bluuebunny/crossref_metadata_2025_split huggingface dataset:
O.2.1-4 Physical activity program for people with intellectual disability: results from an implementation study
Authors: Wouters Marieke , Oppewal Alyt , Maes-Festen Dederieke 
Published: September 2023

Abstract

Purpose
Many people with an intellectual disability (ID) are inactive and have low physical fitness. A physical activity (PA) program was specially developed for this group and found to be effective to increase PA and preventing or delaying deterioration in physical fitness. However, implementation in practice has not yet been successful. The aim of this project is to study the implementation of this PA program, to be able to increase successful implementation and scaling up in the future.

Methods
we are systematically implementing the PA program on three sites within the care for people with ID in the Netherlands. The key elements of the PA program are: three times a week for 45-60 minutes; training in a group; focus on increasing endurance, strength, balance and flexibility; increasing intensity and duration; under supervision of a PA expert; including education on healthy PA. Implementation is guided by implementation support practitioners, who are using the Grol and Wensing implementation model as a guide for the implementation. Implementation is studied by collecting data on i.a. acceptability, feasibility, fidelity, and determinants on three moments (three months after start of implementation process, one and six months after start of the PA program). This was done by interviewing the implementation support practitioners and the staff implementing the PA program on site. Furthermore, field notes and logs are collected. Interview data are verbally transcribed and coded. All data are thematically analyzed, both inductive and deductive.

Results
Four to five months after start of the implementation process, the PA program started. Preliminary results of the first data collection show that acceptability, feasibility and fidelity of the program is moderate. Not all key elements are implemented as prescribed, like frequency and the way of involvement of the PA expert. Suggestions are made to improve the chance of successful implementation of the PA program.

Conclusions
Some of the original key elements and preconditions should be reconsidered to make the program more suitable for further implementation and scaling up within the care for people with an ID.

Funding
This study was funded by ZonMW.
O.2.3-8 Work engagement, need for recovery, and musculoskeletal symptoms – gender differences among office workers during the COVID-19 pandemic
Authors: Brusaca Luiz A , Januario Leticia Bergamin , Barbieri Dechristian França , Cid Marina Machado , Oliveira Ana Beatriz 
Published: September 2023

Abstract

Purpose
The COVID-19 pandemic has changed work conditions and personal lives of countless workers due to physical distancing, and recommendations to work from home (WFH), especially among office workers. This study aimed to investigate whether male and female office workers differed in terms of work engagement, need for recovery, and intensity of musculoskeletal symptoms, and if gender differences were still present depending on the workplace, i.e., WFH or working at the office (WAO).

Methods
This cross-sectional study collected data from 56 male (age 36.1 ± 10.3 years) and 60 female (age 35.2 ± 8.9 years) office workers between September 2020–June 2021. Participants were asked to answer an online self-administrated survey containing the Utrecht Work Engagement Scale (total score [0-6]; subscales of vigor, dedication, and absorption not shown), the Need For Recovery Scale (0-100), and a modified version of the Nordic Musculoskeletal Questionnaire, considering the pain intensity for each region with a numerical rating scale (0-10). Differences between gender (male vs. female) were examined using linear regressions adjusted for age and body mass index, considering the total population, those exclusively WFH (34♀ and 39♂) and those exclusively WAO (22♀ and 21♂).

Results
Female office workers reported worse conditions during the pandemic compared with male workers: they had less engagement with their work (β: –0.65 [95% CI: –1.09; –0.21]), greater need for recovery (16.00 [8.69; 23.31]), and higher pain intensity in the neck (1.44 [0.35; 2.54]), shoulders (2.13 [1.13; 3.13]), upper back (1.41 [0.46; 2.35]), wrists/hands (1.65 [0.65; 2.65]), and hips/thighs (0.71 [0.05; 1.38]). Sensitivity analyses showed similar results when workers were exclusively WAO, except that there was no difference in musculoskeletal symptoms. When WFH, females had a greater need for recovery and higher pain intensity in all regions found in the main analysis when compared with male workers, but no difference was found in work engagement.

Conclusions
Female office workers had less work engagement, more need for recovery, and more self-reported pain intensity than male workers. Whether this relates to additional unpaid work or to other factors is not clear, and we encourage further research to resolve this important issue.
O.2.3-10 Insights into the implementation of workplace health promotion interventions among education professionals using a participatory approach
Authors: Groenesteijn Liesbeth , Arrogi Anass , Verstegen Piet , Biemans Petra , Holla Jasmijn 
Published: September 2023

Abstract

Purpose
The main purpose of this explorative study was to examine implementation strategies of workplace health promoting interventions for employees of a large education institution. The corresponding objectives were to identify facilitators and barriers for implementation, to define needs and wishes of employees regarding health promotion and to develop suitable interventions and implementation strategies. The health promoting interventions and strategies were gathered using an innovative participatory approach.

Methods
We used a collaborative participatory action research (PAR) approach among delegates of teachers, managers and HR professionals with three groups (5-6 delegates) representing three divisions of the organization. In four 3-hour co-creation sessions each group of delegates discussed health promoting intervention strategies including implementation facilitators and barriers, wishes and needs of their colleagues and implementation strategies. The sessions were facilitated and guided by researchers and data were collected in written anonymous reports. The researchers thematically analyzed the data and presented the collected data in a final session. In the final session, representatives of the three delegate groups shared the data and discussed common suitable health promoting intervention strategies.

Results
The co-creation sessions resulted in a variation of facilitators and barriers on multiple levels of implementation. We identified common facilitators at the individual (e.g. individualized approach), team (e.g. social inclusiveness) and organizational level (e.g. wide health promotion initiatives). Conversely, common barriers were identified at the individual (e.g. lack of time), team (e.g. lack of manager support) and organizational level (e.g. hampered digital accessibility).
Main topics derived from the wishes and needs include a facilitating (healthy) work environment (e.g. healthy food choices) and social meeting options (e.g. group physical activities). These wishes and needs were accompanied with facilitating prerequisites (e.g. flexibility and autonomy).
Lastly, the co-creation sessions provided suitable intervention avenues including an in-house health promotion center backed by an accessible digital environment (intranet).

Conclusions
This participatory approach provided tailored workplace health promoting interventions and offered implementation strategies targeting education professionals. These implementation strategies will be pilot-tested in phases across multiple divisions within the education institution.

Support/Funding Source
The study was internally funded by the Inholland University of Applied Sciences.
O.3.1-2 Contribution of a set of physical activity types for adherence to the Dutch Physical Activity Guidelines
Authors: Kolkman Japke , Duijvestijn Marjolein , Vos Wanda , de Hollander Ellen 
Published: September 2023

Abstract

Purpose
To date, little is known about the contribution of different PA types to adherence to the PA guidelines. This study aims to identify which (combination of) PA types (e.g. sports, cycling during leisure time, gardening etc.) are the main contributors to adherence to the Dutch PA guidelines and whether this varies across population groups.

Methods
Data of the Dutch Health Survey/Lifestyle monitor 2019 was used including 7616 respondents of 18 years and older. PA was assessed using the Short Questionnaire to Assess Health-enhancing physical activity (SQUASH). Prevalence rates of adherence to the PA guidelines were examined and the impact of excluding a particular PA type on these rates was assessed. Univariate and multiple logistic regression analyses were used to examine associations between demographic characteristics and adherence to the PA guidelines.

Results
Prevalence rates decreased the most when either sports (12 percent points) or walking (17 percent points) or cycling (11 percent points) during leisure time was excluded in the total population and almost all population groups. Nevertheless, unadjusted- and adjusted odds ratios revealed that the importance of these PA types for adherence to the PA guidelines differed between population groups. For example, when all PA types were included, women had lower odds (0.89; 0.81-0.97) to adhere to the PA guidelines compared to men. When excluding sports, the odds increased towards 1.02 (0.92-1.12). This means that for men sports is a more important contributor to adherence to the PA guidelines than for women.

Conclusions
Sports, walking- and cycling during leisure time contributed the most to adherence to the PA guidelines. Nevertheless, differences in the contribution of PA types between population groups exist. PA policies should target different population groups by stimulating the PA types that are main contributors for adherence to the PA guidelines, but also look for the barriers to participate in PA types that have a smaller contribution to adherence to the PA guidelines.

Support/Funding Source
This research was funded by the Ministry of Health, Welfare and Sports of the Netherlands.
O.3.1-5 Peri-urban landscape as an environment for health enhancing physical activity
Authors: Žlender Vita 
Published: September 2023

Abstract

Purpose
Peri-urban landscape is situated between the rural and the urban and encompasses diverse set of green space types, e.g. large semi-natural areas, woodlands, hills, country parks. Such spaces, suitable for nature recreation, can be rarely found in cities. Accordingly, peri-urban landscape is increasingly important for enabling population to become more physically active. However, previous research has shown that many cities struggle with divergences in the use of these spaces. While some of peri-urban green spaces are under high demand for outdoor recreation, which puts considerable pressure on the landscape and threatens its provisioning of landscape qualities such as tranquillity or biodiversity, others are underused despite their recognised potential for recreation. So far, little attention has been paid to this issue in planning and decision making.
This study first assessed the extent to which peri-urban landscape provides possibility for outdoor recreation. Secondly, it explored how to provide support for spatial planners and local governments in the planning and management of peri-urban green spaces for promotion of outdoor recreation.

Methods
We conducted document analysis, literature review and stakeholders’ interviews in three case study cities in Slovenia: Ljubljana, Koper and Kranj. In the first step, we highlighted any formal recognition of peri-urban landscape use for outdoor recreation and identified spatial actions and their influence on the peri-urban land use. Then we carried out the evaluation of the level of importance given to peri-urban green spaces’ suitability for outdoor recreation by the stakeholders. The data was compiled and compared between the three cities.

Results
We identified policy gaps in all case studies, which pointed to the weak role of spatial planning in protection and management of peri-urban green spaces for outdoor recreation. We also identified the lack of methodologies, tools and inclusion of new approaches, such as ecosystem services framework or nature-based solutions, in the spatial planning and policy making.

Conclusion
Our findings provide a supporting material for local decision makers and spatial planners in their efforts to develop peri-urban green spaces as spaces for promoting health among all demographic groups of local population.

Funding
Slovenian Research Agency (grant numbers V5-2232 and Z5-4589).
O.3.1-6 Work-related well-being of sport professional at public sector
Authors: Harmokivi-Saloranta Paula Marja Johanna , Punna Mari , Laiho Tiina , Laitinen-Väänänen Sirpa 
Published: September 2023

Abstract
Sports instructors, who work in small and mid-sized municipalities and the public sector, provide physical activity counselling and group guidance for municipality residents of all age groups. Over the last decade, the work has expanded from group guidance to promote the well-being of residents. Many of them are working independently, having only little collegial or community support. Additionally, only little is known about work-related well-being of their own as well as methods on how to improve it. The aim of this study was to investigate the experiences of a sport professional’s work-related well-being and what factors increase or decrease it.
The study was carried out using qualitative methods. In the study, there were 32 participants who were working as sport instructors in small or mid-size municipalities in Finland. On average, the interviewees were 42 years old and had work experience in the municipality’s sport instructor work for an average of seven years. The data was collected with thematic interviews during the autumn and winter 2022-2023 and it was analyzed using content analysis.
The results showed that work-related well-being was confirmed by the relevance of the work, and by the customers and their success in their own goals. The study also found that the appreciation and sense of community experience also played a significant role in the well-being experienced at work. Work-related well-being is also strengthened by supporting autonomy.
Work-related well-being was weakened by the fragmentation of work and hurry at work. Clients were a strength resource for sport instructors, but they could also increase mental stress. The clients may tell sport instructors about their own illness and loneliness, but workers did not have enough tools to help them. The results also showed that physical problems can affect well-being at work.
The study provides a broader understanding about the art of sports instructors’ work. It makes visible which are the main elements that increase and decrease sport instructors’ work-related well-being. The results can be utilized when implementing activities of sport instructors’ well-being promotion.
The research has been funded by the Finnish Work Environment Fund.
O.3.2-5 24-hour compositions of physical (in)activity of women with temporomandibular disorders
Authors: Brusaca Luiz A , Tavares Luiz Felipe , Calixtre Letícia Bojikian , Locks Francisco , Oliveira Ana Beatriz 
Published: September 2023

Abstract

Purpose
Physical inactivity is a known risk factor for worsening pain, yet accelerometry-based assessment of sedentary behaviour (SED), physical activity (PA) and time-in-bed (as a proxy for sleep) in individuals with temporomandibular disorders (TMD) are still scarce. We aimed to document and compare the 24-hour time-use compositions of physical behaviours of women with TMD during weekdays and weekends.

Methods
Behaviours were monitored over 7 days using a thigh-worn accelerometer in 44 women with TMD according to the Diagnose Criteria for TMD (mean age 29.6 ± 7.2 years). Daily time-use compositions were exhaustively described in terms of SED in short (&lt;30 min) and long (≥30 min) bouts, light PA (LPA), moderate-to-vigorous PA (MVPA), and time-in-bed. Following a compositional data analysis, isometric log-ratios (ilr) were calculated; ilr1 – time-in-bed relative to time spent awake, ilr2 – SED (short and long bouts) relative to LPA and MVPA, ilr3 – SED in short relative to long bouts, and ilr4 – LPA relative to MVPA. Differences between weekday and weekend data were examined using repeated-measures MANOVA, followed by univariate post-hoc tests of pairwise differences.

Results
During the week, women with TMD appeared to spend more time SED in short bouts (241 min), more time SED in long bouts (416 min), less time in LPA (241 min), less time in MVPA (62 min), and more time-in-bed (480 min) than on the weekend (223, 379, 276, 70 and 493 min, respectively). The MANOVA showed that the set of ilrs as a whole for weekdays and weekend differed significantly (ηp2 = 0.25, p = 0.02). The post-hoc tests showed that time spent SED in short and long bouts relative to LPA and MVPA (ilr2) was larger during the week than at the weekend (Cohen’s d = 0.31, p = 0.04).

Conclusions
Women with TMD behaved differently during weekdays and weekends, whether this relates to days with/without pain or to other factors is still unclear. Further research is required to understand whether these differences in behaviours are part of everyday life or a consequence of musculoskeletal pain.
O.3.2-7 The health outcomes of a combined lifestyle intervention for adults with overweight
Authors: Makaske Jitske , Verkooijen Kirsten , Thompson Kristina , Wagemakers Annemarie 
Published: September 2023

Abstract

Purpose
Combined lifestyle interventions aim to reduce overweight and increase health in people at risk of developing overweight related diseases by helping participants to develop and maintain a healthy lifestyle. This study examined the health outcomes of a combined lifestyle intervention called X-Fittt GLI, which is imbedded in Dutch fitness centers. The intervention consists of 3 months intensive guidance regarding physical activity and nutrition, followed by 21 months of aftercare.

Methods
Mixed methods were applied. Quantitative data were collected among 559 participants, including body measurements and quality of life assessed at the start, at one year, and at two years after the start. Paired samples t-tests were conducted to examine significant differences between the time points (Bonferroni correction applied). Additionally, semi-structured interviews were conducted with 12 participants about barriers and facilitators to maintain physical activity and healthy eating. Results were analyzed using thematic analysis.

Results
After two years, participant’s weight (-3 kg), BMI (-1 kg/m2), and waist circumference (-4 cm) were significantly reduced compared to the start of the intervention. No effects were found for blood pressure, VO2-max, and quality of life. The largest weight effects were found after one year (-5.1 kg). Barriers influencing maintenance of physical activity were decreased physical or mental health, closure of the fitness center, and lack of time, while facilitators were group lessons, a nice atmosphere at the sports center, awareness, and enjoying exercising. Barriers to maintain a healthy diet were emotions and social activities, while facilitators were the food app and kitchen scale, seeing results, and a balanced diet.

Conclusions
The combined lifestyle intervention X-Fittt GLI showed positive health outcomes. However, the effects are modest and decline during the second year of the intervention. More (social and/or mental) support during the aftercare period may increase the chances that participants maintain their newly adopted healthy routines.
O.3.3-5 Is parkrun an equitable health intervention? A qualitative study exploring how a free, weekly, community-based physical activity initiative engages with underrepresented groups in the UK
Authors: Quirk Helen 
Published: September 2023

Abstract

Purpose
Underrepresented groups face unique and complex barriers to community-based physical activities. This study used the worldwide initiative parkrun to explore how it has engaged with underrepresented groups in the UK. It sought to explore the challenges faced by the organisation and its volunteers when striving for equity and outline the inclusive promotion strategies that could be used by parkrun and other community initiatives.

Methods
Adult parkrun Ambassadors who fulfilled volunteer roles that involved ‘outreach’ to underrepresented groups across the UK were invited. Ten volunteers provided informed consent to be interviewed via telephone in April-July 2021. Interview transcripts were analysed using a thematic approach by the same researcher who conducted the interviews. Ethical approval was received from the University of Sheffield REC.

Results
The Ambassadors had volunteering experience from two to five or more years. The outreach approaches implemented varied from opportunistic promotion within communities to strategic negotiations at higher decision-making levels. Ambassadors described a community-centred focus that ensured that existing community networks and assets were utilised when promoting parkrun. It was advantageous to identify influential ‘community connectors’ within the target community with power to mobilise others. These could be local people or organisations in more traditional positions of influence e.g., General Practices and schools. The volunteers conveyed many challenges to their attempts to increase engagement in parkrun by underrepresented groups. Limited personal and organisational capacity meant that the reach and impact of engagement was restricted. The Ambassadors would benefit from robust mechanisms for reflecting, evaluating, learning and monitoring progress to better understand what is working (or not) and why.

Conclusion
parkrun takes a community-centred approach to outreach. Community initiatives like parkrun may benefit from a whole-system approach that is adaptive to local contexts, considers where the greatest opportunities for change are and fosters a learning mindset among those delivering the initiative. The findings only represent the views of ten Ambassadors interviewed and so further collaborative work with people from the underrepresented groups is needed to develop co-produced solutions to equitable participation.

Funding
Funded by a National Institute for Health Research School for Public Health Research post-doctoral launching fellowship.