P03-12 Falling between two stools: parents' experience of supporting their children with cerebral palsy (GMFCS I-II) living an active life

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 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 physical and social health outcomes for children and adolescents with CP. Methods Eleven parents of children with CP (n = 7) (GMFCS I-II) aged 7-15 years participated in seven semi-structured interviews. Thematical analysis was performed to understand the data material. Results and conclusions The main challenge described by parents was formulated as ‘Falling between two stools’ referring to the experience of their child being ‘too good’ for adapted leisure activities, but at the same time wanting to participate in regular leisure activities, but performing a little too poorly, to feel included. It was found that a reigning performance culture in regular leisure activities was perceived as a barrier for the participation of these children.


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-

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 physical and social health outcomes for children and adolescents with CP. Methods Eleven parents of children with CP (n = 7) (GMFCS I-II) aged 7-15 years participated in seven semi-structured interviews. Thematical analysis was performed to understand the data material.

Results and conclusions
The main challenge described by parents was formulated as 'Falling between two stools' referring to the experience of their child being 'too good' for adapted leisure activities, but at the same time wanting to participate in regular leisure activities, but performing a little too poorly, to feel included. It was found that a reigning performance culture in regular leisure activities was perceived as a barrier for the participation of these children. Keywords: cerebral palsy, physical activity, leisure activities, coaches Abstract citation ID: ckac095.049 P03-13 Assessing the distribution of adolescents physical activity in each social time Regular physical activity (PA) in youth has mental and social health outcomes (Ekelund, 2016;Biddle, 2019). Available data also suggest that the level of PA in youth predicts PA in adulthood (Telama, 2014;Varma, 2017). However, international studies (Aubert et al, 2018) have shown that the majority of young people do not achieve the PA levels recommended for health benefits (Guthold, 2020). However, despite policy intentions to develop sports infrastructure (Deguilhem, 2016;Esteban, 2016), a decrease in the overall level of physical inactivity will not be achieved by 2025 (Guthold, 2020). It seems to be a gap between the willingness of public services and the concrete actions of citizens. One of the commonly recognized obstacles to PA is the lack of time (Embersin, 2007). Thus, based on Elias' temporal model (1997) we propose to move beyond the linear view of time (chronos) to a perspective of timely time (kairos). Adopting an ecological perspective on human development, postulating that multiple determinants impact on our choices of physical activity (Bauman, 2012), we qualify and quantify the social times Abstract citation ID: ckac095.050 P03-14 Barriers to sports participation among adolescent girls from deprived neighbourhoods Cecilie Karen Ljungmann 1,2 , Julie Hellesøe Christensen 1 , Charlotte Demant Klinker 1 , Charlotte Skau Pawlowski 2 , Helene Rald Johnsen 2 1 Steno Diabetes Center Copenhagen, Herlev, Denmark 2 University of Southern Denmark, Odense, Denmark Corresponding author: helene.rald.johnsen@regionh.dk Background A gender-based disparity in physical activity, where girls are less physically active than boys, is a persistent finding in the literature. Participation in organised sport plays a significant role for adolescents' physical activity habitsand provides an important means to achieve the recommended amount of daily physical activity. Nevertheless, participation in sport decreases with age, and to a higher degree among girls. Moreover, girls living in low socio-economic status neighbourhoods are even less represented in organised sport. This upholds a social inequality as a range of physical, mental and social benefits are associated with regular participation in sport. Empowering girls as experts on their own needs and preferences toward sport is critical. The aim of this qualitative study was to examine the experiences and perceived barriers to sports participation among adolescent girls living in low socio-economic status neighbourhoods. Methods During July-October 2021 eleven semi-structured focus groups were carried out with adolescent girls (10-16 years) who were not engaged in organised sport. The participating girls (n = 44) were recruited through purposive sampling via four Danish schools placed in areas with high deprivation. A thematic analysis was conducted from verbatim transcripts using NVivo. Results Six themes were identified; 1) Competing priorities, 2) Social aspects of sports participation, 3) Perceived lack of sporting abilities, 4) Feeling discomfort, 5) Gender stereotypes and 6) Physical Education as introduction to sport. Even though there were many similarities among the girls' perceived barriers to sports participation, the data showed variations in the way these barriers were experienced.

Conclusions
The results provide insight into barriers to sports participation among adolescent girls living in low socio-economic status neighbourhoods. The findings correspond with other studies among adolescent girls in general. However, the findings among this underrepresented group will be useful to shed light on how interventions should be designed to promote sports participation among adolescent girls living in low socio-