also help to improve physical activity among vulnerable groups such as, for instance, people with disabilities and women in difficult life situations.

Funding
None
S12-2: Perceptions of the #Wethe15 campaign to promote rights of physical activity among people with disabilities
Authors: Ng Kwok , Ng Kwok , Haslett Damian , Noske-Turner Jessica , Pullen Emaa , Legg David 
Published: September 2024

Abstract

Purpose
Since 1948, the Paralympic Games are a platform that gives opportunities to persons with disabilities for competitions akin to the Olympic games. This may be seen as fulfilment of the United Nations Convention on the Rights of Persons with Disabilities . Article 30, where people with disabilities have the to participate in cultural life, recreation, leisure and sport on an equal basis with others. It is less known, how the disability community see the acceptability of these games. A campaign to raise awareness is through the #Wethe15 campaign. This study aimed to investigate the initial perceptions of the #Wethe15 campaign after the 2021 Paralympic Games.

Methods
Interviews and focus groups with representatives of disability rights groups from Canada, Finland, Malawi, Peru and the United Kingdom were carried out to investigate perceptions about the #Wethe15 campaign. The main questions were related to how the disability community could contribute or benefit from the campaign. Data were then translated, then transcribed in English and analysed through thematic analyses mapped against the concepts of availability, accessibility, and acceptability.

Results
In late 2021, 29 representatives (20 with lived experience of disability) took part in five focus groups and interviews. The campaign was deemed as acceptable due to the positive sentiment about the campaign to promote disability rights and sport in society. Yet, as #Wethe15 does not translate well into some non-English languages, more instructions of how to make it culturally appropriate was needed to broaden access to the main message of the campaign.

Conclusions
The campaign brought awareness of disabilities in society, yet the rights of physical activity to people with disabilities was less obvious, particularly regarding availability and accessibility. Partners of the movement need to find ways to fund mechanisms to promote more quality, accessibility and availability, while recognising the health benefits from participation in physical activity.

Funding
The study was commissioned by the IPC. The IPC had no influence the recruitment of the participants or interpretation of the results.
S13-4: Using the socio-ecological model of physical activity to test the efficacy of a social intervention at an active leisure event: the parkwalker initiative
Authors: Gilburn Andre 
Published: September 2024

Abstract

Purpose
The socio-ecological model of participation in physical exercise assumes that individual and environmental components interact to shape patterns of activity. The model proposes that the environmental component can be broadly separated into the physical, social and political environments. The active leisure event organiser parkrun recently introduced a new volunteer role, the parkwalker, to manipulate the social environment at their events to encourage more walkers to attend. The aim of this study was to determine the success of the parkwalker initiative.

Methods
This study builds a socio-ecological model of the finishing times of new parkrun participants in Scotland for a year before and after the introduction of the parkwalker initiative to determine if the intervention has worked. Event locations in Scotland were separated into those that fully adopted, partially adopted and did not adopt the parkwalker role into their events.

Results
The model of finishing times revealed they have slowed after the introduction of parkwalkers and the level of slowing is associated with the level of adoption of the role by events. The parkwalker initiative was particularly effective on the impact of finishing times of older new participants and at larger events. The initiative was also associated with an increase in the proportion of female new participants and a reverse in the recent decline in the age of new participants.

Conclusions
This suggests that parkrun have introduced a successful intervention to their events that has manipulated the social environment to increase both engagement and inclusivity. This has management implications for both parkrun and other active leisure events as the study reveals it is possible to successfully manipulate the social environment of events to increase engagement. The study also highlights how the socio-ecological model can be used to test the efficacy of an intervention and quantify and understand its impact.

Funding
None