bluuebunny/crossref_metadata_2025_split huggingface dataset:
P07-06 Physical activity promotion in cancer patient: opinions and practices of health professionals
Authors: Petitfrère Yoric , Rompen Jérôme , Cloes Marc , Mouton Alexandre 
Published: August 2022

Abstract

Background
Literature suggests that health professionals (HPs) can play an important role in promoting physical activity (PA) in cancer patients (Jones et al., 2004). This study had three purposes: (1) analyzing HPs' knowledge and opinion about PA for cancer patients; (2) examining practices, barriers and roles that they identify when considering PA promotion in their patients; (3) determining factors that may enhance practices in this field.

Methods
This study was designed in two phases and took place in Wallonia, Belgium. The first phase was qualitative: 12 HPs were interviewed about their experiences with PA in cancer patients. Then, in the second (and quantitative) phase, an online survey was created based upon the results of the first phase and upon the relevant literature. We sent this second-phase survey to professional organizations, hospitals and medical health centers and received 68 responses.

Results
In both phases of the study, HPs seemed to be aware of the benefits of PA for cancer patients and considered that they have to play a role in promoting PA in that specific population. However, only 25% (n = 17) of HPs were familiar with the official PA guidelines. According to our results, HPs discuss the topic of PA with more than 7 out of 10 patients (7.11 ± 2.61). Lack of time and lack of knowledge about PA were identified as barriers to PA promotion. Finally, other relationships that may help to explain the role of HPs in PA promotion were uncovered: clinicians who used more information (e.g. PA benefits) (p = &gt;0.001), exercised referrals (p = 0.012), and prescribed PA (p = 0.007) had higher intervention rates.

Conclusions
Our findings suggest that improving HPs' knowledge about PA guidelines and how it can be proposed to cancer patients could help them to promote PA and to encourage their patients to consult a PA specialist, and eventually adopt a physically active lifestyle.
P07-08 The City of Antibes' Prescription Sports plan, the first « Health Sports Centre » in the Alpes-Maritimes department
Authors: Madrignac Yannick , Plisson Isabelle , Melan Romain 
Published: August 2022

Abstract
Today, Antibes is obviously the « Health and Sport city ». Demographic and epidemiological studies reveal problems of ageing and isolation of elderly people; often they are subject to serious health consequences and triggering the loss of autonomy. Precariousness and social isolation also enhance the occurence or deterioration of certain health problems (cardiovascular diseases, cancers, depression, etc.). All these factors lead to a growth of long term illnesses.
Following a national law health system modernisation in 2017, the City of Antibes, the Hospital Centre and the Regional Medical and Sport Centre have set up a program called “Pass Form Santé” dedicated to “Prescription Sports”.
What does it consist of? Who are the beneficiaries? What are the means implemented?
This unique and innovative program in the Alpes Maritimes aims to help people with chronic diseases to improve their health and the way of taking medication. It is to guide them to an adapted physical practice of activity at a regular, secure and progressive way on the recommendation of an attending physician.
The City of Antibes has all the resources to enable the implementation of this program: multi-disciplinary local municipal establishments, well trained human resources in different adapted physical activities, and a substantial network of sport and medical-social partners. Since 2017, 135 people have joined the “Pass Form Santé” program. 47% of prescriptions came from liberal or specialist doctors, 31% from hospitals and 22% from the Medical-Sportive Centre of Antibes. The breakdown of pathologies shows a majority cases in cardiology and oncology.
Qualitative result on the beneficiaries' health is unequivocal. The program allows them to feel better physically and morally. This “Pass Form Santé” program perfectly meets their expectations and allows them to get closer to an autonomous practice or to join any associative sports network.
The city of Antibes, together with its partners, has known how to create this innovative program called “Pass Form Santé” in order to develop prescription sports. It serves as a common link between beneficiaries, the medical professionals and the associative sport networks in order to encourage people with a chronic disease to resume physical activity.
P07-10 Nice acti'santé: Let’s move for health in Nice
Authors: Falzon Charlène , Lazzaro Aurélien , Soummer Emmanuelle , Prot Barbara , Chemla Richard 
Published: August 2022

Abstract

Issue
In view of the multiple benefits, the integration of physical activity into the health care pathway of people with chronic diseases is a major issue. In Nice, nearly a third of the population is over 60 years old and more than 60,000 people are in long-term illness. In view of this, the City of Nice has decided to set up a physical activity prescription device named Nice Acti'Santé to support people in Nice with a chronic illness who want to make physical activity part of their life.

Description of the problem
The main objective of the device is to encourage people with a chronic disease to engage in a physical activity appropriate to their health. A medico-active process has been implemented to meet this objective: (a) the doctor guides his patient toward the Nice Acti'Santé platform, (b) the platform team makes a free checkup of the patient and guides him toward a partner sports club, (c) the doctor validates the patient's orientation, prescribes the physical activity and signs the certificate, (d) the partner sports club takes charge of the patient and the plateform team sets up a follow-up, (e) after 4 months, the platform team makes a new checkup of the patient and guides him toward an autonomous practice and, (f) the doctor validates the new patient's orientation and signs the certificate.

Results
Preliminary results show that 1 out of 2 patients is registered in a partner sports club after being taken charge on the platform. Most patients are aware of the platform through media or communication supports, and few are oriented by their doctor.

Lessons
The platform (a) acts in complementarity with the doctor who can count on a quality device with qualified staff to take charge of his patient, (b) guides the patient toward a physical activity adapted to health and taking account his capacities and needs and, (c) helps partner club sports to recruit participants.

Main messages
Nice Acti'Santé is an effective link between health and sport professionals/Nice Acti'Santé is an innovative and local device to serve the most vulnerable people in Nice.
P07-11 Physical activity promotion in the German healthcare system - Establishing pathways of exercise referral for persons with noncommunicable diseases
Authors: Klamroth Sarah , Naber Inga , Mino Eriselda , Geidl Wolfgang , Gelius Peter , Abu-Omar Karim , Pfeifer Klaus 
Published: August 2022

Abstract

Background
Exercise referral schemes (ERS) are embedded in the routine practice of healthcare systems in many countries (e.g. Sweden and New Zealand). In primary healthcare, ERS are recommended to sustainably increase physical activity (PA) levels among patients with noncommunicable diseases (NCD). Yet, the German health care system currently only incorporates interventions that primarily focus on improving functional outcomes but hardly aim at increasing PA levels. This presentation introduces an ongoing research project that aims to develop, implement and evaluate an ERS to promote PA for persons with NCD within the German healthcare system.

Methods
In the first phase of the project, a concept of an ERS was developed using a participatory research approach that involved relevant stakeholders such as physicians, funding agencies, PA providers, and patient representatives. The development process comprised three steps: 1) interviews to gather stakeholders' ideas of an ERS; 2) a literature review to collect evidence on key elements of international ERS; 3) three stakeholder meetings to combine scientific evidence with stakeholders' perspectives (co-creation). Subsequently, the ERS will be implemented, tested and evaluated in a regional pilot project using a pragmatic trial design. Finally, a concept for scaling-up the ERS to the German national level will be developed.

Results
As result of the co-creation process, the following key elements were defined to be part of the ERS: Screening, short counselling and provision of a referral form by a physician; initial assessment, counselling, individual PA recommendations, re-assessment and follow-up by exercise professionals. Additional aspects considered important for the implementation of the ERS were ensuring good communication and feedback between all participating health professionals, as well as an overview of all local physical activity offers and exercise professionals (database). These preliminary findings were combined into a draft of the ERS.

Conclusions
The participatory research approach employed by our project yielded the first draft of an ERS with a specific focus on PA promotion among persons with NCD within the German healthcare system. In the upcoming project stage, this ERS concept will be further elaborated and prepared for implementation and evaluation at a regional level.
P08-01 Demographic, social, and environmental factors predicting Danish children's greenspace use
Authors: Arvidsen Jan , Schmidt Tanja Betinna , Præstholm Søren , Andkjær Søren , Olafsson Anton Stahl , Nielsen Jonas Vestergaard , Schipperijn Jasper 
Published: August 2022

Abstract

Background
Evidence suggest that greenspace use can be associated with children's physical, mental, social health, and well-being (Tillmann et al., 2018; Mygind et al., 2019; Mygind et al., 2021). Greenspace can facilitate a wide range of low-cost activities and the availability of greenspace is frequently linked to increased levels of recreational physical activity. Accordingly, contemporary children's declining greenspace use prompts a need to understand the factors that affect frequency of use.

Methods
Aiming to determine to what extent demographic, environmental and social factors predict greenspace use for school-aged (6-15-year-old) children in Denmark, a national online survey was distributed to parents of 10.000 0-15-year-old children. From a total of 4772 responses a sub-sample of 3171 responses from parents of school-aged children was included in the analysis for this study. The aim was addressed by answering the following research questions: 1) How often do Danish children use greenspaces? 2) What demographic differences in greenspace use are present? 3) How do social and environmental factors predict greenspace use?

Results
Responses from the 3171 parents showed that 49.5% of the children used greenspace almost every day during the summer season. Multivariate binary logistic regression analysis showed that the number of types of greenspaces within walking or cycling distance from home was a strong predictor for daily use. Social factors (parental concern and encouragement) also predicted use, but less so. Geography and child age were the only demographic predictors for using greenspace almost every day.

Conclusions
Findings from the present study suggest that providing opportunity for choosing between various types of greenspaces within walking or cycling distance might be an effective way to stimulate children's use of greenspace. Also, increased parental awareness of their role in children's outdoor spatial behaviours might further greenspace use among children.
P08-02 Critical elements of sports programs for socially vulnerable adults: a concept mapping study
Authors: Alarslan Güven , de Jager Dico , Verkooijen Kirsten 
Published: August 2022

Abstract

Background
Sports programs are recognised as a promising way to contribute to the personal development of socially vulnerable adults. However, it remains unknown which elements of sports programs are critical for social inclusion and personal development to occur. Knowledge on these critical elements is needed to improve sports programs and to maximize positive outcomes.

Methods
Data were collected and analyzed using Concept Mapping (CM), which is a standardized systematic tool to visualize relations between different concepts by collecting and sorting ideas in groups and ranking them in terms of importance (1-5 Likert-scale). A total of 14 sports coaches, 5 program coordinators, 8 social workers and 5 advisors partook in our CM study, making up four groups of informants. Data among participants of the sports programs have been collected in a separate study.

Results
Altogether, sports coaches provided 152 elements, program coordinators provided 81 elements, social workers provided 115 elements, and the advisors provided 95 elements that they deemed critical for positive outcomes of sports programs serving socially vulnerable adults. Both overlapping and unique elements were provided. The role of the sports coach had the highest average importance score (&gt;4.00) and was equally important for all four groups. Elements related to facilities of the sports activity, such as accessible and diverse activities appeared to be more important for social workers and advisors than for program coordinators and sports coaches. In fact, elements related to facilities of the sports program had the lowest importance score among program coordinators and sports coaches. Elements related to external partners involved in the sport program (e.g., clear agreements with partners, continuous funding) showed to be important to program coordinators and advisors, but less important to the sports coaches. Social workers did not mention elements related to external partners. All four groups deemed elements related to the personal development of the participant, such as working towards a goal and intrinsic motivation important.

Conclusions
Training the sports coaches properly and keeping involved care workers in close contact enables participants to achieve better positive outcomes. Sports programs should be experienced as a safe and positive learning environment participants should be encouraged to work on their personal goals without forcing them. For the continuity of a sports program, collaboration with municipalities and social care organizations are essential.
P08-09 The promotion of walking through nudging. Evaluation of the app „Time2Walk“
Authors: Titze Sylvia , Em Sowannry , Kniely Sandra , Gumhold Verena , Freidl Andreas , Reiner Maria , Platzer Mario , Wernbacher Thomas 
Published: August 2022

Abstract

Background
Walking is an appropriate mode to increase or maintain the physical activity behavior. However, physically inactive adults often need support in order to increase their physical activity level. The aim of the presentation is to inform about the nudging framework within the app Time2Walk, the recruitment of the study participants for both time points, and the development of the walking behavior over time.

Methods
The study participants were recruited via social media, press releases, advertising material and personal contacts. A pre-post single group study design was applied using an online questionnaire before and after the intervention.
The intervention refers to a not so distant dystopian future where the city Graz (Austria) suffers from pollution, traffic chaos as well as climate change. Via regular walking as well as visiting places such as parks or other points of interest the users of the app were rewarded with tokens and could contribute to reversing the pollution. Four different types of behavioral nudges were applied during the use of Time2Walk in order to motivate people to walk more: awareness-raising (information about health and traffic related effects), social (information about guided walking tours), rewarding (token-based rewards), and stabilizing (daily walking targets) nudges.The app was developed as a central hub for conveying the nudges and for raising the players' awareness. By means of Wilcoxon-tests, changes in behavior categories were investigated.

Results
Three hundred and forty seven people registered and 145 (42%) filled in the first questionnaire: 65% women, mean age 32 years (SD ±11) and 57% &gt; high-school certificate. Of those, 31 (21%) filled in the the questionnaire a second time. Based on the stages of the Transtheoretical Model as well as on subjective assessment of the weekly walking behavior participants significantly raised their frequency of walking (20% increased walking from 4 or less days/week to ≥ 5 days/week).

Conclusions
Different interdisciplinary expertise is essential for the development of the app-prototype including the nudging framework. Despite push-notifications, reminders through the newsletter and social media the response rate was low. In general, the nudging framework was successful in the increase of the perceived walking behavior.
P09-01 Prevalence and determinants of physical activity among schoolchildren in Abidjan-Côte d'Ivoire
Authors: Sackou-Kouakou Julie-Ghislaine 
Published: August 2022

Abstract

Background
The health benefits of a physically active lifestyle during adolescence include improved muscular fitness, bone and cardiometabolic health, and positive effects on weight. Physical activity has also a positive impact on cognitive development and socializing. Trends show a decline in its practice, especially in developing countries. As the potential related-factors of physical activity are not commonly assessed in Ivorian youth, we investigated factors associated with physical activity among schoolchildren in Abidjan.

Methods
A cross-sectional study was carried out in a random sample of 394 schoolchildren aged 11-20 years in 2019, in Abidjan, Southern Côte d'Ivoire. Moderate-to-vigorous physical activity was assessed using a questionnaire based on Youth Risk Behaviour Surveillance System (YRBSS). Height and weight were objectively measured and body mass index (BMI) was calculated. Demographic and socioeconomic characteristics and dietary factors were also collected. Chi square test was used to compare proportions.

Results
The majority of children (71.3%) do not achieve the daily recommended duration of physical activity (at least 60 minutes/day). Walking to school (80.4%) was the most common physical activity. Schoolchildren that were male (p = 0.039), had normal BMI (p = 0.04), consumed water during meals (p = 0.000) were the more physically active. The others factors that increase physical activity in our population were physically active mothers (p = 0.037) and the presence of sports facilities not far from their home (p = 0.011). Socioeconomic status was unrelated to physical activity.

Conclusions
More actions or opportunities are needed to increase physical activity of schoolchildren (especially girls). It is necessary to install sports facilities that are easily accessible to them. Illustrations of parents are also important.
P09-03 Costing the economic burden of sedentary behaviors in France
Authors: Racine Antoine Noël , Margaritis Irène , Duclos Martine , Carré François , Vuillemin Anne , Christèle Gautier 
Published: August 2022

Abstract

Background
There is strong evidence showing that sedentary behaviour (SB) increase the risk to develop several chronic diseases and to premature death (Chau et al., 2015). A dose response relation is observed with a more marked risk when people spend more than 7 hours/day in sitting position (Ekelund et al., 2019). The study INCA 3 on the lifestyle habits of French population indicated that 40% of people between 18 and 79 years had a high risk for health conditions with more than 7 hours of daily SB (ANSES, 2017). The economic consequences of this risk have never been evaluated. The aim of this study was to estimate the economic burden of SB-related diseases in France.

Methods
From meta-analysis or large cohorts based on individual SB time, we identified relative risk (RR) to develop cardiovascular disease (CVD), colon cancer, breast cancer and all-causes premature death after co-variables adjustments including physical activity. From RR and prevalence of SB time in France, a population attributable fraction approach was used to estimate the yearly number of cases for each disease. Data from the national health insurance were used to calculate the annual average costs per case for each disease. Then, disease-specific and total health-care costs attributable to prolonged SB time were calculated. Indirect costs for private sector and households were calculated in a second stage.

Results
In France, 66 528 premature deaths/year appear related to a daily SB time ≥ 8,6 hours Each year prolonged SB cost 559 millions € for the national health insurance, including 359 millions € for CVD (≥ 10 hours of daily SB), 170 millions € for breast cancer (≥ 6 hours of daily SB), and 31 millions € for colon cancer (≥ 5 hours of TV/day).

Conclusions
These preliminary results showed that many deaths could be avoided by reducing prolonged SB prevalence in France. Moreover, direct health-care costs attributable to SB related diseases represent a high economic burden for the French health system. To address this issue, strong responses should be implemented to tackle SB, complementary to physical activity promotion.