bluuebunny/crossref_metadata_2025_split huggingface dataset:
O.2.1-5 Knowledge, use and confidence in physical activity guidelines and assessment in recently graduated doctors from Irish medical schools: a cross sectional survey
Authors: Ryan Jennifer , Jivan Dhruv , McDonough Suzanne 
Published: September 2023

Abstract

Purpose
Approximately 54% of the adult population in Ireland do not meet National Physical Activity Guidelines. Doctors play a key role in supporting people to be more active but may lack knowledge, skills and confidence to promote physical activity. The aim of this study was to explore knowledge and confidence in relation to physical activity counselling in recent medical graduates in Ireland.

Methods
Medical doctors who graduated from Irish medical programmes in the past 5 years and currently had patient contact were asked to complete an online survey between April and November 2022. The survey was shared with medical graduates through social media, alumni groups, and relevant professional and social networks. The survey included a minimal number of questions about participant demographics and education, questions relating to participants' knowledge and confidence of physical activity guidelines and counselling, and questions relating to education and training on physical activity. The responses were downloaded to Excel and data such as mean, standard deviation, frequency and percentage, were analyzed to summarize participant responses.

Results
Among the 95 responses, the majority were from graduates of Direct Entry Medicine Programmes who were currently working as Senior House Officers in either Ireland or Australia. Key findings indicated that 76% of participants were unaware of the Irish Physical Activity Guidelines and 60.76% are unaware of the Making Every Contact Count Framework. The majority wanted to receive training on physical activity at undergraduate level (73%) and postgraduate level (61%). With regards to physical activity knowledge for counselling, a majority of responders rated their knowledge between 5,6 and 7 out of 10. Similarly, a majority of responders rated their confidence in prescribing between 4,5, and 6 out of 10 (1 being not confident and 10 being extremely confident). The top three subjects participants wanted training on were: Physical Activity Guidelines, Counselling, and Assessment.

Conclusions
Findings indicate a gap in the teaching and assessment of physical activity in undergraduate medical curricula in Ireland. However, there is demand among recent graduates for training on physical activity. Future studies should be done among a larger sample in order to strengthen confidence in our findings.
O.2.1-8 Who are suitable targets for a social prescribing intervention addressing physical activity? A survey-based study including viewpoints from general practitioners
Authors: Christensen Mette Rod , Skjerning Halfdan Thorsø , Ryom Knud , Jacobsen Julie Sandell , Rasmussen Lene Gissel , Hansen Lasse Greve , Nielsen Rasmus Østergaard 
Published: September 2023

Abstract

Purpose
Social prescribing has been suggested as an inter-sectoral intervention to increase physical activity. In the intervention, healthcare professionals refer patients or citizens to a link worker who is assisting them to locate peer-based activities in their local community. The present study investigated which groups of physically inactive adults the Danish general practitioners reported as relevant target groups for a social prescribing intervention to increase the level of physical activity.

Methods
The study design was a descriptive survey-based study. Danish general practitioners completed an online survey. On 10-point interval scales, they rated the suitability of referring 25 selected target groups of physically inactive adults (18+) with medical conditions or health-threatening behaviour to a social prescribing intervention to increase their level of physical activity. A score of 0 referred to not suitable at all, whereas a score of 10 indicated highly suitable. Using non-parametric statistics, target groups were considered eligible for an intervention if the 25th percentile had a score of 8 or above indicating that 75% of the GPs reported a score of 8 or above.

Results
A total of 52 general practitioners completed the survey. Of these, 75% reported a score of 8 or above to Danes with metabolic syndrome (median=10; 25th percentile=9), overweight (median=10; 25th percentile=9), diabetes (median=10; 25th percentile=8), and low back pain (median=9; 25th percentile=8) indicating these to be target groups of social prescribing to increase the level of physical activity. GPs considered the following groups less suitable for an intervention: persons with eating disorders (median=4; 25th percentile=2), migraine (median=5; 25th percentile=3), and women during postpartum (median=6; 25th percentile=3). Data from open-ended questions added nuances to the ratings and suggested citizens struggling with loneliness to be a new target group for social prescribing.

Conclusions
A majority of the responding Danish GPs identified persons with metabolic syndrome, overweight, diabetes, and low back pain as being target groups suited for a social prescribing intervention to increase the level of physical activity. These results are interesting since several approaches to impede the level of physical inactivity exist, and political and organizational efforts have become subject of the recent attention.
O.2.2-4 Longitudinal associations between residential greenness exposure, physical activity and sedentary behavior levels: a country-wide study in Luxembourg
Authors: Van Beek Juliette Francisca Elain , Perchoux Camille , Malisoux Laurent , Klein Olivier , Bohn Torsten , Beenackers Mariëlle , van Lenthe Frank , Dijst Martin 
Published: September 2023

Abstract
Greenness exposure has been associated with many health benefits, by providing opportunities for physical activity. Longitudinal studies are lacking, and most studies overlook the varying effects of different greenness types on physical activity (PA) and sedentary behavior (SB). We investigated 9-year associations of greenness characterized by overall greenness, vegetation type, and mix, with PA and SB using data from the ORISCAV-LUX study and the MET’HOOD project.
The PA and SB outcomes were measured using the International Physical Activity Questionnaire (IPAQ) short form. PA is expressed as MET-minutes/week and log-transformed, and SB is expressed as sitting time in minutes/day. The exposure variables were Tree Cover Density (TCD), Soil-adjusted Vegetation Index (SAVI), and Green Land Use Mix (GLUM). The study population consisted of 628 adults, who completed the questionnaires between January 2007-2009 and January 2016-July 2017. Missing data were imputed. Greenness exposure was collected within 800-meter street network buffers based on participants’ exact residential address. Associations between TCD, SAVI and GLUM and PA and SB were estimated using a Random Effects Within-Between (REWB) model. Interaction by gender and SES were explored. Sensitivity analyses were performed on smaller (500 meter buffer) and larger (1000, 2000 meter buffers) definitions of the residential neighborhood.
We found evidence of between-individual associations of GLUM and PA (β = 0.17, 95% CI: 0.03; 0.91), and within-individual associations of TCD with PA (β = 0.03, 95% CI: 0.002; 0.438) (in 800 meter buffers). There was no evidence for associations between greenness exposure and SB. Sensitivity analysis using varying buffer sizes showed similar associations.
Our study found evidence of associations of GLUM and TCD with PA, and no associations between greenness exposure and SB. Promoting different types of greenness may result in different PA levels and behaviors. Replication studies are needed to inform urban planning interventions.
This study is funded by the EU Horizon2020 Program under grant agreement number 956780 (SURREAL). The ORISCAV-LUX study is funded by the Luxembourg Ministry of Health and Ministry of Higher Education and Research. The MET'HOOD project is funded by the Luxembourg National Research Fund as part of the CORE 2020 programme (C20/BM/14787166).
O.2.2-6 ‘Let’s Ask the Service Users and Staff!’ - Barriers and Facilitators to Increasing Physical Activity in Medium Secure Psychiatric Services in the UK?
Authors: Lui Gloria , Faulkner Guy , Gibbon Simon , Hewitt Catherine , Hughes Elizabeth , Lewis Kiara , Lucock Mike , Singh Bal , Walters Phil , Watson Judith , Walker Tammi 
Published: September 2023

Abstract

Purpose
As part of a four-phase project, ‘Increasing Physical Activity in a Medium Service: The Development and Feasibility of a Physical ACTivity Intervention (IMPACT)’, the barriers and facilitators to increasing physical activity (PA) in medium secure psychiatric services, in the UK, were explored. Previous reviews have called for additional exploration into barriers and facilitators, as evidence has suggested a positive association between PA and the improvement in physical and psychological health for people with serious mental illnesses (SMI) and low activity levels.

Methods
A mixed-method approach was adopted. Questionnaires, co-developed with service users, were completed across two NHS study sites in England, UK (n = 68), collecting qualitative and quantitative data from service users in medium secure services. Two focus groups were also conducted to collect qualitative data (n = 24) from hospital staff and key stakeholders. Framework Analysis and the COM-B Model of Behaviour Change (C for Capability, O for Opportunity, M for Motivation and B for Behaviour) were used to analyse the data. For this paper, the qualitative data from both the questionnaires and the focus groups will be discussed.

Results
Similar themes were identified by the service users, hospital staff and key stakeholders. One main barrier discussed was environmental factors in secure services such as sedentary ward environments and the lack of autonomy in secure services. Main facilitators discussed were increasing the knowledge of benefits to PA and having structural guidance for personal development.

Conclusion
The barriers and facilitators identified will inform the remaining phases of the IMPACT project, including a co-produced PA intervention, based on overcoming the barriers and supporting the facilitators identified. A feasibility study will then test the PA Intervention. This feature of co-producing a PA intervention in medium secure services, based on barriers and facilitators, adds to the limited literature in this area. The aim of the IMPACT project is to inform future a pilot study and policies.

Support/Source
National Institute for Health and Care Research (NIHR) - Research for Patient Benefit Programme (IRAS ID 297420).
O.2.2-8 Delapré Walk Project: are signposted walking routes an effective intervention to increase engagement in urban parks? –Natural experimental study
Authors: Ryan Declan , Hardwicke Jack , Hill Kimberley 
Published: September 2023

Abstract

Purpose
Investigate the effect on visitors' greenspace engagement by retro-fitting wayfinding, to create a looped walking route, within an urban park.

Methods
1. An online-survey was distributed (23rd March – 3rd May 2021) to determine public perceptions of wayfinding's role for recreational physical activity within the urban park and explore what information should be included on wayfinding.
2. Automated and manual counts were monitored on footpaths where the new wayfinding was installed at baseline (4th March – 26th August 2021) and follow-up (29th August 2021 – 29th August 2022). A QR code accessed intercept survey was provided on the wayfinding to understand route-user visitation habits.
3. Intercept go-along interviews were conducted on 8th, 14th, 24th September 2022 to explore visitor’s reasoning for using the park and engagement with the wayfinding intervention.

Results
Phase 1: Themes from 266 survey respondents suggested wayfinding could increase visitors’ confidence to explore, perceptions of safety, motivation to walk further, and reduced anxiety. Directional arrows, total distance of the route, consistent colours and fonts, a map of the route, local information of interest, and emergency contact information were the main components that respondents strongly agreed should be included on wayfinding.
Phase 2: Manual and automated counts showed no consistent change in daily footfall between baseline and follow-up. However, 23% of route users reported they were following the signs at 12-month follow-up. Intercept survey respondents appeared to be infrequent park users, with the new wayfinding making them feel less anxious about exploring unfamiliar areas, motivating them to walk further than originally planned, and helping them ‘take notice’ of the landscape.
Phase 3: Interviewees (n=28) valued the detachment from the urban environment that the park provided, which gave positive experiences to wellbeing, mental health, and social connections. Wayfinding was valued by irregular park users to help them confidently explore the park.

Conclusions
Retro-fitting wayfinding in an urban park helps irregular users engage in the greenspace and wayfinding design needs to integrate with the natural environment to keep contrast with urban environments. The project illustrated the value of qualitative methods within natural experimental studies to capture intervention impacts.

Support/Funding Source
University of Northampton
O.2.2-9 Initial effects of the “This Girl Can” physical activity and sport mass media campaign in Victoria, Australia
Authors: Bauman Adrian , McNeil Nicola , Nicholson Matthew , O'Halloran Paul , Randle Erica , Seale Emma-Louise , Stukas Arthur 
Published: September 2023

Abstract

Purpose
Mass media campaigns are recommended in the “8 best investments for physical activity”. Despite large investment in the English “This Girl Can” (TGC) campaign since 2015, no independent evaluation data are published. This project reports on the TGC campaign licenced for use in Victoria, Australia from 2018 onwards. This project reports on the impact of the first wave of this media campaign on inactive Australian women’s attitudes and perceptions of physical activity.

Methods
Campaign impact was assessed using serial cohort and independent sample population surveys; two surveys were pre-campaign (Oct-2017 and March-2018), and the post-campaign survey following the first wave of TGC-Victoria mass media (May 2018). Primary analyses used the cohort sample of 818 inactive women followed across all three surveys. We measured campaign awareness and recall, and self-report measures of physical activity behaviour, perceptions of being judged and related psychological measures. Changes in perceptions of being judged and in reported physical activity were assessed in relation to campaign awareness over time.

Results
A third of women recalled the TGC-Victoria campaign. Reported physical activity increased by 0.19days/week following the campaign, especially among women aged over 50years. Feeling judged (3-items, Cronbach alpha=0.91) improved following the campaign (p &lt; 0.01), as did a single-item feeling judged question (p = 0.08), with effect sizes=0.15 and 0.08 respectively. Theory of planned behavior and self-efficacy questions were unchanged but increases noted in self-determination (p &lt; 0.01) and reductions in feeling embarrassed (p &lt; 0.05). No differences were seen in the stage-of-change measure. Campaign awareness was not related to changes in physical activity or feeling judged or embarrassed while being active.

Conclusions
The first year of the TGC-Victoria campaign resulted in good community awareness, and initial decreases in women feeling judged whilst being active, but these did not yet translate into substantial physical activity gains. Further waves of the TGC-V campaign have been conducted to further influence the perception of being judged while being active among inactive Victorian women. This longer term evidence is needed to justify the substantial costs of mass media to promote physical activity.
O.2.2-10 Preventing and managing injuries in social sport programs
Authors: Staley Kiera , Donaldson Alex , Randle Erica , Nicholson Matthew , Bruder Andrea , O'Halloran Paul 
Published: September 2023

Abstract

Purpose
Safety is critical to participant recruitment and retention in social sport programs targeting insufficiently active (IA) people as their lack of fitness and limited previous exposure to physical activity likely places them at a higher risk of injury. This study sought to understand the injury prevention/management qualifications, knowledge, confidence and practices of program deliverers (coaches or instructors) across four social sport/active recreation programs targeting insufficiently active women.

Methods
Between 2021 and 2022, we sent an online survey via text message to 83 program deliverers in Victoria, Australia after they had delivered their social sport/active recreation programs to 1674 insufficiently active women. Delivers were asked their: age and gender; years delivering sport/physical activity programs targeting insufficiently active adults; injury prevention/management qualifications; and what injury prevention/management measures they undertook during programs. They also rated their knowledge of injury prevention/management measures (0 = none; 10 = comprehensive); and their confidence incorporating such measures into a program (0 = none; 10 = extremely). We analysed data using descriptive statistics.

Results
Sixty-eight program deliverers (response rate 82%) completed the deliverer survey. Their experience in delivering programs to insufficiently active participants was limited (62% &lt; two years) but nearly all (90%) reported providing some form of injury prevention/management advice to program participants — warm up or cool down, activity recovery, skill or technique, and/or corrective footwear were most common, but the type of advice provided differed across the programs. Forty percent reported no formal injury prevention/management qualifications. Their mean self-rated knowledge of injury prevention/management measures was 5.7 out of 10 and their mean confidence rating for incorporating such measures into programs was 6.0. Nearly half (46%) reported low confidence (≤5 out of 10;).

Conclusions
While most program deliverers lacked formal qualifications, had limited injury prevention/management knowledge and/or low confidence, they provided some form of injury prevention/management advice to participants. Program delivers would benefit from increased injury prevention/management knowledge, capacity and/or capability to assist with the program experience, reduce injury risk for IA participants, and hopefully improve deliverer confidence. Advice given by deliverers with limited knowledge and experience should be monitored.

Support/Funding Source
Victorian Health Promotion Foundation (VicHealth).
O.2.2-11 Adapting national physical activity guidelines based on the global WHO guidelines: experiences and challenges from the case of Switzerland
Authors: Kahlmeier Sonja , Frei Anja , Kriemler Susi , Nigg Claudio , Radtke Thomas , Manike Katja , Endes Simon 
Published: September 2023

Abstract
Physical activity guidelines are recognized as an important element of a national approach to promote physical activity. This publication summarizes the approach and process taken to update the Swiss Guidelines, discusses experiences and identifies challenges. The multistage project involved to: 1) summarize the scientific evidence underpinning the 2020-edition of the WHO guidelines; 2) to systematically analyze the existing Swiss guidelines for different target groups and to develop proposals for updates 3) a participatory process to gain consensus with the main interested groups 4) to finalize the guidelines. Updated guidelines were adopted for infants, pre-school children, children and young people, adults, older adults and pregnant and postpartum women, in most cases adopting the WHO guidelines. Children, young people and adults living with disability and adults and older adults with chronic conditions are specifically addressed in each of the general guidelines, rather than adopting separate guidelines for each of these groups as done by the WHO. The systematic approach in identifying aspects to update, the participatory approach and a strong scientific consortium with different thematic backgrounds were key strengths in the process. Challenges included the large amount of feedback and finding scientifically sound compromises. The updated versions of the Swiss national guidelines for small children, young people, adults and women during and after pregnancy provide an excellent basis to further promote physical activity in Switzerland. A remaining key task is to develop a range of communication tools and materials for different target groups beyond the circle of experts and interested groups, considering available evidence on optimal messaging and best outlet tools and channels.
O.2.3-6 Free-living patterns of physical activity and sedentary behaviour of workers from the manufacturing industry of micro, small and medium enterprises: the Happy-OPA project
Authors: Codina-Nadal Anna , Puig-Ribera Anna , Corominas Antoni , Mckenna James 
Published: September 2023

Abstract

Background
Occupational physical activity (OPA) may not report the same health benefits as leisure time physical activity (LTPA). While LTPA is beneficial for all workers, OPA can be detrimental for health. Most importantly, LTPA might have different health effects for different occupational groups (low versus high OPA jobs). It is also unclear the influence LTPA or leisure time sedentary behaviour (LTSB) might have on the health, wellbeing and productivity of workers with high OPA jobs. This project will (i) study the free-living patterns of (occupational and leisure time) physical activity (PA) and sedentary behaviour (SB) in workers from the manufacturing industry. Then, we will (ii) investigate associations between free-living patterns of PA and SB with mental health, happiness, absenteeism and work-related injuries of manufacturer workers.

Methods
Cross-sectional study. Employers and occupational risk prevention services will randomly invite workers (aged 18 to 65) from manufacturing industries of micro, small and medium enterprises in Central Catalonia to participate (n = 220). Participants will wear an ActivPAL device for 7 days and will complete a questionnaire on general health, life balance between work and family life, mental well-being, mental health, work-related happiness and absenteeism.

Variables
(1) physical activity pattern (activPAL3TM), (2) demographic data and lifestyles (food, tobacco and alcohol habits (ESCA 2022), (3) impact of work on employees' health, absence for illness (5th and 6th European Survey of Working Conditions), (4) well-being (Health Questionnaire, SF-36), (5) Work Health Balance (WHB Questionnaire), (6) Mental Health (Patient Health Questionnaire, PHQ-9), (7) Happiness (Pemberton Happiness Index). The group will be analysed on the average value of the variables.

Discussion
Identifying the free-living patterns of physical activity and sedentary behaviour of workers with high OPA and its associations with health, will provide preliminary data to develop tailored PA (occupational and non-occupational) interventions to this occupational group.

Support / Funding Source
Grants for the recruitment of research staff (Agency for the Management of University and Research Grants, co-financed by the European Union).