bluuebunny/crossref_metadata_2025_split huggingface dataset:
O.2.3-2 How to effectively develop and modify workplace health programs: case studies in UK contact centers
Authors: Manner Jillian , Steffan Belinda , Jepson Ruth , Baker Graham 
Published: September 2023

Abstract

Purpose
Workplace health programs are often implemented to improve employee health, and subsequently business outcomes (e.g., reducing absence). However, they rarely consider the full range of complexity and variability of organizational factors. This can lead to poor implementation, effectiveness and sustainability. As such, innovative methods which facilitate the development or modification of health programs while considering an organization’s unique organizational culture barriers are needed. Contact center-based organizations in particular have several organizational barriers, which create highly sedentary environments with limited opportunities for physical activity engagement. This study aims to improve the development, implementation and effectiveness of workplace health programs in contact centers by identifying and addressing these barriers.

Methods
This study is underpinned by the Six Steps in Quality Intervention Development framework (6SQuID). 6SQuID emphasizes co-production with stakeholders which is important in ensuring interventions are acceptable and sustainable. Four workshops were conducted in two contact center-based UK organizations over seven months. The workshops, with management, aimed to accomplish the following in each organization: 1) define the problem (with wellbeing programs) and its causal factors (organizational culture barriers), and 2) co-produce theories of change, theories of action and an action plan to address the causal factors and solve the problem.

Results
Organization 1 (private sector, nursing services) defined their problem as: low focus on engagement and participation in wellbeing activities. Organization 2 (public sector, emergency services) defined their problem as: wellbeing programs lack proactivity, engagement and sustainability. Each organization developed an action plan to address the causal factors of their problem and initiate their theory of change pathways (desired short, medium and long-term outcomes). Activity examples included: sanctioning time for well-being program/behaviour participation (e.g., break-taking to reduce sitting) and improving program promotion.

Conclusions
This study provides learnings on how to facilitate more effective development (or modification) and implementation of workplace health programs (especially those related to sedentary behaviour, physical activity and mental health) by including management in identifying and addressing organizational culture barriers. Results have the potential for application to other organizations with desk-based workers.
This study is part of a University of Edinburgh-funded PhD studentship.
O.2.3-4 A standardised core outcome set for measurement and reporting sedentary behaviour interventional research: the CROSBI consensus study
Authors: Curran Fiona M , Dowd Kieran P , Peiris Casey L , van der Ploeg Hidde P , Tremblay Mark S , O’Donoghue Grainne 
Published: September 2023

Abstract

Purpose
Heterogeneity of descriptors and outcomes measured and reported in sedentary behaviour (SB) research hinder the meta-analysis of data and accumulation of evidence. The objective of the Core Research Outcomes for Sedentary Behaviour Interventions (CROSBI) consensus study was to identify and validate, a core outcome set (COS) to report (what, how, when to measure) in interventional sedentary behaviour studies.

Methods
Outcomes, extracted from a systematic literature review, were categorized into domains and data items (COS v0.0). International experts (n = 5) provided feedback and identified additional items, which were incorporated into COS v0.1. A two round online Delphi survey was conducted to seek consensus from a wider stakeholder group and outcomes that achieved consensus in the second round COS (v0.2), were ratified by the expert panel.

Results
The final COS (v1.0) contains 53 data items across 12 domains, relating to demographics, device details, wear-time criteria, wear-time measures, posture-related measures, sedentary breaks, sedentary bouts and physical activity. Notably, results indicate that sedentary behaviour outcomes should be measured by devices that include an inclinometry or postural function.

Conclusions
The proposed standardised COS is available openly to enhance the accumulation of pooled evidence in future sedentary behaviour intervention research and practice.
O.2.3-9 The working shifts & physical literacy factors associated with physical activity level in various settings among nurses: preliminary results
Authors: Coşkun Nida , Uçar Dilara Ebru , Yildizer Günay 
Published: September 2023

Abstract

Purpose
This study aims to examine (I) the importance of working shifts on physical activity (PA) level and (II) the association between physical literacy (PL) and energy spent with PA in occupational, leisure-time, and sports settings among nurses who live most of their time in healthcare environments and are aware of health literacy and PA.

Methods
The data of this cross-sectional study were collected from 201 nurses (MAGE= 34.53±8.41; MBMI= 24.32±4.17) nurses working at hospitals in Eskisehir. Woking shifts were 08:00-16:00 (n = 53), 16:00-08:00 (n = 19), alternating between 08:00-16:00 and 16:00-08:00 (n = 47), and 24-hour shifts with a day off between shifts (n = 82). The 7-Day PA Assessment Questionnaire developed by Karaca and Turnagöl (2007) was used as a data collection tool as it enables individuals to report their various types of physical activities (occupational, leisure-time, sport) in the past seven days, and the energy spent is computed in terms of MET. Moreover, the Turkish version of the PL Questionnaire (Munusturlar and Yıldızer, 2021) was used to measure PL level in knowledge, communication, and self-awareness subdimensions. The data were analyzed with One-way ANOVA and multiple linear regression models.

Results
The one-way ANOVA results indicated nurses working in 24-hour shifts reported significantly higher MET values (276.05±71.07 MET/week) in occupational PA than nurses working between 08:00-16:00 (222.00±53.70 MET/week) and 16:00-08:00 (223.27±73.67 MET/week) shifts, F(3, 200)=8.539, p &lt; 0.001. Regression models indicated that PL was only associated with spent energy in sports activities [F(4,200)=9.21, p &lt; 0.001], but not with occupational and leisure-time PA. Lastly, knowledge was the only PL factor associated with energy spent on sports activities (ß=1.35, OR:0.77-1.93).

Conclusions
24-hour working shifts with day-offs increase energy expenditure with occupational physical activity, however, there was no significant differences were found in energy expenditure with leisure time or sports activities in favor of those who work in these shifts. Moreover, increased physical literacy knowledge is the only factor for increasing physical activity participation through sports activities. Hence, policies, PA prescriptions, and interventions should focus on PL knowledge and understanding.

Support/Funding Source
This study was supported by Eskişehir Technical University Scientific Research Projects Commission under grant no: 23LÖT069.
O.3.1-7 Multi-level stakeholders' perspectives on implementation and scaling up community-based physical activity promotion in Germany
Authors: Birkholz Leonie , Weber Philipp , Helsper Natalie , Dippon Lea , Kohler Simone , Pfeifer Klaus , Rütten Alfred , Semrau Jana 
Published: September 2023

Abstract

Purpose
Community-based physical activity promotion (c-PAP) with a systems perspective has the potential to address health inequity. To achieve a public health impact, such approaches need to be scaled up. For a successful scale up, a concept is needed that is also scientifically grounded and considers practice-based evidence from various stakeholders at different levels and sectors. Therefore, the aims of this study are to assess what kind of external support communities need for implementation and to identify facilitators and barriers for scaling up c-PAP.

Methods
Two digital workshops were conducted in Germany in March and April 2021. Stakeholders at the community level (n = 163) were involved in the first workshop to identify, what kind of external support communities need and what they can accomplish themselves to implement c-PAP. In the second workshop, stakeholders at the federal and state levels from the sport, health, and social sector as well as scientists (n = 92) discussed facilitators and barriers for scaling up c-PAP interventions. Protocols were compiled and coded using qualitative content analysis.

Results
During the first workshop, we identified 14 themes. They represent external support needs, e.g., guidance and assistance by intermediary organization as well as internal efforts that communities can accomplish themselves, e.g., building local networks. In the second workshop, 11 facilitators and barriers for scaling up c-PAP, e.g., political support or an intermediary organization, were identified.

Conclusions
The identified results provide practice-based evidence on support needed for scaling up, facilitators that promote scaling up and barriers that might hinder scaling up c-PAP in Germany. Various stakeholders emphasized the need for collaboration and partnerships across several sectors as well as changes in current political and legal conditions. In a next step, this practice-based evidence needs to be systematically integrated with scientific-based evidence on key components for scaling up such approaches for the development of an effective scaling up concept.

Funding Source
This research was funded by the Federal Centre of Health Education (BZgA) on behalf of and with funds from the statutory health insurances according to § 20a SGB V in the context of the GKV Alliance for Health.
O.3.2-2 Substituting device-measured sedentary time with alternative 24-hour movement behaviours: compositional associations with adiposity, cardiometabolic risk and arterial stiffness in the ORISCAV-LUX 2 study
Authors: Collings Paul James , Backes Anne , Aguayo Gloria A , Fagherazzi Guy , Malisoux Laurent 
Published: September 2023

Abstract

Purpose
There is a considerable burden of sedentary time in European adults. We aimed to quantify the differences in adiposity, cardiometabolic risk biomarkers, and arterial stiffness associated with exchanging sedentary time for alternative 24-hour movement behaviours.

Methods
This observational cross-sectional study included Luxembourg residents aged 18-79y who each provided ≥4 valid days of triaxial accelerometry (n=1046). Covariable adjusted compositional isotemporal substitution models were used to examine if replacing device-measured sedentary time with more time in the sleep period, light physical activity (PA), or moderate-to-vigorous PA (MVPA) was associated with waist circumference, numerous biomarkers of cardiometabolic health (fasting plasma glucose and insulin, triglycerides, high-density lipoprotein cholesterol (HDL-c), the ratio of apolipoprotein B/A1), and arterial stiffness (carotid-femoral pulse wave velocity (cfPWV)). We further investigated the cardiometabolic properties of replacing sedentary time accumulated in prolonged (≥30 minute) with non-prolonged (&lt;30 minute) bouts. The results are presented as 30 minute time exchanges (β (95% confidence interval)).

Results
Replacing 30 minutes of sedentary time with MVPA was favourably associated with waist circumference (-1.09 (-1.68 to -0.51) cm), HDL-c (1.30 (0.68 to 1.93) mg/dL), fasting glucose (-1.02 (-1.64 to -0.39) mg/dL), insulin (-4.71 (-7.12 to -2.24) %), and cfPWV (-1.70 (-2.76 to -0.62) %). Substituting sedentary time with light PA was associated with fasting insulin (-3.29 (-5.71 to -0.81) %), and was the only time-exchange to predict lower triglycerides (-2.32 (-4.38 to -0.21) %) and a lower apolipoprotein B/A1 ratio (-0.01 (-0.02 to -0.00)). Exchanging sedentary time with more time in the sleep period was associated with lower fasting insulin (-2.56 (-3.99 to -1.11)), and also with lower waist circumference (-1.39 (-2.30 to -0.48) cm) and cfPWV (-1.96 (-3.74 to -0.15) %) in short sleepers (&lt;7h per night (n=349)). There was no evidence that replacing prolonged with non-prolonged sedentary time was related to outcomes.

Conclusions
Replacing sedentary time with MVPA is beneficially associated with the widest range of cardiometabolic risk factors, but light PA confers additional and unique benefit. Extending sleep, by redistributing sedentary time, may be an appropriate strategy to lower obesity risk and improve arterial health in short-sleeping individuals.

Funding
Luxembourg Institute of Health.
O.3.2-3 ‘It helped me to disconnect from the problems’: a qualitative study exploring the subjective experiences of people with schizophrenia in a concurrent exercise program
Authors: Tous-Espelosin Mikel , Crone Diane , Iriarte-Yoller Nagore , Maldonado-Martin Sara 
Published: September 2023

Abstract

Purpose
The relationship between exercise and its role in mental health is extensively documented and has led to the inclusion of exercise into adjuvant programs for people with mental health disorders. However, considerably less attention is devoted to the experience of taking part in exercise and perceived health outcomes for people with specific mental health disorders. The aim of this study was therefore to investigate the subjective experiences of a concurrent exercise program designed to improve both physical and mental health, through participation, for people with schizophrenia.

Methods
Participants diagnosed with schizophrenia (n = 35, 41.6±10.3 years) from two locations (a psychiatric hospital and a mental health community support group) received an intensive concurrent exercise program (i.e., aerobic interval training and resistance training within the same session) for a five-month duration, three times a week, at out-of-hospital facilities. Qualitative data was collected via individual, semi-structured interviews, organized, and analyzed with thematic analysis using NVivo software.

Results
A conceptual model developed from the analysis explains the participants’ subjective experiences, opinions, and perceptions of the role of exercise and their perceived outcomes from participation in the program. Six themes emerged from the analysis. The themes ‘expectations about taking part’ and ‘attitude to exercise, the program, and general lifestyle’ appeared to influence participants to take part. The act (and factors associated with it) of ‘taking part’ then led to subsequent ‘perceived outcomes’ and ‘plans’.

Conclusions
Findings from the study support the case for the strategic use of exercise as an adjuvant program and maintenance of holistic health for people with schizophrenia. However, this study also demonstrates the paramount importance of building a continuation plan for participation to ensure sustainable and long-term adherence to exercise. The location of the program appears important to consider (i.e., out-of-hospital), as does the constitution of the group, the type of people, and the exercise program itself. For this clinical group, the exercise intervention not only serves a physical and mental enhancement function but also appears to achieve holistic health benefits such as well-being and important opportunities for social interaction.
O.3.3-4 Development and validation of the obesity-specific decisional balance for Physical Activity questionnaire
Authors: Hayotte Meggy , Beaudet Thomas , Nègre Véronique , d'Arripe-Longueville Fabienne 
Published: September 2023

Abstract

Purpose
Despite the crucial role of physical activity in obesity management, many patients remain insufficiently physically active. The decisional balance, from the transtheoretical model, represents the facilitators and the barriers associated with behavior change (e.g., engaging in regular physical activity). Studies have identified barriers to and facilitators of physical activity specific to the context of obesity. However, to date, there is no scale to measure them. The objective of this study was to develop and validate a preliminary version of the Obesity-specific Decisional Balance for Physical Activity (O-DBPA).

Methods
A series of studies was conducted with a total sample of 350 adults with obesity (Mage=44.3, SD = 14.7 years; MIMC=44.4, SD = 14.7 kg.m2). First, the clarity of the 50 items developed by the expert committee was examined. Second, the dimensionality of the scale was examined through confirmatory factor analyses. Third, reliability tests were performed (i.e., Cronbach's alphas, test-retest reliability). Fourth, theoretical validity of the O-DBPA was examined through its correlations with other theoretically related constructs (i.e., motivation, self-esteem).

Results
Clarity assessment revealed acceptable scores for all items (M = 6.2/7, SD = 1.1). Dimensionality testing led to reduce the scale to 21 items divided into two factors: facilitators of and barriers to physical activity. Each of these factors was composed of three subscales: physical, psychological, and environmental. The confirmatory two-factor model had the best fit indices: χ2(166)=323.67, CFI=0.95, TLI=0.93, RMSEA=0.052. Cronbach's alphas were acceptable or marginally acceptable (i.e., [0.61-0.88]). Temporal reliability, measured with a 4-week interval, was satisfactory. The O-DBPA subscales were significantly related to the motivation and self-esteem constructs in the expected directions, attesting to the theoretical validity of the scale.

Conclusion
The O-DBPA, composed of 21 items, presented good psychometric qualities. This new instrument allowed to examine the obesity-specific barriers to and facilitators of physical activity in French-speaking samples. This new scale offers promising clinical and research perspectives for the promotion of physical activity in adults with obesity.
O.4.1-4 Integrated geriatric care - a community approach to preventing falls and frailty of elderly Slovenian
Authors: Knific Tjaša , Horvat Martina , Gabrovec Branko , Veninšek Gregor 
Published: September 2023

Abstract

Purpose
The need for geriatric treatment is increasing with the aging of the population. Multimorbid patients with social care problems and increased need for rehabilitation and paliative care are more common. Mortality of the elderly, due to falls is 2.5 times higher in Slovenia than in the other EU countries. Until the national regulation of integrated geriatric care in Slovenian health system and in other relevant environments (community, long-term care, social care) and the establishment of appropriate, licensed postgraduate training for health professionals, it is necessary to start educating wider range of health and social care personnel, for most common geriatric syndromes such as frailty, falls and NCDs. Establishing a community approach to health is one effective way to address vulnerability of elderly population.

Project description
Project Integration of geriatric care for the elderly is implementing the existing commitment from WHO Decade of healthy ageing and the Slovenian Health Care Plan until 2025. With planned activities, it will ensure equal access to quality and safe health services, integrated and comprehensive treatment and will contribute to the deinstitutionalization of the Slovenian eldest population. It will develop a unified set of tools, for the systematic identification of elderly needs, new digital tools for optimization and better communication between different levels of providers and training a wider range of new and already employed health and social care personnel, for optimal health care. Evaluation of new competency models for health care personnel, training methods and proposed clinical pathways will be carried out at the end of the project. Based on final proposals, we will establish a new approach to the system level of integrated geriatric care and bring the treatment closer to the patient's home.

Conclusions
Project will also contribute to upgrading competences of physiotherapists, kinesiologists, standard health teams in Health Promotion Centers, community nurses, family medicine and internal medicine doctors and social care workers for the integrated geriatric care for the elderly. It will address especially treatment of the physical component in geriatric syndrome, such as decreased muscle strength, balance, impaired walking and frailty, at different levels of health care and communities.
O.4.1-7 Recreational football training increases leg-extensor force production at high velocities in 55- to 70-year-old adults
Authors: Van Roie Evelien , Poffé Chiel , Jaspers Arne , Boen Filip , Helsen Werner , Koppo Katrien 
Published: September 2023

Abstract

Purpose
Ageing coincides with a blunted ability to produce force at moderate to high velocities. Therefore, improving muscle power, especially at moderate to high velocities, is a crucial target for exercise interventions in middle-aged and older adults. We investigated the effects of 10 weeks of recreational football training on the leg-extensor force-velocity (F-V) profile in 55- to 70-year-old adults. Simultaneous effects on functional capacity, body composition and endurance exercise capacity were examined. In addition, feasibility and the physical demands of the training program were tracked.

Methods
Forty participants (age 63.5 ± 3.9 years) were randomized in a football training (FOOT, n = 20) and a control (CON, n = 20) group. FOOT performed 45-min to 1-h of football training sessions with small-sided games (SSG’s) twice a week. Pre and post intervention, leg-extensor F-V profile (maximal power (Pmax), maximal force (F0), maximal velocity (V0), the slope divided by F0 (SFV/F0)), functional capacity, body composition and endurance exercise capacity were measured.

Results
Results revealed an increase over time for Pmax (ptime = 0.009), but no interaction effect (pint = 0.221). A greater increase in V0 and in SFV/F0 was apparent in FOOT compared to CON (pint = 0.043 and pint = 0.065). No interaction effect was found for F0 (pint = 0.922). Three-step stair ascent power, 10m fast walk, body fat percentage and running speed at 2mM lactate improved significantly more in FOOT than in CON (all pint &lt; 0.1). The SSG’s elicited intense muscular actions and high average heart rates of 85.7% of maximal heart rate. Despite the high training load, participants perceived the sessions as very enjoyable and feasible.

Conclusions
The present study emphasized that recreational football can be used as a feasible, enjoyable and effective training tool in middle-aged to older adults for improving force production at high velocities. This improvement is translated into a better performance on functional capacity tests that rely on high execution velocity. In addition, broad-spectrum health benefits can be realized with only 2 hours of training per week.

Funding
E. Van Roie was supported by the Research Foundation Flanders, Belgium (senior postdoctoral fellowship 12Z5720N).