bluuebunny/crossref_metadata_2025_split huggingface dataset:
Keynote 1: Moving Social Work: a new evidence-based and co-produced programme to promote physical activity to disabled people
Authors: Smith Brett 
Published: September 2023

Abstract
There is a growing amount of research focused on Health Professionals as valuable messengers and advocates of physical activity. Around the world programmes have now been established to train these professionals in health enhancing physical activity conversations. There are however other professionals that could also be valuable physical activity messengers and advocates. One untapped group is Social Workers. This talk presents Moving Social Work. This is a co-produced 5-year funded project that aims to embed physical activity in social work education, policy, and practice so that these care professionals can work with disabled people to be more physically active. In this keynote address I discuss why social workers are neglected yet important messengers and advocates of physical activity for disabled people. Next, I share insights into how the content of the training was co-produced with disabled people and social workers, what the training involves, and how it is has been implemented. Results of the training are presented. The talk also offers some brief reflections on co-production, disability, and physical activity. It closes with invitations for action that span science, policy, and practice.
Keynote 2: Do we need a concept of sustainable HEPA?
Authors: Abu-Omar Karim 
Published: September 2023

Abstract
Climate change and the need to reduce global carbon emissions drastically in upcoming years pose a challenge to physical activity (PA) promotion. Not only is PA more difficult in heat and people need to adapt, but also many physical activities come with a comparable high carbon footprint. While the field of PA promotion has so far utilized the health-enhancing physical activity (HEPA) concept to define and promote PA, this concept might need to be amended to account for the environmental impacts of PA. The aim of the presentation is to critically analyze the interconnections between PA and planetary health and suggest potential steps towards a concept of sustainable HEPA.
S3-2 Are hospital and community based physical activity program really effective in changing physical activity behaviour: a mixed method study
Authors: Riquier Olivier , Vuillemin Anne , Omorou Yacoubou , Van Hoye Aurélie 
Published: September 2023

Abstract

Purpose
Based on the demonstrated benefits of physical activity (PA) practice for chronic health disease, PA resumption programs have come alive in France. However, their effectiveness has not been scientifically tested. The PERSISTE project (Promotion and sustainability of health enhancing PA) compare the effectiveness on PA practice and its determinants of an hospital led and a community led resumptions programs.

Methods
A mixed-methods QUAN(qual) study assessed PA practice and its determinants, both quantitatively through the IPAQ questionnaire and qualitatively (practice, barriers, facilitators, challenges) during semi-structured interviews. Data were collected among 69 patients (34 hospital led and 35 community led) at three time point: enrolment in the program, end of the program and 3-5 months post program. Data analysis included multivariate data analysis for quantitative data and thematic coding for qualitative data. Data integration considered quantitative data on PA levels as drivers for qualitative data analysis.

Results
Quantitative results have shown no difference of PA levels between the two programs at each measurement time point. Moreover, a significant difference was found on PA levels for both program between before and directly after the resumption program, but not between before and 3-5 months post program. Qualitative findings suggest key factors to consider to sustain PA practice, like the short duration not allowing behaviour change. Difference in challenges between programs have been found. A request for more supervised support in patient orientation after the hospital led program can be noticed. Organizational problems, such as unavailability of infrastructure or costs have been highlighted in the community program. Specific leverage arms were identified for each program, such as follow-up appointments after the hospital program or the practice offer in a very similar context for the community program.

Conclusions
This study compared two resumption programs in different context and showed no significant difference on PA levels, but difference in intervention mechanisms supporting PA sustainability. Practical implications on strengths and weakness of each type of program, as well as challenges for both can be derived from this study, to enhance program quality.

Funding
PERSISTE project is funded by the “Comité Départemental Olympique Sportif de Seine-Saint-Denis”.
S3-3 Effects of a physical literacy intervention delivered in a medical center setting
Authors: Weerts Jean-Pierre , Mouton Alexandre 
Published: September 2023

Abstract

Purpose
The concept of Physical Literacy (PL) suggests that an individual with a holistic vision of physical activity will have more chances to remain physically active over life (Longmuir & Tremblay, 2016). Following the development of an assessment tool for PL specifically targeting an adult population with chronic disease, our study sought to find out the effect of successive PL interventions by a physical educator in a medical center on the PL level of patients.

Methods
A quantitative, within-subject design was conducted. PL program adhesion was promoted by doctors or physiotherapists of the medical center. Volunteered patients took part in two PL assessments and counseling meetings with a specialized physical educator. Following a general anamnesis and the Ricci-Gagnon physical activity questionnaire, PL scores were calculated based on a new assessment tool design, consisting of a 40-item questionnaire and 4 physical tests; and divided into the 4 domains of PL (psychological, social, cognitive, physical). With the intervention being electronically completed during the assessment, feedback was given immediately to the patient. Following a motivational interviewing technique, results were discussed with the patient leading towards appropriate SMART individual goals to be set.

Results
A total of 108 patients with at least one chronic disease (71% female, 56±15 years) underwent assessment 1, with 46 patients (74% female, 61±13 years) completing assessment 2 (46 days later on average). Significant improvements were demonstrated for the overall PL score (p &lt; 0,001) as well as the cognitive (p = 0,001) and physical domains (p = 0,032). No significant changes were found for the psychological and social domain. Additionally, no significant difference in changes were found based on age, sex or nature of the chronic disease.

Conclusions
This pilot-study was a first attempt to measure and evaluate the significance of changes in PL scores for a population of adults with chronic disease. If validation of this developed assessment tool requires more research, results show promising effect of an intervention by ongoing support of PL on the domains and overall scores of PL.

Funding Source
This study received no external funding.
S3-4 Social prescription: a meaning for general medicine in Belgium? A qualitative exploration with patients and healthcare providers about the physical literacy counselling program
Authors: Godin Géraldine , Mouton Alexandre 
Published: September 2023

Abstract

Purpose
In a society where the population is aging and chronic diseases are more and more present, social determinants of health occupy a growing place in primary care medicine. As the demand for holistic care is growing, the bio-psycho-social model takes on its full meaning within primary health care.(1) The “social prescribing” model, introduced in many countries in recent years, allows the integration of non-medical care into the primary health care system without overburdening the health professional. (2) Social prescribing enables general practitioners and others primary care professionals to refer people to a range of non clinical services to support their health such as the intervention of physical activity specialists.

Methods
This study defines social prescribing and discusses successful aspects and challenges of the model in targeted prescription of physical activity. It also evaluates a pilot project set up in Belgium in 2022 to test the model. The pilot project aimed at promoting, through doctors and physiotherapists of the medical center, the orientation of patients to physical literacy counselling meetings leaded by a specialized physical educator. The purpose of this study was then to explore, qualitatively, patients and staff of a medical center about their opinion over a physical literacy counselling program. Interviews of patients and healthcare providers were undertaken during this project.

Results
The strengths of the pilot project developed include successful implementation of holistic patient-centered care, strengthening of patients’ mental and physical well-being alongside empowering their health. In addition, the project successfully foster preventive care and demonstrates how primary care may transform into primary health care. However, many challenges remain including the sustainability of the model itself, the availability of the services offered, the financial support and the low commitment of doctors and patients.

Conclusions
this study highlights first guidelines to introduce the model into the practice of primary healthcare in Belgium. Although the project shows limitations, the theoretical model remains promising and opens up new potential horizons for the practice of general medicine in Belgium.

Funding Source
This study received no external funding.
S4-4 The Wales Physical Activity Partnership during covid-19: a case study of a long-term strategic cross-sector alliance
Authors: Kolovou Vasiliki , Bolton Nicola , Crone Diane 
Published: September 2023

Abstract

Purpose
We aimed to investigate partnership-working across sectors through the example of the Wales Physical Activity Partnership (WPAP). Three national organisations specialising in sport, environment and public health formed a strategic alliance under the Welsh Government’s direction to support the long-term innovative legislation of the Wellbeing of Future Generations (Wales) Act 2015 (WBFGA).

Methods
We completed in-depth semi-structured interviews with WPAP members (n = 9, August 2021 to March 2022) involved in the leadership, management and work-stream levels of the partnership. The leadership group members were interviewed twice, with 12 months between interviews, to follow-up progress of the partnership and changes in strategic direction. The interviews were transcribed and analysed in NVivo using Braun & Clarke’s (2014) thematic analysis.

Results
The participants had experiences of operating in leadership, management and working group roles within the partnership, each representing their organisation. The major themes were related to the partners sudden change in short-term priorities and the efforts to maintain momentum in line with the long-term direction of their alliance. The Covid-19 pandemic was felt to accentuate underlying issues, by limiting capacity and halting momentum in the developing the partners’ shared agenda. The leadership group remained confident of the added value to their organisations by connecting sport, environment and public health and recognised the shared responsibility of their organisation in supporting the Welsh Government to increase physical activity across Wales. The working group members felt that the governance structure and division of work-streams diluted the potential of the three partners, and often felt “compartmentalised” and there was limited communication between work-streams.

Conclusions
The impact from the Covid-19 pandemic was a barrier to building and maintaining momentum in this partnership between sport environment and public health. Wales is the first country to impose that public organisations bear a legislative duty to evidence their contribution towards the long-term strategy to improve physical activity, health and wellbeing via the WBFGA. Innovative legislation has provided a foundation for organisations in diverse sectors to shift their agendas to evidence long-term contributions but short-term pressures, such as the Covid-19 pandemic, may dilute the commitment and strategic intent.
S6-3 Barriers, facilitators and strategies to implement physical activity advice and referral to exercise therapy for people with hip and knee OA in primary care
Authors: Schiphof Dieuwke , Damen Jurgen , Bierma-Zeinstra Sita , van Middelkoop Marienke 
Published: September 2023

Abstract

Aim
Osteoarthritis (OA) is one of the most common diseases in the Netherlands. Most people with OA are seen in primary care. Core treatment for knee and hip OA in general practice is information and advice on physical activity and referral to exercise therapy. All Dutch guidelines on osteoarthritis recommend exercise therapy before a referral to secondary care. Despite the guidelines, only around 60% of the people on the waiting list for a replacement surgery have received exercise therapy. This study aims to provide insight in barriers and facilitators of General Practitioners (GPs) and possible strategies for advice on physical activity and referral to exercise therapy for people with knee and hip OA.

Method
A literature searched was conducted to identify barriers and facilitators of healthcare professionals (HCPs) to give people with OA advice about being physically active and refer them to exercise therapy. In two focus groups with GPS the identified barriers and facilitators were discussed and prioritized. A third focus group was used to prioritize the barriers and facilitators. The prioritized barriers and facilitators were classified within the Consolidated Framework for Implementation Research (CFIR). In a third meeting the prioritizing was checked and the first ideas for strategies, based on the Expert Recommendations for Implementing Change (ERIC) tool, were discussed.

Results
Barriers and facilitators out of seven papers were discussed. Most important barriers found in two focus groups (N = 12) were: time, lack of uniform information of HCPs, and cooperation between different HCPs. In the third meeting with other GPs (N = 32) different barriers in addition to the existing barriers, were mentioned: doubts about effectivity and patients’ expectations. Ideas about strategies based on the ERIC tool were education, involvement of patients, organizing regional meetings with different HCPs.

Conclusion
Different barriers were mentioned as most important in the focus groups, but all GPs agreed on the importance of the barrier of cooperation with different HCPs and uniform information to people with OA. Strategies that will be further developed, tested and evaluated are education for HCPs, organizations of interprofessional regional meetings and development of uniform information for people with OA.
S7-2 From HEPA to sustainable HEPA?
Authors: Abu-Omar Karim , Gelius Peter , Messing Sven , Tcymbal Antonina , Kovacs Viktoria 
Published: September 2023

Abstract

Purpose
Current climate change poses a challenge to physical activity (PA) promotion. Not only is PA more difficult in heat and people need to adapt, but also many physical activities come with a comparable high carbon footprint. While the field of PA promotion has so far utilized the health-enhancing physical activity (HEPA) concept to define and promote PA, it might be asked if this concept needs to be amended in order to account for the environmental impact of PA. The aim of the presentation is to critically analyze existing concepts of PA promotion and also healthy diet and suggest potential steps towards a concept of sustainable HEPA.

Methods
To deal with the difficult question on how to consider climate change in non-communicable disease prevention, the WHO Europe hosted an expert meeting in the fall of last year on which the concepts of sustainable diet and sustainable PA were discussed. Additionally, some articles and reviews related to interactions between PA and planetary health were screened, and international PA documents reviewed.

Results
The HEPA model is based on a bio-medical model of health and represents the best available evidence from epidemiological studies on the health effects of PA. This model is very well suited to promote PA among individuals, but tends to ignore the environmental impacts of people engaging in PA. A concept of sustainable HEPA that draws on the concept of sustainable diet would allow to account for the environmental impact of PA besides the health effects. However, the development of such a concept would also in all likelihood results in more complex messages about what type and how much PA people should do for themselves and for the public.

Conclusions
There might be a need to develop a new concept for PA promotion. In order to do so, however, a number of ethical and also practical questions would need to be answered. Potentially, collaborating closely with the field of nutrition and drawing on the experiences they made in developing the concept of sustainable diet can be helpful to overcome some of these challenges.

Support/Funding Source
no outside funding.
S7-5 How scared are you? A scoping of review of the consequences of eco-anxiety on physical activity
Authors: Derigny Thibaut , Potdevin François , Gandrieau Joseph , Mekkaoui Léa , Schnitzler Christophe 
Published: September 2023

Abstract

Purpose
Physical activity (PA) is a good way to improve people’s health, and when used as a means for active transportation, it reduces up to ten times GES emissions as compared to cars. Promoting active transportation potentially impacts positively the United Nations’ Sustainable Development Goal 3 (‘good health’), 11 (‘sustainable cities and communities’) and 13 (‘climate action’). However, the prevalence of fears due to environmental anxiety (‘eco-anxiety’) has grown significantly over the last decade. Eco-anxiety are feeling of fear, worry, or concern about the state of the environment and the potential consequences of climate change and other environmental issues. It can be caused by a variety of factors, including exposure to degraded and polluted environment, extreme climatic events, but also media coverage of environmental disasters, a lack of government action on environmental issues, and a sense of helplessness or powerlessness to make a difference. Nevertheless, to our knowledge, the effect of eco-anxiety on PA has not been documented. Our research questions are: (1) what are the effects of eco-anxiety on PA? (2) to what extend is it reducing active transportation? (3) can the promotion of active transportation helps fight the consequences of eco-anxiety? (4) what evidence gaps require further research for promotion and public policies?

Methods
We undertake a comprehensive scoping review. We search in eleven main databases studies that explicitly question the relationship between PA and CO2 carbon emissions. The evidence from eligible reviews will be extracted and mapped according to the format Participant, Context, Concept. We will classify the overall findings as positive, negative, or inconclusive, in their relation between perception and PA practices.

Results
Data collection is currently in progress. We hypothesise that eco-anxiety has negative effects on PA, especially on active transportation, but that a promotion by publics policies which considers this phenomenon can achieve the dual objective of individual health / GES reduction.

Conclusions
Eco-anxiety can lead to paradoxical effects that should be better understood, so that public policies should orient their promotion of strategies to reduce CO2 emissions by using active transport, while avoiding their deleterious effects.

Support/Funding Source
no funding.
S8-3 How do national sport federations implement health promotion? A case study analysis in France
Authors: Tezier Benjamin , Van Hoye Aurélie , Winand Mathieu , Rostan Florence , Lemonnier Fabienne , Johnson Stacey , Vuillemin Anne 
Published: September 2023

Abstract

Purpose
Sports club’s health promotion (HP) has been investigated, illustrating their need for resources, such as support from national sports federations (NSF), to develop into health-promoting settings. The present study investigates how French NSF promote health.

Methods
A two-step case study design was undertaken. A website analysis of 51 NSF, recognized as health promoting by the Olympic Committee, was executed to examine HP visibility, presence in strategic plans, committees and programs. Based on this search, four NSF were chosen for an in-depth study, including interviews with representatives and a document analysis. Data were analyzed based on the Ottawa Charter strategies for HP.

Results
NSF are committed to HP, but HP is not mentioned directly, not visible, nor properly understood. Rather, a health topic approach is adopted, specifically focusing on strategies to enhance social and physical health. HP implementation lacks coordination, where resource investment is based on the sports ministries focus on specific health topics, in a reactive manner, to implement national policies. NSF’s implementation of HP is aligned with findings from sports clubs, limiting further contributions towards guidelines to support HP in their affiliated clubs.

Conclusions
Future research should investigate determinants of HP implementation among NSF to increase their pro-active approach to promote health. Practical implications include a recognition of HP beyond health topics, an integration of health as a transversal aim in NSF’s policies and programs and a governance system coordinating HP activities.

Funding
The work was supported through a partnership between Santé Publique France, Université Côte d’Azur and the Université de Lorraine.