P02-06 Citizen science during Covid-19 pandemic to enhance an activating environment in a low-SES neighborhood

Abstract It is widely known that people from a low-SES background show a less healthy and active lifestyle. One neighborhood in Groningen, the Netherlands, is a neighborhood housing about 12,000 citizens with on average a low-SES background. In the past, initiatives have been undertaken to promote an active lifestyle by implementing outdoor facilities stimulating physical activity. However, use of these 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. In the period from January-November 2020 a Living Lab was set up following the “Our Voice” citizen science method. Participatory citizen science was applied in which a community of stakeholders (public and private parties) and citizens was set up. This composes the first step of design thinking: empathizing. The community addressed the aforementioned problem by creating more insight in promoting or degrading features in the neighborhood concerning an active lifestyle (design thinking step 2: defining). For this, citizens made use of the Stanford Neighborhood Discovery Tool. Due to local COVID-19 restrictions, citizens did not collect data individually but were accompanied by a researcher during research walks. The Tool allowed for systematic observations of the physical environment. Additionally, the emergent research walks gave additional information on neighborhood barriers and facilitators next to Discovery Tool data. Use of the Discovery Tool created an overview of the neighborhood. Based on positive and negative features, new ideas were generated for improving exercise-friendliness (design thinking steps 3 and 4: ideating and prototyping). Furthermore, a work group of citizens was formed which discussed their prototypes with the local government and will be involved in carrying out the ideas. Our project resulted in a citizen science approach which can be transferred to other neighborhoods. Use of the Discovery Tool showed many benefits for plan making for the neighborhood. 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.


Background
The Danish health care system is facing major challenges as the prevalence of chronic diseases increases. There is a need for new approaches and strategies to prevent chronic disease and promote health and well-being among citizens. The aim is to describe the development of a new model for coordinated, integrated and evidence-based health promotion and disease prevention in Danish municipalities. The model builds on the supersetting approach, intersectoral collaboration and community engagement and applies a broad bio-psychosocial concept of health. Methods Two Danish municipalities were included in the initial development and testing of the model from 2019 to 2021. This involved the following steps in each municipality: 1) Analyzing the health status, lifestyles and socio-economy at municipality level. 2) Mobilizing lead municipal administrators and politicians for intersectoral action including jointly defining thematic focus areas and target populations. 3) Mapping community-based stakeholders, physical environments and existing evidence to qualify relevant action 4) Mobilizing professional stakeholders from the public, private and civic sectors for co-creation of intervention ideas and joint action. 5) Co-creating and implementing interventions together with professional stakeholders and citizens.

Results
The strategic model and results from the development process will be presented from one of the involved municipalities: The municipal administration chose physical activity and well-being among children and young people as their key focus area. Community-based stakeholders from non-profit organizations and public institutions, including sports clubs, leisure clubs, primary schools, and public departments jointly developed and implemented specific interventions. One specific intervention aimed to engage more children in local clubs. Coaches from three local sport clubs introduced 1st and 4th grade students at two schools to their sport (a course of eight times) during students' time in their local after-school club. Overall, the process fostered broad engagement of stakeholders from the public sector, the private sector, and civil society.

Conclusion
The model developed in Our Healthy Community builds on contextual analyses, dialogues, workshops, and co-creation processes with a wide range of stakeholders to promote local relevance, integration and sustainability of developed actions and interventions. The model will be pilot tested in two other Abstract citation ID: ckac095.025 P02-06 Citizen science during Covid-19 pandemic to enhance an activating environment in a low-SES neighborhood It is widely known that people from a low-SES background show a less healthy and active lifestyle. One neighborhood in Groningen, the Netherlands, is a neighborhood housing about 12,000 citizens with on average a low-SES background. In the past, initiatives have been undertaken to promote an active lifestyle by implementing outdoor facilities stimulating physical activity. However, use of these 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. In the period from January-November 2020 a Living Lab was set up following the ''Our Voice'' citizen science method. Participatory citizen science was applied in which a community of stakeholders (public and private parties) and citizens was set up. This composes the first step of design thinking: empathizing. The community addressed the aforementioned problem by creating more insight in promoting or degrading features in the neighborhood concerning an active lifestyle (design thinking step 2: defining). For this, citizens made use of the Stanford Neighborhood Discovery Tool. Due to local COVID-19 restrictions, citizens did not collect data individually but were accompanied by a researcher during research walks. The Tool allowed for systematic observations of the physical environment. Additionally, the emergent research walks gave additional information on neighborhood barriers and facilitators next to Discovery Tool data. Use of the Discovery Tool created an overview of the neighborhood. Based on positive and negative features, new

Background
We have set up a project to promote physical activity. Physical activity counseling was dispensed to aimed decrease perceived barriers and improve physical activity behaviors. The objective was to evaluate the process and the effectiveness for public health. Methods A quasi-experimental trial was conducted in the Maternity Unit of a hospital in Guadeloupe between 2017 and 2018. 96 pregnant women were allocated to a control or intervention group. Physical activity counseling throughout pregnancy was dispensed to the women in the intervention group by trained health professionals. The physical activity levels (an activity monitor and PPAQ) and perceived barriers (questionnaire) were assessed in each trimester. The evaluation of the process consists of evaluating the frequency of counseling in accordance with the recommendations, reported by the women in the intervention group and their effect on physical activity behaviors compared control group. The counseling received was measured with a questionnaire. Statistical Analysis: For intervention, repeated measures ANOVAs was used to investigate changes between groups over time for PA behaviors, perceived barriers and the neonatal outcomes collected monthly from delivery to 2 months. For evaluation of the process, Chi2 tests explored PA counseling received by group. Repeated measures ANOVAs were used to investigate the changes between groups over time for PA behaviors.

Results
Firstly, the perceived barriers, such as a lack of information about the health benefits and risks and insecurity related to practice (all p < 0.05), were different in favor of the intervention group. There were no significant between-group differences for the major indices of PA, whether measured or reported, and perinatal health outcomes. Secondly, the evaluation of the process showed that women in the intervention group reported more frequently receiving PA counseling throughout their pregnancy vs. the control group (p < 0.001). The same results were found for counseling received in accordance with the recommendations, and women pre-pregnancy overweight (all p < 0.001). All women in the intervention group (normal and pre-pregnancy overweight) who reported received counseling throughout pregnancy reported larger total PA compared to women in the control group (all p < 0.05). However, the total quantity of PA was not different in women who received counseling in accordance with recommendations between the groups (all p > 0.05).