bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-10 Workplace Health Promotion To Facilitate Physical Activity Among Swedish Office Workers
Authors: Ullberg Oskar 
Published: August 2022

Abstract

Background
The Swedish Work Environmental Authority (2015) states that about 60% of the Swedish workforce work in various office settings, a primarily sedentary environment (Prince, Elliott, Scott, Visintini, Reed, 2019). Today many workplaces offer their employees tax deductible preventive health services, i.e., wellness allowance to promote physical activity. Previous surveys indicate that 50% of the Swedish working population have access to wellness allowance (Hanson, 2007; Weightwatchers, 2017). However, 40% do not take advantage of this benefit (Weightwatchers, 2017; Kjellman & Höglind, 2006). Further, there is still little knowledge about how companies in Sweden promote an active lifestyle at work. This study describes how companies current Workplace Health Promotion (WHP), i.e., wellness allowance and other services related to physical activity, are implemented. Their purpose for providing WHP and the policymakers visions and possible hinders.

Method
Qualitative semi-structured interviews were used to explore how nine policymakers (i.e., human resource managers or CEO) describe WHP related to physical activity analyzed with the framework method.

Results
Physical activity is facilitated through wellness allowance, flexible working hours, step-challenges, walk and talk meetings, and health education. The companies also use the office setting by providing fitness facilities. Accessibility and convenience are described as important for WHP uptake. The provision of WHP related to physical activity is described as employee-driven, where employee initiatives and work-life balance are essential. The purpose of providing WHP described by the informants was to maintain health and productivity among employees and employee branding. Their visions are to reach a broader range of employees by providing easier access to physical activity and more life-friendly solutions. Hinders related to WHP are economic interest, lack of flexibility, and distrust among employees and leaders. The wellness allowance must also be up to date with market prices to be attractive among employees.

Conclusions
Companies have several strategies to facilitate physical activity during and after working hours to maintain employee health and attract and retain top talents. To increase WHP usage and physical activity during and after working hours, we suggest improvements in organizational support, wellness allowance in line with market prices, and easy access to in-house fitness facilities.
P01-13 A pilot study benchmarking physical activity policy actions in Europe: Lessons learned from the CO-CREATE project
Authors: Kokkorou Margarita , Oldridge-Turner Kate , Vlad Ioana , Fanian Diva , Helleve Arnfinn , Fismen Anne-Siri , Malczyk Sonia , Harbron Janetta , Klepp Knut-Inge , Allen Kate 
Published: August 2022

Abstract

Background
Global research shows a strong link between physical activity and risk of developing non-communicable diseases. To increase physical activity levels, governments must design and implement a comprehensive set of policy actions across a range of areas. To aid governments in this process, the MOVING benchmarking tool was developed to assess the design and strength of countries' policies in promoting physical activity, as well as gaps in policy action.

Methods
The MOVING benchmarking tool was developed using a consultative process that reviewed evidence on physical activity policy design, existing benchmarking tools and built on the policy areas of the MOVING framework. The tool values the strength of policy design based on policy attributes that are evidence-based and aspirational - regardless of whether any countries have implemented them. The tool was applied to a set of physical activity policies from five countries participating in? CO-CREATE?, a European Commission-funded project: Netherlands, Norway, Poland, Portugal and UK. Physical activity policies that are currently implemented in these countries were identified based on a comprehensive country scan, with a set methodology. A set of policies from each country corresponding to benchmarks on access to quality public open space and green spaces and community and mass participation initiatives were analysed. The policies were assessed by applying the benchmark corresponding to the relevant policy area

Results
The benchmarking tools easily identified the strengths and weaknesses in the design of each policy. Thus, the benchmarking tool identified where there was scope for improvement in specific policy area for each country, such as walking and cycling infrastructure and active transport. It also allowed comparisons between countries for specific policy areas. Further, by allowing a fast assessment of many physical activity policies, the benchmarking tool enabled an analysis of the interplay of single policies and draw conclusions about the overall policy environment in the selected countries.

Conclusion
The MOVING benchmarking tool can inform the development and implementation of policies which promote physical activity. It can be used by government policy-makers, researchers and civil society organisations to identify areas of physical activity policy that require government action. The scores generated by the benchmarking tool will be amalgamated into an overall policy index for 27 European countries.
P01-17 Promotion of health-enhancing physical activity in Europe: a cross-sectional study among 536 sports associations
Authors: Matolić Tena , Jurakić Danijel , Podnar Hrvoje , Radman Ivan , Pedišić Željko 
Published: August 2022

Abstract

Background
Sports associations may play an important role in the promotion of health-enhancing physical activity (HEPA) in Europe. However, no recent findings on their commitment to HEPA promotion are available. Therefore, we aimed to determine the level and correlates of the commitment of European sports associations to HEPA promotion.

Methods
Representatives of 1717 sports associations from 36 countries were invited to take part in a survey conducted within the Sports Club for Health (SCforH) 2015-17 project, and 536 (31%) agreed to participate. The participants were asked about their organisation's awareness of SCforH guidelines and its commitment (0-10) to the promotion of: elite sports; health-enhancing sports; health-enhancing exercise, and other types of HEPA. An overall HEPA promotion score was calculated as the arithmetic mean of the latter three. A multiple regression analysis was conducted with the overall HEPA promotion score as the outcome variable and organisation type (“national association of a specific sport” as the reference group [ref], “European sports federation”, “national umbrella sports organisation”, “national Olympic committee”, “national sport-for-all organisation”), headquarters in an EU member state (“no” [ref], “yes”), region of Europe (“Western” [ref], “Central-Eastern”, “Northern”, “Southern”), commitment to elite sports (“low” [ref], “medium”, “high”), and awareness of SCforH guidelines (“no” [ref], “yes”) as explanatory variables.

Results
The commitment to HEPA promotion was low (score: 0-3) in 32.1% (95% confidence interval [CI]: 28.1, 36.0), medium (4-6) in 39.7% (95% CI: 35.6, 43.9), and high (7-10) in 28.2% (95% CI: 24.4, 32.0) of sports associations. Being a national sport-for-all organisation (β = 1.68; 95% CI: 0.74, 2.62; p &gt; 0.001), national Olympic committee (β = 1.48; 95% CI: 0.41, 2.55; p = 0.007), located in Central-Eastern Europe (β = 0.56; 95% CI: 0.01, 1.12; p = 0.047), and aware of the SCforH guidelines (β = 0.86; 95% CI: 0.35, 1.37; p &gt; 0.001) was associated with greater commitment to HEPA promotion.

Conclusion
Relatively low commitment of European sports associations to HEPA promotion may be increased by raising awareness of the SCforH guidelines and by considering national sport-for-all organisations, national Olympic committees, and organisations in Central-Eastern Europe as role-models in this endeavour.
P02-02 Evaluating community-based programmes for health promotion: a novel approach considering the complexity perspective
Authors: Huiberts Irma , Singh Amika , van Lenthe Frank , Chinapaw Mai , Collard Dorine 
Published: August 2022

Abstract

Background
For the past decade, community-based programmes have been a popular strategy for physical activity promotion. The implementation of these programmes is a complex process, characterized by (a) objectives that vary locally, (b) adaptions to the programme over time in response to a community's shifting needs, challenges and opportunities, (c) emergent outcomes, and (d) non-linear causality. This poses several challenges for evaluation, as commonly used evaluation designs mainly focus on predetermined programme components and outcomes. Such a traditional evaluation approach may overlook necessary but unanticipated programme developments or outcomes and provide limited opportunity to learn from these. The aim of this study was to develop a novel evaluation approach that considers the complexity perspective, in order to evaluate a large community-based programme for children's physical activity and health promotion in the Netherlands.

Methods
An exploratory review of theoretical and methodological literature regarding community-based health promotion, complexity theory, developmental evaluation and theory based evaluation was conducted. Based on this review a novel evaluation approach was developed.

Results
The developed evaluation framework focusses on elements of the complex and adaptive implementation process of community-based health promotion. These include the local programme theory, implementation, adaption, the influence of context and feedback loops, and intended as well as emergent and unintended outcomes. By studying each of these elements in practice using innovative qualitative methods, including Ripple Effects Mapping and the Critical Event Card tool, principles that guide effective health promotion across community contexts can be extracted. Practice-based knowledge can subsequently be validated in other contexts.

Conclusions
The proposed evaluation approach aims to inform both research and practice (local and national programme planners and policy makers), by considering the implementation of community-based programmes as a complex process in evaluation. Using this evaluation approach will provide insight in how community-based health promotion programmes impact communities, and which mechanisms underly success or failure. The proposed evaluation approach may be relevant for other physical activity promotion programmes or policies. Since considering complexity in evaluation is a relatively new challenge in public health, we believe it is essential to share and deliberate on innovative evaluation approaches and methods.
P02-03 A systematic review and qualitative meta-synthesis of the context, barriers and facilitators to cross-sector collaboration promoting physical activity
Authors: Kolovou Vasiliki , Bolton Nicola , Crone Diane 
Published: August 2022

Abstract

Background
The intricacies of cross sector partnerships regarding what may help and what may hinder collaboration and partnerships in the short- or long-term remain largely unknown. The 2018 Global Action Plan for Physical Activity promotes whole-system collaborative approaches and our review contributes to our understanding of the management of cross-sector partnerships and collaborations promoting physical activity.

Methods
We searched Medline, Embase, PsychINFO, ProQuest Central, SCOPUS and SPORTDiscus to identify published records dating from 1986 to August 2021. Public health interventions using a partnership approach were included, if at least two partners were not from the same sector and their shared goal was to promote or increase population-level physical activity. Eligibility also required records to include information about the context and the barriers and/or facilitators of the partners of the reported cross-sector partnerships. The CASP checklist and the ROBINS-I tool were used to appraise the included records and thematic analysis to summarise and synthesise the findings. Due to the small number of eligible quantitative studies, the study focused on qualitative findings relating to the parameters set out for this systematic review.

Results
The study included records (n = 32) that described public health interventions or programs aiming to promote physical activity, community sport or active living through cross-sector partnerhips, as part of qualitative (n = 19), quantitative (n = 1) or mixed methods (n = 12) research. The review identified barriers, facilitators and recommendations to overcome common challenges in relation to four broad themes: approaching and selecting partners, funding, building capacity and taking joint action.

Conclusion
Partners are often urged to collaborate under the limits of time and resources. Agreeing on expectations, gaining momentum and establishing trust requires time and resources early on, before any intervention output can be evidenced. Therefore, investment in the early stages may remove key barriers of partnerships and accelerate joint leadership. Boundary spanners linking sectors, translating differences and consolidating common ground can facilitate whole-systems approaches.
P02-04 Citizen science during Covid-19 pandemic to enhance an activating environment in a low-SES neighborhood
Authors: Van Holland Berry , Jepkema Nikki , De Jong Johan 
Published: August 2022

Abstract
One neighborhood in Groningen, the Netherlands, is a neighborhood housing about 12,000 citizens with on average a low-SES background, showing a less healthy and active lifestyle. In the past, initiatives have been undertaken to promote active lifestyle by implementing outdoor facilities stimulating physical activity. However, use of facilities was poor due to lack of citizen involvement. Aim of this project was to engage citizens in the overall process of capturing, plan making and prototyping of concepts for an exercise-friendly physical and social environment.
From January 2020 - May 2022 a Living Lab was run following the ‘Our Voice’ citizen science method. Participatory citizen science was applied in which a community of stakeholders (public/private parties) and citizens was built. The community addressed the problem by creating more insight in promoting/degrading features in the neighborhood concerning an active lifestyle. Citizens (n = 40) used the Stanford Neighborhood Discovery Tool, which allowed for systematic observations of the physical environment. Additionally, emergent research walks gave extra information on neighborhood barriers/facilitators next to Discovery Tool data. Collected data allowed citizens to brainstorm on possible solutions in sessions facilitated by the researchers. Solutions were presented to local government and further developed for implementation and realization.
Use of the Discovery Tool created an overview of the neighborhood. Based on positive/negative features, new ideas were generated for improving exercise-friendliness. One example was a walking route along art objects in the neighborhood. Furthermore, a citizens work group was formed which discussed this route, and other ideas and prototypes, with local government. This group was also involved in realization of prototypes.
Our project resulted in a citizen science approach which can be transferred to other neighborhoods. Use of Discovery Tool showed many benefits for neighborhood plan making. Early and continuous involvement of citizens will lead to more sustainable engagement and is a powerful method to create engagement around societal problems and social innovation in the field of Health Enhancing Physical Activity.
A transferable method for neighborhood development based on citizen science was developed. Key feature in our method was integration of design thinking, citizen engagement, and use of digital tools.
P02-08 This has just given me life back’ – mixed method evaluation of the Wild Skills, Wild Spaces ecotherapy project, Wales, UK
Authors: Crone Diane , Sellars Paul , Clayton Debbie , Mercer Jenny 
Published: August 2022

Abstract
Wild Skills Wild Spaces (WSWS) is a Welsh Government funded project which aims to deliver and evaluate an ecotherapy programme to improve the health, skills, and wellbeing of local communities in rural Montgomeryshire, Wales. Montgomeryshire Wildlife Trust (a third sector organisation) deliver the programme which is evaluated by Cardiff Metropolitan University.
The 2-year project, which began in April 2020, involves the running of 12-week interventions of weekly physically active ecotherapy activities such as tree pruning, woodwork, growing vegetables, walking and bushcraft skills. Participants (n = 40; mean age = 24.75 SD = 15.22) are people with mental health and/or behavioral problems referred via the National Health Service, health and social care partners, and schools.
The mixed method evaluation includes two phases: (i) a quantitative phase which involves pre and post intervention measures concerning connectedness to nature, wellbeing, and physical activity level; and, (ii) a qualitative phase which involves interviews and focus groups with participants, referrers, and programme leaders.
At this early stage in the data collection, to date no significant changes in pre and post ecotherapy intervention quantitative scores have been apparent. However, 100% of respondents have stated that they would like to continue taking part in ecotherapy programme. From the qualitative phase, participants described positive experiences of the programme particularly referring to how the programme supported their mental health, wellbeing, and social interactions. Additionally, participants highlighted the importance of the programme leaders in facilitating an enjoyable and safe environment in which they could relax, interact with others, and learn new skills.
Findings from year 1 of the 2-year evaluation provide promising results that ecotherapy programmes have the potential to attract socially excluded individuals into purposeful programmes. These programmes appear, through the qualitative findings to date, to benefit participants' self-reported holistic health but are also valued by them, for their contribution to supporting the environment through playing a part in the management of outdoor, green space in our communities.
P02-12 The implementation cost of a walking football exercise program for patients with type 2 diabetes: a case study of SWEET-Football (Portugal)
Authors: Barbosa Ana , Brito João , Figueiredo Pedro , Seabra André , Mendes Romeu 
Published: August 2022

Abstract

Background
Economic analysis of health interventions is essential to the development and implementation of sustainable health policies, especially in noncommunicable diseases area. Type 2 diabetes (T2D) is one of the most relevant noncommunicable diseases globally. Regular physical activity is an established cornerstone of T2D control, with benefits in glycemic control, cardiovascular risk factors and quality of life. Thus, the current study aimed to assess the cost of a community-based physical activity intervention for patients with T2D.

Methods
We assessed the SWETT-Football program - a community-based walking football exercise program for middle-aged and older male patients with T2D. The program was tested in Portugal through a scientific project (NCT03810846) funded by FIFA (FIFA Research Scholarship 2018). One season of this program consists of three sessions per week (60 minutes per session) during nine months (October to June). For the calculations, we considered a total of 40 patients (two groups of 20). We calculated the direct costs of one season for the host institution: 216 hours of renting a sports hall and hiring human resources (a football coach and a nurse); cardiac stress tests and sports insurance for the participants; sports equipment (balls, cones, vests); vital signs monitoring equipment (blood pressure, heart rate and capillary blood glucose); logistical equipment (disposable and non-disposable); and technical training. In addition, we considered an economic depreciation of five years for sports and electronic materials. Cost analysis dated January 2022.

Results
One season of this program for 40 patients with T2D was estimated to have a total implementation cost of 11,026.51€: 1,225.17€/month; 275.66€/patient; 51.05€/session; 30.63€/patient/month; and 2.55€/patient/session.

Conclusions
A community-based walking football program for patients with T2D has an affordable cost and is feasible for large-scale implementation by local communities with the involvement of football clubs, municipalities and primary health care units, promoting physical activity and contributing to T2D control.
P02-13 Perceived health and impact of a physical activity intervention in sex-offenders and other inmates
Authors: Anastasi Daniela , Digennaro Simone , Ciccarelli Marica , Federico Bruno 
Published: August 2022

Abstract

Background
Prisoners spend most of their time in restricted environments, with strong limitations on freedom and social relationships. Inmates that committed sex crimes (sex-offenders) are subject to limitations more restrictive than other inmates. Physical inactivity is very common in these populations, with negative effects on both physical and mental health. Interventions that contrast physical inactivity are strongly encouraged in this context.

Methods
A health promotion intervention was carried out in the prison of Cassino (central Italy) in 2019. This intervention aimed to promote prisoners' health and physical activity, and increase their life skills. Intervention sessions, which included body awareness and proprioceptive exercises, were carried out two times a week for about 9 months. Focus group interviews were carried out with 9 sex-offenders and, separately, with 20 other inmates, exploring the topics of self-perceived health, and impact of the health promotion intervention.

Results
Both groups reported feelings of psychological stress and anxiety, leading to increases in cigarette smoking and excessive food consumption. Several focus group participants felt the need to do physical activity on a regular basis and they asked for sport facilities and programs. Sex-offenders reported that the health promotion intervention helped them fill the time, enjoy and relax, while non sex-offenders reported an increase in physical fitness and viewed this intervention as an opportunity of social rehabilitation.

Conclusions
Imprisonment leads to negative health behaviours, such as physical inactivity, cigarette smoking, and excessive food consumption, particularly among sex-offenders that are subject to stronger limitations than other inmates. Interventions that promote physical activity among prisoners may have positive effects on prisoners' physical fitness and mental health.