bluuebunny/crossref_metadata_2025_split huggingface dataset:
P07-04 A systematic review of key interventional elements in international exercise referral schemes
Authors: Mino Eriselda , Naber Inga , Klamroth Sarah , Weissenfels Anja , Geidl Wolfgang , Gelius Peter , Abu-Omar Karim , Pfeifer Klaus 
Published: August 2022

Abstract

Background
With the first initiatives dating back to the 1990s, the past two decades have seen a rapid increase in the use of exercise referral schemes (ERS) worldwide. Despite the accumulating evidence on their effectiveness, there are currently no international guidelines available to inform the design of such interventions. The key elements and processes employed vary both within and between countries. This systematic review aims to address this frequently overlooked topic by identifying elements that are predominant in international ERS.

Methods
Scientific databases (PubMed, Scopus) and grey literature sources were systematically searched. In order to collect the information relevant for understanding and visualizing all ERS models, a broad spectrum of document types was considered eligible for inclusion, i.e. randomized controlled or pragmatic trials, cohort studies, case-control studies, case series, case reports, qualitative studies, economic evaluations, mixed designs, policy documents, and official governmental reports. We extracted data on scheme components, contents, and main actors involved in scheme delivery. Cross-functional flowcharts were employed to facilitate comparison between different ERS designs: Firstly, the collected data were visualized in flowcharts indicating the pathway a patient follows from beginning to end of an individual ERS. Secondly, elements that appeared more frequently across all included ERS were identified.

Results
Preliminary results identified 18 models of ERS that were eligible for data analysis, including Green Prescription (New Zealand), Hreyfiseðill (Iceland), National Exercise Referral Scheme (Wales). Program designs ranged from short advice by a primary healthcare professional to physical activity prescription and/or further referral to affiliated health professionals. The prevailing actors involved in scheme delivery were physicians, nurses, physiotherapists, training experts, physical activity providers, and coordinators. Seven predominant elements emerged from the comparison between ERS designs: assessment, counselling, individualized physical activity recommendations, written prescription, behavior change techniques, support person, and follow-up.

Conclusions
To the best of our knowledge, this is the first study that takes a closer look at the design characteristics of ERS across the world. Our preliminary results indicate that there are seven key elements. The contribution of these elements on the effectiveness of ERS needs to be explored in future research.
P07-12 Stakeholders perspectives on exercise referral schemes in Germany
Authors: Naber Inga , Mino Eriselda , Klamroth Sarah , Weissenfels Anja , Geidl Wolfgang , Gelius Peter , Abu-Omar Karim , Pfeifer Klaus 
Published: August 2022

Abstract

Background
There is a growing popularity of exercise referral schemes (ERS) and they are widely implemented in nations such as New Zealand and Sweden. To this point, the German health care system (GHCS) is not utilising a structurally implemented ERS, but a research project is currently conducted to develop and test a German ERS. In the first project phase, the aim was to introduce the topic of ERS to relevant stakeholders of the GHCS and to gather their expert opinions on such a potential ERS. Further, the aim was to familiarise the stakeholders to the project and its collaborative approach in developing and testing an ERS.

Methods
Semi-structured interviews were conducted with 12 relevant stakeholder of the GHCS. In each case, two researchers conducted the interviews between June to September 2019. Main topics addressed during the interviews were potential target groups for an ERS, their own role within an ERS, PA counselling and dropouts that would be expected. During the interviews, stakeholders were encouraged to sketch their ideas for how to organise an ERS on paper. In the analysis, we digitalised these sketches into flow-chart diagrams.

Results
The analysis of the interviews showed that the sketches proposed innovative additions and alternative PA promotion strategies within the GHCS. The stakeholders identified barriers within the GHCS such as the rigid costing of treatments and performance measurements. Some reoccurring important core elements for an ERS in Germany were suggested: having a supportive person, implementing PA behaviour impact, utilising existing PA programs and tailoring individual PA counselling. Some stakeholders envisioned an ERS focusing on their perspectives and desired role within the ERS while others outlined ERS that largely excluded them.

Conclusions
All stakeholders clearly expressed the need for collaboration to develop and test an ERS in Germany. Previous studies have been focused on factors that influence effectiveness, as uptake and adherence. In contrast, these interviews resulted in the identification of concrete barriers and facilitators from the administrative perspective within the GHCS. Different stakeholders show varying degrees of interest in being part of an ERS. This information is highly valuable for the upcoming collaborative process.
P07-13 Barriers and opportunities to improve collaboration between healthcare and physical activity professionals involved in prescribing physical activity for inactive people in the Netherlands
Authors: Collard Dorine , Gutter Kirsten 
Published: August 2022

Abstract

Background
Healthcare professionals play an important role in motivating inactive people with a chronic disease (e.g. diabetes, cancer, heart disease) for physical activity. They can initiate a discussion about physical activity with the patient and refer to a physical activity (PA)-professional for more detailed action-planning through ‘physical activity on prescription'. However, the collaboration between healthcare and PA-professionals to refer and guide patients to physical activities is in its infancy and can be improved. To enhance this collaboration the aim of our study was to evaluate how the collaboration is shaped and what barriers were experienced.

Methods
We conducted an exploratory study in which quantitative and qualitative research methods were used. Two online questionnaires were distributed among PA-professionals in the Netherlands (spring and autumn 2021). Questionnaires were returned by respectively 209 and 116 respondents. Questions on how the collaboration was shaped, how the collaboration worked and what barriers were experienced were asked. Besides that, two focus group discussions were held with PA-professionals (n = 8) focussing on barriers and opportunities to improve ‘Physical activity prescription'.

Results
More than half of the Dutch PA-professionals indicate that they collaborate with healthcare professionals in primary care (56%) to guide patients to physical activities. Far fewer PA-professionals collaborate with healthcare professionals in secondary care (22%). Half of the respondents indicate that they experience the collaboration in physical activity prescription as insufficient (47%). Most important barriers are determined, for example healthcare and PA-professionals are unfamiliar with each other; there is uncertainty about roles and tasks of professionals involved; there is a lack of communication; PA-professionals sometimes do not have the skills to guide people with a chronic disease. Finally, a lack of time and budget limits the collaboration between professionals involved in physical activity on prescription.

Conclusions
The collaboration between professionals to refer and guide inactive people with a chronic disease from the healthcare setting to physical activities can be improved by responding to the barriers that are indicated by this study. This study contributes to improving health-enhancing physical activity in an inactive target group and decreasing the prevalence of physical inactivity.
P08-03 Integrating public health expertise to support green space planning by promoting active lifestyles in Slovenia
Authors: Erjavec Ina Šuklje , Juričan Andrea Backović , Kozamernik Jana , Knific Tjaša 
Published: August 2022

Abstract

Issue/problem
To minimize public health risks and promote HEPA among citizens, an integrated approach between public health experts and spatial planning is much needed. However, cross-sectoral cooperation is very demanding and needs harmonization of concepts and professional terms to reach mutual understanding.

Description of the problem
In 2017 the Urban Planning Institute of the Republic of Slovenia launched the programme entitled Expert Basis for Spatial Planning of Green Areas, aimed at HEPA promotion for citizens. It was co-financed by the Ministry of Health and based on the objectives in the National Programme on Nutrition and Health Enhancing Physical Activity 2015-2025 and the Strategy of the Government of the Republic of Slovenia for Children and Youth Environmental Health 2012-2020. Its purpose is to expertly support the planning and development of towns/settlements in Slovenia for better quality of life and direct it for active and healthy lifestyles of citizens of all ages and social groups. To properly address all relevant issues, cooperation with the National Institute of Public Health was established.

Results (effects/changes)
The programme contained multidisciplinary collaboration in a form of consultation workshops and an expert review of the programme publication named Going Out for Health: A green space planning manual to promote physical activity and a healthy lifestyle. The emphasis was on supporting spatial planning issues on quality of green spaces with basic objectives of public health perspectives. The guide is the first example of linking public health promotion approaches and quality aspects of green space planning and design in Slovenia. It contains general guidelines for the planning of green areas aimed at promoting HEPA, expert materials to support municipalities in devising relevant approaches, and decision-making in order to provide useful and attractive green areas.

Lessons
The aspects of green area spatial planning aimed at promoting HEPA are diverse and closely interconnected. The programme and its manual reflect a good cooperation example between spatial planning and public health experts.

Main messages
A good collaboration between urban planners and public health professionals is crucial to prepare useful guidelines for spatial planners and municipality decision-makers on green space planning for HEPA promotion.
P08-06 MOVEluencer: a project to promote physical activity during the COVID-19 pandemic in a rural community setting
Authors: Holler Peter , Tuttner Silvia , Amort Frank Michael 
Published: August 2022

Abstract

Background
An appropriate level of Physical Activity (PA) is important for both physical and mental health and has also been suggested as a protective element against COVID-19. However, even before the outbreak of the COVID-19 pandemic, there were already a high number of physically inactive people in Austria. Due to ongoing pandemic-related social restrictions, not only a further increase of inactivity is suspected, but also the promotion of PA is currently a major challenge. Therefore, the project “MOVEluencer” which has been running since July 2021, follows a multidimensional PA promotion approach that is less affected by the presence of any social restrictions.

Methods
The project was realized in six rural communities in Styria (a province of Austria), which were selected based on inequality factors related to health and PA. The target groups are physically inactive residents, particularly families and elderly. Overall, the project measures are based on a participatory approach and are implemented in three sections (phase 1 -3).

Results
Phase 1 (July - December 2021) represented an analysis phase in which a photo-challenge was conducted. The aim of the challenge was to identify resources and opportunities for improving active mobility and PA in the communities based on photos taken by residents. Sixty-seven people (43% female) participated in the challenge and submitted a total of 268 photos which were disseminated via the project-specific social media channels. Moreover, in phase 1 working groups represented by members from the project target groups were established. Phase 2 is currently being implemented (since January 2022). One measure is to recruit and train walking buddies to provide regular walks and simple strength exercises along the walking-way. A further measure represents outdoor-educational events, following an interactive learning approach to improve the populations awareness of active mobility and PA in general. During these events, simple tests that assess components of health-related fitness are also offered. Phase 3 will implement target group-specific PA programs currently being developed in the working groups.

Conclusion
Promotion of PA remains significant, especially during a pandemic and in rural communities, as awareness of the benefits of PA in this setting is still low.
P08-11 Capabilities and capitals for leisure-time physical activity among young adults: findings from Switzerland
Authors: Ferschl Susanne , Gelius Peter , Abu-Omar Karim , Abel Thomas 
Published: August 2022

Abstract

Background
The association between physical activity (PA) and social, economic and psychological factors in young adults is well documented. By contrast, the mechanisms by which their perceived options to be active in life shape their actual PA behavior are less well understood. By taking into account individual competences as well as social, economic and cultural resources, Sen's capability approach and Bourdieu's theory of capitals may contribute to a better understanding of how PA levels depend on the chances young adults have to realize activity in daily life. This study explores the influence of a set of PA-related capabilities, conversion factors and different forms of capitals on leisure-time PA among young Swiss adults.

Methods
We analyzed data from the Swiss Federal Survey of Adolescents (YASS), specifically the 2010/11 and 2014/15 panels, to explore capabilities for PA among young Swiss adults (N = 21894; aged 18-25 years). We applied stepwise linear regression analyses to explore the association between continuous PA scores, capabilities to be active, cultural (parental education, parental cultural objects), economic (household equivalent income) and social resources (social connections of parents), as well as individual conversion factors (self-efficiency, own education, health literacy).

Results
Preliminary findings suggest that higher capabilities to be physically active, being female, having a higher education, having parents with a higher education or a higher number of cultural objects, scoring higher on the health literacy scale and being more self-efficient have a statistically significant positive effect on leisure-time PA.

Conclusions
In line with Sen's capability approach and Bourdieu's theory of capitals, our findings indicate positive associations between leisure-time PA, the perceived capabilities to be active in life, different resources and conversion factors. This implies that these approaches may serve as a good theoretical foundation for conceptualizing interventions to effectively promote PA among young adults.
P08-17 Physical activity according to migration status in adolescents living in French-speaking Belgium
Authors: Holmberg Emma , Pedroni Camille , Lebacq Thérésa , Desnouck Véronique , Dujeu Maud , Castetbon Katia 
Published: August 2022

Abstract

Background
Rising levels of childhood obesity is a worldwide concern, with physical inactivity considered to be amongst the many contributors. Worryingly, physical activity (PA) tends to decline throughout adolescence. Although there is extensive research on the sociodemographic disparities of adolescent PA participation, less evidence is available on the potential involvement of immigration status in such disparities. The aim of this study was to investigate PA levels according to migration status among adolescents aged 12-20 years in Belgium.

Methods
This study used the data from the cross-sectional 2018 Health Behaviour in School-aged Children (HBSC) survey in French-speaking Belgian schools (Brussels and Wallonia). A two-stage random sample was used to select participants. Data was collected using self-administrated questionnaires. Adolescents aged 12 to 20 were included in the analyses presented here (n = 8635, boys: n = 4179, girls: n = 4456). The association of global PA (GPA) and vigorous PA (VPA) with migration status (natives, 2nd and 1st-generation immigrants) was analysed using multiple binary logistic regression analyses. Interactions with gender were tested.

Results
The prevalence of adolescents undertaking sufficient GPA (moderate to vigorous PA 60 minutes/day and VPA ≥3 times/week) was higher amongst 1st-generation immigrants (11.7%) compared to 2nd-generation immigrants (7.4%) and natives (8.9%) (p = 0.01). Vigorous PA ≥ 3 times/week was significantly more prevalent amongst natives (52.6%) than 2nd (44.9%) and 1st (48.8%) generation immigrants. After adjusting for sociodemographic variables, compared to natives, 2nd-generation immigrants were less likely to participate in sufficient GPA (aOR= 0.83, 95%CI: 0.69-1.00) and VPA (aOR= 0.77, 95%CI: 0.68-0.87). Conversely, 1st-generation immigrants were more likely to be sufficiently active compared to natives (GPA: aOR= 1.44, 95%CI: 1.03-2.01). An interaction between migration status and gender was found for VPA only (p &gt; 0.001). Compared to natives, 1st-generation immigrant boys were more likely (aOR=1.42, 95%CI: 1.15-1.75) and immigrant girls were less likely to undertake VPA ≥3 times/week (2nd-generation: aOR= 0.66, 95%CI: 0.56-0.78; 1st-generation: aOR=0.72, 95%CI: 0.57-0.90).

Conclusions
This study shows disparities in PA participation according to migration status and gender, independently of sociodemographic characteristics, for adolescents living in French-speaking Belgium. These findings will enable to inform future public health initiatives promoting PA in adolescents on migration and gender-specific considerations.
P09-09 Hybrid work and temporal patterns of sedentary behavior in a 24-hour compositional perspective
Authors: Hallman David , Januario Leticia , Mathiassen Svend Erik , Heiden Marina , Wahlström Viktoria 
Published: August 2022

Abstract

Background
During the COVID-19 pandemic, many white-collar workers were requested to exclusively work from home (WFH), which may have affected their sedentary behavior. In Sweden, having less severe restrictions than many other countries, workers were allowed to alternate between WFH and work at the office (WAO), so called hybrid work. Understanding how hybrid work influences total sedentary behavior and its temporal distribution is an important issue for future health promotion. This study aimed to investigate to what extent office workers changed their temporal pattern of sedentary behavior during days WFH compared to WAO, considering age and gender as potential moderators.

Methods
Data were collected from May to December 2020 in office workers (n = 199). Their mean age was 42 (SD 10) years and 55% were women. Physical behaviors were measured using a thigh-worn accelerometer (AxivityAX3) for seven consecutive days. A diary identified working hours, time-in-bed and days WFH or WAO. Time-use was classified as short (0-5 min), moderate (5-30 min) and long bouts (&gt;30 min) of sedentary behavior (SB), non-SB, and time-in-bed during workdays (WAO and WFH) and non-workdays. We used Compositional data analysis to express data as 24-hour compositions and linear mixed models to estimate difference in 24-hour compositions between day types (within worker), including age and gender as covariates and moderators.

Results
We found that workdays (WFH and WAO) were associated with proportionally less time-in-bed relative to time awake, more time SB relative to non-SB, and more time in longer relative to shorter sedentary bouts, compared to non-workdays (all p &gt; 0.001). WFH was associated with more time-in-bed relative to awake and more SB relative to non-SB than WAO (p &gt; 0.05), but the differences for sedentary bouts were not significant. Younger workers and women had more SB, and women accumulated more time than men in longer relative to shorter bouts of SB. However, age and gender did not affect differences between day types.

Conclusions
Working from home influenced 24-hour time-use in office workers by increasing sedentary behavior in total, while its temporal pattern was unchanged. Results contribute to evidence that can support organizational policies on hybrid work.
P10-09 Acceptability of technology-based physical activity interventions in obese females: a qualitative study
Authors: Thérouanne Pierre , Hayotte Meggy , Halgand Florent , d'Arripe-Longueville Fabienne 
Published: August 2022

Abstract

Background
The effectiveness of technology-based physical activity interventions (TbPAI) has recently been shown for obese women (Cotie et al., 2018). However, the acceptability of TbPAI has often been considered through the measure of satisfaction, and not through the theoretical concepts of acceptability. To our knowledge, TbPAI acceptability has never been explored in bariatric surgery. The purpose of this study was to explore in-depth the facilitators of and barriers to TbPAI acceptability according to the theoretical concepts of the UTAUT2 model (Venkatesh et al., 2012).

Methods
Twenty-six women with a mean age of 32.9 (SD=5.5) and a BMI of 30.1 (SD=6.5) were interviewed at least 6 months after bariatric surgery. Participants were selected in a panel of obese women who completed measures of acceptability (Hayotte et al., 2020) for each TbPAI, and expressed preference in using at least one of the technologies (10 active video games, 10 mobile application, 6 videoconferencing). Interviews were audio-recorded, transcribed verbatim, and analysed using thematic content analysis. Ethical approval was gained by local committee, and informed consent were obtained from the participants before data collection.

Results
Autonomy, monitoring and feedback were identified as facilitators of mobile application acceptability. Lack of external regulation was perceived as a barrier. Regarding the acceptability of active video games, the playful dimension was perceived as a facilitator, despite several participants showing resistance to any game experience. For videoconferencing, individualization of practice was perceived as a facilitator, whereas appointment constraints were seen as a barrier.

Conclusions
These preliminary results highlighted areas to be considered for the dissemination of these TbPAI in a healthcare setting. These results will also help to better individualize TbPAI counselling according to the barriers and facilitators identified.