bluuebunny/crossref_metadata_2025_split huggingface dataset:
O.1.1-8 Impact on health-related quality of life after a concurrent exercise program in adults with treatment resistant depression: TRACE-RMD study
Authors: Etxaniz-Osés José , Tous-Espelosin Mikel , Iriarte-Yoller Nagore , Maldonado-Martin Sara 
Published: September 2023

Abstract

Purpose
Treatment-resistant depression (TRD) is defined as those who do not remit to major depressive disorder with pharmacological treatment. TRD is associated with a worse health-related quality of life (QoL). Thus, people with TRD have reported greater disability than those healthy control (HC) in QoL, assessed by the 36-Item Short-Form Health Survey questionnaire (SF-36). Concurrent exercise training (i.e., a combination of aerobic and resistance exercise in the same session) could be an efficient non-pharmacological treatment strategy for improving QoL. Exercise is recommended as a non-pharmacological adjuvant program for patients with TRD. Therefore, this study aimed to determine the effectiveness of a concurrent exercise program on QoL in a TRD population.

Methods
Participants (n = 15, 73.3% women, 57.7±13.7 yr old) with TRD carried out a concurrent exercise program (2 days/week and 12 weeks of intervention). The SF-36 questionnaire was used to assess health-related QoL. At baseline, the TRD population showed lower scores (P ≤ 0.001) in physical function, role-physical, bodily pain, general health, vitality, social functioning, emotional role, mental health, and physical and mental component summaries compared to HC.

Results
After 12-week of intervention, general health (↑50.5%), vitality (↑41.2%), social functioning (↑76.4%), and mental component summary (↑24.9%) were increased (P &lt; 0.05). However, there was not a significant (P &gt; 0.05) change increase in physical functioning, role physical, bodily pain, emotional role, mental health, and physical component summary.

Conclusion
In conclusion, beneficial effects on QoL variables in patients with TRD after concurrent exercise should lead to considering exercise as an adjuvant program in their treatment.
O.1.2-6 Music and Movement for Health: an arts-based Intervention to promote health and wellbeing of community dwelling older adults in Ireland
Authors: Clifford Amanda , NiBhriain Orfhlaith , Byrne Steven , Cheung Pui Sze , Louw Quinette , Glynn Liam , Moss Hilary , O'Neill Desmond , Woods Catherine B , Sheikhi Ali , Gowran Rosemary Joan , Maher Catherine , Kennelly Brendan , Salsberg Jon , Thabane Lehana 
Published: September 2023

Abstract

Purpose
The Music and Movement for Health study is a pragmatic cluster-randomised controlled feasibility trial that aims to assess the feasibility of an innovative music and dance intervention that was developed to promote health and wellbeing of community dwelling older adults in Ireland. This study also aims to obtain preliminary data on the effect of the arts-based intervention on health and wellbeing in older adults.

Methods
One hundred community-dwelling adults aged 65 years or older were recruited across seven clusters in the Mid-West region of Ireland. The seven clusters were randomly allocated to either the intervention group (n = 56, 4 clusters) or the control group (n = 44, 3 clusters). The intervention group participated in the Music and Movement for Health intervention which consisted of a 1.5-hour session and a 1-hour home-based programme weekly for 12-weeks. Music and Movement for Health is a complex intervention developed following the Medical Research Council Framework, co-designed with stakeholders using research evidence and theories to optimise engagement. Participants completed assessments at baseline and after 12 weeks and participated in focus group or interview after their participation.

Results
The targeted feasibility outcomes including the recruitment rates, the retention rates, attendance, and participation rates were achieved. Randomisation was completed according to the protocol and no safety issues were identified. The outcome measures used were acceptable and feasible for this population. The results on secondary outcomes and process evaluation of this trial are awaited.

Conclusion
This research strives to strengthen collaborative efforts to implement effective, sustainable and cost-effective programmes for older adults to support community connection, enhancing health and wellbeing, in turn reducing demands on the healthcare system. To our knowledge, Music and Movement for Health is the first evidence-based arts intervention that has incorporated music therapy with dance to improve health and wellbeing of community dwelling older adults. Feasibility results demonstrate that Music and Movement for Health is feasible, acceptable and safe for community dwelling older adults in the Mid-West region of Ireland.
O.1.2-7 Optimization of older adults home spaces
Authors: Ali Naureen Akber , Hudson Joanne , Stratton Gareth , Mullins Jane 
Published: September 2023

Abstract

Purpose
There is a lack of studies focused explicitly on the impact of the home physical environment on older adults’ sedentary behaviour (SB) and physical activity (PA). Therefore, the present study aims to investigate older adults’ perception of their home environment and its impact on their PA and SB.

Methods
A qualitative exploratory research design, based on in-depth interviews (IDIs) and focus groups discussions (FGDs) with older adults was conducted from 1st August 2022 to 31st December 2022. We identified four major themes: (I) Home layout and PA, (II) Space designation within the home, (III) Electronic equipment, furniture and material within the home space, (IV) Changing infrastructure within the home space. We analysed the data through reflexive thematic analysis using NVivo 10 software.

Results
Older adults valued the physical environment, and they managed their indoor space to control environment by structuring and restructuring to make it conducive for PA. Outdoor space such as garden was also an important factor for older adults’ PA. Moreover, older adults being autonomous and without any restrictions spent a substantial amount of time on utilizing electronic media. Further modification (such as adaptive aids, modification in the bathroom and etc) within the home space assist them in daily activities.

Conclusion
The findings suggest that both indoor and outdoor space play an important role in enhancing PA level and minimizing SB. Although space is important but how space is used, and its intention of use is also very crucial. The study finding also supported and recommended the notion of ‘think small for large effects’ within the home space. Instead of building the indoor facilities (such as indoor gyms, swimming pool and etc) older adults should mapped out small-scale activities such as avoiding screens in bedroom or removing clutter to increase space for activity.
O.2.1-2 How do social prescribing interventions for physical activity work from a complex intervention research perspective: a narrative review on mechanisms of change
Authors: Jacobsen Julie Sandell , Nielsen Rasmus Oestergaard , Jessen Nanna Holt , Rasmussen Lene Gissel , Skjerning Halfdan Thorsø , Jensen Dea Kejlberg , Bueno Solvej Videbæk , Kallestrup Per , Christensen Jeanette Reffstrup , Ryom Knud 
Published: September 2023

Abstract

Purpose
Social prescribing (SP) interventions for physical activity (PA) remain to reveal consistent findings on health outcomes, partly because suboptimal research methods have been applied. The purpose of this study was to synthesise the behaviour-related mechanisms and socio-economic considerations of SP interventions for PA based on a narrative literature review. The synthesis was then used to develop a logic model inspired by the methodology from complex intervention research, illustrating how these interventions may improve health outcomes.

Methods
A narrative review was performed using Medline, Embase and PsycINFO to identify scientific literature on SP interventions for PA. The literature search was executed on February 20-21, 2023. Inclusion criteria were; studies investigating person-centred mechanisms and/or system-based mechanisms. Any population was eligible, and no source restrictions were applied. Findings were synthesised and illustrated in a comprehensive logic model on SP interventions for PA.

Results
A total of 340 studies were identified from the electronic literature search, and 11 studies met the inclusion criteria. Person-centred mechanisms for successful SP intervention were identified as: (1) Integrating medical and social needs in the referral process; (2) Trusted and informed relationships in the linking process; and (3) Meaningful relationships in a non-stigmatising setting in the engagement process. System-based mechanisms for successful SP intervention were identified as the need to fully integrate the SP interventions in the General Practice and community organisations. In addition, successful SP intervention was, among other findings, explained through emotional buy-in from all SP agents and clients.

Conclusion
The present study display mechanisms of SP interventions for PA, suggesting that they should include socio-economic considerations and preferably system thinking. We also urge for more complex intervention thinking in developing and evaluating SP interventions for PA to clarify the mechanisms of what works for whom and under which circumstances.

Support/Funding Source
No funding source was applied for this study.
O.2.1-7 Young people’s perspectives on integrating targeted physical activity in substance use treatment: implications for practice
Authors: Klamert Lisa , Craike Melinda , Bedi Gillinder , Kidd Susan , Parker Alexandra 
Published: September 2023

Abstract

Purpose
Problematic substance use (SU) in young people is a global health concern and leads to difficulties in key life areas. Rates of problematic SU are highest in young people aged 15-25 years. Physical activity (PA) may reduce problematic SU (ie., alcohol, tobacco, illicit use), and provide a less stigmatizing treatment option. Yet, research on this treatment approach in this population remains limited, targeted PA is rarely routinely implemented in substance treatment for young people, and global policy lacks responsivity to this health priority.

Method
A quantitative research survey (n = 145 young Australians) and a qualitative focus group (n = 4) were conducted and analyzed. Eligibility criteria included: i) aged 15-25 years; ii) moderate or severe risk of substance-related health and other problems (assessed by WHO ASSIST); and iii) prior access of SU treatment or willing to engage in future treatment. The purpose of this research was to explore young people’s perspectives on the (1) acceptability, (2) experienced barriers, and (3) preferences regarding the integration of PA as an adjunct intervention in existing treatment services.

Results
Survey data showed that 97.8% of young people found preference-driven PA interventions acceptable within SU treatment practice. A further 94.9% believed that PA-based interventions are appropriate and effective (95.6%) for reducing their SU, and 94.9% expressed their willingness to engage in these interventions. Barriers to PA were exercise-induced fatigue, cost of PA, lack of motivation, existing substance use, and lack of PA guidance. Interview data showed a clear preference for highly tailored, planned but unsupervised interventions, with frequent check-ins. Additional preferences were clear directives, highly passionate and motivating facilitators and a focus on behavior change. Preference-driven PA interventions were perceived to provide a sense of personal accomplishment and perceived care from service providers.

Conclusion
PA is perceived to be acceptable within the treatment of SU among young people and may offer a non-stigmatizing adjunct to existing treatments. Factors that might influence translation of PA interventions into practice and policy were identified in the preferences of young people involved in this study, highlighting the importance of including young people as key stakeholders in intervention design and delivery.
O.2.2-3 Virtual nature as an intervention to promote connectedness with and visitation of nature among university students: a randomized trial
Authors: Brambilla Elena , Stendal Karen , Sundling Vibeke , Calogiuri Giovanna 
Published: September 2023

Abstract

Purpose
Human-nature interactions, including visitation of nature and nature connectedness (NC), a psychological construct defining an individual’s cognitive and affective connection with the natural world, are associated with a variety of health and well-being indicators. University students often experience high levels of stress and mental health challenges, while having little access to and few opportunities to interact with nature. This randomized controlled trial explored the effectiveness of a virtual nature intervention, delivered either through two-dimensional (2D) or immersive virtual reality (VR) devices, in eliciting increased NC and the likelihood of visiting a naturalistic location among university students.

Methods
Thirty-eight university students (age 24.7±5.4 year) were randomized into two groups and viewed a video of a naturalistic location in the vicinity of the university campus either through VR or 2D devices. Further, participants received information about the naturalistic location and were invited to an organized hiking tour in that location. Pre- and post-assessment of NC, intention to engage in active nature visits, intention to visit the location viewed in VR or 2D, and intention to participate in the hiking tour were collected. Additionally, participation in the hiking tour was recorded.

Results
A mixed between-within subjects ANOVA showed that both conditions significantly improved NC (F1,35 = 293.302; p &lt; 0.001), intention to visit the location (F1,36 = 18.848; p &lt; 0.001), and intention to participate in the hiking tour (F1,36 = 12.450; p &lt; 0.001), but did not improve intention to engage in active nature visits, with no significant differences between the type of virtual nature exposures (VR vs. 2D). Six (16.7%) students participated in the organized tour, three from each condition. The type of virtual nature exposure was not a significant predictor for participating in the tour.

Conclusions
This study provides evidence of the potential of virtual nature exposure in promoting NC and visitation of nature among university students, regardless of the technology employed (VR or 2D). More research is needed to better understand the impact of such types of intervention in supporting behavior changes and health in this population.
O.2.3-1 Stand Up for Health: process evaluation of an intervention to reduce sedentary behaviour in contact centres
Authors: Sivaramakrishnan Divya , Manner Jillian , Baker Graham , Parker Richard , Lloyd Scott , Jepson Ruth 
Published: September 2023

Abstract

Purpose
Contact centres have been identified as high-pressured workplaces where staff are sedentary, and one in four experience musculoskeletal problems. Stand Up for Health (SUH) is an intervention developed using the 6SQuID intervention development framework to target sedentary behaviour in contact centres. It is an adaptive intervention based on the Social Cognitive Theory and the Social Ecological Model. The aim of this study was to test the acceptability and feasibility of implementing SUH in contact centres.

Methods
The study used a stepped-wedge cluster randomised trial design and included eleven UK-based contact centres. Intervention implementation involved working with contact centre stakeholders to develop a customised action plan that aligned with SUH’s theory of change. This was operationalised to include two workshops, creating a SUH committee, and loaning equipment (desk-risers, exercise equipment) to each centre. During the pandemic, online staff consults replaced these activities. The process evaluation adopted the RE-AIM framework to understand acceptability and feasibility of implementing the SUH intervention. Interviews and focus groups were conducted with 33 staff members and stakeholders, and 96 participants completed an activity preference questionnaire. Qualitative data were analysed using a codebook thematic analysis approach and descriptive statistics were used to describe activity preferences.

Results
The intervention was acceptable and feasible to deliver, and most contact centres implemented several activities aligned with each level of the programme’s theory of change. All centres reported that more than 50% of staff participated in at least one SUH activity (during the pre-lockdown period). Perceived benefits such as reduced sedentary behaviour, increased physical activity, and improved staff morale and mood were reported by contact centre staff and stakeholders. Participants felt that SUH was particularly significant because it increased awareness of sedentary behaviour, encouraged movement, and helped staff manage stress.

Conclusions
SUH is an adaptive multicomponent programme that considers the culture and contexts of contact centres. The programme shows potential as an appealing and acceptable intervention, impacting several wellbeing outcomes. Next steps include adapting the intervention for the post-pandemic work context, and further pilot testing before large scale evaluation.

Funding Source
National Institute for Health Research (NIHR) [PHR project grant: 17/149/19]
O.2.3-5 Workplace Active Certification: the creation of a certification process that values and rewards professional organisations implementing physical activity for their employees
Authors: Vandaele Frank , Evans Adam , De Dominicis Stefano , Gross Michael , Heuzé Gurvan , De Clerck Ine 
Published: September 2023

Abstract

Purpose
The workplace is often highlighted as a potential location for promoting physical activity and healthy lifestyles. However, embedding physical activity in the workplace seems less obvious. Due to the unique culture and structure of companies, differences in interpersonal relationships and in personal motivation, as well as local/national differences, it is impossible to offer a simple “one size fits all” strategy that can be applied everywhere in Europe. The 'Workplace Active Certification' (WAC, Erasmus+) project aimed to develop an evidence-based certification process through which companies that successfully embed HEPA in the workplace can be certified as 'physically active'

Methods
To achieve this goal, the programme integrated different types of evidence from different sources. These included a scoping review, multi-stage online interviews with 'pioneer' employers (28) in several (7) European countries, and iterative consultations with cross-sectoral experts in health and physical activity promotion (44). The full certification/audit process was tested and evaluated with 16 pioneer companies. The project included 10 cross-sectoral supporting partners.

Results
All this shared information has resulted in a toolbox with an introductory questionnaire and a comprehensive list of 40 WAC criteria that should be met by any organisation wishing to develop its 'Active Workplace' approach and become 'WAC certified'. The criteria are divided into 5 categories: needs assessment, leadership, planned actions, work environment and evaluation. In 2022, a total of 13 companies were awarded the WAC certificate.

Conclusions
We have developed a certification system with the following characteristics: multi-level, contextualised, targeted, action-based and impact and sustainability oriented. Going through the certification process helps companies to improve their workplace HEPA policies. Achieving certification recognises and rewards professional organisations for implementing HEPA for their employees.

Funding Source
ERASMUS+ European Commission.
O.2.3-11 Light standing work and high intensity occupational physical activities predict baseline and 8-year progression of carotid atherosclerosis among women
Authors: Korshøj Mette , Allesøe Karen , Mortensen Ole Steen , Siersma Volkert , Kauhanen Jussi , Krause Niklas 
Published: September 2023

Abstract

Purpose
Recent reviews link higher levels of occupational physical activity (OPA) to cardiovascular disease (CVD). However, the evidence for women is inconsistent and studies of activity-limiting symptomatic CVD are prone to healthy worker selection effect. To address these limitations, this study investigated OPA effects on asymptomatic carotid artery intima-media thickness (IMT), a proxy for atherosclerosis, among women.

Methods
Participants include 905 women from the population-based Kuopio Ischemic Heart Disease Risk Factor Study with baseline (1998-2001) data on self-reported OPA and sonographic measurement of IMT. Linear mixed models with adjustment for 15 potential confounders estimated and compared mean baseline IMT and 8-year IMT progression for five levels of self-reported OPA. Analyses stratified by cardiovascular health and retirement status were planned because strong interactions between pre-existing CVD and OPA intensity have previously been reported.

Results
Light standing work, moderately heavy active work, and heavy or very heavy physical work were all consistently associated with greater baseline IMT and 8-year IMT progression than light sitting work, being hazardous for cardiovascular health. The greatest baseline IMT was observed for heavy or very heavy physical work (1.21 mm), and the greatest 8-year IMT progression for light standing work and moderately heavy active work (both 0.13 mm), 30% above sitting work (0.10 mm). Stratified analyses showed that these differences were driven by much stronger OPA effects among women with baseline carotid artery stenosis. Retired women experienced slower IMT progression than those still working at baseline.

Conclusions
Light standing work and higher levels of OPA intensity predict higher baseline IMT and 8-year IMT progression, especially among women with baseline stenosis. This study suggests that inconsistent findings regarding the effects of OPA on cardiovascular diseaes and mortality outcomes may be due to healthy worker selection and exposure misclassification biases including the failure to distinguish between standing and sitting work postures in many cohort studies.

Funding Source
This project is funded by the Danish taxpayers, via the Danish Work Environment Research Foundation, grant number 20195100247.