P07-07 Put the promotion of physical activity for people with non-communicable diseases on the political agenda in Luxembourg!

Abstract Issue/problem In 1984, cardiologists and cardiac patients created an association offering physical activity (PA) for people with cardiovascular diseases in Luxembourg (0.6 million inhabitants). During the last 20 years, several associations created therapeutic PA for people with a wide range of non-communicable diseases (NCDs). Today more than 70 hours of therapeutic PA are weekly offered. Nevertheless, the organization of these PA is incomplete and not enough patients benefit from it. Description of the problem Sustainability of privately organized courses is challenging. Despite a governmental financial support, the organization of PA offer remains mainly based on the idealism of a limited number of volunteers. However, this kind of commitment is disappearing and jeopardizes a correct offer of therapeutic PA. Only a minority of physicians are referring their patients on a regular basis and only a minority of them are engaging in an active lifestyle. Results A project was launched in 2013 to compile, monitor and promote the therapeutic PA offered by different associations. As a result of this project, six associations created a sport federation in 2016 destined to improve the organization of therapeutic PA for people with NCDs. In 2018, the federation obtained an increase in the financial support from the Ministry of Health. The same year, a campaign promoted the therapeutic PA but had no impact on the number of patients counselled about therapeutic PA (26.6%) and on the physician's knowledge of the therapeutical PA offer (21%). The federation is now trying to develop and implement deeper actions, such as a PA referral scheme. Lessons The collaborative and synergetic work of the different associations offering PA for people with NCDs bundled their activities resulting in an increased consideration and support from the Ministry of Health. Nevertheless, structural improvements should be conducted to increase sustainably the number of physically active patients. Main messages The promotion and the organization of a valuable and sustainable therapeutic PA for patients with NCDs must be professionalized and publicly supported. A larger strategic vision needs to be developed by the government and healthcare providers to organize and support preventive medicine in Luxembourg.


Background
Physical activity on prescription (PAP) -like schemes, have been documented to encourage sustained increases in the levels of physical activity of populations. Although proven effective, these PA promotion schemes have only been implemented high-income countries (eg. Northern/Western Europe). The aim of this study was to explore the opportunity to test PAP (related) schemes in Romania, a developing country.

Methods
In the timeframe May-June 2018 we conducted a transversal study, using an online questionnaire adressed at general practitioners (GPs) in the county of Cluj. The instrument had 4 sections: 1. attitudes/opinions regarding role of GP in PA promotion; 2. GPs (current) behavior related to PA in their practice; 3. Knowledge regarding the recommended levels for children, youth and adults; and 4. Socio-professional information. Results A number of 84 GPs (out of 350) have completed the questionnaire, for a response rate of aproximatelly 25%, the sample being representative of the population -considering gender distribution and workplace location, urban/rural. The majority of the GPs (78%) stated that their role in PA promotion is limited to broadly disscussing this topic with their patients. The more consultations they have (less time available), the more they are prone to promote PA in their practice (contrary to current literature). Only 1 in 5 GPs have reported the correct number of minutes of PA for both adults and children & youth. The lower measured knowledge, the higher were the self-assessed levels of knowledge regarding PA benefits they report. Conclusion Romanian GPs knowledge, attitudes and behavior related to PA prescription/recommendation are strongly influenced by lack of proper information, incentives and/or enforcement. Before attempting to introduce PAP in Romania, more education, awareness and financial/structural resources should be allocated to improve acceptability and feasibility of Abstract citation ID: ckac095.106 P07-06 Physical activity promotion in cancer patient: opinions and practices of health professionals Yoric Petitfrè re 1 , Jé rô me Rompen 1 , Marc Cloes 1 , Alexandre Mouton 1 1 Motor Sciences, University of Liè ge, Liè ge, Belgium Corresponding author: ypetitfrere@uliege.be Background Literature suggests that health professionals (HPs) can play an important role in promoting physical activity (PA) in cancer patients (Jones et al., 2004). This study had three purposes: (1) analyzing HPs' knowledge and opinion about PA for cancer patients; (2) examining practices, barriers and roles that they identify when considering PA promotion in their patients; (3) determining factors that may enhance practices in this field.

Methods
This study was designed in two phases and took place in Wallonia, Belgium. The first phase was qualitative: 12 HPs were interviewed about their experiences with PA in cancer patients. Then, in the second (and quantitative) phase, an online survey was created based upon the results of the first phase and upon the relevant literature. We sent this secondphase survey to professional organizations, hospitals and medical health centers and received 68 responses.

Results
In both phases of the study, HPs seemed to be aware of the benefits of PA for cancer patients and considered that they have to play a role in promoting PA in that specific population. However, only 25% (n = 17) of HPs were familiar with the official PA guidelines. According to our results, HPs discuss the topic of PA with more than 7 out of 10 patients (7.11 AE 2.61). Lack of time and lack of knowledge about PA were identified as barriers to PA promotion. Finally, other relationships that may help to explain the role of HPs in PA promotion were uncovered: clinicians who used more information (e.g. PA benefits) (p = >0.001), exercised referrals (p = 0.012), and prescribed PA (p = 0.007) had higher intervention rates.

Conclusions
Our findings suggest that improving HPs' knowledge about PA guidelines and how it can be proposed to cancer patients could help them to promote PA and to encourage their patients to consult a PA specialist, and eventually adopt a physically active Abstract citation ID: ckac095.107 P07-07 Put the promotion of physical activity for people with non-communicable diseases on the political agenda in Luxembourg! Alexis Lion 1,2 , Anne Frisch 3,4 , Lucienne Thommes 5 , Arno Bache 6 , Anik Sax 7 , Romain Seil 3,2 , Axel Urhausen 3,2 , Daniel Theisen 8 , Charles Delagardelle

Issue/problem
In 1984, cardiologists and cardiac patients created an association offering physical activity (PA) for people with cardiovascular diseases in Luxembourg (0.6 million inhabitants). During the last 20 years, several associations created therapeutic PA for people with a wide range of noncommunicable diseases (NCDs). Today more than 70 hours of therapeutic PA are weekly offered. Nevertheless, the organization of these PA is incomplete and not enough patients benefit from it. Description of the problem Sustainability of privately organized courses is challenging. Despite a governmental financial support, the organization of PA offer remains mainly based on the idealism of a limited number of volunteers. However, this kind of commitment is disappearing and jeopardizes a correct offer of therapeutic PA. Only a minority of physicians are referring their patients on a regular basis and only a minority of them are engaging in an active lifestyle.

Results
A project was launched in 2013 to compile, monitor and promote the therapeutic PA offered by different associations. As a result of this project, six associations created a sport ii102 European Journal of Public Health, Volume 32 Supplement 2, 2022 federation in 2016 destined to improve the organization of therapeutic PA for people with NCDs. In 2018, the federation obtained an increase in the financial support from the Ministry of Health. The same year, a campaign promoted the therapeutic PA but had no impact on the number of patients counselled about therapeutic PA (26.6%) and on the physician's knowledge of the therapeutical PA offer (21%). The federation is now trying to develop and implement deeper actions, such as a PA referral scheme.

Lessons
The collaborative and synergetic work of the different associations offering PA for people with NCDs bundled their activities resulting in an increased consideration and support from the Ministry of Health. Nevertheless, structural improvements should be conducted to increase sustainably the number of physically active patients.

Main messages
The promotion and the organization of a valuable and sustainable therapeutic PA for patients with NCDs must be professionalized and publicly supported. A larger strategic vision needs to be developed by the government and healthcare providers to organize and support preventive medicine in Luxembourg. Keywords: physical activity, promotion, healthcare, politics, non-communicable diseases Abstract citation ID: ckac095.108 P07-08 The City of Antibes' Prescription Sports plan, the first « Health Sports Centre » in the Alpes-Maritimes department Yannick Madrignac 1 , Isabelle Plisson 1 , Romain Melan 1 1 Ville d'Antibes, France Corresponding author: isabelle.plisson@ville-antibes.fr Today, Antibes is obviously the « Health and Sport city ». Demographic and epidemiological studies reveal problems of ageing and isolation of elderly people; often they are subject to serious health consequences and triggering the loss of autonomy. Precariousness and social isolation also enhance the occurence or deterioration of certain health problems (cardiovascular diseases, cancers, depression, etc.). All these factors lead to a growth of long term illnesses. Following a national law health system modernisation in 2017, the City of Antibes, the Hospital Centre and the Regional Medical and Sport Centre have set up a program called ''Pass Form Santé'' dedicated to ''Prescription Sports''. What does it consist of? Who are the beneficiaries? What are the means implemented? This unique and innovative program in the Alpes Maritimes aims to help people with chronic diseases to improve their health and the way of taking medication. It is to guide them to an adapted physical practice of activity at a regular, secure and progressive way on the recommendation of an attending physician. The City of Antibes has all the resources to enable the implementation of this program: multi-disciplinary local municipal establishments, well trained human resources in different adapted physical activities, and a substantial network of sport and medical-social partners. Since 2017, 135 people have joined the ''Pass Form Santé'' program. 47% of prescriptions came from liberal or specialist doctors, 31% from hospitals and 22% from the Medical-Sportive Centre of Antibes. The breakdown of pathologies shows a majority cases in cardiology and oncology. Qualitative result on the beneficiaries' health is unequivocal. The program allows them to feel better physically and morally. This ''Pass Form Santé'' program perfectly meets their expectations and allows them to get closer to an autonomous practice or to join any associative sports network. The city of Antibes, together with its partners, has known how to create this innovative program called ''Pass Form Santé'' in order to develop prescription sports. It serves as a common link between beneficiaries, the medical professionals and the associative sport networks in order to encourage people with a Abstract citation ID: ckac095.110 P07-10 Nice acti'santé : Let's move for health in Nice Charlè ne Falzon 1 , Auré lien Lazzaro 1 , Emmanuelle Soummer 1 , Barbara Prot 1 , Richard Chemla 1 1 Ville de Nice, France Corresponding author: charlene.falzon@ville-nice.fr

Issue
In view of the multiple benefits, the integration of physical activity into the health care pathway of people with chronic diseases is a major issue. In Nice, nearly a third of the