bluuebunny/crossref_metadata_2025_split huggingface dataset:
O.3.3-10 The why and how of co-production between professionals and volunteers: a qualitative study of community-based healthcare in Denmark
Authors: Rasmussen Lene Gissel , Skjerning Halfdan Thorsø , Burau Viola 
Published: September 2023

Abstract

Purpose
The purpose of the present study was to explore co-production in practice by examining how public health service and voluntary sports clubs collaborate to support people with chronic illness to participate in physical activity in a Danish community setting. Specifically, our research asked the following questions: Which institutional logics guide the practice of co-production in municipalities and voluntary sports clubs? And how do the involved stakeholders co-produce community-based healthcare? The study adopted a critical perspective on the use of co-production to promote physical activity by linking public health service and voluntary sports clubs.

Methods
The study used a critical case study approach to examine the practice of co-production. The analysis was built on qualitative data from nine semi-structured interviews, two information interviews and project documents. Interviews were recorded, transcribed verbatim and coded drawing on the theory of institutional logics.

Results
The findings document how the interplay between professionals and volunteers has implications in their everyday practice and offer three central insights into the practice of co-production: Firstly, in the process of co-production the interplay between different and sometimes contradictory logics may lead to conflict, dilemmas, feelings of conflicting pressures and unfulfilled expectations amongst the involved stakeholders. Secondly, the study offers examples of how different logics can be combined and balanced. Here, the stakeholders especially draw on strategies based on the network logic, which facilitates mutual understanding and matching of expectations. Thirdly, the study highlights context-specific variation, where co-production emerged as highly contingent, reflecting the dynamic interaction between logics and the context-specific management by the involved professionals and the sports club volunteers.

Conclusions
This study makes an original contribution to the conceptual understanding of co-production in healthcare service, thus emphasising the benefit of paying attention to the network logic when building bridges between public healthcare service and voluntary sports clubs to promote physical activity – and to unite the seemingly contradictory “why” and “how” of co-production in practice.

Support/Funding Source
No funding to declare.

Published in Journal of Sociology and Social Policy, 2022, Vol. 43 No. 1/2, pp. 197-213. https://doi.org/10.1108/IJSSP-01-2022-0027
O.4.1-8 Association of sit-to-stand capacity and free-living performance using thigh-worn accelerometers among 60-90-year-old adults
Authors: Löppönen Antti , Delecluse Christophe , Suorsa Kristin , Karavirta Laura , Leskinen Tuija , Meulemans Lien , Portegijs Erja , Finni Taija , Rantanen Taina , Stenholm Sari , Rantalainen Timo , Van Roie Evelien 
Published: September 2023

Abstract

Introduction
Five times sit-to-stand (STS) test is commonly used as a clinical assessment of lower-extremity functional ability, but its association with free-living performance has not been studied. Therefore, we investigated the association between laboratory-based STS capacity and free-living STS performance using accelerometry. The results were stratified according to age and functional ability groups.

Methods
This cross-sectional study included 497 (63% women) participants aged 60–90 years from three independent studies. A thigh-worn tri-axial accelerometer was used to estimate angular velocity in maximal laboratory-based STS capacity and in free-living STS transitions over 3-7 days of continuous monitoring. Functional ability was assessed with Short Physical Performance Battery (SPPB).

Results
Laboratory-based STS capacity was moderately associated with the free-living mean and maximal STS performance (r = 0.52 - 0.65, p &lt; .01). Angular velocity was lower in older compared to younger and in low- versus high-functioning groups, both in capacity and free-living STS variables (all p &lt; .05). Overall, angular velocity was higher in capacity compared to free-living STS performance. The STS reserve (test capacity – free-living maximal performance) was larger in younger and in high-functioning compared to older and low-functioning groups (all p &lt; .05).

Conclusion
Laboratory-based STS capacity and free-living performance were found to be associated. However, capacity and performance are not interchangeable, but rather provide complementary information. Older and low-functioning individuals seemed to perform free-living STS movements at a higher percentage of their maximal capacity compared to younger and high-functioning individuals. Therefore, we postulate that low capacity may limit free-living performance.

Support/Funding Source
This study was supported by the Research Foundation Flanders, Belgium, the Academy of Finland, the Finnish Ministry of Education and Culture and an Advanced Grant from the European Research Council.
O.4.3-1 Girls with low motor competence may be particularly at risk of insufficient skeletal loading; latent profiles analysis of a four-year follow-up of Finnish adolescents
Authors: Rantalainen Timo , Gråsten Arto , Haapala Eero A , Ortega Francisco B , Huhtiniemi Mikko , Jaakkola Timo 
Published: September 2023

Abstract

Purpose
Adequate skeletal loads during the adolescent growth spurt are elemental in building a robust skeleton. Adolescents with poorer motor competence are less active and develop a less robust skeleton compared to their peers with better develop motor competence. However, few longitudinal examinations of motor competence and skeletal loading through adolescence have been reported. Therefore, the purpose of the present study was to explore the association between motor competence and free-living bone-generating (osteogenic) skeletal load trajectories among adolescents.

Methods
A total of N = 562 5th graders (11 to 13 years-of-age) were initially included in the sample and were followed up annually for four years from 2017 to 2020 (N = 239 in 2020). The children were asked to wear a waist-worn accelerometer for 7 days and motor competence was assessed with 5-leap and side-to-side jumping tests once a year. Latent profiles were identified based on motor competence, and skeletal loading was estimated using an osteogenic index, which combines the number of loading peaks in particular intensity categories akin to counting steps but with accounting for the magnitude of the impact.

Results
Three motor competence groups arose from the data for both boys and girls and all groups exhibited persistent low, mid or high motor competence throughout the follow-up. The latent group with the low motor competence consistently exhibited the lowest skeletal loads (10 to 20% below the highest motor competence), and the highest motor competence group the highest with the mid-group in between. All latent groups declined in skeletal loads over the follow-up (from osteogenic index 420 SD[80] to 300[90]) with no difference in the steepness of the decline among boys. However, the lowest motor competence group among girls had a slightly steeper decline in skeletal loads than the other groups.

Conclusions
the finding that motor competence is associated with skeletal loading among adolescents was confirmed in this longitudinal study. Notably, girls with the lowest motor competence had the steepest decline in skeletal loading over the follow-up. Policies aiming to improve fundamental movement skills could be expected to improve skeletal development particularly among less motor competent girls.
O.4.4-2 Cross-sectoral sporting programs aimed at children from low-income families: lessons learnt from the Netherlands
Authors: Ooms Linda , Gutter Kirsten , van Lindert Caroline 
Published: September 2023

Abstract

Purpose
Children from low-income families participate less often in sport and physical activity than children from high-income families. In the Netherlands, sporting programs were implemented by sports clubs in collaboration with other local organizations to stimulate physical activity among children from poor families. These programs were funded by the Dutch government within the program ‘Sport Impulse Youth from Low Income Neighborhoods’ (2014-2020). The aim of the research was to get insight into the implementation and successfulness of these sporting programs with regard to increasing sport participation among the target group.

Methods
After the two-year funding period, online questionnaires were sent to project coordinators and group interviews were conducted with project coordinators and collaborating partners (funding period 2014-2017). During the final funding period (2018-2020), also group interviews were conducted with participating children and parents. The research focused on the reach and implementation of the programs, involvement of parents, experienced effects, and factors influencing sport participation among the target group.

Results
Sporting programs were often adapted to the local context. Furthermore, there was little collaboration with key figures in the neighborhood that were close to the target group. The target group was predominantly reached through providing sport activities at schools in low-income neighborhoods. Providing different sport activities and personal guidance, stimulated children’s participation. However, a lack of follow-up activities and a lack of parental involvement, hindered structural sport participation.

Conclusions
The target group can be reached with these kind of sporting programs. To enhance program effectiveness, it is important to involve parents and to ensure suited follow-up activities are available. Furthermore, it is important that the sport coach is someone who is familiar with the background of the target group. Moreover, collaborations with key figures in the neighborhood could help in attracting more participants. Finally, adaptations in sporting programs should be thoroughly monitored.

Funding source
This study was funded by ZonMw, The Netherlands.
O.4.4-3 Developing a bespoke undergraduate physical activity course for a Portuguese Medical School - the VANGUARD European Union Erasmus+ project
Authors: Mendes Romeu , Barbosa Ana , Afonso Alberto Caldas , Beirão Idalina , Barros Henrique 
Published: September 2023

Abstract

Purpose
Embedding physical activity in the undergraduate curricula of frontline health professionals is one of the policies recommended by the World Health Organization and the European Commission to promote health-enhancing physical activity (HEPA).
The VANGUARD project is supported by the European Union Erasmus+ Programme, and aims to embed physical activity in the undergraduate curricula of healthcare professionals in European countries.
Within this project, this work aimed to describe the bespoke development of a physical activity and health course integrated into the undergraduate medical curriculum of a Portuguese Medical School.

Project or policy description
The School of Medicine and Biomedical Sciences of the University of Porto (ICBAS) was the invited Medical School to implement the VANGUARD project in Portugal - led by the Institute of Public Health of the University of Porto (ISPUP).
An auscultation process with the undergraduate medical students was held to evaluate the importance of HEPA in their curriculum and assess the preferred operational characteristics of including a physical activity and health course in the Integrated Master’s degree in Medicine.
A course proposal structure was then developed by the VANGUARD project Portuguese team from ISPUP, the Director of the Integrated Master’s degree in Medicine, and the Coordinator of the Medical Education Office of ICBAS, based on the students’ acceptability, the Medical School constraints, and VANGUARD project goals and resources.
The course integrates 26 lessons, from physical activity technical terminology, epidemiology and guidelines, going through its relation with noncommunicable diseases (using #MovementForMovement resources), to Portuguese National Health Service brief intervention tools and community-based exercise programs - in a total of 20 hours of contact, including continuous evaluation and final case studies analysis. The course will be offered on an optional basis to 2nd-year medical students, on an online training platform, using a self-paced learning method.
After embedding this course in ICBAS, it will be presented to the Council of Portuguese Medical Schools to be scaled up nationally.

Conclusions
Medical doctors and Medical Schools are key stakeholders in HEPA promotion, especially in the health sector. Successful implementation of HEPA policies requires tailored solutions to organizations and direct involvement of target groups in policy development.
O.4.5-7 Inactive by force? Barriers and motivation to exercise in older adults during a pandemic
Authors: Szekeres Zsofia Eva , Agustín-Sierra Noelia , Zaidell Lisa , Mileva Katya , de Oliveira Rita 
Published: September 2023

Abstract

Purpose
The lockdown restrictions over the Covid-19 pandemic have accelerated the ongoing ‘physical inactivity pandemic’ and significantly affected physical and mental well-being in older adults (Eime et al., 2022; Pérez et al., 2021; Sjöberg et al., 2022, Peterson et al., 2021). This study aimed to elucidate the factors that limit or facilitate physical activity in inactive older adults. The main objectives were to identify: (1) the perceived barriers that influence motivation to exercise or physical activity; (2) physical activity patterns when living under lockdown restrictions; (3) how the restriction impacted the motivation and exercise behaviour in older adults.

Methods
Participants were 24 older adults (M = 74 years, SD = 5.0) either physically active or inactive before the pandemic. Semi-structured interviews and self-reported physical activity measures were taken during lockdown and followed up at eight weeks. Transcripts were analysed using thematic analysis.

Results
The three main themes were: sense of purpose for being physically active, routes for engagement, and inactive by force. The sense of purpose was found to be a key source of motivation to exercise influenced by both the belief in the importance of exercise and the affective valence participants assigned to it. Active participants valued exercise due to its health benefits and enjoyment. With the closing of exercise settings, they missed the social context that gave their exercising a purpose. However, both active and inactive participants found purpose in walking outdoors for exercise, as a response to lockdown.

Conclusions
Overall, we suggest that enjoyment and the maintenance of physical function should be targeted in all recommendations and interventions because these are the benefits of exercise most highly valued by older adults. Exercise recommendations and interventions at each socio-ecological level should be tailored specifically to older adults. Supporting older adults to find a valued activity that suits their needs and preferences should be the focus of these strategies. Inactive older adults should be intensively supported by their social and physical context to implement more physical activity in their lives. Our main recommendations include emphasising the importance and benefits of physical activity, supporting and enabling exercise for all ages and levels of mobility.
O.4.6-1 Examining the feasibility, acceptability, and effectiveness of a self-compassion workshop in physical education class for adolescent females
Authors: Coulbeck Vanessa Marie 
Published: September 2023

Abstract

Purpose
In adolescence, enrollment in Physical Education (PE) drastically drops in the transition from grade 9 to 10 – particularly for females who disengage at higher rates than males after completing provincial PE curricular requirements. This is problematic since engagement in PE has the potential to shape and guide young females’ perceptions of movement, their bodies, and coping with life’s difficulties through physical activity. Body image distress may be one reason to explain PE disengagement therefore, may warrant intervention. Self-compassion is an emotion regulation strategy that helps deal with body-related distress and may be an effective strategy to help females cope with these negative experiences in PE and PA beyond. This is the first pilot study to examine the feasibility, acceptability and effectiveness of a self-compassion psychoeducation intervention in PE.

Methods
A pragmatic one-group pre-test post-test design, with 1-month follow-up was used. The sample consisted of n = 52 students from 2 Canadian high school grade 9 grade 10 females PE classes. The intervention consisted of a 75 minute self-compassion workshop. Feasibility and acceptability were assessed using multiple data sources from a 75-minute focus group, and 1-month follow up survey data. Effectiveness was examined using change in scores on PE attitudes, PA attitudes, self-compassion, and body-image coping.

Results
There was overall feasibility evidence for the intervention, whereby, all available classes and teachers agreed to host the workshop. The majority of students completed the pre-survey 84.6% (44/52), workshop 71.5% (37/52), and focus group session 92.3% (48/52), and expressed interest in having follow-up workshops 60.7% (17/28). The intervention demonstrated acceptability, as indicated by students indicating high scores on workshop acceptability, ethical conduct, effectiveness, limited negative side effects, material being beneficial and presented in a useful way. Small improvements were shown for self-compassion (d = 0.0761), PE attitudes (d = 0.0761) and PA attitudes (d = 0.245) from pre-workshop to follow-up.

Conclusions
The knowledge gained from this pilot study may enhance capacity for delivery of scalable curriculum-informed physical education promotion strategies which may be broadly transferrable to physical activity programs.
O.4.6-6 Providing physical activity and sport opportunities in Active Schools: coordinators’ satisfaction with facilities and equipment
Authors: Valencia-Peris Alexandra , Peiró-Velert Carmen , Evangelio Carlos , Valenciano-Valcárcel Javier , Pérez-Gimeno Esther 
Published: September 2023

Abstract

Purpose
The premises and equipment available in schools are essential for developing programs that promote active lifestyles in schoolchildren. The aim of this study was to determine how satisfied coordinators of Active school programs were with their sports equipment and facilities and identify differences by type of school.

Methods
In the 2021/22 academic year, 580 schools were accredited as Active schools in the Valencian Community (Spain). A representative sample of 257 Active school coordinators (33.1% women; 90.7% Physical Education teachers; 83.7% state schools) participated. An ad-hoc questionnaire was designed and administered on-line. It consisted of 47 open and closed response questions concerning the actions carried out to promote physical activity and sport and the school coordinators’ degree of satisfaction. The anonymity of all the participants was guaranteed. Descriptive statistics and chi-square tests were conducted on SPSS Statistics v. 26.0 software.

Results
Active schools in the Valencian Community were equipped with the following facilities/spaces: sports fields or courts (55.6%), gym (55.5%), outdoor playing fields (41.4%), green spaces (10.9%), a football pitch (8.2%), skating rink (5.2%) and swimming-pool (0.8%). The Active school coordinators were quite satisfied with the school areas and playgrounds (65.3%) and sport equipment (75.1%) but dissatisfied with the gym or sports hall (60.7%), toilets and showers (59.5%), or with the equipment for students with functional diversity (66.1%). Significant differences by type of school emerged for school spaces and playgrounds (χ2(3)=11.480; p&lt;.05), gym and sports hall (χ2(3)=10.829; p&lt;.05) and equipment for students with functional diversity (χ2(3)=33.368; p&lt;.05). Private schools were better represented in the maximum degree of satisfaction than state schools. The Active school coordinators suggested that improvements in outdoor premises (80.9%) and more and better equipment (74.7%) would contribute to increasing pupils' physical activity at school.

Conclusions
The degree of satisfaction of the Active schools coordinators was balanced regarding the school equipment and facilities, but lower in state schools than private schools. The authorities should provide state schools with more sports and open spaces, green areas and appropriate equipment to facilitate designing inclusive, effective and sustainable physical activity and sports promotion programs.

Funding
Grants AICO/2021/342 and Margarita Salas [MS2021].
O.5.1-2 Associations of active school transport and leisure-time physical activity with educational and school-related mental health outcomes among Finnish adolescents: a nationwide cross-sectional study
Authors: Jussila Juuso J , Pulakka Anna , Halonen Jaana I , Salo Paula , Allaouat Sara , Mikkonen Santtu , Lanki Timo 
Published: September 2023

Abstract

Purpose
Physically active pupils may be better and more resilient learners. However, it is unknown whether active school transport (walking or cycling to school) could affect educational and school-related mental health outcomes. We examined the associations of active school transport and leisure-time moderate-to-vigorous physical activity with perceived academic performance, self-reported competency in academic skills (concentration in classroom, writing, reading, and calculation), school burnout, and school enjoyment among Finnish adolescents.

Methods
We included 34103 eighth and ninth graders (mean age 15.4 years; 53% girls) from the nationwide School Health Promotion study cohort of 2015. We used logistic regression, adjusting for major sociodemographic, lifestyle, and physical activity covariates, to estimate the associations.

Results
We observed small but positive associations between active school transport and educational outcomes. For example, compared with non-active transport, 10-30 minutes of active school transport a day was associated with 30% higher odds of high perceived academic performance (OR 1.30, 95% CI 1.21-1.40) and 16% higher odds of high competency in reading (OR 1.16, 95% CI 1.07-1.26). Any dose of active school transport was also associated with higher school enjoyment, but no relationship with school burnout was observed. Compared with inactivity, higher doses of leisure-time physical activity were robustly associated with better educational outcomes. For example, the most physically active adolescents had 85% higher odds of high perceived academic performance (OR 1.85, 95% CI 1.65-2.08). Regarding competency in academic skills, the strongest association was observed for calculation (OR 1.57, 95% CI 1.39-1.77). Engaging in leisure-time physical activity, at any dose, was also associated with lower odds of school burnout, and higher odds of school enjoyment.

Conclusions
Compared with active school transport, engaging in leisure-time moderate-to-vigorous physical activity seems to be more strongly associated with high perceived academic performance, high competency in academic skills, and less school burnout among youth. Despite this, walking and cycling to school might lead to minor improvements in classroom performance and school enjoyment.

Funding Source
Juuso J. Jussila was supported by the Academy of Finland, Strategic Research Council (#336003).