bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-19 Building a cross-sectoral collaboration to support insight, intelligence and innovation for physical activity promotion in Ireland
Authors: Murphy Joey 
Published: August 2022

Abstract

Issue
The national physical activity plan (NPAP) for Ireland originated from an interdepartmental, cross-disciplinary structure that was put in place to promote population physical activity (PA) levels. There is a documented gap between research, policy and practice which hinders this promotion of population levels of PA. The Irish Physical Activity Research Collaboration (I-PARC) was established to play a key role in contributing to the outcomes of the NPAP, including the creation of a platform that enables knowledge translation and the sharing of valuable insight.

Description of Methods
Using elements of participatory action research, the collaboration encompasses 1) cross-sectoral buy in and interaction to reflect upon and understand the current PA landscape in Ireland, 2) a knowledge translation plan that provides strategies for ensuring any collaborative outputs are effectively shared with those relevant, and 3) interaction with PA professionals to generate a common aim and objectives for I-PARC, and identify the added value of sustaining such a collaboration.

Results
To date, I-PARC has gained buy in from key stakeholders (N = 20) involved in PA promotion across government departments (N = 3), government agencies (N = 5) and research institutes (N = 4) in Ireland. Furthermore, the collaboration encompasses a Practitioner Advisory Group (PAG; N = 25), a Research Advisory Panel (RAP; N = 5) and I-PARC members (N = 140). This collaboration has generated a common aim and objectives that are reinforced through a website, social media account and I-PARC led events. Feedback from events and from focus groups with the PAG shows that a cross-sectoral collaboration, such as I-PARC, is needed to support insight, intelligence and innovation to enable more people to be more active in Ireland.

Lessons
Key learnings show that generating buy in from key stakeholders, creating and reinforcing a common aim, use of a knowledge translation plan, and identifying the added value and need for a collaboration have aided with establishing and sustaining I-PARC. Buy in from government departments, agencies and research institutes enables future planning around the sustainability of the collaboration, which will allow for continued collaboration between key stakeholders, narrowing the gap between practice, policy and research, and help work towards the common goal of PA promotion.
P02-11 Effectiveness and implementation of a long-term home-based exercise training programme using minimal equipment in COPD patients: A multi-centre randomised controlled trial
Authors: Frei Anja , Radtke Thomas , Lana Kaba Dalla , Brun Patrick , Sigrist Thomas , Spielmanns Marc , Riegler Thomas , Büsching Gilbert , Cerini Tamara , Puhan Milo 
Published: August 2022

Abstract

Background
Although exercise training is an important component of pulmonary rehabilitation (PR) in chronic obstructive pulmonary disease (COPD), a majority of COPD patients fails to maintain training after PR. This study aimed to evaluate the effectiveness and implementation of a 12-months home-based, minimal equipment strength exercise programme.

Methods
Parallel arm, multicentre study across four Swiss PR clinics, random allocation of COPD patients (1:1 ratio) into intervention (IG) or control group (CG, usual care). Primary outcome was change in dyspnoea (Chronic Respiratory Questionnaire, CRQ) from baseline to 12-months, secondary outcomes change in exercise capacity (1-minute-sit-to-stand-test [1-min-STST], 6-minute-walk-test [6MWT]), health-related quality of life, exacerbations and symptoms. Main effectiveness analyses were based on the intention-to-treat approach and adjusted linear regression models were used. To assess the implementation outcomes dose, reach, fidelity, adherence, acceptability and appropriateness, we conducted interviews with patients, coaches and stakeholder and analysed reports, diaries and notes.

Results
123 patients (IG: 61, CG: 62) were randomised, 61 females, mean (SD) age 66.8 (8.1) years, and 104 participants completed 12-months follow-up (IG: 53, CG: 51). Of 53 IG participants, 37 (70%) conducted the training until study end. We found no difference in change of CRQ dyspnoea over 12 months (adjusted mean difference 0.28, 95% CI -0.23-0.80, p = 0.27). We found moderate evidence for a difference in 1-min-STST repetitions favouring the IG (adjusted mean difference 2.6 (95% CI 0.22-5.03, p = 0.033) but no evidence for an effect in other outcomes.
All involved groups perceived the strength-training exercises as appropriate, efficient for COPD patients and relevant to maintain improvements after PR. The patients' most important facilitators for long-term motivation were self-perceived improvement in strength, supervision by a coach and integration of the training in daily routine. Based on these insights, we redesigned and reworded the training material and introduced three new exercises.

Conclusions
The exercise program had no effect on dyspnoea but improved 1-min-STST performance and patient-perceived fitness. The results from the insights of the involved persons enabled us to optimize the program for sustainable further use in clinical and other settings and inform the future design of patient-centred home-based exercise programs in COPD.
P02-15 Green exercise for well-being: an exploration of psychological responses to physical activity in outdoor and indoor environments
Authors: Scott Laura 
Published: August 2022

Abstract

Background
There is an emerging body of knowledge regarding beneﬁts of outdoor activity on well-being, restoration and mood enhancement. This pre-post study explored psychological outcomes in groups carrying out exercise classes in outdoor and indoor settings.
An aim looks to environment in group classes for physical activity programs for population health.
Research Questions: (1) What are the psychological outcomes after a green exercise session (2) Is there a difference in psychological scores between indoor and outdoor exercise programs?

Methods
Two groups of subjects undertaking similar exercises for one hour, in two settings: a ﬁtness studio (N = 19) and a city park (N = 15), subjects completed the Subjective Exercise Experience Scale (SEES) prior to and post classes.
Paired t-tests for dependent groups identiﬁed differences in the three categories of SEES, computed by IMB SPSS Statistics 20.

Results
Exercise in each group improved scores of psychological well-being.
Independent samples t-test showed the outdoor group reported higher psychological well-being markers in the pre-survey. Statistically signiﬁcant difference for “awful” with indoor (M = 2.8421, SD=1.64192) and outdoor (M = 1.7333, SD=.96115); conditions t(32)=2.32, p=.027. Paired samples t-test showed weak statistical signiﬁcance for improved values for psychological well-being (M = 5.36, SD=1.24) and decreased values for psychological distress (M = 1.08, SD=1.87) in the indoor group pre to post.
There were no statistically signiﬁcant differences between pre and post survey data, the outdoor environment did not garner higher response scores than the indoor group. Limitations included relatively small sample size, difference in age between outdoor and studio participants, as well as a hot summer in Germany, which may have impacted the perceived well-being scores.

Conclusions
Exercise is beneﬁcial to psychological well-being, regardless of environment. The study did not provide evidence that green exercises elicited greater psychological responses, likely due to study limitations. The outdoor cohort, 50-70 years of age, demonstrated a heightened interest in outdoor programs. Indoor exercise classes should be encouraged as it decreases distress. Green exercise could foster anticipation of a more positive experience yet weather could impact mood outcomes. Intensity, hydration and shade should be prioritized. Future green exercise studies should include objective measures such as age and weather conditions.
P02-17 Promoting physical activity for mental health in the EU: Development and implementation of practice guidelines from the SPHERE EU project 2019-2020
Authors: Crone Diane , Sellars Paul 
Published: August 2022

Abstract

Issue/problem
Despite physical activity having an established evidence base for mental health problems there is mixed practice across the EU regarding its role in the support of mental health problems. The SPHERE EU project (Sport Healing Rehabilitation; 2019-2020 http://www.ecos-europe.com/sphere/erasmus-project/) was established to draw together academics, practitioners and psychiatrists, to develop practical guidelines and case study examples for their implementation.

Description of the problem
To support the use of physical activity for mental health promotion, a critical review of evidence was conducted to inform the development of Practice Guidelines with case study examples of practice.

Results (effects/changes)
Practice Guidelines include 17 recommendations relating to physiological, psychological and social dimensions of mental health rehabilitation. The presentation will outline the practical, evidence-based guidelines designed for practitioners and evaluators which can be used to support the use of physical activity for mental health in the EU.

Lessons
Practical, evidence-based guidelines for practice must be flexible to allow for individual differences and preferences, settings (clinical or community), and facility and equipment availability. This aim of these Guidelines are to enable professionals involved in health enhancing physical activity for mental health to have that evidence translated into practice, in a form that can be transferred to their setting and country.

Main messages
Despite physical activity being widely understood to have an important role in the lives of people with mental health problems and other common co-morbidities for this population group, guidelines remain scarce. The SPHERE project has addressed this dearth and provides practical and pragmatic recommendations for physical activity for people with mental health problems in the future.
P03-05 State of the Evidence of Active Living among Children and Youth in India: A Scoping Review Informing the Global Matrix 4.0
Authors: Bhawra Jasmin , Katapally Tarun R 
Published: August 2022

Abstract

Background
There is strong evidence of physical inactivity's link to global disease and economic burden. Physical inactivity among Indian children and youth has particular consequences for the global economy, as youth in India make up a substantial proportion of the world's workforce. As part of the 60-country Active Healthy Kids Alliance Global Matrix 4.0 initiative, a systematic scoping review was conducted to appraise the current state of evidence of active living among children and youth in India.

Methods
A systematic search of peer-reviewed and grey literature published over the last decade was conducted for 11 indicators of active living: overall physical activity, organized sport participation, active play, active transportation, sedentary behavior, family and peers, school programs and policies, community and built environment, government strategies, physical fitness, and yoga. Data sources included national, state (i.e., province) and city-level surveys, as well as primary data from ongoing longitudinal studies. Relevant grey literature, including government reports and school board policies, were also reviewed.

Results
Physical activity levels vary widely across India, with children and youth in rural settings accumulating greater moderate-to-vigorous activity and lower screen time compared to their urban counterparts. The majority of Indian children and youth report active transportation, however; they are not meeting recommended physical activity and sedentary behaviour guidelines. Despite the availability of many non-profit and organized programs, several indicators of active living including organized sports, active play, and yoga programming have not been evaluated for uptake or impact. Physical activity type and levels varied significantly across gender and socioeconomic status, with girls belonging to lower socioeconomic status having the greatest disadvantage due to cultural and safety perceptions.

Conclusions
While the vast majority of Indian children and youth are not accumulating recommended physical activity levels, there are encouraging signs of active transportation and active play?a phenomenon that needs to be further explored in India and other high-, middle- and low-income countries. The findings point to widespread disparities in access to active living resources and infrastructure between urban and rural settings. Targeted programs, policies, and resource allocation are necessary to improve built environment and safety for children and youth.
P03-09 Cross-sectional associations between physical activity pattern, sports participation, screen time and mental health in Swedish adolescents
Authors: Kjellenberg Karin , Ekblom Örjan , Ahlen Johan , Helgadóttir Björg , Nyberg Gisela 
Published: August 2022

Abstract

Background
Poor mental health among youth is a public health concern. As half of the mental disorders occur before or during adolescence it is important to investigate how modifiable lifestyle factors are associated with mental health in this population. The association between physical activity patterns and mental health has been studied before but most studies rely on self-reported physical activity. This study aimed to investigate the associations between device-measured physical activity patterns, sports participation, screen time, and mental health in Swedish adolescents.

Methods
Cross-sectional data were collected from 1139 adolescents aged 13-14 in 2019. Data on physical activity patterns were collected using accelerometers for one week. Screen time and sports participation were self-reported by the students. Anxiety and health-related quality of life were assessed using a short version of the Spence Children's Anxiety Scale and Kidscreen-10.

Results
A positive association between time spent in moderate-to-vigorous-physical activity during the whole week and health-related quality of life was found (B = 0.03, CI: 0.01, 0.05 and B = 0.04, CI: 0.02, 0.07), whereas sedentary time during the whole week (B=-0.02, CI: -0.03, -0.01 and B=-0.02, CI: -0.03, -0.01) and high screen time on weekdays (B=-3.50, CI: -4.79, -2.22 and B=-1.54, CI: -2.66 -0.41) were associated with low health-related quality of life in girls and boys respectively. Although the effect sizes generally were small, the largest effect sizes were observed between the high/low MVPA group in boys (Cohen's d -0.51) and high/low screen time group on weekdays in girls (Cohen's d 0.59). With regards to anxiety, high moderate-to-vigorous-physical activity during leisure time on weekdays was associated with low anxiety scores in girls (B=-0.09, CI: -0.13, -0.05) and boys (B=-0.4, CI: -0.07, -0.01). Gender differences were observed, boys participating in organized sports had lower anxiety (B= -1.81 CI: -3.49, -0.13) whereas girls who reported high screen time on weekdays had high anxiety (B = 4.06, CI: 1.94, 6.18).

Conclusions
Our results could create a paradigm for future studies to decide which types of PA patterns and time domains to target in intervention studies with the aim to improve mental health among adolescents.
P03-11 Talking to Danish children/adolescents living with cerebral palsy and their parents about perceived motivators and barriers for being physically active - a family perspective
Authors: Morley Sofie , Troelsen Jens , Larsen Anders Holsgaard , Fonvig Christina Esmann 
Published: August 2022

Abstract

Background
Children and adolescents with cerebral palsy (CP) are a vulnerable group who find it challenging to meet current physical activity guidelines, which predispose them to the negative health implications associated with low levels of physical activity and high levels of sedentary time. For these reasons, a key role for many clinicians, parents, and other practitioners working with children and adolescents with cerebral palsy is to encourage and facilitate an increase in habitual physical activity and reduce the amount of time spent sedentary, in order to optimize long-term health outcomes. Since 2014 Danish schools have been committed to enhance physical activity during the school day, but teachers still find it challenging to include children and adolescents with special needs. In Denmark, there is a strong tradition of practicing habitual exercise in the voluntary sports clubs (83% of children and adolescents). In sports clubs, these children are being physically active as well as experiencing being a part of a community. Children and adolescents living with CP are often not able to participate in these sports clubs which excludes them from the active and social life that's happening there. This study acknowledges that parents of children and adolescents living with CP play an important role in supporting them being physically active. Therefore, this study aims to identify perceived barriers and motivators for being physically active, experienced by this particular group of children and parents. This knowledge can be used by parents, clinicians, coaches, teachers and other practitioners to guide families living with CP towards a more physically active lifestyle and possibly optimize long-term physical and social health outcomes for children and adolescents with CP.

Methods
This study will investigate the children's and parents' perceptions of motivators and barriers. The study is designed as a multi-family member interview study involving 10-14 combined in-depth interviews with children aged 8-15 (GMFCS I-III) and their parents. Interviews will be analysed thematically within and between groups.

Results and conclusions
The study will take place in spring 2020 as a part of a pre-graduate research year and thus data and conclusions will be presented at the conference.
P03-18 A Review of Sporting Role Model Led Interventions Promoting Physical Activity in Youth
Authors: Kelly Eimear , Lane Aoife , Liston Katie , Dowd Kieran 
Published: August 2022

Abstract

Background
Among adolescents there is a notable decline in physical activity (PA) levels from childhood, more notable among females than males. Visibility is regularly a cornerstone of strategy to promote engagement with women's sport particularly around stimulating and sustaining female participation in sport and PA. This includes leveraging sporting role models (SRM) to develop participation in sport and PA. The purpose of this research is to locate and describe the features and impact of SRM led interventions on female participation in sport and PA.

Methods
APA PsychInfo, PudMed, and Sport Discus databases was used to identify SRM led interventions. In sum, 7,169 papers were identified with 360 duplicates. A further 5,122 were removed from title screen, 1,666 from abstract screening, 21 from full text review with two studies included in the final review.

Results
Two SRM led interventions were included in the final review and were deemed as ‘fair' quality using Black and Downs Checklist. The first study1 aimed to improve attendance in PE, behaviour and attitude towards PA through a 12-week school based intervention. Schools were funded to complete a novel sport rolled out by teachers (group 1), with a second group having an additional visit from an elite ‘athlete mentor' (group 2). The study found 98% of students enjoyed the athlete visits and found them beneficial however there was no additional impact on PE attendance and attitudes to PA linked to athlete visits. The second study2 involved school students visiting a local professional football club and meeting professional football players through video messages and letters over a four-month school period. The intervention group showed a significant increase in self-efficacy towards PA compared to the control group.

Conclusion
There is limited, if any, evidence to support SRM led interventions to promote participation in sport or PA. Studies considered in this review are poorly designed and evaluated and lack theoretical frameworks. There is scope to undertake a broader review of grey literature due to the scarcity of published evidence despite anecdotal support and implementation of SRM interventions throughout the sport sector.
P04-01 Slovenian approach to healthy and active aging - Fall prevention program for elderly living at home
Authors: Knific Tjaša , Horvat Martina , Juričan Andrea Backović 
Published: August 2022

Abstract

Issue/problem
Due to the population aging, injuries in relation to falls are a public health problem in Slovenia as well. They are expensive for the health care system, usually have serious consequences and lead to irreversible impairment of function, institutionalization and death.
Description of the problem
During 2019, registered nurses in community health nursing from 25 Primary Healthcare Centres participated in the MoST pilot project. They conducted a fall risk assessment of 64 years and older patients at their homes, using a Slovenian adaptation of the STEADI (Stopping Elderly Accidents, Deaths & Injuries) questionnaire. At the same time, they also performed an assessment of muscle strength, gait and balance with a timed framed Stand up and go test. Afterwards patients were classified into 3 groups (low, medium, and high risk of falls) and were treated according to the Algorithm for the assessment of the risk of falls for the elderly and prevention measures.

Results (effects/changes)
6815 fall risk assessments were conducted (results are preliminary). More details will be presented at the HEPA conference as the data is still being processed. Based on the expected population distribution, mobility and nutrition treatment, home safety counselling and a multifactorial risk assessment during the development phase of the project were planned. The interventions were performed at integrated Health Promotion Centres in Primary Healthcare Centres and at the homes of the elderly.

Lessons
The risk assessment method described earlier should be carried out at the home of an elderly person. The most effective interventions were multicomponent measures or prevention programs with ever-present physical exercise program. Focused physical activity aiming at improving strength and balance not only reduces the frequency of falls, but also the frequency and severity of injuries in the event of a fall.

Main messages
A fall risk assessment is an economically viable fall prevention intervention in the elderly. Time invested in preventing falls is reflected in a more active elderly population.