P01-08 Implementing school-based physical activity - putting Policy into Practice

Abstract Close to ten years ago, at the beginning of December 2012, the Danish government, announced its intention to implement comprehensive reforms of the public school system. Six months later, in June 2013, a broad-based political alliance agreed on extensive alterations in the legislation guiding Danish public schools. The discussions of the most recent major reform of Danish public schools, established a next to unequivocal consensus among the parties in the Danish Parliament, school employers and employees as well as voluntary sports organizations that children and young people should be more physically active during the school day. Thus, the updated Danish Education Act of 2013 made it compulsory for public schools to offer an average of 45 minutes of physical activity (PA) per school day. It is, however, painfully clear that the subsequent implementation of the primary policy goal to incorporate a minimum of 45 minutes of school-based PA for all pupils per day has been far from complete. According to some of the more exhaustive monitoring reports, in 2019 only six out of 10 schools fulfilled the basic PA-criterion. This was at the same level as in 2016. In spite of much political goodwill at both national, regional and local levels, significant investments of time and other resources by school authorities, professional organizations, a number of private and public foundations, individual employees and work teams, school managers and boards the number of schools actually adhering to current legislative goals related to physical activity has not changed in any substantial way from the adoption of the updated legislative framework in mid-2013 till present time. Based on this state of affairs the presentation explores the question: What factors have influenced the translation of an overall policy ambition, related to school-based physical activity, into practice? The presentation builds on the Integrated Implementation Model, as presented by Winter and Nilsen and Cairney's introduction to Policy implementation research, and covers phases two and three of a total of four into which a given political decision-making process is typically divided: 1) agenda-setting, 2) policy generation, 3) implementation, and 4) evaluation.

France, as a Member State of WHO Europe, plays a major role in the European strategy on physical activity, nutrition and health within a global framework for the Eght against noncommunicable diseases. France has adopted a National Sport Health Strategy for 2019-2024 intended to promote sports and physical activities (SPA) as a fully-fledged determinant of health and well-being lifelong. It is consistent with other strategies or plans implemented by other ministerial departments. The four axes of the NSHS are: 1/Promoting health and wellbeing through physical activity and sports, 2/Developing the offer of and participation in adapted physical actvities for therapeutic purposes and prevention of loss of autonomy; 3/ Better protecting sports people's health and improving safety of activities whatever their intensity; 4/Improving and disseminating knowledge on the impacts on physical condition and health of engaging in sports and physical activities. One of the key measure of the NSHS is indexing of ''Maisons Sport Santé'', Health Sport-Houses (HSH) aimed at receiving and orientating all those wishing to engage in, develop or resume sport or physical activities for health or wellbeing reasons, whatever their age, state of health or frailty. Following 3 calls for projects, 436 HSH have been recognized since 2019 and cover almost whole French territory. HSH can be integrated within an association, a hospital, a sports establishment or as digital platforms. A particular attention is paid to people with highly sedentary lifestyles and those with limited autonomy. People with chronic or long-term diseases (cancer, diabetes, heart disease, asthma, Alzheimer etc.) to whom physical activities adapted to their limitations have been prescribed are also priority targets.
''Month of Sport and Physical Activities'' is a large-scale communication campaign to promote the beneEts of sport and physical activities to a wide range of population. The aim is to spread recommendations on SPA and the Eght against sedentary behavior, to make SPA accessible to everyone and to encourage people and make them aware of the possibilities to practice in their daily life. Another goal is to give visibility to current actions in this area, to enable French people carry out an analysis of their physical condition and to spur them to (re) start a physical activity training.
Abstract citation ID: ckac095.008 P01-08 Implementing school-based physical activityputting Policy into Practice Close to ten years ago, at the beginning of December 2012, the Danish government, announced its intention to implement comprehensive reforms of the public school system. Six months later, in June 2013, a broad-based political alliance agreed on extensive alterations in the legislation guiding Danish public schools. The discussions of the most recent major reform of Danish public schools, established a next to unequivocal consensus among the parties in the Danish Parliament, school employers and employees as well as voluntary sports organizations that children and young people should be more physically active during the school day. Thus, the updated Danish Education Act of 2013 made it compulsory for public schools to offer an average of 45 minutes of physical activity (PA) per school day. It is, however, painfully clear that the subsequent implementation of the primary policy goal to incorporate a minimum of 45 minutes of school-based PA for all pupils per day has been far from complete. According to some of the more exhaustive monitoring reports, in 2019 only six out of 10 schools fulfilled the basic PA-criterion. This was at the same level as in 2016. In spite of much political goodwill at both national, regional and local levels, significant investments of time and other resources by school authorities, professional organizations, a number of private and public foundations, individual employees and work teams, school managers and boards the number of schools actually adhering to current legislative goals related to physical activity has not changed in any substantial way from the adoption of the updated legislative framework in mid-2013 till present time. Based on this state of affairs the presentation explores the question: What factors have influenced the translation of an overall policy ambition, related to school-based physical activity, into practice? The presentation builds on the Integrated Implementation Model, as presented by Winter and Nilsen and Cairney's introduction to Policy implementation research, and covers phases two and three of a total of four into which a given political decision-making process is typically divided: 1) agenda-setting, 2) policy generation, 3) implementation, and 4) evaluation. Keywords: School-based physical activity, Implementation science, Policy research, Factors of Change Abstract citation ID: ckac095.009 P01-09 State-wide implementation of the 'Sport-Health Houses' program Antoine Noë l Racine 1 , Marie Mullot 1 , Gautier Christè le 2 1 Pô le Ressources National Sport Santé Bien-Etre, French Ministry of Sports and the Olympic and Paralympic Games, Vichy, France 2 Sport Policy Development Office, French Ministry of Sports and the Olympic and Paralympic Games, Paris, France Corresponding author: marie.mullot@creps-vichy.sports.gouv.fr

Issue and problem
In France according the group of age, 37% to 81% of the population are insufficiently active (ANSES, 2017). In addition, more than 40% of adults have prolonged sedentary behaviours (? 7 hours of day) (ANSES, 2017). Moreover, 7,6% of premature deaths in France could be attributable to physical inactivity (GOPA, 2021). In many territories, opportunities to adopt a physical active lifestyle need to be improved (IGAS, 2018). To tackle these major issues, the French government have implemented the Sport-Health Houses (SHH) program through the national sport health strategy 2019-2024. Problem description SHH have been launched in 2019 across the country. SHH are places were communities are welcomed and informed about multiples benefits of physical activity and sport. SHH also offer opportunities to evaluate people's fitness and to refer them to a 'sport health' program through their own resources or through local stakeholders network. How the SSH program have been implemented across the country? Did SHH reach inactive people? How SHH impacted communities?

Results
Each year since 2019, the ministry of sport and the ministry of solidary and health have launched a call for project to local stakeholders to their organization become a SHH by complying selection requirements. In January 2022, 436 SSH were created on metropolitan and overseas territories with attention Abstract citation ID: ckac095.010 P01-10 Workplace Health Promotion To Facilitate Physical Activity Among Swedish Office Workers Oskar Ullberg 1 1 Mä lardalens Hö gskola, Vä sterå s, Sweden Corresponding author: oskar.ullberg@mdu.se

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 activity on health in primary, secondary and tertiary