P03-10 I miss a normal life. It's gone on so long': A qualitative interpretation of youth's perceptions of a third national COVID-19 lockdown on their well-being and physical activity

Abstract Background Youth have experienced unprecedented restrictions during the COVID-19 pandemic. It is important to ascertain youth's perceptions of how the lockdown restrictions have impacted their well-being. Given the varying restrictions imposed in different countries, exploring the impact relative to the specific restrictions is imperative. This study investigated youth's views on the impact of a third national lockdown on their well-being and physical activity. Methods Following informed parental consent, youth aged 8-18 years attending state schools in Wales, UK, were invited to complete an online questionnaire using an individualised link sent to the email addresses provided by parents (January 2021). A total of 4,259 survey links were issued. The questionnaire included questions on children's physical activity, mental well-being and experience of COVID-19. This study reports on free text responses from an optional two-part open-ended question on their experience during restrictions employed to manage the COVID-19 pandemic in Wales. The questions were (a) How does lockdown make you feel?, followed by (b) Why do you feel this way?. Flexible thematic analysis was employed to analyse the data and identify themes and sub-themes. Results Valid responses were received from 1,681 youth (11.8±2.3 years; 50% girls). Most participants expressed only a negative emotional response to their lockdown experience. Whilst there were no overall sex differences in the responses, age differences were observed. Specifically, the 12-13 year-old age group reported the lowest number of negative responses, compared to 8-9 year-olds who reported the highest. Six distinct negative emotional responses were identified: sadness, anger, worry, loneliness, boredom, laziness. Nevertheless, a small cohort of participants identified positive emotional responses that focused on being happy. Mixed emotions were also reported by participants which were most prevalent amongst 16-18 year-olds and least reported in 10-11 year-olds. Finally, the inability to participate in team sports was reported negatively, however, some youth reported the additional time facilitated greater participation in exercise. Conclusions The predominance of negative emotions highlights the significant and potentially long-lasting impact the lockdowns have had on youth's mental well-being. In addition, the findings evidence that youth associated sport participation with their mental health. Furthermore, the age differences identified highlight that youth's developmental stage, both emotionally and societally, should be considered in the recovery response to improve and reduce further deterioration in youth's mental health. This evidence should be considered when ministers evaluate the wider evidence to inform future restrictions required to manage the exit from COVID-19 and other future pandemics.


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 selfreported 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 Abstract citation ID: ckac095.046 P03-10 I miss a normal life. It's gone on so long': A qualitative interpretation of youth's perceptions of a third national COVID-19 lockdown on their well-being and physical activity

Background
Youth have experienced unprecedented restrictions during the COVID-19 pandemic. It is important to ascertain youth's perceptions of how the lockdown restrictions have impacted their well-being. Given the varying restrictions imposed in different countries, exploring the impact relative to the specific restrictions is imperative. This study investigated youth's views on the impact of a third national lockdown on their well-being and physical activity.

Methods
Following informed parental consent, youth aged 8-18 years attending state schools in Wales, UK, were invited to complete an online questionnaire using an individualised link sent to the email addresses provided by parents (January 2021). A total of 4,259 survey links were issued. The questionnaire included questions on children's physical activity, mental well-being and experience of COVID-19. This study reports on free text responses from an optional two-part open-ended question on their experience during restrictions employed to manage the COVID-19 pandemic in Wales. The questions were (a) How does lockdown make you feel?, followed by (b) Why do you feel this way?. Flexible thematic analysis was employed to analyse the data and identify themes and sub-themes.

Results
Valid responses were received from 1,681 youth (11.8AE2.3 years; 50% girls). Most participants expressed only a negative emotional response to their lockdown experience. Whilst there were no overall sex differences in the responses, age differences were observed. Specifically, the 12-13 year-old age group reported the lowest number of negative responses, compared to 8-9 year-olds who reported the highest. Six distinct negative emotional responses were identified: sadness, anger, worry, loneliness, boredom, laziness. Nevertheless, a small cohort of participants identified positive emotional responses that focused on being happy. Mixed emotions were also reported by participants which were most prevalent amongst 16-18 year-olds and least reported in 10-11 year-olds. Finally, the inability to participate in team sports was reported negatively, however, some youth reported the additional time facilitated greater participation in exercise.

Conclusions
The predominance of negative emotions highlights the significant and potentially long-lasting impact the lockdowns have had on youth's mental well-being. In addition, the findings evidence that youth associated sport participation with their mental health. Furthermore, the age differences identified highlight that youth's developmental stage, both emotionally and societally, should be considered in the recovery response to improve and reduce further deterioration in youth's mental health. This evidence should be considered when ministers evaluate the wider evidence to inform future restrictions required to manage the exit from COVID-19 and other future pandemics.

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 pregraduate research year and thus data and conclusions will be presented at the conference.

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 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. In Denmark, there is a strong tradition of practicing habitual exercise at leisure activities (83% of children and adolescents). When participating in leisure activities 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 regular leisure activities, which excludes them from the active and social life that's happening there. This study focuses on parents of children with GMFCS I-II, who, due to their good walking abilities, may be more likely to be able to participate in regular leisure activities. This study aims to explore the daily life and challenges described by parents in their pursuit of supporting their children with CP living a physically active life. 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