bluuebunny/crossref_metadata_2025_split huggingface dataset:
S11-3 Hurdles and springboards in involving different health care workers with physical activity on prescription: an EUPAP experience
Authors: Lipkens Luc , Devloo Karlien 
Published: September 2023

Abstract

Purpose
In Flanders General Practitioners (GP) can use Physical Activity on Prescription (PAP) since 2017. GPs can start a prescription and refer their patients to a PAP-coach. This PAP-coach finishes off the prescription. The PAP-coach follows the patient and reports back to the GP. The Flemish government pays the largest part of the PAP-coaching. In 2019 a collaboration, funded by EU, between different European regions was set up in order to implement a European Physical Activity on Prescription model (EUPAP). In other countries, other Health Care Workers (HCW) used PAP as well. In 12 pilot regions in Flanders, they were allowed to do so. The purpose was to increase the use of PAP and thus increase the physical activity level of patients.

Project description
Development: starting from the experience with GPs and other European regions, a proposal of implementation was made. This proposal was adapted to the feedback of professional associations of HCW.

Implementation
In the 12 pilot regions, network groups were responsible for the local implementation. They received a proposed plan, information, (promotion) materials and content for the training of HCW in PAP. The professional associations were asked to inform their members about PAP.

Evaluation
After 4 months of implementation the local implementators joined two focus groups about the implementation process and their first impressions. After 12 months of implementation two online questionnaires were distributed: one for patients that uses PAP and one for prescribers that could have been using PAP. The first results indicate that (1) it is difficult to inform HCW, (2) most HCW are positive, (3) HCW start making use of PAP but not as much as hoped by PAP-coaches.

Scaling up
An evaluation report with lessons learnt from the 12 pilot regions will be handed over to the Flemish government for scaling up the use of PAP by HCW.

Conclusion
Reaching more patients to become more active through other HCW, than GPs, was implemented in 12 regions. Hurdles and springboards are identified in order to learn from for scaling this up.
S12-5 Physical activity trends among second-level Active School Flag programme 2019-2021
Authors: Ng Kwok , Grady Caera , McHale Fiona , McNally Kathleen , Conneelly Maeve , Woods Catherine 
Published: September 2023

Abstract

Purpose
Schools in the second level Active School Flag (ASF) programme are required to carry out a whole school survey to capture the student voice within the programme. Data from these surveys can be used to measure changes in physical activity behaviours at the school level. This presentation outlines the changes in physical activity levels over a three-year period from students in ASF schools.

Methods
From five schools involved in the ASF programme from 2019 to 2021, students reported frequencies of 60 minutes of aerobic physical activity, muscle strengthening, and active transport. Students were grouped into inactive (0-2 days), somewhat active (3-4 days), active (5-6 days) and daily active (7 days), as well as meeting muscle strengthening guidelines (3+ days/week) and not meeting (0 – 2 days). Furthermore, only students who lived within 5km of their school were included in the active transport analyses, where active transport was a combination of walking and cycling. Contingency tables were produced, and logistic regressions were used to analyse changes between 2019 (reference), 2020 (COVID-19 lockdown), and 2021, with age as confounders and stratified by gender.

Results
There was an 80% response rate across the five schools. Of the 7646 students (male 33%, female 65%, other 2%), minimal changes in ‘daily active’ students were observed from 2019 (12%), 2020 (13%), to 2021 (12%), whereas ‘inactive’ students decreased from 25% in 2019 to 23% in both 2020 and 2021. Rates of meeting muscle-strengthening guidelines remained steady over the years for both males and females. Active transport increased from 55% in 2019 to 66% in 2021 for males and 50% in 2019, 63% in 2020, to 65% in 2021 for females. In addition to these overall trends, idiosyncratic analyses of the schools revealed different trends from being in the ASF programme.

Conclusions
There were high level of responses from the whole school survey. The ASF intervention contains adaptable components due to the complex adaptive sub-systems and may shed light on the differences in physical activity over time. Furthermore, COVID-19 restrictions may have affected the program-related results.
S14-4 The unique role of community sport motivators in ‘connecting the dots’ in the Netherlands
Authors: Schijvens Lonneke , van Aggelen Willemijn , Kronenburg Jacqueline 
Published: September 2023

Abstract

Purpose
In 98 % of all municipalities in the Netherlands, community sport motivators (in Dutch: Buurtsportcoaches) connect the dots between the sports sector, social sector, schools, care and childcare and even more. Their goal: motivating people of all ages to take up sport or become physically more active.

Project description
With now almost 6.000 of these professionals, their role is vital in Dutch sport policy and implementation, with tasks such as physical activity education, organizing events and activities, and advise clubs and childcare organizations. They work with local and social organizations and strengthen intersectoral collaboration. The implementation is coordinated on a national and local level and the co-funding is innovative: the government funds 40%, municipalities or local sport organisations 60%. The role of these professionals has been defined in national policies. One of the success factors is the fact that the tasks can be locally customized, according to the needs on a local level.
Evaluation has been performed with quantitative and qualitative research. For instance, research shows that community sports coaches are responsible for both organising (95%) and supervising (86%) extracurricular sports activities at schools. A large majority (82%) of municipalities want to use community sports coaches to ensure that more children meet the exercise standard and that their motor skills improve.

Conclusions
Community sports motivators are here to stay in the Netherlands. Long-term sport policy is needed to build up the confidence in and capacities of this new sport professional. Their role is evolving: in the new National Sports Agreement (2022), strengthening implementation power is one of the targets. Community sports motivators will be more often deployed to organise or realise the referral of inactive people to the existing offer. And with the new School & Environment programme, the Dutch government is committed to equal opportunities by giving sufficient sports and exercise an extra impulse. This starts in the neighbourhoods where the most vulnerable children live, also lagging behind in sports and exercise participation. Among started schools, good examples are already visible where clubs, community sports coaches and commercial sport providers make an important contribution to children's development.
S15-1 Health-enhancing physical activity: does an active body make an active brain?
Authors:   Chair(s):, Cardon Greet , van Uffelen Jannique 
Published: September 2023

Abstract
The cognitive health of older adults has become an increasingly important topic as the world's population continues to age. This symposium discusses the latest research and best practices for promoting and maintaining cognitive health in older adults, with an emphasis on the role of physical activity. Four expert presentations will delve into various aspects of this complex topic.
The first presentation will provide a bibliometric analysis of the scientific literature about the link between lifestyle and cognition.
The second presentation will present cross-sectional findings on the relationship between 24-hour movement behaviours and cognition in adults aged 55 years and above.
The third presentation will present the effects and process evaluation of a cognitively enriched walking program for older adults, focusing on the challenges of research in real-life settings.
The final presentation will highlight the impact of a combined physical and cognitive activity program on executive function and walking speed in adults aged 70-85 years.
The bibliometric analysis and cross-sectional findings will provide a broad overview of the current state of research in this area, while the intervention studies will offer practical insights into the design and implementation of physical activity programs that target cognitive health in older adults. This symposium is a valuable opportunity for researchers, practitioners, and policy makers to learn about the latest developments in this field and discuss the future direction of research and policy.
O.1.1-6 Active in Mind: a 6-year synthesis of the effects of a physical activity and mental health-focused programme on young people in a school-based setting
Authors: Burgin Alice , Slavin Lucy 
Published: September 2023

Abstract

Purpose
Mental health issues in young people are rising and have many adverse impacts on their health, development and education. The Active in Mind programme is a free to access, school-based intervention that uses physical activity as a vehicle for improving young people’s physical, mental and social wellbeing, whilst addressing physical inactivity. The programme is led by an Athlete Mentor, alongside student mentors, and targets young people with low-moderate mental health issues, who are not receiving statutory support, as mentees.

Project description
The Active in Mind programme was first piloted in 2016. Subsequent iterations of the programme have been based on evidence from both previous approaches of each implementation and evaluation, as well as the evolution of the needs of young people and schools. Together, the Active in Mind programme has always sought to address the current needs of schools and young people, with evidence-based core components that can be adapted based on school needs. To date, the programme has reached 21,216 young people. Survey data from young people at baseline and post-programme across this time period has been synthesised. Overall, synthesised outcome data from a subset of young people demonstrates improvements in mentees’ physical activity levels, mental and social wellbeing, whilst improving mentors’ life skills such as leadership, team working and communication skills. Differences in outcomes between mentors and mentees are present, as well as differences in young people from less and more affluent backgrounds.

Conclusion
The current synthesis of self-reported data demonstrates the effectiveness of a free to access school-based physical activity programme on young people’s physical activity levels, mental and social wellbeing and life skills. A strength of the programme is its evidence-based implementation and evaluation and that it provides a solution for the current challenges schools are facing around young people’s mental and physical wellbeing.
The programme’s evaluations have contributed to design and development of future Youth Sport Trust programmes. In addition, evaluations of the programme have also evolved across the time period to ensure the most influential format of evidence is created, in order to influence external policymakers and decision makers at the time.
O.1.2-8 Wants to, but doesn’t do: conflict between goals and activities in community-dwelling older people
Authors: Rantakokko Merja , Saajanaho Milla , Kokko Katja , Törmäkangas Timo , Portegijs Erja , Rantanen Taina 
Published: September 2023

Abstract

Purpose
Active aging refers to the process where older people strive for activity in line with their goals, abilities and opportunities. However, the will does not always lead to action, creating a conflict between goals and actions. The aim of this study was to determine in which activities older people have conflicting goals and actions, and whether ability and perceived opportunity to engage in these activities explain this difference.

Methods
The study included 1021 participants aged 75, 80, or 85 years, who were interviewed for the Active Ageing (AGNES) project in Jyväskylä in 2017-2018. The University of Jyvaskyla Active Aging Scale (UJACAS) includes 17 activities, and for each one, participants were asked about their desire, ability, opportunity, and frequency of participation. A conflict between goals and actions was identified if a participant expressed a desire to participate in an activity but did it rarely or not at all. Logistic regression was used for analyses.

Results
The most common conflicts were related to participating in events to do with studying, clubs or associations (29%), helping others (25%), and participating in hobbies related to art and music (22%). Reduced ability to participate in art and music hobbies was associated with a conflict between goals and actions in that activity (OR 1.39, 95% CI 1.02-1.91). Perceived lack of opportunity was associated with the conflict in helping others (OR 2.04, 95% CI 1.31-3.20), when ability to engage in the activity was taken into account. Reduced ability and lack of opportunity were not associated with the conflict between goals and actions in participating in events of studying, clubs or associations.

Conclusion
Ability and perceived opportunity to engage in activities only partially explain why people do not do what they want to do. Older people may prioritize their time and resources, choosing to engage in activities they consider most important. Therefore, policies and programs that promote active ageing should consider the unique needs that older people have and support access to community-based resources.
The study is funded by European Research Council and Academy of Finland.
O.1.3-5 A review of NHS Scotland policies and strategies on employee wellbeing: the promotion of physical activity
Authors: Ryde Gemma Cathrine , Hoyle Louise Patricia 
Published: September 2023

Abstract

Purpose
The NHS in Scotland is under increasing strain to deliver essential health services since the 2019 COVID. This is in part due to pressures caused by employee absences which even before the pandemic were increasing and at a higher rate than the national average. Promoting lifestyle choices such as physical activity to NHS employees can potentially improve this issue. However, the extent to which employees are encourage and supported to be active at a policy or strategic level is unknown. The aim of this study was to assess the number of health boards that had a policy or strategy document focusing on employee health and to assess the extent to which physical activity was part of this.

Methods
Freedom of Information Requests (FOI) were sent to all 14 Scottish NHS Health Boards to request any workplace documents (both strategic and non-strategic) which focus on employee health and wellbeing. Online searches were also conducted for each health board to look for any additional documents related to staff wellbeing. After removing duplicates, titles and content were assessed for relevance to employee health and wellbeing. The content of include documents were reviewed and any mention of physical activity recorded.

Results
Thirteen documents were retrieved with 11 of the 14 Health Boards having a at least one policy or strategy document that focused on employee health and wellbeing. The oldest document dated back to 2013 with four published since 2020. Of the 13 documents, nine documents mention physical activity but mainly in relation to current activities rather than in the context of a future healthy workforce.

Conclusion
Despite the importance of a healthy NHS workforce, some Health Boards still do not have policy or strategy documents to support this. Those that do are potentially limited by the lack of reference to lifestyle behaviours such as physical activity. In order to improve employee health and wellbeing in the NHS, organisational level documents that encourage health behaviours for staff such as increasing physical activity are needed.
O.1.3-7 Hungarian Active Lifestyle (HEPA) Strategy 2033
Authors: Lacza Gyöngyvér 
Published: September 2023

Abstract
Inactivity and obesity crisis is getting serious in Hungary in the last decade. According to the latest Eurobarometer studies (2022) 59% of the population are inactive and do not meet the WHO minimum physical activity recommendations. Besides, research shows that nearly 60% of Hungarian adults are overweight or obese, and every fifth child as well. As a respond to these challenges in 2023 the first ever Hungarian Active Leisure (HEPA) strategy has been prepared. As a first step we have created a sectoral map and interviewed potential action partners, including all the most recognized stakeholders from the recreation, sport, health and education sector. After a deep overview of the relevant literature, international guidelines and best practices the team of experts chose the OECD/WHO ‘Policy options to increase PA intervention’ model to follow (2023) as theoretical framework for future interventions. The major focus areas of interventions such as School-based interventions, Workplace-based interventions, Interventions of the Healthcare settings, Interventions in the sports sector and Information and communication policies must have been extended with three more areas: Urban design and transport policies, Natural environment and at last Seniors and Socially and economically disadvantaged citizens. A number of programs have already been piloted (just like Active School Program, Sport Clubs for Health, Workplace interventions or Senior - Pre-school children’s recreational-sport activities together) with great results. Indicators are not only the growing numbers of participants but also successful pilot programs are spreading and more and more work-places, local communities and sport clubs open up to follow these examples all over the country. Hopefully, in the medium and long term both physical activity rates will increase and health and well-being benefits are going to be significant too.
Sources: https://sport.ec.europa.eu/news/new-eurobarometer-on-sport-and-physical-activity
https://read.oecd-ilibrary.org/social-issues-migration-health/step-up-tackling-the-burden-of-insufficient-physical-activity-in-europe_540a3e56-en#page1
O.2.3-3 Are we working (too) comfortably?: developing and testing an evidence-informed toolkit to reduce sedentary behaviour when working at home
Authors: Morton Sarah , Fitzsimons Claire , Coral-Almeida Eva , Sivaramakrishnan Divya , Niven Ailsa 
Published: September 2023

Abstract
Covid-19 permanently changed how desk-based workers spend their day, with many working at home (W@H) some/all of the working week. W@H is associated with increased levels of sedentary behaviour (SB), when compared to office sitting. There are adverse mental and physical health outcomes associated with prolonged SB. A solution is needed to support those who W@H to move more across the day, reducing the negative effects of SB.
Informed by a rapid review and focus groups with desk-based workers, we developed a ‘Toolkit’ comprising educational information about SB, suggestions for reducing SB, and action planning resources. ‘Toolkit’ components were grouped into themes and delivered over 4-weeks by e-newsletter: 1) Move During Meetings; 2) Active Breaks; 3) Home-to-Home Commute; 4) DIY Tech. Scottish Government employees tested the ‘Toolkit’ and provided feedback to allow us to refine ahead of wider rollout.
Staff reported enjoying using the ‘Toolkit’ and found the weekly e-newsletters were a useful reminder to move more when W@H. Suggestions were considered practical, low-cost, and didn’t require additional resource (e.g. buying equipment) to engage with. In terms of refinements, staff felt it would be useful to have organisational support for permission to take breaks when W@H and that there were occasions when it could be difficult to implement suggestions, e.g. during meetings, when busy, and limitations of job requirements. Each participant had their own favourite strategy. The ‘Toolkit’ could be further enhanced through options to personalise. The Active Break week was the favourite theme with 39% of final evaluation respondents indicating preference for this. DIY Tech week was the least favourite (11%).
W@H employees are aware of the risks of prolonged SB, and want to reduce this behaviour without impacting on job role. Validation from employers will nurture a culture of permission to move, however resources providing employees with individualised suggestions of when to move and what to do will be imperative to encourage long-term behaviour change. Through our research, we have developed and tested an intervention ‘Toolkit’ for supporting those W@H to reduce SB. The next stage is to explore AI-based opportunities for personalisation and rolling out more widely.
O.3.3-2 Promoting physical activity to patients: a scoping review of the perceptions of doctors in the United Kingdom
Authors: Baker Graham , Woodhead Gemma , Sivaramakrishnan Divya 
Published: September 2023

Abstract

Purpose
The physician–patient encounter presents an ideal opportunity for physical activity (PA) promotion. This review aims to: i) explore the breadth and depth of existing literature investigating doctors’ perceptions of PA promotion in the United Kingdom (UK); and ii) identify factors influencing the extent to which doctors engage in PA promotion during patient interactions.

Methods
A five-stage scoping review methodology and the PRISMA-ScR guidance were followed. Stage 1 – research questions specified. Stage 2 – relevant studies identified by searching five electronic databases and manual screening of references. Stage 3 – studies screened using Covidence™. Stage 4 – study data extracted and charted. Stage 5 – findings from included studies were analysed, summarised and reported using: i) descriptive numerical analysis to provide insight into study characteristics; and ii) narrative summary of the evidence categorised by factors that influence doctors’ engagement with PA promotion.

Results
In total, 16,961 studies were screened. Nineteen studies were included in the review with most conducted in primary care focusing on the perceptions of general practitioners. Seven influencing factors were identified: knowledge and training, personal interest and PA level, time, resources, confidence, the perceived role of the doctor and patient relevance.

Conclusions
This review provides new evidence that historical barriers and influencing factors have a persisting impact on the ability and willingness of UK doctors to engage with PA promotion with patients. Previous efforts to address these factors would appear to have had limited success. Further intervention efforts are required to ensure more widespread and effective PA promotion to patients.