Co-construct, implement and evaluate an intervention to prevent a sedentary lifestyle in children

Abstract Background In children a sedentary lifestyle is associated with the development of chronic diseases, as well as unfavorable body composition and physical condition, lower levels of self-esteem, sociability, and school results. In Europe 39,8% of children (6-9 years) spend on average more than 2h/day in front of a screen, and 14,6% over 3h/day. In this context, designing and testing effective interventions to decrease sedentary behavior in children is a major public health research gap. The CIPRES intervention aims to reduce sedentary time in school-age children (7-10 years). Methods The CIPRES intervention is co-constructed with key local actors, by using a socio-ecological approach, and theory-based on the transcontextual model. The intervention is evaluated by a cluster-randomized controlled study currently ongoing. The target population is made up of 1000 children from 13 primary schools (in years 4-5) from southeast of France with different levels of social deprivation. Main outcomes are assessed by accelerometer and questionnaires before (T0) and after a six-week intervention (T1) and include sedentary behavior, physical activity (PA) and variables of the transcontextual model. Results Preliminary data were available in 152 children (53 intervention and 99 control). There was no significant difference across the time in sedentary time between intervention and control group (p = 0.11; η2=0,017); however, moderate-to-vigorous physical activity (MVPA) tended to be better in intervention vs control (p = 0.06; η2=0,023). In the intervention group, sedentary time and MVPA were significantly better across the time (p = 0.028 and p = 0.011, respectively) for children having a father with a university diploma as compared to children having a father with a lower education level. Conclusions Preliminary results on a small group of subjects (n = 152) are encouraging and suggest a positive impact of the intervention on children. More results will be available by summer 2022. Key messages • Based on the socio-ecological model, the CIPRES intervention aims to prevent sedentary in school-aged children. • Preliminary data suggests a favorable impact of the intervention on physical activity.

There are known risk factors that are associated with the onset and exacerbation of musculoskeletal (MSK) conditions and pain.Physiotherapists are uniquely placed to deliver brief interventions with their patients.Healthy Conversation Skills is the main training component of the Wessex approach to Making Every Contact Count.Despite its potential for promoting MSK health and wellbeing, there is no evidence to support its acceptability within MSK services.This is the first known study to explore the use and perceptions of the Wessex model of MECC HCS within MSK services.A mixed method design was used.Phase one employed an online questionnaire, open to all professionals trained in MECC HCS, consisting of items relating to implementation outcomes.Barriers and facilitators to delivery were explored and mapped to the Theoretical Domains Framework.Phase two invited physiotherapists for a follow-up interview and qualitatively explored their acceptability of delivering MECC HCS to patients with MSK conditions.MECC HCS was found to be highly acceptable, appropriate, and feasible.Physiotherapists reported using their skills at least daily but missed opportunities for delivering MECC HCS were evident.Barriers mapped mostly to 'Environmental Context and Resources' on the Theoretical Domains Framework.Qualitative themes developed during phase two were: 'Recognising the patient as the expert supports change', 'MECC HCS improves physiotherapy practice', 'MECC HCS shared problem solving reduces workload', 'time as a perceived barrier to MECC HCS' and 'system-level support needed to sustain MECC HCS'.MECC HCS is a promising brief intervention for supporting people with MSK conditions.Further rollout of this intervention may be beneficial for meeting the goals of the NHS and Public Health England in prevention of MSK conditions and promotion of MSK health.Barriers associated with sustainability must, however, be addressed.

Key messages:
Making Every Contact Count Healthy Conversation Skills is considered a highly acceptable brief intervention for supporting behaviour change in people with musculoskeletal conditions.
Organisational, system-level barriers to implementation must be addressed in order to increase sustainability and enhance future roll out of the brief intervention.
Abstract citation ID: ckac131.329Parents' evaluations on the service delivery and communicatıon skills of the pediatric dentists Aim: In the study,it was aimed that parents who need oral health services for their children for any reason should evaluate pediatric dentists in terms of service provision and communication skills.

Methods:
The study was conducted with 123 parents who applied to a private oral health clinic in Ankara between 20/06/2021-20/07/ 2021.For parents,10 descriptive and 20 face-to-face questionnaires questioning service delivery and communication skills on a 5-point Likert scale were applied.

Results:
The mean age of the participants was 40.9AE5.9years.Only 34.1%(n = 42) of the parents who needed oral health services for their children directly applied to the pediatric dentist,while the others 65.9%(n = 81) applied to dentists who were not pediatric dentistry specialists.The mean score of evaluation of parents' pediatric dentists in terms of service delivery and communication skills is 4.16AE0.44.When pediatric dentists were evaluated in terms of service delivery and communication skills.74.8%(n = 92) made the explanations in a way that they could easily understand,67.8%(n= 82) did not speak fast enough to prevent them from understanding the words,66.9%(n= 79) stated that they created an environment that respects privacy and 72.6%(n = 85) stated that they allocated enough time as ''always''.

Conclusions:
As a result, it has been determined that the frequency of parents applying to physicians who are not pediatric dentists for their children's oral health problems is high.However,the parents who applied to the pediatric dentist found the pediatric dentist to be more competent in terms of service delivery and communication skills.It is necessary to increase the awareness of the parents about the pediatric dentistry expertise.

Background:
Health literacy (HL) is an essential component of an individual's ability to gain access to, understand and use information to improve and maintain good health and is an important prerequisite for managing health and care needs.Therefore, knowledge on older people's HL is vital to meet the care needs of the rapidly aging population efficiently and equitably.Knowledge on HL in the older population is limited, both in an international perspective and in Sweden.Challenges linked to limited HL are expected to increase with advanced age, emphasizing the importance of conducting a study using a nationally representative sample of older adults.The aim of the study was to explore the level of HL in older adults living in Sweden.

Methods:
A

Background:
High levels of self-compassion might increase men's willingness to seek formal help, including those men, who rigidly conform to masculinity norms (CMN).However, selfcompassion has rarely been considered as an enabling factor for women's help-seeking intentions.The current study analyzed the links between CMN, self-stigma, self-compassion and willingness to seek formal help after experiences of interpersonal violence (IPV) in women and men.

Methods:
A cross-sectional online-questionnaire study was conducted with 491 German-speaking participants (65.6% women/34.4%men; age: M = 36.1 years; SD = 14.2).Participants read three vignettes about experienced IPV.Afterwards, they indicated how likely they would be to seek medical or psychological help if they were in the main characters' situation.The Conformity to Masculine Norms Inventory, Self-Stigma of Seeking Help Scale, Self-Compassion Scale were used.Separate manifest path models were calculated for women and men.

Results:
CMN and low self-compassion were linked to strong selfstigma.In turn, strong self-stigma was associated with reduced help-seeking intentions.In men, the interaction term Self-Compassion x CMN on self-stigma indicated that strong CMN was linked to increased self-stigma, especially in men with low self-compassion.Also, indirect links between CMN and help- Nevra Karamu ¨ftu ¨og ˘lu N Karamu ¨ftu ¨og ˘lu 1 , A Ug ˘ras ¸Dikmen 2 , D Atabek 3 , FS Korkmaz O ¨ner 2 , S O ¨zkan 2 1 Pedodontics, Dentistry Faculty, Cyprus International University, Lefkos ¸a, Cyprus 2 Public Health, Gazi University, Ankara, Turkey 3 Pedodontics, Dentistry Faculty, Gazi University, Ankara, Turkey Contact: nvrserbest@hotmail.com