P06-01 Development of a French paper-and-pencil association test to measure athletes’ implicit doping attitudes

Abstract Background The continued prevalence of positive samples to banned performance-enhancing drugs confirms the importance to maintain the anti-doping efforts. Though the role of socio-cognitive variables in doping attitudes is well identified (e.g., Ntoumanis et al., 2014), the role of implicit processes remains sparsely studied in sports’ doping, especially in high level cyclists. While the potential of traditional computer-IAT has been developed to capture individuals’ implicit attitudes toward doping (Brand et al., 2014ab; Schindler et al., 2015), paper-and-pen IAT offers unquestionably ease-of-administration prospects (Chan and al., 2017). The aim of this study was thus to test and provide a preliminary validation of a French paper-and-pen IAT as an alternative method to measure implicit attitudes toward doping: the IAT-Dop. Method This work was based on the testing procedure of the paper-and-pen Personalized Single-Category IAT test (i.e., p&p SC-IAT-P) of Bardin et al. (2016), which we enriched with the procedure of Boateng et al. (2018). This paper was built around four studies: (a) the first study consisted in the development of a preliminary version of the IAT-Dop, (b) the second study measured the dimensionality and criterion validity of the IAT-Dop to confirm the structure of the p&p version, (c) the third study verified its test-retest reliability, and (d) the fourth study explored the relations between the p&p and computerized versions of the IAT-Dop as a first approach to construct validity. Results Study 1 developed a preliminary French version of the IAT-Dop based on Chan et al.’s IAT proposal (2017). Study 2 provided preliminary support to the dimensionality and criterion validity of the tool. Study 3 demonstrated the test-retest reliability of the instrument. Finally, Study 4 suggested the construct validity of the IAT-Dop through a significant correlation between the computerized and p&p versions. Conclusion The IAT-Dop is a preliminary tested French-language version of a tool for measuring athletes’ implicit attitudes toward doping, with the advantages of simplicity, low cost, and quick administration. This tool should contribute to the better assessment and understanding of the mechanisms related to doping and may be a useful new indicator in the evaluation of prevention programs.

low SES, X-Fittt 2.0, was offered free of charge to participants, and included 12 weeks of intensive guidance and sports sessions, and 21 months of aftercare. As the impact of care-PA initiatives on healthcare utilisation has not yet been studied, our research question was: 'What is the impact of participation in a care-PA initiative on the healthcare utilisation of citizens with a low SES?'.

Methods
We studied the healthcare utilisation of 44 former participants of X-Fittt 2.0, focussing on general practitioner care, pharmaceutical care, hospital care, paramedical care, medical aids and mental healthcare. We compared utilisation intensity (number of healthcare claims) during the two years before participation in X-Fittt 2.0 (period 1) with utilisation intensity during the two years after initial participation (period 2) using paired t-tests.

Results
As expected, utilisation intensity increased significantly for paramedical care for non-chronic disorders after participation. No differences in utilisation intensity were observed for the other healthcare categories. Furthermore, although it was not the core focus of this study, our results show that people with a low SES tend to have higher healthcare utilisation than those with a higher SES.

Conclusions
This exploratory study, which is unique for its use of healthcare claims data for participants of a care-PA initiative, shows a statistically significant increase in utilisation intensity for paramedical care (supplementary healthcare insurance for non-chronic conditions) in period 2 compared with period 1, as expected. This increase is likely caused by a greater utilisation intensity for physiotherapy, which covers respectively 95% and 92% of the paramedical healthcare claims of the supplementary healthcare insurance in periods 1 and 2. The design of our study can be used as a template for future research that aims to study health care utilisation over a longer

Background
Overweight and obesity rates are increasing worldwide, particularly among people with a low socioeconomic status (SES). Care-physical activity (care-PA) initiatives may improve participants' lifestyles and thereby lower overweight and obesity rates. A two-year care-PA initiative specifically developed for citizens with a low SES, X-Fittt 2.0, was offered free of charge to participants, and included 12 weeks of intensive guidance and sports sessions, and 21 months of aftercare. Here, we study the impact of X-Fittt 2.0 on health, quality of life (QoL), and societal participation using a mixedmethods design. Methods Questionnaires and body measurements were taken from 208 participants at the start of X-Fittt 2.0 (t0) and after 12 weeks (t1), one year (t2) and two to three years (t3). We also held 17 group discussions (t1, n = 71) and 68 semi-structured interviews (t2 and t3). Continuous variables were analysed using a linear mixed-model analysis (corrected for gender, age at t0, height, education level and employment status at the different time points), while we used descriptive statistics for the categorical variables. Qualitative data were analysed using a thematic analysis.

Results
Body weight was significantly lower at all three post-initiative time points compared with the baseline, with a maximum of 3.8 kg difference at t2. BMI, waist circumference, blood pressure and self-perceived health only significantly improved during the first 12 weeks. A positive trend regarding paid work was observed, while social visits decreased. The latter might be explained by the COVID-19 pandemic, as lockdowns limited social life. Furthermore, participants reported increased PA (including sports) and a few stopped smoking or drinking Physical activity measurement, monitoring and surveillance

Background
The continued prevalence of positive samples to banned performance-enhancing drugs confirms the importance to maintain the anti-doping efforts. Though the role of sociocognitive variables in doping attitudes is well identified (e.g., Ntoumanis et al., 2014), the role of implicit processes remains sparsely studied in sports' doping, especially in high level cyclists. While the potential of traditional computer-IAT has been developed to capture individuals' implicit attitudes toward doping (Brand et al., 2014ab;Schindler et al., 2015), paper-and-pen IAT offers unquestionably ease-of-administration prospects (Chan and al., 2017). The aim of this study was thus to test and provide a preliminary validation of a French paper-and-pen IAT as an alternative method to measure implicit attitudes toward doping: the IAT-Dop.

Method
This work was based on the testing procedure of the paperand-pen Personalized Single-Category IAT test (i.e., p&p SC-IAT-P) of Bardin et al. (2016), which we enriched with the procedure of Boateng et al. (2018). This paper was built around four studies: (a) the first study consisted in the development of a preliminary version of the IAT-Dop, (b) the second study measured the dimensionality and criterion validity of the IAT-Dop to confirm the structure of the p&p version, (c) the third study verified its test-retest reliability, and (d) the fourth study explored the relations between the p&p and computerized versions of the IAT-Dop as a first approach to construct validity.

Results
Study 1 developed a preliminary French version of the IAT-Dop based on Chan et al. 's IAT proposal (2017). Study 2 provided preliminary support to the dimensionality and criterion validity of the tool. Study 3 demonstrated the testretest reliability of the instrument. Finally, Study 4 suggested the construct validity of the IAT-Dop through a significant correlation between the computerized and p&p versions.

Conclusion
The IAT-Dop is a preliminary tested French-language version of a tool for measuring athletes' implicit attitudes toward doping, with the advantages of simplicity, low cost, and quick administration. This tool should contribute to the better assessment and understanding of the mechanisms related to doping and may be a useful new indicator in the evaluation of prevention programs. Keywords: implicit association test, awareness to doping, doping, sport, cycling Abstract citation ID: ckac095.087 P06-02 Physical activity levels of citizens in Dubrovnik, Croatia Dario Š kegro 1 , Zrinko Č ustonja 1 1 Department of General and Applied Kinesiology, University of Zagreb Faculty of Kinesiology, Zagreb, Croatia Corresponding author: zrinko@kif.hr

Background
One of the most important areas of interest in the world today and throughout history is health. Numerous investigations are confirming positive effects of physical activity on health and this is the reason why physical activity and exercise should be measured as often as possible. Croatia as the youngest member state in European Union does not have excellent results in the levels of physical activity among its population. In this research the aim was to assess the levels of physical activity in the city of Dubrovnik and compare it to the levels of Physical activity in Croatia and European Union. Methods Participants in this investigation were 670 adult citizens of the City of Dubrovnik, Croatia. Levels of physical activity was measured using Eurobarometer questionnaire. Descriptive statistical parameters Mean and Standard deviation same as Statistical Difference between the values in Dubrovnik, Croatia and European Union were calculated using statistical program package Statistica.

Results
Overall results show significantly better situation in Dubrovnik when comparing with the results measured on national level and on European Union level. While, according to the Eurostat's analysis in 2017, there is 46% of citizens of European Union and even 56% of citizens in Croatia that never exercise or play sports in the City of Dubrovnik there is only 17,31% of citizens that never exercise or doing sports. The most important reasons for doing physical exercise or sport (motivators) among citizens of Dubrovnik is improvement of health (45%) and improvement of physical appearance (30%).
Almost half of the sample (47%) pointed out the lack of time as the main barrier in doing physical exercise or sport. Conclusions This investigation shows good way to assess the information on levels of physical activity of the citizens and accordingly creating a public policy on further development and improvement of this important area. This investigation is part of