bluuebunny/crossref_metadata_2025_split huggingface dataset:
O.5.1-1 Physical environment perceptions in rural and urban areas and their influence on adolescents’ walking and non-motorized vehicle use
Authors: Klos Leon , Fiedler Janis , Nigg Carina , Burchartz Alexander , Hinz Thomas , Wäsche Hagen , Niessner Claudia , Woll Alexander 
Published: September 2023

Abstract

Purpose
Environment perceptions influence adolescents’ active transport. However, most studies focus on urban areas only and do not differentiate between walking and the use of non-motorized vehicles (NMV; e. g. cycling, skateboarding). Therefore, we aim to describe differences in perceived environment attributes across urbanicity levels and assess the relationship between perceived environment and walking as well as NMV in adolescents stratified across urban and rural areas.

Methods
We used cross-sectional data including age, gender, socioeconomic status, environment perceptions, duration of walking, and NMV use of 3,976 adolescents (14.5±2.0 years, 51% female) from the nationwide Motorik-Modul Study Wave 2 (2014-2017) and Wave 3 pre-Covid (2018-2020) in Germany. Separate cumulative link mixed models were calculated for rural areas, small towns, medium-sized towns, and cities to analyze relationships between environment perceptions and walking as well as NMV use.

Results
Adolescents in urban areas report higher presence of recreation facilities, walking and cycling infrastructure, cars, and children playing outside as well as better access to shops and bus stops compared to adolescents in rural areas. The latter perceive their neighborhood to be safer from crime and more pleasant for walking and cycling compared to urban areas. The relationships between environment perceptions and walking differ between urbanicity levels. For example, public sports facilities (OR = 1.29), cycling paths (OR = 1.30), and car presence are associated with walking in rural areas, whereas having access to shops (OR = 1.26) is associated with walking in cities. Rural-urban differences are also found for NMV use. For example, access to shops (OR = 1.16), cycling paths (OR = 1.29), and having a pleasant neighborhood for walking and cycling (OR = 1.29) are associated with NMV use in rural areas, whereas in cities, car presence (OR = 0.80) relates to NVT use. Public sports facilities (OR = 1.23-1.33) are associated with NVT use across urbanicity levels (all p &lt; 0.05).

Conclusions
This work suggests that active transport behaviors of rural and urban living adolescents are influenced by different neighborhood environment characteristics. Therefore, programs targeting active transport should consider specifics of the rural or urban context. Further, there is little overlap between factors associated with walking and NVT use, highlighting different needs based on transport mode choice.
O.5.2-3 Women’s experiences of being physically active during the menopause life stage
Authors: Fitzsimons Claire , Reid Janis , Sivaramakrishnan Divya , Mutrie Nanette , Niven Ailsa 
Published: September 2023

Abstract

Purpose
There is growing evidence for the benefits of physical activity (PA) during the menopause life stage (MLS) in relation to general health and wellbeing, managing symptoms, and protecting against future ill health. However, Scottish national surveillance data shows a decline in women achieving PA guidelines across the MLS (40% 35-44yrs, 28% 55-64yrs). This work was part of a larger research study. In this abstract, we present qualitative data on women’s experiences of being physically active during the MLS, with a particular interest on mental wellbeing (MWB).

Methods
Four focus groups took place (MS Teams) with women experiencing the MLS (Oct 2022, N = 24, mean age 52.6yrs). Discussion was structured around four questions – what helps/hinders PA during the MLS; how does/did PA influence mental wellbeing during the MLS; and what could be done better/differently to support women to be active during the MLS. Informed by contemporary understanding of behavior, a thematic analysis was undertaken to identify the role of Capability, Opportunity and Motivation on Behaviour (COM-B).

Results
Physical and psychological capability to be active was negatively impacted by menopause symptoms including painful joints, heavy periods, tiredness, and declining mental health. Having access to HRT helped manage menopausal symptoms and therefore increase PA. A lack of time, suitable opportunities, and lack of support from healthcare professionals limited physical opportunities, while the support of other people and social connections enhanced PA. Motivation and confidence to be active was suppressed, but many were aware PA eased psychological symptoms of the MLS, particularly if outdoors. A range of suggestions were made to support PA including enhanced education and opportunities, increased social support, greater access to tools and resources, and prioritising self-care.

Conclusions
Multiple factors influenced PA behaviour during the MLS, and the COM-B model provided a useful framework to understand these. Supporting PA during the MLS is a priority to prevent PA levels falling during this life-stage that then persists into older age. A toolbox of strategies are needed in order to better support women to be active during the MLS.

Support/Funding Source
This work was funded by SAMH, the Scottish Association for Mental Health.
O.5.2-4 ‘Experience of the menopause transition with reference to symptoms, health, and wellbeing, and how they impact motivators, facilitators, and barriers to physical activity engagement’
Authors: McNulty Kelly Lee , Lane Aoife , Kealy Rosarie , Heavey Patricia 
Published: September 2023

Abstract

Purpose
To explore experiences of the menopause transition (MT) of women living in Ireland with reference to symptoms, health, and wellbeing, and how they impact motivators, facilitators, and barriers to physical activity (PA) engagement.

Methods
Eleven, perimenopausal, Irish women (age: 51 ± 3 years) participated in individual, online, semi-structured interviews. During each interview women were asked about their experience of the MT and its influence on PA engagement. All interviews were digitally recorded and transcribed verbatim, resulting in ≈ 51, 951 of words for descriptive and thematic analysis. Three to four themes were identified under the headings of motivators, facilitators, and barriers to PA engagement.

Results
The MT was a significant event in most women’s lives that influenced PA engagement. The main motivators to engage in PA throughout the MT included safeguarding against long term health conditions, managing menopause symptoms, enjoyment through both socialising and achievement, as well as encouragement from family and role models. Many women discussed that feelings of community and collective experience through menopause fraternities, adapting and modifying, and medical supports were key factors that facilitated PA engagement throughout this life stage. There were a multitude of barriers that women in midlife faced before they could engage in PA, such as fears surrounding their capability to engage in PA, symptoms associated with the MT, the busyness of life and competing demands, as well as a lack of relatable opportunities and feelings of belonging within certain PA environments alongside other practicalities, including environment location and cost.

Conclusion
The specific motivators, facilitators, and barriers to PA engagement that women experience throughout the MT are unique which is an important consideration for stakeholders when facilitating women to either continue or (re)introduce PA during this life stage.

Support/funding source
Sport Ireland Research Grant Scheme.
O.5.2-5 Piloting a text message intervention to increase physical activity and exercise after post-stroke rehabilitation: the KATS study (Keeping Active with Texting after Stroke)
Authors: Morris Jacqui , Irvine Linda , Farre Albert , Dombrowski Stephan , Breckenridge Jenna , Ozakinci Gozde , Lebedis Therese 
Published: September 2023

Abstract

Purpose
After stroke rehabilitation, people feel abandoned by services and struggle to undertake physical activities to support recovery and health. Text messaging interventions can reach many people at low cost but have not been used widely after stroke. This study pilot-tested a text message intervention (KATS) to promote post-rehabilitation activity.

Methods
We developed KATS using: formative research on post-stroke activity; stakeholder engagement (people with stroke and rehabilitation therapists) to identify priorities; the Health Action Process Approach to structure the behaviour change intervention; and stakeholder review before pre-testing. KATS components included: increasing motivation; goal setting and planning; self-monitoring; coping planning; and maintaining regular activity. KATS comprised 95 messages, delivered by computer programme, over 12 weeks. Text messages explained and modelled KATS components using Behaviour Change Techniques effective for changing health behaviours. Messages used conversational language to encourage engagement, some asked questions on current activities. Quotes from survivors modelled behaviours, providing encouragement and authenticity. Some messages were personalised to include participants’ names.
We piloted KATS with community-dwelling stroke survivors, using mid and end-of-intervention interviews to explore experiences of KATS. We analysed qualitative data using Normalisation Process Theory to examine how participants made sense of KATS and embedded it in everyday activities.

Results
Following piloting, from 24 interviews with 12 participants, we derived four analytical themes: (1) Making sense of KATS: Timing and complementarity in the rehabilitation journey; (2) Engaging with KATS: Connection and identification with others; (3) Making KATS work: flexibility and tailorable guidance; (4) Appraising the worth of KATS: encouragement and friendliness. Participants differentiated KATS from current rehabilitation practice, finding it relevant, fitting, and worthwhile. They reported variations in engagement with behaviour change techniques, but participants could tailor KATS use, making it work for them in different ways.

Conclusions
KATS was seen as useful and acceptable to stroke survivors. Perceived benefits went beyond promoting physical activity, to feeling supported and connected. Future research will test effectivenes of KATS in promoting physical activities and explore associations with functional, social and emotional secondary outcomes. The study illustrates the importance of co-design in interventions for clinical populations.

Funder
Scottish Government Chief Scientist Office.
O.5.2-6 Using the Physical Activity Messaging Framework to investigate physical activity messaging preferences in new mothers
Authors: Williamson Chloë , Baker Graham , Kelly Paul 
Published: September 2023

Abstract

Purpose
Evidence suggests PA levels decline during pregnancy and remain low during the postpartum period. PA can reduce risk of excessive gestational weight gain, gestational diabetes, and symptoms of postpartum depression. One way to encourage postpartum to engage in PA is through PA messaging. This study aimed to apply the novel Physical Activity Messaging Framework (PAMF) to develop targeted messaging recommendations for postpartum women.

Methods
Proof-of-concept study. Semi-structured individual interviews were conducted with seven new mothers from North Tyneside and Northumberland (mean age 33.6 years). The interview schedule aligned with sections of the PAMF to explore preferences around: (1) message aim and pathway, (2) message content, and (3) message format and delivery. Interviews were audio recorded and transcribed verbatim. Framework analysis was used to identify trends, similarities, and differences in the data.

Results
Key findings related to the three sections of the PAMF. (1) This study identified important potential aims and working pathways for messages to this group, such as reducing barriers to PA and educating new mums on benefits. (2) Findings included that tone and language used in messages should be empathetic and reassuring, and that messages should be gain-framed. New mums value the social and acute mental health benefits of PA, such as connecting with other mums and relaxing. This study also demonstrated the importance of using realistic and inclusive images in PA messages. New mums may find the 150-minute PA guideline unachievable, with a preference for shorter bouts of PA and clear, practical advice. (3) Social media was identified as an viable delivery platform for new mums, and healthcare providers were identified as important messengers.

Conclusion
This study found the PAMF to be a helpful tool to inform data collection, data analysis and organisation of findings in a study aiming to develop PA messages. Findings relating to message aim and pathway, message content, and message format and delivery were identified, and specific targeted PA messaging recommendations for new mums were provided.

Funding source
This research was conducted as part of CW’s PhD, funded by the University of Edinburgh’s Principal’s Career Development Scholarship, Oct 2018 - Jan 2021.
O.5.3-7 Evaluation of implementation strategies promoting Interprofessional Collaboration Practices among social and health professionals involved in fall prevention in the community
Authors: Velde Saskia te , van Scherpenseel Meike , van Veenendaal Lidia , de Vries Sabine , Zuidema Rixt 
Published: September 2023

Abstract

Purpose
Fall prevention practices (FPPs), including exercised-based programs, are effective in reducing fall rates among community-dwelling older adults, but they are not implemented enough to reach their full potential. Given the multifactorial nature of falls, these FPPs should have an integrated approach where multiple social and health professionals achieve good Interprofessional Collaboration Practices (ICP). The aim of the current study is to evaluate implementation strategies promoting ICP among professionals involved in fall prevention.

Methods
We performed longitudinal process evaluations with a mixed-methods approach including document study, dynamic learning agenda (DLA), and a social network analysis (SNA) survey in four communities in the region of Utrecht, the Netherlands. Professionals involved in fall prevention participated in regular meetings and responded to SNA surveys. This survey was distributed at baseline, after six, 12 and 18 months, which measured, among other things, the number of links between professionals. Evaluation whether the implementation strategies, such as training, providing a social care map and establishing referral pathways, improved ICP were guided by The Conceptual Framework ICP.

Results
Data collection is ongoing and results will be updated. Until now, the SNA shows that in all communities physical therapists and primary care and community nurses play a central role, and that over time more professionals were included in the network. The DLA showed that changes in barriers for ICP differed per community; in one community time and budget remained main barriers, while in another community barriers were successfully transformed in facilitators. For example, initially professionals did not know each other well, but after using the implementation strategies they understood each other's role better, which highly facilitates efficient ICP.

Conclusions
The effect of implementation strategies are dependent on local contexts. Furthermore, continuous evaluations, such as insight in present barriers and facilitators, and reflections are necessary to select the implementation strategies that fit best to the current context. These findings will help professionals involved in fall prevention to implement and upscale FPPs in the community.

Support/Funding Source
This research is co-financed by Regieorgaan SIA, part of the Netherlands Organisation for Scientific Research (NWO) (project number RAAK.PRO03.099).
O.6.1-2 Motor competencies of elementary-school aged children – investigating the conjoint impact of parenting, school grounds quality, children’s movement behavior and self-confidence
Authors: Algurén Beatrix , Tang Yiling , Pelletier Chelsea , Naylor P-J , Faulkner Guy 
Published: September 2023

Abstract

Purpose
To understand factors that impact on children’s motor competencies (MCs) from a socio-ecological perspective.

Methods
The study is a cross-sectional sub-study of a three-year longitudinal cohort study called ‘Physical Literacy for communities (PL4C)’ in the West Vancouver school district. Motor competencies were assessed by the Physical Literacy Assessment for Youth (PLAY) Fun tool. Children were asked to perform 18 different movement tasks across five domains: running, locomotor, upper and lower body control, balance.
Children’s objective physical activity was measured using wrist-worn accelerometer Actigraph GT3X+BT. Through a survey, parents were asked about their children’s amount of time playing outside during workdays and weekdays as well as time doing sports or instructor-led physical activity.
The Activity Support Scale for Multiple Groups (ACTS-MG) were included in the survey measuring parental support for children’s physical activity.
Quality of the 14 school grounds was measured by using the Sport, Physical activity and Eating behavior: Environmental Determinants in young people (SPEEDY) school grounds audit tool existing of six component scores: cycling provision, walking provision, sports and play facilities provision, other facility provision, design of the school grounds, aesthetics.

Results
Complete assessment of motor competencies (with PlayFun) were done for 319 children with average age of 7.5 years (90%; 166 boys, 147 girls, 6 non-binaries), whereof the majority was on an emerging- level (79%) regarding overall MC and one fifth on competent- level (n = 67). Participants accumulated MVPA about 111 minutes per day (113 min/d for boys, 109 min/d for girls, p = 0.37). Children with competent-level MC had in average 15 minutes/day more MVPA compared to children with emerging-level MC (p = 0.001). Analysis with structural equation modeling (SEM) revealed that direct significant effects of parenting, school grounds quality, children’s movement behavior varied for each MC and overall MC and between gender. ‘Logistics’ turned out to influence significantly positive most often, and had a positive significant effect on males and females overall MC (g = 0.267, p = 0.004 and g = 0.247, p = 0.011).

Conclusions
Beside parents logistics support and participation in sports, school grounds seems to impact positively children’s MCs, yet different school grounds qualities enhance girls’ and boys’ MCs in different ways.
O.6.1-3 The association between education outside the classroom, intrinsic school motivation, and physical activity in primary school pupils
Authors: Mikkelsen Silje , Müllertz Alberte Laura Oest , Bølling Mads , Aadahl Mette , Elsborg Peter 
Published: September 2023

Abstract

Purpose
The decline of school motivation over a school year is a common issue that can have negative impacts on academic achievement and children's health. Education outside the classroom (EOtC) has been shown to positively affect intrinsic school motivation and physical activity (PA) in previous studies. However, the relationship between motivation and PA during EOtC remains unclear. This study aims to investigate the association between EOtC and intrinsic school motivation and what role PA has in this association.

Methods
Cross-sectional data from the Danish MOVEOUT study intervention group were collected from 225 primary school pupils aged 10-15 from 15 different school classes from September 2022 to February 2023. Intrinsic school motivation was measured by Intrinsic Motivation Inventory and Psychological Need Satisfaction Scales (BPNSS) items at pupil-level immediately after two EOtC and two non-EOtC schooldays. PA was measured with wrist band worn Axivity® AX3 accelerometers. Data was analysed with linear mixed models.

Results
The study found a positive association between EOtC and higher levels of school motivation. The study also found associations between PA and intrinsic motivation, indicating that more time spent in sedentary behavior was associated with less school motivation, while more time in light intensity activity was associated with higher school motivation. However, the data did not support that PA moderates the association between EOtC and school motivation.

Conclusion
The results of this study suggest that EOtC have a positive impact on pupil’s school motivation. We therefore recommend the use of EOtC to enhance intrinsic motivation. The study also highlights the importance of reducing sedentary behavior during school days. These findings can inform education policymakers and teachers in designing learning environments, lessons, and activities that promote pupils’ motivation and academic and personal growth.

Funding
Novo Nordisk Foundation (Grant no. 0062703).
O.6.1-10 Associations between physical education anxiety and physical fitness through five years
Authors: Jaakkola Timo , Costigan Sarah , Gråsten Arto , Huhtiniemi Mikko 
Published: September 2023

Abstract

Purpose
Physical education is an important context to contribute students’ physical activity in childhood and adolescence. However, negative physical education experiences may have a long-lasting association on students’ willingness to participate in physical activity. The associations between students’ anxiety in physical education and physical fitness have not been previously investigated. The aim of this longitudinal study was to analyse associations between physical education anxiety and physical fitness through five years.

Methods
Participants of this study included 1147 Grade 5 students (565 males) (mean age: 11.27(0.32) years) at the baseline measure. These participants were measured annually between Grades 5 to 9. The Finnish version of the Physical Education State Anxiety Scale (Barkoukis, 2007) was used to measure cognitive anxiety in physical education. Physical fitness was measured by 20meters shuttle run test (cardiorespiratory fitness) and curl-up and push-up tests (muscular fitness). Sex, BMI and peak height velocity was used as covariates in the analysis. Associations between study variables were measured by the Random Intercept Cross-Lagged Panel Model using Mplus statistical software.

Results
Between level results (squared multiple correlations) of the analysis demonstrated that cognitive anxiety was related to cardiorespiratory (-.32) and muscular fitness (-.34) over five years. Additionally, sex (-.12; girls higher anxiety), BMI (.16) and peak high velocity (-.23) had significant associations with cognitive anxiety.

Conclusions
This study revealed that cognitive anxiety in physical education has an influence on student’s physical fitness longitudinally. These findings were similar between anxiety and cardiorespiratory fitness and between anxiety and muscular fitness. Results demonstrate that negative physical education experiences have an association on cardiorespiratory and muscular fitness from late childhood to adolescence. Constructs of the Self-determination theory (basic psychological needs) and Achievement goals theory (task orientation) are helpful when implementing positive pedagogy in physical education.

Support/Funding Source
Finnish Ministry of Education and culture funded this study.