bluuebunny/crossref_metadata_2025_split huggingface dataset:
O2-3 Feasibility of the Move for Life intervention to help inactive adults 50 years and over increase their physical activity
Authors: Bengoechea Enrique Garcia , Ciaran Doyle , O'Regan Andrew , Glynn Liam , Clifford Amanda , Donnelly Alan , Gallagher Stephen , O'Sulllivan Nollaig , Murphy Andrew , Woods Catherine 
Published: August 2022

Abstract

Background
Substantial evidence shows that meeting physical activity guidelines is important for disease prevention, promoting physical and mental health and quality of life. In Ireland, only 38% of older adults are sufficiently active to meet the guidelines. The primary aim of this research was to conduct a feasibility study of the Move for Life intervention to reach and help inactive adults 50+ increase their physical activity.

Methods
Move for Life is a feasibility cluster randomised control trial where the Local Sports Partnerships hubs are the units of randomisation and individuals within the hubs are the units of analysis. The intervention augments regular programme content with behavioural skills, social support and group cohesion strategies, and includes a peer-mentoring component. Over seven hundred (N = 733) participants registered to become part of the intervention. Most (98%, n = 724) completed baseline measures. Participants were asked to complete self-report process evaluation questionnaires immediately after and 12 weeks after their programme had finished. Interviews were conducted with participants, physical activity instructors and peer mentors. Questionnaire responses across groups were compared with tests of statistical significance. Qualitative data complemented and assisted with interpretation of quantitative findings.

Results
A total of 601 participants met eligibility criteria (average age 63.06 years, range 50-91, 80.4% female). The study retention rate was 63%. Reported compliance rate with intervention strategies was over 75%. The intervention group were more likely to enjoy the programme than usual provision. Intervention participants were more likely to report the programme as interesting and worth the time they invested in it, and to recommend it to a friend than usual provision. They were also more likely to report enjoying learning about different strategies to keep physically active (ORs ranging from 2.56 to 3.76). At 3-month follow up, the intervention group were more likely to be aware of their Local Sports Partnership opportunities and to have contacted their Local Sports Partnership more frequently in comparison to usual provision (all p &gt;.05).

Conclusions
Move for Life is a realistic and promising augmentation to existing physical activity programmes for older adults with potential for adoption and scalability following completion of a full trial.
O2-5 Mobilising People as Assets for community-based active ageing promotion: A multi-stakeholder perspective on peer volunteering initiatives
Authors: Stathi Afroditi , Withall Janet , Agyapong-Badu Sandra , Barrett Eva , Kritz Marlene , Thogersen-Ntoumani Cecilie , Whitaker Isobel , Toon Harry , Fox Kenneth 
Published: August 2022

Abstract

Background
Citizens who contribute as volunteers and peer mentors within a community are important assets that can be mobilised to improve health and wellbeing. In order to optimise the contribution of peer-volunteers to active ageing initiatives, we need to understand their experiences and identify ways to support them in preparing for the role and overcoming potential challenges.
Aim: This study synthesises the perspectives of a range of stakeholders involved in peer volunteering active ageing initiatives implemented in UK and provides an in-depth account of how such initiatives can effectively mobilise individuals as community assets. It draws on the experience of all actors involved in such initiatives, ranging from volunteers, recipients of volunteering actions, volunteer managers and volunteering service providers.

Methods
This evidence synthesis used qualitative data from (a) three studies focusing on the development (phase 1), feasibility trial evaluation (phase 2) and community roll-out (phase 3) of ACE (Active, Connected, Engaged), a peer volunteering active ageing intervention, alongside (b) the experiences of third sector organisations in providing peer volunteering programmes. Ten managers, 22 volunteers and 20 ACE participants were interviewed. Interviews were audio-recorded, transcribed verbatim and analysed using framework analysis.

Results
Seven main themes including 33 higher and 22 lower order themes were identified: Motives; Benefits; Characteristics of peer volunteers; Challenges; Training needs; Recruitment; Successful strategies for maintenance. Altruism, changes in life circumstances, opportunities to reconnect with the community and personal fulfilment were the main reasons for volunteering. Volunteering was described as being personally rewarding, an avenue to acquire new skills and knowledge, and increased social connections and physical activity. Effective volunteers are committed, reliable, have a good sense of humour, good interpersonal skills and are able to relate to the participants. When pairing volunteers with participants, clarity of role, level of time commitment, shared interests and geographical proximity are worth considering.

Conclusions
Successful implementation of peer-volunteering initiatives requires the use of appropriate recruitment routes, easy joining procedures, provision of ongoing support, good communication across all stakeholders, feedback and recognition of effort and a dedicated team to build resilience and provide volunteers with administrative support.
O2-7 Leading the Way Together: A cluster randomised controlled trial of the 5R Shared Leadership Program in older adult walking groups
Authors: Fransen Katrien , Boen Filip , Cruwys Tegan , Haslam Catherine , Iserbyt Peter , Seghers Jan , Vanderlinden Julie , Uffelen Jannique van 
Published: August 2022

Abstract

Background
With a rapidly ageing society, healthy ageing has become a key challenge for older adults. Engagement in physical activity, and particularly walking, is a key strategy that contributes to healthy ageing. The present study aimed to evaluate the efficacy of a group walking program for older adults that incorporates the 5R Shared Leadership Program (5RS), compared to a regular group walking program. By implementing a structure of shared leadership and strengthening peer leaders' identity leadership, 5RS has in other contexts been associated with greater performance and well-being.

Methods
Our cluster randomised controlled trial included 19 older adult walking groups (i.e., the clusters; N = 503; Mage = 69.23 years, SD = 6.68), which all participated in a 12-week structured group walking program. Nine of these walking groups (n = 304) were randomly assigned to the intervention condition and received additionally the 5RS program.

Results
Results revealed that 5RS was successful in strengthening the identity leadership qualities of the appointed peer leaders. Moreover, multilevel regressions showed that 5RS succeeded in increasing group cohesion and walking activity to a greater extent than a regular group walking program, while participants' group identification and well-being increased to a similar extent in both conditions. Furthermore, structural equation modelling revealed that group identification mediated the impact of peer leaders' identity leadership on group cohesion and well-being (but not walking activity).

Conclusion
We can conclude that by harnessing the capacity of the group and its peer leaders, 5RS constitutes a promising intervention to engage older adults in physical activity.
O3-6 The Healthy School Start Plus Study - A parental support programme to promote healthy behaviours and prevent childhood obesity in disadvantaged areas
Authors: Malek Mahnoush Etminan , Norman Åsa , Elinder Liselotte Schäfer , Patterson Emma , Nyberg Gisela 
Published: August 2022

Abstract

Background
The rise in childhood overweight and obesity worldwide demands effective health promotion and obesity prevention programmes, especially targeting socially disadvantaged areas. The aim of this study is to examine the effectiveness of a revised parental support programme, promoting physical activity and a healthy diet, and on preventing overweight and obesity among children in disadvantaged areas.

Methods
The effectiveness of this programme will be compared to standard school routines in a parallel group cluster randomised controlled trial. The 6-month programme included: 1) A health information brochure; 2) School nurses conducting motivational interviewing with parents; 3) Classroom activities and home assignments for children; 4) A self-test for type-2 diabetes risk for parents. Seventeen schools were enrolled including 352 six-year-old children (155 intervention/197 control). Physical activity and sedentary time were measured by accelerometry. Dietary intake was assessed by a newly developed mobile phone-based photo method. Weight and height were measured by trained researchers. All outcomes were measured at baseline and at 6 and 18 months post baseline. Parental level of education was self-reported, and the highest level achieved by either parent was used as an indicator of socioeconomic position (SEP). A mixed-effect regression analysis will be performed to evaluate the effectiveness of the programme.

Results
After the intervention, when adjusting for sex and parental education, the intervention group showed 6.4 mins more moderate to vigorous physical activity (MVPA) during weekdays than the control group (p = 0.03). No significant effect on MVPA was detected during weekends (p = 0.47). Further, no significant effect was detected on time spent sedentary during weekdays (p = 0.12) nor during weekends (p = 0.78).
According to IOTF classifications, 9.6% of the children had obesity, 16.4% overweight, 4.4% underweight and 69.6% normal weight. Results on changes in BMI, and dietary intake at 6 months will be presented.

Conclusions
The results from the evaluation of this parental support programme will add to the knowledge and advance intervention and implementation research in the Swedish/Nordic context relating to prevention of overweight and obesity in childhood.
O4-1 A scoping study of the international implementation of the World Health Organisation's global physical activity action plan
Authors: Walklett Jack , Crone Diane , Kolovou Vasiliki , Bolton Nicola 
Published: August 2022

Abstract

Background
Published in 2018, the World Health Organisation's Global Action Plan for Physical Activity (GAPPA) sets out 20 actions across 4 objectives (Active Societies, Active Environments, Active People, Active Systems) to reduce global inactivity by 15% by 2030. GAPPA takes a whole-systems approach (WSA), calling for cross-sectoral collaboration to address physical inactivity levels. This study sought to explore implementation to date, highlighting progress made and areas that require further focus.

Methods
A desk-based scoping study, using a systematic, but flexible approach, identified sites and personnel implementing GAPPA or a WSA. Methods of collection included a review of existing literature, snowball sampling of key individuals and internet searches. These methods identified a range of academics and practitioners who were subsequently contacted and interviewed on their use of GAPPA to date.

Results
Preliminary findings suggest that GAPPA's implementation currently varies greatly internationally. Some nations, including Finland and Scotland have embraced a WSA, taking steps to actively map their PA system. Elsewhere, countries such as Ireland and Australia are exploring practical approaches to implementing a WSA. GAPPA was only published in June 2018 and thus, where action is taking place, these countries offer important implementation evidence and opportunities for transferable learning. Regarding GAPPA's objectives, our review concludes that in nations that have embraced GAPPA, the Active Societies and Active Environments objectives are being actioned or have plans in development for action, while progress towards behaviour and system change objectives (Active People and Active Systems) appear less evident.

Conclusions
There is some promising evidence drawn from GAPPA's early implementation, although we conclude that if WHO targets are to be reached, wider adoption is needed. It appears that the nations who have best applied GAPPA, are those who arguably have pre-existing cross-sectoral networks in PA and public health. Therefore, perhaps a crucial first step in nationally implementing GAPPA is the establishment of these networks, laying foundations for collaborative action. Furthermore, the generation and dissemination of research by some of the early adopters is crucial to both reinforce knowledge transfer and guide others towards a whole-systems approach.
O4-3 An evaluation of the Time to Move workplace physical activity intervention
Authors: Ford Kat , Sharp Catherine , Hughes Karen , Bellis Mark A 
Published: August 2022

Abstract

Background
Workplace physical activity interventions have shown positive outcomes for employee health, productivity and absenteeism (1,2). However, the majority prescribe the duration and/or type of activity to be undertaken. In response to strong public opinion that employers should do more to improve the health of their workforce, Public Health Wales, the public health agency for Wales, developed a 12-month pilot physical activity initiative - Time to Move (TTM). TTM allowed participants to use one hour/week (pro rata) of paid work time for any physical activity. We evaluated TTM to understand its impact and identify learning.

Methods
Using pre-experimental time series design, data were collected from participating employees: baseline (June-August 2018), mid-initiative (December 2018) and at 12-months (June-August 2019). Using validated scales where possible, questionnaires recorded: physical activity (MET-minutes/week), general health (0, poor-100, good), mental well-being (SWEMWBS), job satisfaction (1, very dissatisfied-5, very satisfied) and demographics. Biometric measures (baseline, 12-months) included Body Mass Index (BMI) and blood pressure. Analyses used descriptive statistics, bivariate analysis and generalized linear modelling. Focus groups explored participants' perceptions of TTM, analysed thematically.

Results
542 participants completed all measures (63.1% of baseline). Compared to baseline, at 12-months 57.7% reported increased physical activity (30.6% decreased; 11.6% no change) with 75.3% meeting UK activity guidelines (58.8% baseline). Those with the lowest levels of physical activity at baseline (n = 223) increased their weekly moderate activity by &gt; 2.5 hours, whilst those with moderate activity (n = 269) increased by 58 minutes/week. A small improvement was reported in mental well-being (mean scores; 22.4 baseline, 23.2 12-months), with participants with low mental well-being at baseline improving the most. Self-reported health and job satisfaction also improved. However, BMI and blood pressure changes were non-meaningful. Employee attitudes to TTM were positive. Organisational support was a motivating factor for participation, with competing demands a barrier.

Conclusions
The provision of paid time to engage in physical activity can improve employee health and well-being. TTM provides an example of how organisations can promote physical activity and change workplace culture. However, further research should explore the long-term impact of the intervention, including the potential impact of COVID-19-related restrictions.
O5-1 Physical activity promotion in long term illness patients: Preliminary results on a French national program
Authors: Robin Nicolas Salesse A , Maury Jonathan , Zaffuto Chloé , Ruspini Gauthier , Fuchs Amélie , Bigot Lucile , Herbinet Aline 
Published: August 2022

Abstract

Issue/problem
Since 2016, French doctors are allowed to prescribe adapted physical activity (APA) to patients with long-term illness (ALD) through the ‘sport sur ordonnance' program. Despite the goal of promoting physical activity in ALD patients, health authority recent reports unanimously highlight organisational and funding difficulties. Whereas most of the funding effort is based on national or mutual insurance companies, our intervention proposes to fix the organisational difficulties. We provided an optimized care pathway coordinated by an APA professional and an innovative online platform to ease medical prescription, patients access and follow-up to APA.

Problem description
Three main problems have been identified: Diagnostic heterogeneity, APA accessibility and Program evaluation. To fix these issues, the proposed intervention firstly included an initial evaluation based on a standardized diagnostic. Secondly, we evaluated APA structures following functional specifications and referenced those succeeding the criteria to ensure an optimized patients' orientation toward an adapted care service. Finally, pre- and post-care bio-psycho-social tests were mandatory. Interviews and evaluation data were stored via questionnaires on our securized platform for further analyses.

Results
2200 patients benefited from our program, and 116 yet finished the whole 2-years program. Patients description: 64 yo, 66% women, 35% cancer, 14% diabetes, 11% heart failure and 9% mental illnesses. 96% declared being motivated to maintain their physical activity after the program and reported a 4.8/5 in rating their APA care. Significant pre-post enhancements suggest that our program succeed in promoting and facilitating regular APA practice in ALD patients.

Lessons
The ecosystem built around insurance companies (APA professionals, doctors and patients) provides an appropriate response to the health policy dedicating to promote a regular APA practice for ALD patients. However, the expected efficiency depends on a structured, organized and innovative system. Firstly, evaluating the medicoeconomic impact is necessary to ensure the sustainability of this national policy. Systematically measuring the pre- and post-care intervention should allow reaching this objective. Secondly, we learned that the necessary next steps will rely on time saving and quality increase. We propose automatized detailed and patient specific APA prescription following HAS guidelines and automatized orientation toward the most adapted APA professional.
O5-2 Tele-rehabilitation program ‘Funktionstraining-online' in people with Multiple Sclerosis - preliminary results of a first online survey
Authors: Gemmerich Anne-Marie , Stephanie Woschek , Schubert Patrick , Scholl Nadine , Klump Charlotte , Christian Haas 
Published: August 2022

Abstract

Background
In 2019, the German Multiple Sclerosis (MS) Society was certified as a provider for ?Funktionstraining? (FT). FT is an exercise training program developed for people with disabilities or people at risk of disability, takes place weekly and is led by a qualified FT-therapist. It is prescribed by a physician (between 12 and 24 months) and is part of outpatient medical rehabilitation. Due to the COVID-19 pandemic, the tele-rehabilitation concept ‘Funktionstraining-online’ (FT-online) was developed for pwMS. This study examines the FT-online from a participants' point of view within an online survey.

Methods
We developed an online questionnaire that included data of sample characteristics, participants' experiences with FT-online in terms of usability and training content. Further, the survey captured the quality of FT-online and the FT-therapist and compared carefully FT-online with face-to-face training. The standardised questionnaires Self-Efficacy Scale - Short Form (ASKU), the Multiple Sclerosis Questionnaire for Physiotherapists MSQPT and the Fatigue-Questionnaire (WeiMuS) were included. The 103 interviewed people with MS (pwMS) participated in FT-online at least for three months.

Results
Data analyses are in process. The response rate was 75% (n = 78). The analysed sample is 53.4±8.1 years old with a disease duration of 18±8.7 years (male=7, female=71). Preliminary results in the ASKU certify a low self-efficacy in the sample (2.25 ±0.67). Qualitative results show the advantages for FT-online in the independence of mobility and infrastructure, flexibility, compatibility within job and family, group feeling in times of social distancing and an increase in quality of life. The disadvantages described by the sample are mainly technical problems and lack of socialising. 35% (n = 27) participants experienced both: FT-online and face-to-face. 44.4% (n = 12) of this sample prefer FT-online, 33.3% (n = 9) prefer the face-to-face training course and 22.2% (n = 6) rate both kinds of training equal.

Conclusions
The implementation of FT-online was an important step to ensure the exercise-related physical activity in pwMS during the COVID-19 pandemic. The descriptive analyses show high potential for FT-online training in pwMS. We are aware of the bias in current data, because of the pandemic situation both the free choice of FT-offers and the pandemic circumstances held influence in study outcomes. First results lead to the conclusion that FT-online may be beneficial for a broad range of persons with neurologic diseases, movement disorders and fatigue episodes and should be considered for future medical rehabilitation.
O5-3 Behavioural risk patterns among overweight and obese adolescents participating in the PRALIMAP-INES trial
Authors: Julia Chantal , Omorou Abdou , Guillemin Francis , Briançon Serge 
Published: August 2022

Abstract

Background
It has been suggested that risk behaviours including diet, physical activity (PA), sedentary behaviour (SB), smoking and alcohol consumption cluster among adolescents. Our objective was to investigate clustering of risk behaviours in overweight and obese adolescents from the French PRALIMAP-InèS trial and to identify their socioeconomic correlates.

Methods
Information on diet (fruit, vegetables, sugary products and beverages), PA, SB (week and week-end days), smoking and alcohol consumption (current frequency and intoxication episodes) and socio-demographical data were collected using self-reported questionnaires at the trial inclusion. Behavioural risk factors were entered as categorical variables in a two-step clustering procedure: multiple correspondence analyses followed by a two-way clustering procedure based on hierarchical methods. Associations between cluster membership and socio-economic variables were investigated using multivariable multinomial logistic regression.

Results
A total of 1391 participants were included in analyses and four clusters were identified: (1) “Moderate to high PA, low soft drinkers, low alcohol consumers low SB, non-smokers” (n = 543; 39.0%), (2) “High SB and low fruits and vegetables consumers” (n = 376; 26.8%), (3) “Smokers and alcohol consumers” (n = 247; 17.7%) and (4) “High fruits and vegetable consumers, soft drinkers and low PA” (n = 229; 16.5%). Compared to the healthiest cluster (cluster 1), adolescents from cluster 2&3 (unhealthy clusters) were more likely boys, older, attending vocational high school and not living with their two parents. Adolescents from cluster 4 were more socially advantaged (according to the WHO family affluence scale) than those of cluster 1.

Conclusions
Risk behaviour patterns in adolescents were shown to be clustered in both healthier and less healthy ways, with a complex interplay with socio-economic factors. Adapted to cluster Public health interventions may bring some benefits.