bluuebunny/crossref_metadata_2025_split huggingface dataset:
S11-4 Participatory physical activity promotion in senior residencies
Authors: Altmeier Dorothee 
Published: August 2022

Abstract

Background
During their final life decade, people in Germany tend to live in senior residences or nursing homes. Re-location to such institutionalized homes is associated with declining levels of physical activity. Beside intrapersonal factors, like dealing with illness, social and physical environments might be decisive in shaping residents' physical activity levels. At the same time, it remains largely underresearched what residents themselves perceive as barriers and promoters of physical activity. This presentation aims to introduce first results of BaSAlt (BMG, 2019-2022), a participatory research project on physical activity promotion in senior residences in Germany.

Methods
We draw upon data from the BaSAlt study (2019-2022) in eight German senior residences, generated using Photovoice with 48 residents, staff, and visitors, as well as semi-structured interviews (n = 24), group discussions (n = 8), cooperative planning in future workshops (n = 16) and document analysis. Recorded and transcribed interviews, photos, discussions, as well as documents are subject to thematic analysis (Braun & Clarke 2016). All participating actors become part of data collection, and analysis, as well as in developing and implementing change projects to promote physical activity informed by findings.

Results
The presentation will highlight similarities and differences in participants' perceptions of physical activity-related promoters and barriers. We will present a preliminary comparative assessment of the organizational readiness in participating senior residences and potential consequences for cooperative planning in future workshops. Our aim is to initiate concrete action to improve physical activity promotion.

Conclusions
The BaSAlt design recognizes residents, staff, and visitors as experts of their own lives, which allows for greater awareness of people's unique experiences and perceptions. The participatory approach used both for data collection and intervention planning might help uncover physical activity-related promoters and barriers that might otherwise have remained hidden and thus support the development of individualized and targeted action for physical activity promotion.
O1-2 Identification of existing audit instruments for the assessment of urban and rural physical activity environments
Authors: Domokos Bruno , Müller Christina , Paulsen Lisa , Bojkowska Izabela , Bucksch Jens , Wallmann-Sperlich Birgit 
Published: August 2022

Abstract

Background
According to a socio-ecological perspective, the neighbourhood environment plays a critical role in promoting physical activity across all population groups. A comprehensive assessment of environmental characteristics is a prerequisite to the planning, implementation and evaluation of physical activity interventions. This work aims to identify existing audit tools for the assessment of physical activity related environmental features in order to evaluate a) their applicability in the European context and b) their relevance in the urban and rural context.

Methods
Within the research project EUBeKo[1] we searched relevant websites (e. g. Active Living Research) and scientific databases (e. g. PubMed) in order to identify existing audit instruments. We then developed a categorization system for the integration of the topics and items retrieved from the identified tools. To reveal context-relevant strengths and weaknesses, we critically inspected the instruments with the support of the current scientific evidence and literature regarding eligibility to the European context and rural/urban applicability.

Results
We identified 29 audit tools focusing on different topics and features influencing physical activity (e. g. infrastructure, barriers). Some also include aspects of the social environment (e. g. presence of people) or the subjective perception (e. g. walkability, aesthetics). We found that numerous tools contain aspects of the socio-ecological environment reflected on the item level that do not conform with European environmental characteristics (e. g. street signage, types of destinations). Furthermore, we identified an unequal distribution with few tools being developed explicitly for the rural context (n = 3).

Conclusions
It is challenging to rate the applicability and relevance of audit tools. We were able to develop a comprehensive categorization system that can assist researchers and practitioners in the selection of a suitable set of items for an optimized assessment of European physical activity environments. In addition, our work points out the need for an instrument reflecting urban and specifically rural peculiarities of the European context.
O1-4 Validation of questions to assess the mode of commuting to/from school for children according to their parents: the PACO study
Authors: Balboa María Jesús Aranda , Fernández Marina , Villa-González Emilio , Murillo-Pardo Berta , Segura-Diaz José Manuel , Saucedo-Araujo Romina Gisele , Barranco-Ruiz Yahira , Herrador-Colmenero Manuel , Huertas-Delgado Francisco Javier , Chillón Palma 
Published: August 2022

Abstract

Background
The active commuting to school behaviour is an opportunity to increase the physical activity levels. The most frequent used tool to assess the mode of commuting to school is self-reporting by children or by their parents. However, there is a lack of information about the validity between both, children and parents. So, the purpose is to validate the questions of mode of commuting to go and come back from school of children according to their parents'.

Method
A total of 611 parents (mean age: 43.28±6.25 years old) and their children (mean age: 11.44±2.77 years old) from Granada (Spain) completed a family (mode of commuting of children reported by parents as part of the Family PACO questionnaire) and a student questionnaire validated (Chillon et al., 2017) (mode and frequency of commuting to and from school questionnaire), respectively, in two measurement points. The questions from the ‘Family PACO questionnaire' are: “How does your child usually go to school?” and “How does your child usually come back?”; and the questions from the ‘mode and frequency of commuting to and from school questionnaire' are: “How do you usually go to school?” and “How do you usually go from school?”. The validation between parents and childreńs questions was analysed using Kappa and Spearman correlation coefficients. The results of the kappa are considered as: poor agreement (0-0.20), acceptable agreement (0.21-0.40), moderate agreement (0.41-0.60), substantial agreement / good (0.61-0.80) and almost perfect / very good agreement (0.81-1.00) (Landis & Koch, 1977). The Spearman correlations coefficients were interpreted as low (&gt; 0.30), moderate (0.30-0.50), and high (&gt; 0.50) (Van Dyck, Cardon, Deforche, & De Bourdeaudhuij, 2015).

Results
The validity of questions from both questionnaires about mode of commuting presented high coefficients of validation (Kappa coefficient; 0.865 to school and 0.839 from school and Spearman correlation; rho=0.882 to school and rho=0.860 from school).

Conclusion
The questions about the mode of commuting to/from school from the ‘Family PACO questionnaire’ are valid method. Therefore, the use of the questions would be recommended to assess children's mode of commuting.
O1-5 Digital tools for physical activity assessment and brief counselling in Primary Health Care: The Portuguese model
Authors: Silva Catarina Santos , Silva Marlene Nunes , Godinho Cristina Albuquerque , Mendes Romeu , Teixeira Pedro 
Published: August 2022

Abstract

Issue/problem
Implementation of national systems for patients' physical activity (PA) assessment and counselling is a cost-effective strategy recommended in the WHO Global Action Plan for PA 2018-2030. Although Primary Health Care (PHC) professionals are recognized as key agents for PA promotion, challenges remain on how to develop feasible and scalable tools to support them in promoting patients' PA. The Portuguese model could help other countries improve PA assessment and brief counselling in PHC settings. This study aims to describe the tools' development and usage.

Description of the problem
The Portuguese Directorate-General of Health developed two evidence-based digital tools to support PA promotion by healthcare professionals: a) PA brief assessment tool; and b) brief counselling tool. The assessment tool was incorporated within the electronic medical health record software ?SClínico? in September 2017. It includes three questions: 1) how many days per week the patient performs any kind of PA (work, commuting or leisure-time); 2) how much time per day; and 3) how many hours per day the patient spends in sedentary behaviours. The PA brief counselling tool is available through the electronic medical prescription software ?PEM? since December 2017 and consists of five inter-related self-explanatory guides that can be delivered to patients (printed or by email), according to their motivation and PA levels. They facilitate person-centered and autonomy-supportive PA counselling, targeting specific behaviour change mediators, and using validated techniques.

Results
From September 2017 to December 2021, 159,179 patients had their PA assessed (2235 per 100,000 users of the National Health Service) and, from these, 16133 received PA brief counselling guides (177 per 100000 residents in Portugal, ≥ 15 years old), with a six-fold and three-fold increases, respectively, between 2018 and 2019 (previous to the COVID-19 pandemic). Future actions will address cost-effectiveness of this policy.

Lessons
The brief assessment and brief counselling tools were well-accepted and are increasingly being used, with potential for generalized adoption within the Portuguese Health Care System.

Main messages
Portugal has taken a decisive action to promote PA using PHC as a priority setting. PA tools usage is increasing considerably, highlighting the importance of making available easy-to-use PA promotion tools.
O1-6 Objectively measured physical activity levels and association with BMI z-score among children and adolescents in Morocco
Authors: Baddou Issad , Harchaoui Imane El , Benjeddou Kaoutar , Menchawy Imane El , Saeid Naima , Kari Khalid El , Elmzibri Mohammed , Hamdouchi Asmaa El , Aguenaou Hassan 
Published: August 2022

Abstract

Background
Physical activity is associated with improved psychological well-being and lower levels of cardio metabolic risk factors, diabetes, obesity among children and adolescent. The purpose of the study was 1- to examine gender, type of day, and age grade differences in objectively PA; 2- to examine the attainment of recommended physical activity guidelines; 3-to examine the association between PA levels and BMI z-score among children and adolescents in Morocco.

Method
172 Moroccan children/adolescents (mean age = 10.92 ± 1.55 years, mean BMI z-score = -0.16 ± 1.33; 19.2 % overweight) were recruited for this study and wore a tri-axial accelerometer (GT3X+) for 7 consecutive days. Two-way analysis of covariance was used to examine gender and age grade differences in physical activity level separately for weekdays and weekends, adjusted for body mass index for age (BMI z-score) and wear time. Logistic regression analyses were conducted to examine independent relationships between attainments of physical activity guidelines and gender. Pearson correlation was used to assess the association between physical activity levels and BMI z-score.

Results
In both weekends and weekday, children spent more time in Light physical activity than adolescents (p &gt; 0.001), boys were more engaged in moderate activity (p &gt; 0.001) and vigorous (p &gt; 0.001) activity and took more steps than girls. Boys were eight time more likely to meet the recommendation for at least 60 min of moderate to vigorous physical activity per day than girls (OR: 8.569; 95% [CI]: 4.23-17.32), p &gt; 0.001. Among adolescent, moderate to vigorous PA were inversely correlated with BMI z-score (r = -0,213; p = 0.04).

Conclusion
The findings can shed light on the need of urgent scaling up of implementation of known effective policies and programmes for adolescents and girls to increase their involvement in PA.
Acknowledgements
This study was performed with the support of the International Atomic Energy Agency (CRP E4.30.24; RAF 6042).
O1-8 Evaluation of the implementation of the ‘Living well with COPD' self-management program in Switzerland
Authors: Frei Anja , Strassmann Alexandra , Guler Mathias , Carron Tania , Steurer-Stey Claudia , Lana Kaba Dalla , Giroud Philippe , Peytremann-Bridevaux Isabelle , Puhan Milo 
Published: August 2022

Abstract

Background
Self-management can improve health status and reduce hospitals admissions in patients with chronic obstructive pulmonary disease (COPD). The aim of this mixed-methods study was to evaluate the implementation of the ‘Living well with COPD’ self-management program, a nation-wide effort by the Swiss Lung Associations and the Swiss society of pulmonary medicine.

Methods
For the implementation evaluation we used qualitative (interviews, focus groups) and quantitative (questionnaires, documentation analysis) methods to assess indicators of the outcomes reach, dose, fidelity, acceptability and appropriateness of the program. To evaluate the effectiveness, we assessed exercise capacity (1-minute sit-to-stand test), disease specific quality of life (Chronic Respiratory Questionnaire CRQ), symptoms, health care utilisation and health behaviour including physical activity at baseline and at the end of the program (after 12 months).

Results
Seven Cantonal Lung Associations implemented the program into their services according to plan, conducted it 13 times during 1 year and included in total 122 COPD patients (mean age 69 years, 48% female). The patients' attendance rate and the coaches' fidelity to the protocol were high (81% and 94%, respectively). Overall, acceptance and satisfaction of all involved persons (patients, coaches, responsible persons from the Lung Associations) was very high; they particularly acknowledged the meaningfulness of the program. Challenges were sustainable funding, integration of the coaches' additional workload and uncertainties regarding roles and responsibilities. After 14 month, the patients did not just avoid a decline in exercise capacity and health status but significantly improved in the 1-minute sit-to-stand test (23.9 vs. 27.1 repetitions) and in 3 of 4 CRQ subscales (with 0.2-0.5 units).

Conclusions
The ‘Living well with COPD' program was successfully implemented despite a tight schedule and showed a remarkably positive impact of the COPD patients' health status. The insights of this study will support the broader multiplication of the program throughout Switzerland and also serves the international community since it is one of the first nation-wide implementations beyond study settings.
O2-4 From research to practice - BASIS Balance Strength and Safety - the Norwegian E-learning program on fall prevention
Authors: Belander Olov 
Published: August 2022

Abstract
The World Health Organization and the Norwegian Directorate of Health recommends that older adults over 65 years with poor mobility should perform physical activity to enhance balance and prevent falls on 3 or more days per week. Norway has one of the highest hip fracture incidence rates in the world. Falls and hip fractures among elderly is a public health problem.
For around 10 years we have the knowledge that systematic exercise and well-designed exercise programs can reduce the rate of falls among older people living at home. The aim with this work was to develop an e-learning program to increase the knowledge about strength and balance exercises among people working at fitness centers, senior centers and nursing homes. The developing process of the e-learning program was a collaboration between the Norwegian Directorate of Health, the Norwegian University of Science and Technology and experts on e-learning. Three resource groups were also involved. The e-learning was developed from January until November 2019.
The e-learning programs BASIS is for free and available at www.basis-fallforebygging.no. Over 1200 people completed the course within the first months after release. BASIS comes in three versions and contains six modules. After completing the course, you get access to a hundred warming up, strength, balance and cool down exercises. The exercises are graded based on the functional capacity of the elderly. You can design your own programs or choose between fixed programs. The e-learning was announced and updated in 2020. Experiences will be presented.
BASIS can be an effective way to spread knowledge about exercise as well as fall prevention. The e-learning can be one important piece in the broader work to increase knowledge, change practice, prevent falls and increase the physical function in elderly people. While some organizations are changing practice fast, in many organizations changing practice seems to take longer time. The e-learning must be followed up with a change of culture, routines and practices at fitness centers, senior centers and nursing homes.
BASIS can increase knowledge about how to facilitate exercise to increase physical function in elderly at fitness centers, senior centers and nursing homes.
O2-6 Older adults' use of neighbourhood open spaces following an environmental intervention
Authors: Schmidt Tanja , Palwoski Charlotte Skau , Schipperijn Jasper 
Published: August 2022

Abstract

Background
Older age is often associated with functional, social, and mental health problems, leading to major financial burdens on the health care sector, as the number of older adults (65+ years) is expected to increase to 22% by the year 2050. Using neighbourhood open spaces (NOS) for physical activity and social interaction may be an easy way for older adults to uphold healthy and active ageing. However, little is known about older adults' use of NOS. The purpose of this study was to assess factors promoting or inhibiting older adults' use of NOS in a deprived neighbourhood before and after an environmental intervention creating or improving facilities for older adults within NOS.

Methods
A convergent mixed methods approach was used to assess outcomes of a participatory research intervention. Observations using the System for Observing Play and Recreation in Communities were conducted to observe older adults living in a deprived neighbourhood, and their use of 13 NOS in spring 2017 (baseline) and spring 2018 (follow-up). Semi-structures interviews with ten older adults were held in spring 2018 to identify barriers and facilitators for using NOS.

Results
The intervention resulted in the construction of two pavilions and renovated benches, including raised flower beds and small bench-tables. An increase of 44% more older adults was observed at follow-up using the NOS with the renovated benches. No use of the two pavilions was observed. The interviews identified six important factors for older adults' use of NOS: weather, support for social caretakers, support for resourceful volunteers, organized activities, social interaction, and sense of ownership.

Conclusions
Social interaction is a key factor for older adults' use of NOS and should be prioritized by health promoters in combination with age-friendly facilities and organizational support. Daily social interaction may be easier to promote in close distance NOS, whereas NOS further away may rely on organizational support, such as social caretakers and volunteers.
O2-8 Effects of a 12-week walking football intervention on cardiovascular disease risk factors in an older adult population: a randomised controlled trial in the UK
Authors: McBain Tom , Broom David 
Published: August 2022

Abstract

Background
Interventions promoting physical activity and improved wellbeing delivered through professional football clubs have previously produced favourable changes in health in adult males (Hunt et al., 2014). Walking football has proven a popular variant suitable for older adults and studies have reported positive changes in health outcomes (Arnold et al., 2015; Reddy et al., 2017; McEwan et al., 2019). However, studies exploring outcomes following walking football interventions when compared to a control group in an older adult population are scarce. Therefore, the aim of the current study was to explore the effects of a 12-week walking football intervention on cardiovascular disease risk factors and quality of life in an older adult population.

Methods
Following ethical approval, participants (n = 23, one female; 68 ± 8 years old), were recruited through the Drink Wise, Age Well scheme; a local Lottery funded organisation and were invited to take part in a 12-week walking football intervention or control group. Intervention group participants (n = 17), were invited to one 60-minute walking football session per week consisting of a warm-up and small-scale competitive games, whereas control group participants (n = 6), continued with their normal habitual lifestyle. Outcomes measured were weight, resting blood pressure, non-fasting blood lipids, six-minute walk distance, and quality of life. Outcomes were assessed at baseline (week-0), midpoint (week-7) and post-intervention (week-13). Sessional RPE was recorded after each session. Preliminary data were analysed using a repeated-measures ANOVA.

Results
Adherence to the 12-week intervention was 83%. Mean (± SD) attendance for sessions was 68 ± 26% (range; 0-92%). Mean rating of perceived exertion was 6.3 ± 1 (range; 2-8). Analysis revealed a significant reduction in total cholesterol (p = 0.01) and LDL cholesterol (p = 0.19) in the intervention group. However, despite favourable changes in both groups for each variable, no significant difference between groups occurred between baseline, week-7 and post-intervention.

Conclusion
The study outlines the potential for individuals enrolled in a walking football scheme to engage in weekly moderate-to-vigorous PA as well as maintaining and improving a myriad of health outcomes. Engagement in other pre-existing health promotion schemes, such as walking football at other local organisations may have influenced outcome measures.
O3-3 Active commuting and healthy behavior among adolescents in neighborhoods with varying socioeconomic status
Authors: Buli Benti Geleta , Tillander Annika , Fell Terence , Bälter Katarina 
Published: August 2022

Abstract
The World Health Organization recommends active commuting to and from school as a source of physical activity. Worldwide, active commuting, i.e. walking or biking, is determined by various factors including gender, socioeconomic status of families and neighborhoods, the built envormnet, distance to schools, perceived neighborhood safety, life styles, and availability of walkways, biking paths and parks. Previous studies from Swedish indicate that the proportion of youth being active commuters descres with age, but has also decresed over time. This study aimed at assessing health and environmental factors associated with modes of transportation to and from school among 333 adolescents aged 16-19 living in a middle-sized city in Sweden.
The present city has 380 kilometer of walking and biking paths that cover the whole city, of which parts are heated in the winter to avoid snow and ice. Still, only 32% of the adolescents were active commuters to and from school. Active commuting was linked to other healthy behaviours including more frequenct daily consumption of fruits and vegetables and less frequent consumption of junk food. Morover, the presence of well illuminated walking and biking paths was strongly associated with active commuting, as compared to not having access to less illuminated paths. However, the relation between active commuting and socioeconomic status of the neighborhood was complex and needs to be explored in future larger studies.
The results will be used to increase awareness of the health and enviromental benfits of active commuting among adolencnets, schools, and local policy makers.