bluuebunny/crossref_metadata_2025_split huggingface dataset:
O.2.3-7 Physical activity levels and sociodemographic factors associated with meeting recommended levels among shop attendants in Mbarara municipality, Uganda
Authors: Nimusiima Evas , Wafula Solomon , Mendoza Hilbert , Ndejjo Rawlance , Atusingwize Edwinah 
Published: September 2023

Abstract

Purpose
Shop attendants are urban dwellers who may spend significant periods in sedentary lifestyles exposing them to non-communicable diseases. This study assessed the physical activity levels and sociodemographic factors associated with meeting the WHO recommended physical activity levels among shop attendants in Mbarara municipality, Uganda.

Methods
We conducted a cross-sectional study among 301 shop attendants. We used the global physical activity questionnaire to assess participants' physical activity levels. Modified Poisson regression was used to assess the sociodemographic factors associated with meeting recommended physical activity levels.

Results
Of the 301 participants, 234 (77.7%) met the WHO physical activity recommendations, especially through work-related physical activity of moderate intensity 194 (64.5%). The median weekly duration of all moderate-intensity physical activity was 180 min (IQR=90 to 360). The median daily sedentary time was 300 min (IQR=300 to 360). Being male (adjusted prevalence ratio=1.33, 95% CI 1.17 to 1.51) was significantly associated with meeting recommended physical activity levels.

Conclusion
The physical activity levels among shop attendants were high and were mostly achieved through work-related activities of moderate intensity, with males being more likely to meet recommended physical activity levels. Findings suggest a need for gender-sensitive initiatives to increase physical activity levels, especially among female shop attendants.
O.3.1-3 Self-evaluation survey as a tool for planning, monitoring and evaluation physically active operating culture at school
Authors: Kämppi Katariina , Hakonen Harto , Lehtonen Kati , Rajala Katja 
Published: September 2023

Abstract

Purpose
Since 2010, Finland has been building a concept called Finnish Schools on the Move (FSM), which is a national action programme supporting educational institutions to develop a more physically active operating culture. The Self-Evaluation Survey for Physical Activity (PA) Promotion in School is a tool developed in 2015 for FSM to support schools in implementing their own unique action plans and to monitor the progress of the programme at the levels of schools, municipalities, and the nation.

Methods
The online survey, available on the programme’s website, has altogether 36 statements. Teams in schools evaluate each statement using a scale of 0-4 (0=not at all, 4= fully realised). To summarise the results, four indexes have been formulated: strategy, facilities for PA, actions, and support. The scale was converted to a percentage of the maximum score. The strategy index describes plans and principles that lead the actions. The facilities index includes indoor and outdoor facilities and equipment. The actions index consists of all the actions that enable PA, and the support index consists of all the collaboration that supports actions.

Results
By the end of February 2023, the data consisted of nearly 5,000 self-evaluations concerning the physically active operating culture. The newest index results (2022-23) show that the strategy (71.3%) and facilities (62.1%) achieved the highest values, and the lowest values were given to actions enabling PA (59.5%) and support (51.0%). The progress of the FSM programme can be examined using the index results over the past eight school years.

Conclusions
The self-evaluation survey results are available online and are offered on three levels: national, regional, and municipal. At all these levels, the self-evaluation produces up-to-date information on the PA promotion progress in schools for PA promotors, coordinators, and decision-makers. For schools, it provides a diverse tool that increases schools’ awareness of the state of their physically active operating culture and inspires discussions among staff to find areas for development. By repeating the survey regularly every year, the progress of PA promotion in a school can be monitored in the results.

Support/Funding Source
The Ministry of Education and Culture of Finland.
O.3.1-4 Implementation of the JOGG approach (Healthy Youth, Healthy Future): unpacking the complex implementation process of community-based health promotion using the Critical Event Card
Authors: Huiberts Irma , Singh Amika , Collard Dorine , Hendriks Mara , van Lenthe Frank , Chinapaw Mai 
Published: September 2023

Abstract

Purpose
community-based programmes are important for population health promotion. Due to the context dependent and dynamic nature of these programmes, it is challenging to define and unravel successful implementation. Therefore, few studies have examined how successful implementation can be accomplished. We studied the implementation of the Dutch JOGG (Healthy Youth, Healthy Future) approach, a community-based programme for promoting physical activity and healthy nutrition in youth. The aim of our study was to (1) understand how the implementation a community-based programme changes over time, in interaction with the local context, and (2) identify key processes that influence implementation.

Methods
to guide data collection and analysis we applied the Critical Event Card (CEC). This analytical tool conceptualizes the implementation process as a continuous and dynamic interaction between the programme (actors) and context. The CEC aims to identify critical events in the evolution of the programme. We collected programme documents and conducted 24 (group) interviews about the implementation of the JOGG approach in 9 different communities. We analysed the data according to the CEC.

Results
over 6-10 years of implementation, JOGG communities included in the current study had changed their implementation strategy, integrated JOGG with other policy initiatives, scaled up to new neighbourhoods and later regained focus to stimulate health equity. Critical events that elicited these changes included (1) how JOGG was framed in local policy during the adoption process, (2) new national health policies, (3) increased national attention for health equity, (4) scale-up, (5) staff turnover and (6) the implementation teams’ experiences (successes or failures). An opportunity for change (e.g. new policy term) was needed to trigger formal programme changes. How critical events influenced implementation depended on the context and implementation team.

Conclusions
when studying the implementation of community-based programmes it is important to take into account their dynamic and context dependent nature. By looking at critical events in the interaction between programme and context over time, we were able to identify key processes in implementation. These findings can support future implementation of community-based programmes.

Funding
by the national JOGG organisation, supported by the Dutch ministry of Public Health, Welfare and Sport.
O.3.2-6 A computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: long-term efficacy and behavior change maintenance of OncoActive
Authors: Golsteijn Rianne Henrica Johanna , Bolman Catherine , Peels Denise Astrid , Volders Esmee , De Vries Hein , Lechner Lilian 
Published: September 2023

Abstract

Purpose
To improve the long-term physical and psychological health of prostate and colorectal cancer survivors, physical activity (PA) interventions aimed at maintaining PA are necessary. OncoActive is a print- and web-based intervention that was was able to increase PA of prostate and colorectal cancer patients and survirors shortly after the intervention ended. This study evaluated the long-term efficacy (12-month follow-up) comparing OncoActive and a control group. Furthermore, we explored whether the increased PA was maintained after an 8 month non-intervention follow-up period.

Methods
Prostate or colorectal cancer patients were randomly assigned to OncoActive (N = 249) or a usual care control group (N = 229). OncoActive participants received 3 times PA advice and a pedometer. PA outcomes (i.e., ActiGraph and self-report MVPA min/week and days with ≥ 30 min PA) and health-related outcomes (i.e., fatigue, depression, physical functioning) that were significantly changed by the intervention at 6-month follow-up, were included. Differences between groups and changes over time were assessed with multilevel linear regressions.

Results
At 12 months, OncoActive participants did not perform better than control group participants at ActiGraph MVPA min/week, self-report MVPA min/week or ActiGraph days with PA. Only self-report days with PA were significantly higher in OncoActive compared to the control group. Fatigue was the only health-related outcome that was significantly lower in OncoActive compared to the control group at 12-month follow-up. When exploratively looking within the OncoActive group, the previously found PA increase shortly after the intervention (6 months follow-up) was maintained at 12 months and PA improved significantly from baseline to 12 months. The control group showed small but non-significant improvements from 6 to 12 resulting in a decline of differences between groups.

Conclusion
At long-term follow-up (i.e., 12-months), most significant differences between OncoActive and the control group at short-term follow-up (i.e., 6 months) were no longer significant. Natural improvements in the control group may have contributed to this. Fatigue was significantly lower in OncoActive compared to control group participants at 12 months. Computer-tailored PA advice may give participants an early start to recovery and potentially contributes to improving long-term health.

Funding
KWF Kankerbestrijding (Dutch cancer society) NOU2012-5585
O.3.2-8 Sedentary behaviour, physical activity, and sleep patterns of women with chronic temporomandibular disorders on days with and without pain: a cross-sectional study
Authors: Tavares Luiz Felipe , Brusaca Luiz Augusto , Calixtre Leticia Bojikian , Locks Francisco , Oliveira Ana Beatriz 
Published: September 2023

Abstract

Purpose
Sedentary behaviour (SED) and low level of physical activity (PA) might be associated with the development or worsening of pain. Still, studies assessing physical behaviours by accelerometry in individuals with orofacial pain are limited. This study aims to assess whether women with temporomandibular disorders (TMD) present different patterns of physical behaviours in days with (DWP) or without pain (DWoP).

Methods
Twenty-nine out of forty-four women (mean age 29.21 sd 7.96) were diagnosed with TMD and monitored over seven days using a thigh-worn accelerometer. DWP was determined when subjects presented pain in one of the craniocervical regions (head, jaw and neck) with intensity of at least 3 in the numerical rating scale. To be considered a DWoP, the individual presented less than 3 points in the three regions. Daily time-use compositions were described in terms of SED in short (&lt;30 min) and long (≥30 min) bouts, light PA (LPA), moderate-to-vigorous PA (MVPA), and time-in-bed. Isometric log-ratios (ilr) were calculated to express the ratio of time-in-bed to time spent awake, SED relative to LPA and MVPA, SED in short relative to long bouts, and LPA relative to MVPA. Differences between DWP and DWoP were examined using MANOVA, followed by univariate post-hoc tests of pairwise differences.

Results
During DWP, women with TMD spent more time in SED in short (239 min) and long bouts (419 min), less time in LPA (245 min), MVPA (68 min), and in bed (468 min) compared with DWoP (235, 378, 263, 70 and 493 min, respectively). The MANOVA showed that all sets of ilrs did not differ statistically (ηp2 = 0.19, p = 0.25). Still, the post-hoc tests showed a trend that time spent SED relative to LPA and MVPA was larger in DWP than in DWoP (Cohen’s d = 0.36, p = 0.05).

Conclusions
Women with TMD did not show different patterns of physical behaviours in DWP or DWoP. However, there is a trend of more sedentary behaviour and less physical activity in DWP compared to DWoP. Future studies should consider other pain intensity cut-offs, isolated pain locations, and larger sample sizes to confirm these results.
O.3.2-9 Sustaining activity with arthritis (SAWA) following an Arthritis Ireland Be active with arthritis (BAWA) exercise programme
Authors: Stephenson Aoife , French Helen , French David , Hurley Deirdre , Walsh Aisling , Fitzgerald Oliver , Bennett Kathleen , Stokes Maria , Thacker Mick , O'Leary Grainne , Kinneavy Claire , McDonough Suzanne 
Published: September 2023

Abstract

Purpose
Despite evidence demonstrating the health benefits of physical activity (PA), people with arthritis often do not meet recommended PA levels. Whilst various exercise programmes support these people to be active such as the ‘Be Active with Arthritis’ (BAWA) programme from Arthritis Ireland, most individuals reduce their PA after completion of prescribed programmes.

Aim
To co-develop and pilot test a PA maintenance intervention for those who have participated in BAWA.

Methods
This is a mixed methods project with four phases.

Phase 1
An evidence synthesis will evaluate effectiveness of interventions for PA maintenance in people with arthritis and extract potential intervention components.

Phase 2
An observational analysis of BAWA programmes will be undertaken to understand whether behaviour change components that might support PA maintenance are being currently used. This is followed by focus groups with 1) people with arthritis, 2) their carers, 3) the physiotherapists delivering the classes and 4) staff from Arthritis Ireland, to identify support needs and preference for development of a long-term PA programme.

Phase 3
Data from Phases 1-2 will be triangulated and fed into participatory workshops, to co-develop an intervention. People with arthritis and healthcare/exercise professionals will be invited to these workshops.

Phase 4
The PA programme, developed in Phase 3, will be piloted using a pre-post evaluation design with 25 people with arthritis in three separate waves. Interviews with programme attendees will explore facilitators of sustaining PA and identify implementation barriers. Public patient involvement will be embedded throughout this research with the formation of a PPI panel and an embedded Patient Researcher, to ensure that patients’ and carers’ lived expertise informs the various phases and final PA intervention.

Results
Given the early stage of this piece of research, we would welcome feedback from the HEPA community on our plans, and gain insights from similar studies.

Conclusion
By enhancing and developing service provision modalities, people with arthritis can remain physically active for as long as possible, improving quality of life, reducing pain, disability, co-morbidities and multi-service use.

Funding
This project is jointly funded by the Irish Health Research Board and Arthritis Ireland.
O.3.2-10 My Active Ingredient: making movement more accessible for people living with chronic conditions
Authors: Thornton Jane 
Published: September 2023

Abstract

Purpose
Physical activity can treat over 30 chronic conditions, yet four out of five Canadians are not active enough to get these benefits. Finding evidence-based physical activity guidance for specific chronic health conditions is challenging, and patients are unsure about what and how much exercise is needed. Healthcare providers can feel under-equipped to counsel on physical activity. In 2021, we created the Western Research Hub for Physical Activity and Health (the Hub), a team of 30 junior and senior scientists across seven Faculties at Western University (London, Canada) and a Community Advisory Council (CAC) made up of local organization representatives and patient partners. This collective works to lead and advocate for improved access for physical activity and its implementation.

Project or policy description
Through ongoing discussion and regular meetings with The Hub, we learned about the barriers and opportunities patients face when approaching physical activity, and in response collaboratively developed My Active Ingredient (myactiveingredient.org – launch date June 3/2023), a peer-to-peer healthcare hub for movement as medicine, co-designed and curated by people living with chronic conditions, healthcare providers, and researchers. From 2021-2023, we held CAC meetings and Community Workshops to review resources and provide feedback on design and functionality of the site. We gathered information through small group discussion, online surveys, and the Patient Education Materials Assessment Tool to incorporate in the development of the website. We collect and create the best physical activity resources to help make movement more accessible for people living with chronic conditions, and support healthcare providers advising their patients. Our team updates the website on an ongoing basis with new research, resources, and programs related to physical activity identified by website users, the CAC, and/or researchers. The website will undergo a quarterly, two-part evaluation that focuses on website analytics (e.g., page views, sessions, traffic sources etc.) and usability (e.g., test with target representative users).

Conclusions
My Active Ingredient will increase the accessibility and quality of physical activity advice and resources for individuals living with chronic conditions or other barriers to physical activity, and become the “go-to” source for evidence-based guidance for patients, caregivers, and health providers.
O.3.3-1 “Friuli Venezia Giulia in Movimento, 10000 passi di salute” as an example of a multilevel-multifaceted project promoting citizens’ physical activity and healthy habits
Authors: Pagani Laura , Zamaro Gianna , Sandrin Luana , Del Fabbro Tiziana , Del Bianco Rizzardo Alessia 
Published: September 2023

Abstract
The project “Friuli Venezia Giulia in Movimento, 10000 passi di salute” (Friuli Venezia Giulia (FVG) Region on the move, 10000 healthy steps), started in 2019 and is carried out by Federsanità ANCI FVG with financial support of the FVG Region. The project’s main objective is that of encouraging physical activity and healthy habits, in an accessible way for all citizens (with a focus on the elderly) by financing the promotion of pedestrian paths located in the municipalities that have decided to pursue the initiative. The innovative aspect of the project is its multilevel-multifaceted characteristic. The project can be said to be multilevel because it involves subjects and/or institutions at different levels (region, municipalities, citizens’ associations, citizens) and multifaceted as it regards health as well as socialization, tourism, environment, and community networks.
In the early phases of the project, a participatory methodology is applied, which involves different actors through the understanding of the various needs and suggestions. A call for proposals, devoted to all the Municipalities is then open and all the applications are evaluated to detect which are accepted for funding. All the pedestrian paths funded have signals and posters with the same layout, creating a “brand” of the project. Special events are organized to open the paths, targeting all the community members, with the participation of the project’s organizing committee. News about the project and related initiatives are disseminated by social and traditional media; a dedicated website, an information line and promotional materials are created. To evaluate the project different tools are used: questionnaires, interviews, secondary data and survey sheets.
The project can be summarized with three terms: participatory, inclusive and sustainable. Due to the successful participation in the project, two spin-offs are born: walking leader courses and soft gymnastic activities for the elderly. Moreover, it has been included in a European project and has aroused the interest of other Italian regions keen on applying it to their territories. To date about 1/3 of the municipalities are involved with a potential impact on 43% of the population and 59 paths have been completed for a total of 330 km.
O.3.3-7 A Socio-ecological approach to overcoming barriers for physical activity promotion after gestational diabetes: a systematic review and thematic synthesis
Authors: Ioannou Elysa , Humphreys Helen , Homer Catherine , Purvis Alison 
Published: September 2023

Abstract

Purpose
Physical activity is recommended after Gestational Diabetes to reduce risk of subsequent Type 2 Diabetes. However, uptake and maintenance of physical activity is low. Approaching barriers and facilitators to physical activity using a socio-ecological approach could help better direct multi-level interventions in future. The present review therefore aimed to synthesise the postnatal barriers and facilitators to physical activity, and develop and understanding of where, across the socio-ecological model, these factors exist and/or are interrelated.

Methods
Eligible studies included discussion around physical activity with women with a history of GDM. A systematic search of MEDLINE, CINAHL Complete, Scopus, Web of Science and Cochrane Library was conducted in October 2022. Risk of bias was assessed in included studies using The Critical Appraisal Skills Programmes checklist for qualitative research. A reflexive thematic analysis was employed by 2 authors to analyse the barriers and facilitators to physical activity. Themes were first open coded, and then subsequently organised and interpreted in the context of and according to the socio-ecological model.

Results
After screening, 29 studies were included in the final review. The present review updated the most recent review in 2019, including 9 new studies since then. All but 4 studies had a CASP study quality rating greater than 6.5. Most themes spanned the intrapersonal, social, and organisational levels of the socio-ecological model. Physical activity barriers discussed pertained to leisure time physical activity, while other modes of activity, including active transport, were often overlooked, despite being routine. Partner and familial support were identified as vital for engagement with activity. This was either due to the emotional support received, or the provision of childcare. However, most women did not want to have to rely on family for childcare and identified that other forms of childcare present could be facilitative of physical activity.

Conclusions
Most barriers and facilitators at the social and organisational levels were interrelated with those at the individual level. Therefore, future physical activity interventions after Gestational Diabetes should be multi-level.