P02-16 Implementation of a program based on adapted physical activity and recommendations for second cancers prevention for adolescents and young adults with cancer: PREVAPAJA study

Abstract Background/Objectives About 1,000,000 new cases of cancer in Adolescent and Young Adults (AYAs) are diagnosed annually worldwide. . While their long term survival is about 80%, they are six times more likely to develop a second primary cancer (SPC) compared to their peers. This risk is multifactorial and depends on the type of first cancer, treatment received and prevalence of risk factors. PREVAPAJA aimed to implement a clinical program based on physical activity (PA) and cancer prevention recommendations for AYAs with cancer at Centre Léon Bérard-AYAs Department. Methods The study was conducted at Leon Berard Comprehensive Cancer Centre among patients aged 15-25 years. AYAs attended PA sessions during the active treatment period and were individually informed on SPC risk prevention. PA, sedentary, anthropometrics, quality of life and fatigue were assessed at baseline (T1) and at the end of treatment (T2). PA level and intention of changes in health behaviors were assessed by phone 1 year after T1. Results 68 AYAs (median age=19 years) were enrolled in 2016-2017). The results showed an improvement in PA level during and at distance of the intervention, with also a reduction of sitting time. Fatigue decreased between T1 and T2 (p>0.003) and overall quality of life improved significantly between T1 and T2 (p>0.001). Conclusions This study showed the feasibility of implementing a clinical program based on PA intervention and cancer prevention recommendations for AYAs with cancer. It responded to AYAs' needs for support and discussions regarding PA recommendations and ways to prevent SPC. Beneficial outcomes of this program should encourage to systematically proposing PA intervention in combination with information exchanges with AYAs with cancer.


Background
There is an emerging body of knowledge regarding beneEts 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 Etness 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 identiEed differences in the three categories of SEES, computed by IMB SPSS Statistics 20.

Results
Exercise in each group improved scores of psychological wellbeing.
Independent samples t-test showed the outdoor group reported higher psychological well-being markers in the presurvey. Statistically signiEcant 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 ttest showed weak statistical signiEcance 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 signiEcant 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 beneEcial 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 Abstract citation ID: ckac095.035 P02-16 Implementation of a program based on adapted physical activity and recommendations for second cancers prevention for adolescents and young adults with cancer: PREVAPAJA study Background/Objectives About 1,000,000 new cases of cancer in Adolescent and Young Adults (AYAs) are diagnosed annually worldwide. . While their long term survival is about 80%, they are six times more likely to develop a second primary cancer (SPC) compared to their peers. This risk is multifactorial and depends on the type of first cancer, treatment received and prevalence of risk factors. PREVAPAJA aimed to implement a clinical program based on physical activity (PA) and cancer prevention recommendations for AYAs with cancer at Centre Léon Bérard-AYAs Department.

Methods
The study was conducted at Leon Berard Comprehensive Cancer Centre among patients aged 15-25 years. AYAs attended PA sessions during the active treatment period and were individually informed on SPC risk prevention. PA, sedentary, anthropometrics, quality of life and fatigue were assessed at baseline (T1) and at the end of treatment (T2). PA level and intention of changes in health behaviors were assessed by phone 1 year after T1. Results 68 AYAs (median age=19 years) were enrolled in 2016-2017). The results showed an improvement in PA level during and at distance of the intervention, with also a reduction of sitting time. Fatigue decreased between T1 and T2 (p>0.003) and overall quality of life improved significantly between T1 and T2 (p>0.001).

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 Physical activity in children Abstract citation ID: ckac095.037 P03-01 The effect of device-free recess on schoolchildren's physical activity and social interaction

Background
In Denmark, 74% of the 11-15-years-old children do not reach national recommendations on physical activity and 6% (20.000 children), experience unwanted loneliness. School recess provides a unique opportunity for children to be active with others and form good relations. However, studies have found that many children perceive electronic devices such as mobile phones, tablets and computers as a key barrier for engaging in active play with other children during recess. These findings are based on perceptions from qualitative data. To our knowledge, no studies have investigated the effect of devicefree recess on children's recess behaviour. This knowledge is asked for by school boards, health professionals and politicians to inform future policies and actions. Therefore, the aim of this intervention study is to investigate the effect of device-free recess on schoolchildren's physical activity and social interaction.

Methods
During April-June 2020 device-free recess environments will be implemented at seven Danish schools. Children will be asked to place their mobile phones, tablets and computers in locked? device-hotels? during recess for a four-weeks intervention period. Among a cohort of 900 children from Grades 4-6 (10-13 yrs.) physical activity and social interaction during recess will be measured before and during the last intervention week using questionnaire and systematic observation for Since ready into ent The s in to deci ph