bluuebunny/crossref_metadata_2025_split huggingface dataset:
O.4.5-11 The association between health literacy and objectively measured physical activity in Norwegian young adult students
Authors: Salazar Tania Milena , Grotle Ann-Katrin 
Published: September 2023

Abstract

Background
Insufficient physical activity (PA) is a significant public health challenge, with a drastic decline in activity levels observed in young adulthood likely contributing to increases in cardiometabolic risk factors with age. Recent research suggests that health literacy (HL) may be an important modifiable factor associated with reduced physical activity levels and poor health outcomes in elderly and disease-prone populations. However, limited research has focused on young adulthood when the drastic decline in PA is observed. Moreover, most previous studies have only assessed self-reported PA, which has limited accuracy. Therefore, the purpose of this study was to assess the relationship between HL and objectively measured PA levels in healthy young adults.

Method
28 young adult (18-25 years) college students participated in the study (men: n = 7, women: n = 21). PA was measured objectively and subjectively using an accelerometer (Actigraph GT3X+) and the IPAQ questionnaire, respectively. The HLS19 instrument was used to assess HL, which was developed within “HLS19 – the International Health Literacy Population Survey 2019-2021” of M-POHL. Participants were categorized as having low or high health literacy based on the classification defined in the Norwegian HLS-19 report (2021). Additionally, each response was assigned a value (1-4) to calculate a summative health literacy point score, with a higher summative value indicating greater health literacy.

Results
In our cohort, 60% (n = 17) of the participants were categorized as having low and 39% (n = 11) as having high health literacy. There was no group difference in objective and subjective PA levels between those with low and high HL (all comparisons: p &gt; 0.05). However, we observed a significant positive correlation between health literacy (point score) and objectively measured moderate to high-intensity PA (r = 0.52, p = 0.002). Likewise, there was a significant correlation between health literacy (point score) and self-reported total PA (r = 0.34, p = 0.03).

Conclusion
This is the first study to show a positive relationship between HL and PA in healthy young adult students, highlighting the potential role of HL in modulating PA in this population. Thus, further research is needed to determine whether targeting HL could effectively increase PA levels in young adults.
O.4.6-3 How collaboration between school, health & sport policy areas resulted in an online platform to activate adolescents: SWEEP
Authors: De Meester Femke 
Published: September 2023

Abstract

Purpose
Excessive sedentary behaviour and low levels of physical activity are associated with several adverse physiological and psychological health indicators in adolescents. Yet, many adolescents spend the majority of the day sedentary and adolescents' participation rates in physical activity are low. Therefore, the Flanders Institute for Healthy Living and the Flemish Agency for Care and Health, Sports Flanders, MOEV and the Department of Education and Training combined their forces to develop, evaluate and implement a multi-component intervention (SWEEP) to activate 12 to 18 year old adolescents during school hours and their leisure time.

Project or policy description
The SWEEP intervention is evidence-based and was developed iteratively with adolescents and secondary school teachers using a participatory approach. It is a project for all young people, but with extra attention for those whom we know experience high barriers to exercise (e.g. girls, young people with a migration background, young people in a socially vulnerable situation, older adolescents). SWEEP is an online platform with a section for adolescents and a section for teachers. Both start from a short questionnaire with which adolescents can discover who they are (there are 6 profiles) and teachers can discover how they can get young people into action, how they can upgrade their classes with more movement and which actions suit them best. After they filled in the questionnaire, adolescents are offered activities in line with their profile and therefore with their interests. The teachers get feasible tips, teaching materials and boxes with challenges that can be used in any subject and that matches their own preferences, capabilities and interests.

Conclusion
Between April 2022 and October 2022, SWEEP was pilot tested in the province Antwerp in Flanders. The results of the process- and product evaluation were available in spring of 2023. Overall, SWEEP was generally well accepted and based on the results, the feedback and the suggestions SWEEP was optimized and launched in March 2023 in Flanders.
O.4.6-5 Evaluation of physical activity policies in Scotland: results from the 2021 Active Healthy Kids Scotland Report Card
Authors: Tomaz Simone A , Reilly John J , Johnstone Avril , Hughes Adrienne , Robertson Jenni , Craig Leone C A , Bardid Farid 
Published: September 2023

Abstract

Purpose
The benefits of physical activity (PA) are well established for children and adolescents, and national policies can play an important role in increasing child and adolescent PA. As part of the Active Healthy Kids Global Alliance initiative, the 2021 Active Healthy Kids Scotland Report Card summarised the status of PA and health in Scottish children and adolescents prior to the COVID-19 pandemic—reporting on a range of indicators (Bardid et al., 2022). This study provides a detailed examination of the evidence informing the Government and Policy indicator.

Methods
Current Scottish PA policy documents (n = 18) published in 2011-2020—not including responses to COVID-19—were reviewed for grading. The grade was determined using an adapted version of the Policy Audit Tool version 2 (Ward et al., 2021). Key criteria in the scoring rubric include number and breadth of policies, identified funding, identifiable reporting structures, and monitoring and evaluation plan.

Results
A C- grade was assigned to the Government and Policy indicator. There is clear evidence of leadership and commitment to increasing levels of PA and providing PA opportunities for children and adolescents. The allocation of funds and resources for implementation of policy has increased substantially since the publication of previous report cards. Progress through the key stages of public policymaking—policy agenda and formation—has improved. However, some policy documents do not identify accountable organisations, whilst others do not include details regarding reporting structures. Moreover, many policy documents do not provide information on monitoring and evaluation.

Conclusions
Scotland has many creditable policies at national level. There appears to be good links between government directorates, policies and organisations responsible for implementation. Child and adolescent PA is clearly a priority in Scotland; it is not only an outcome, but also a means to achieve other goals (e.g., active travel to take climate action). However, current policies provide limited information on how delivery of proposed actions will be monitored and evaluated in practice. Future policies should therefore include more information on monitoring, evaluation, and reporting of delivery of actions, in order to better understand and support policy implementation and its impact on PA in children and adolescents.
O.4.6-7 The role of external providers for Physical Education and extracurricular physical activity in Irish primary schools
Authors: Teehan Mairéad , Kelly Lisa , Lane Aoife , Cheilleachair Niamh Ní , Dowd Kieran 
Published: September 2023

Abstract

Purpose
In Irish primary schools, Physical Education (PE) is taught by generalist teachers. While PE is critical in developing essential skills for lifelong physical activity (PA) participation, studies show teacher confidence and competence to teach PE is low due to negative personal experiences and insufficient training. Many schools utilise external providers to supplement PE provision and provide extracurricular PA. However, this provision is largely unregulated, without clear distinction between the two. This study aims to examine the role of external providers for PE and PA in Irish primary schools.

Methods
An online survey for principals and teachers was developed and validated using a modified Delphi technique. It included 57 questions examining current practices for PE provision schools. A link to the survey was emailed to all Irish primary schools and shared on social media. SPSS version 27 was used for data analysis.

Results
Of the 513 respondents, 81.7% were female, 17.9% male and 0.4% didn’t say. A majority (82%) regularly use external providers for extracurricular PA, which takes place mostly during the school day (89%). Although intended as activity not related to PE provision, it is used by teachers as the only PE provided either sometimes (45.5%) or all of the time (21.6%). External providers teach specific strands of the PE curriculum in 52.9% of schools, with Games being the strand most provided. While this provision is taking place, most teachers stay with their class and assist (61.9%).

Conclusion
Results show external providers are extensively used in Irish primary schools to supplement PE provision rather than solely providing extracurricular PA. Games being the most commonly delivered strand by external providers is reflective of the number of sports coaches providing this service to schools. Teachers using extracurricular PA as their PE can be problematic as external providers often lack suitable qualifications and provision may not align with PE curriculum guidelines. Support is needed for schools to provide good quality PE and approaches such as regulating the use of external providers or engaging specialist PE teachers to support delivery should be examined in order to improve PE in Irish primary schools.
O.4.6-11 MOVEOUT: a cluster randomised wait list design to investigate the effect of education outside the classroom on pupil’s physical activity
Authors: Elsborg Peter , Mygind Lærke , Bølling Mads , Klinker Charlotte Demant , Melby Paulina S , Andreasen Anne Helms , Brønd Jan Christian , Bentsen Peter , Nielsen Glen 
Published: September 2023

Abstract

Purpose
Education outside the classroom (EOtC) is a physical activity (PA)-integrating pedagogical approach that aligns PA with the primary goals of schools and is therefore thought to present an acceptable, feasible, and efficacious model for school-based PA. The aim of this study was to investigate the efficacy of an EOtC intervention that aims to increase adolescents’ (ages 10-16 years) school-based and overall PA by providing a course on the pedagogical and didactic methods of EOtC to teachers across 30 Danish schools, and subsequently the teachers implementing EOTC in their classes &gt; 5 hours weekly over the course of one school year. We expect that pupils in the intervention group will retain higher PA intensities compared to the control group, specifically 1a) more MVPA, 1b) more LPA, 1c) less SED time. Further, we hypothesise that pupils in the intervention group will retain 2a) more running, 2b) more walking, 2c) more standing, 2d) less sitting time compared to the control group.

Methods
The intervention was evaluated using a cluster randomised wait list study comparing PA behaviours amongst pupils in the intervention group with pupils in the waitlist control group.

Results
In this presentation, we will present novel results from data that is currently underway. Data collection is expected to be finalised in June 2023.

Conclusions
Almost 20% of Danish schools practice some form of EOtC, and the findings of this study will inform whether such practice should be further encouraged in Denmark and elsewhere, or whether alterations are required to support more pupils in meeting PA recommendations. The findings have important implications for school-based PA promotion.
Novo Nordisk Foundation (grant no. 0062703), ClinicalTrials.gov (NCT number: NCT05237674). Peter Elsborg and Lærke Mygind share first-authorship.
O.5.1-3 Co-creation of an active transportation promotion intervention: a concept mapping study
Authors: Siriaporn Nuttanun , de Nazelle Audrey , Vuillemin Anne 
Published: September 2023

Abstract

Purpose
Active transportation (AT) is an efficient way to increase daily physical activity and reduce pollution from the transportation sector. Mhealth has contributed to behavior change in fields like physical activity and has been explored to encourage AT. Most interventions, however, did not incorporate evidence-based behavior change techniques and were not co-created with potential users. We aim to understand how AT can be promoted via mhealth intervention by using a bottom-up participatory approach.

Methods
Concept mapping was done online via GroupWisdom platform, with the public of Alpes-Maritimes County, France. Participants were asked to brainstorm, sort, and rate ideas about mobile app features to encourage AT. Multidimensional scaling algorithm and hierarchical cluster analysis were used to create visual cluster maps to illustrate the participants’ conceptual thinking of the topic. We compared the data by participants’ age, education, and typical transportation mode to understand how different groups perceived each idea and clusters.

Results
Participants generated 44 unique ideas that they believe would encourage AT behaviors. Six themes emerged, from highest to lowest cluster rating: Infrastructure (n = 9 ideas) and Itinerary (n = 9 ideas), which were consistently rated across groups; Contact with government (n = 4 ideas); Data (n = 12 ideas), with the most number of ideas generated; App usability (n = 6 ideas); and Legislation and code of conduct (n = 4 ideas), with the least number of ideas.

Conclusions
Our findings showed various ways AT can be promoted. Even though the participants were asked about mobile apps features, they quickly pointed out ideas unrelated to mobile apps. The built environment and infrastructure are clearly the most important factors to promote AT, for our participants. However, they have also identified other soft measures like information, participation in decision making, and social aspects that can contribute to behavior change and support sustainable and healthy modes of transportation. Therefore, a systemic and multifaceted approach is recommended to promote AT.

Support/Funding Source
This work was supported by the French government, managed by the Agence Nationale de la Recherche under the project Investissements d'Avenir UCAJEDI with the reference n° ANR-15-IDEX-01.
O.5.1-6 Bucking the mid-life inactivity trend: a study of 40–64-year-olds' participation in Zwift, a real-time online exercise community, through a social identity lens
Authors: Richards Toby , Figgins Sean , Day Melissa , Slater Matthew , Easterbrook Matthew 
Published: September 2023

Abstract

Purpose
Despite evidence suggesting a decline in the physical activity of middle-aged adults, 40–64-year-olds participation in group exercise is actually increasing. One potential reason for this increase in activity is the increase in a range of different online group exercise formats and contexts. Recent research suggests that people join, participate, and stay involved in, exercise groups that reflect who they are - a process of social identification. The purpose of this research is to qualitatively explore participants’ experiences and facilitators of social identification related to the online group exercise platform known as Zwift.

Methods
Zwift participants (n = 17) aged between 40-64 (midlife) (13 Men, 4 Women) were recruited into the study for three stages of data collection: (stage 1) an initial semi-structured interview exploring participant exercise history and use of Zwift, (stage 2) completing a two-week post exercise diary to capture their experiences of social identification after participation, (stage 3) a follow up final interview to explore topics raised over the first two data collection steps. This generated 23 hours of interviews, that were then transcribed and combined with the participant diaries resulting in 468 pages of data.

Results
Reflexive thematic analysis was used to identify themes from the data. The results from this analysis indicate the following themes from the data: (1) Online exercise as an enabling facilitator of exercise identity; (2). Online exercise provides exercise identity continuity or exercise identity creation depending on the exercisers, exercise history; (3) Online exercise identification via communities goes through phases of identification; (4) Two-way communication contributes to perceptions of identification phases of identification; and (5) Social identity leadership is demonstrated by online exercisers norms, behaviours and beliefs

Conclusions
Overall, this research highlights three key suggestions for mid-life physical activity promotion: (1) That facilitators and processes of social identification may be context specific; (2) That social identification processes should be considered in the design of online exercise; and (3) That online exercise that enables social identification should be considered as a vehicle of maintaining/ increasing exercise participation

Funding
The study was funded by the researcher.
O.5.1-7 Travel patterns and CO2 emissions of recreational league play in football and handball in Germany - an explorative study
Authors: Resch Julian , Dittrich Michael , Ziemainz Heiko , Abu-Omar Karim 
Published: September 2023

Abstract

Purpose
Recreational sports are commonly recommended for their health-enhancing effects. But broadening the perspective on planetary health raises the question of how they impact the environment. While there is a body of evidence on the impacts of professional sports on planetary health, there is currently a lack of studies investigating the sustainability of grassroots level sports, in particular team sports in recreational leagues. This study set out to explore travel patterns in different recreational leagues in the sports of football and handball in Germany.

Methods
We derived data including club location and game schedules for amateur football and handball teams in the region of Erlangen, Germany, from official websites of sport federations. Using google maps, we calculated the travel distances for every match-up in season 2022/23 and highlighted the distribution of teams in divisions by mapping.

Results
Even on a low recreational level, significant travel distances are accrued by teams over a season. In general, playing in a more competitive league results in longer travel distances for football teams. On average, women teams cover longer travel distances compared to men’s teams. Playing handball results in more travel compared to playing football. The current set-up of divisions can be improved to limit travel distances.

Conclusions
Despite some limitations (e.g., number of included divisions or difficulty translating the distances into CO2 emissions), this investigation sheds light on the environmental impact of recreational league play. The sheer number of sports teams suggests the importance of investigating recreational league play and supporting sport federations to optimize game schedules to limit travel emissions.

Funding Source
The study was not funded.
O.5.2-7 Listening to the patients’ voice: a conceptual framework of the walking experience
Authors: Delgado-Ortiz Laura , Polhemus Ashley , Keogh Alison , Sutton Norman , Remmele Werner , Hansen Clint , Kluge Felix , Sharrack Basil , Becker Clemens , Troosters Thierry , Maetzler Walter , Rochester Lynn , Frei Anja , Puhan Milo , Garcia-Aymerich Judith 
Published: September 2023

Abstract

Purpose
Walking is crucial for an active and healthy ageing, but it changes with age and in the presence of diverse health conditions, such as non-communicable diseases and injuries. So far, conceptual frameworks of walking have not included the impact of these conditions and individuals’ lived experiences on their walking. Thus, we aimed to identify and synthesize evidence describing the walking experience from the perspective of individuals living with highly prevalent walking-impairing conditions of diverse aetiology (i.e., Parkinson’s disease, multiple sclerosis, chronic obstructive pulmonary disease, heart failure, hip fracture, frailty and sarcopenia).

Methods
We conducted a systematic review and meta-ethnography of qualitative evidence, following appropriate guidance.

Results
Out of 2,552 unique records, 117 were deemed eligible for the meta-ethnographic synthesis. We identified seven common themes that explain the experience of walking: (1) becoming aware of the walking experience, (2) the walking experience as a link between individuals’ activities and sense of self, (3) the physical walking experience, (4) the mental and emotional walking experience, (5) the social walking experience, (6) the context of the walking experience, and (7) behavioral and attitudinal adaptations resulting from the walking experience.

Conclusion
We proposed a framework that describes the interplay between these themes, providing a conceptualization of walking that is grounded in the experiences of individuals recovering from a hip fracture or living with other walking-impairing health conditions, and that may be used to set priorities and improve patient centricity in clinical practice, research and public health initiatives.

Support/Funding Source
This work was supported by the Mobilise-D project that has received funding from the Innovative Medicines Initiative 2 Joint Undertaking (JU) under grant agreement No. 820820. This JU receives support from the European Union’s Horizon 2020 research and innovation programme and the European Federation of Pharmaceutical Industries and Associations (EFPIA).
O.5.2-9 Development of an active lifestyle intervention to promote physical activity sustainably in stroke patients: study design
Authors: Bakker Martijn , Schuling Rhoda , de Jong Johan , Dekker Rienk 
Published: September 2023

Abstract

Purpose
Physical inactivity is a major public health concern and a growing problem among stroke patients. Despite existing interventions, current approaches are not successful in promoting physical activity sustainably in stroke patients, particularly when transitioning from clinical care to the home environment. In co-creation with patients and healthcare professionals, this study develops an active lifestyle intervention, tailored to patients' personal, social, and environmental determinants, to promote an active lifestyle in their own living environment.

Methods
A co-creative design-based approach will be used for the development of an active lifestyle intervention. The design process involved collaboration with stroke patients, physiatrists, physiotherapists, lifestyle coaches and health behavior professionals. A classic design thinking process will be used to structure the research activities in five phases: empathize, define, ideate, prototype, and test phases. To gather the needs and requirements for the intervention, interviews (n = 15) and focus group sessions (n = 15) will be held. An iterative process of prototyping will lead to a final version of the active lifestyle intervention.

Results
At the conference, our team will be able to present the design of the study, focusing in particular on the aspect of engaging patients to co-create the design-based intervention so that patients’ personal, social and environmental determinants for sustained behavior change in the home environment can be adhered to.

Conclusion
Designing an active lifestyle intervention together with patients and professionals, using the co-creative design-based approach, will help to gain deeper insights in the specific needs and requirements of stroke patients transitioning from clinical care to the home environment.