P08-04 A protocol for the development of a systems map to identify the factors that influence walking in Cork, Ireland

Abstract Background Systems approaches have been used in recent years in addressing complex public health problems such as obesity and physical inactivity. Depicting these ‘wicked' problems through systems maps has helped system actors better understand the entire systems in which these problems exist. Like physical activity (PA) promotion, there are multiple sectors and organisations who have a stake in the promotion of walking. However, their efforts are seldom combined, and stakeholders often work in conceptual silos when tackling the same problem. Walking has been described as a ‘best buy' for public health (Bull and Hardman, 2018). However, walking promotion requires efforts across the entire ecosystem if population-level PA goals are to be reached. The purpose of this study is to generate a systems map of the factors that influence walking in Cork. Methods Participants of the workshops all work in Cork, Ireland. Participants remotely attended two online Zoom workshops to develop the systems map. The Australian Systems Map for Physical Activity (Bellew et al., 2020) was used as a framework in the development of the map. Semi-structured interviews (n = 5) were used to supplement the online workshops. A third online workshop is planned for October 2020 to discuss identified interventions. Outcomes The systems map provided stakeholders with a new perspective on the complexities of the system and provided a platform to network with organisations outside of their sectors. Semi-structured interviews helped identify barriers and facilitators to working collaboratively and explored the political and commercial environment of the system. Furthermore, 19 potential interventions were identified from the workshop discussions. A selection of these will be discussed in detail in a third workshop in October 2020. Conclusions The systems map alone will not increase walking levels across the entire system. However, it will provide stakeholders with a common visual language of the structure of the system. Thus, enabling them to identify where they sit within the system and potential leverage points they can influence. Furthermore, understanding the entire ecosystem of walking in Cork through a systems map may prove useful in other contexts when approaching the complex problem of population-level walking promotion.


Background
Sports programs are recognised as a promising way to contribute to the personal development of socially vulnerable adults. However, it remains unknown which elements of sports programs are critical for social inclusion and personal development to occur. Knowledge on these critical elements is needed to improve sports programs and to maximize positive outcomes. Methods Data were collected and analyzed using Concept Mapping (CM), which is a standardized systematic tool to visualize relations between different concepts by collecting and sorting ideas in groups and ranking them in terms of importance (1-5 Likert-scale). A total of 14 sports coaches, 5 program coordinators, 8 social workers and 5 advisors partook in our CM study, making up four groups of informants. Data among participants of the sports programs have been collected in a separate study.

Results
Altogether, sports coaches provided 152 elements, program coordinators provided 81 elements, social workers provided 115 elements, and the advisors provided 95 elements that they deemed critical for positive outcomes of sports programs serving socially vulnerable adults. Both overlapping and unique elements were provided. The role of the sports coach had the highest average importance score (>4.00) and was equally important for all four groups. Elements related to facilities of the sports activity, such as accessible and diverse activities appeared to be more important for social workers and advisors than for program coordinators and sports coaches. In fact, elements related to facilities of the sports program had the lowest importance score among program coordinators and sports coaches. Elements related to external partners involved in the sport program (e.g., clear with partners, continuous funding) showed to be program coordinators and advisors, but less important to sports coaches. Social workers did not mention related to external partners. All four groups deemed elements related to the personal development of the participant, such as working towards a goal and intrinsic motivation important.

Conclusions
Training the sports coaches properly and keeping involved care workers in close contact enables participants to achieve better positive outcomes. Sports programs should be experienced as a safe and positive learning environment participants should be encouraged to work on their personal goals without forcing Abstract citation ID: ckac095.116 P08-03 Integrating public health expertise to support green space planning by promoting active lifestyles in Slovenia Ina Š uklje Erjavec 1 , Andrea Backović Juričan 2 , Jana Kozamernik 1 , Tjaša Knific 2 1 Urban Planning Institute of the Republic of Slovenia, Ljubljana, Slovenia 2 Prevention and Promotion Programmes Management, National Institute of Public Health, Ljubljana, Slovenia Corresponding author: andrea.backovic-jurican@nijz.si

Issue/problem
To minimize public health risks and promote HEPA among citizens, an integrated approach between public health experts and spatial planning is much needed. However, cross-sectoral cooperation is very demanding and needs harmonization of concepts and professional terms to reach mutual understanding. Description of the problem In 2017 the Urban Planning Institute of the Republic of Slovenia launched the programme entitled Expert Basis for Spatial Planning of Green Areas, aimed at HEPA promotion for citizens. It was co-financed by the Ministry of Health and based on the objectives in the National Programme on Nutrition and Health Enhancing Physical Activity 2015-2025 and the Strategy of the Government of the Republic of Slovenia for Children and Youth Environmental Health 2012-2020. Its purpose is to expertly support the planning and development of towns/ settlements in Slovenia for better quality of life and direct it for active and healthy lifestyles of citizens of all ages and social groups. To properly address all relevant issues, cooperation with the National Institute of Public Health was established. Results (effects/changes) The programme contained multidisciplinary collaboration in a form of consultation workshops and an expert review of the programme publication named Going Out for Health: A green space planning manual to promote physical activity and a healthy lifestyle. The emphasis was on supporting spatial planning issues on quality of green spaces with basic objectives of public health perspectives. The guide is the first example of linking public health promotion approaches and quality aspects of green space planning and design in Slovenia. It contains general guidelines for the planning of green areas aimed at promoting HEPA, expert materials to support municipalities in devising relevant approaches, and decisionmaking in order to provide useful and attractive green areas.

Lessons
The aspects of green area spatial planning aimed at promoting HEPA are diverse and closely interconnected. The programme and its manual reflect a good cooperation example between spatial planning and public health experts.

Main messages A good collaboration between urban planners and public health professionals is crucial to prepare useful guidelines for spatial planners and municipality decision-makers on green
Abstract citation ID: ckac095.117 P08-04 A protocol for the development of a systems map to identify the factors that influence walking in Cork, Ireland Dylan Power 1 , Niamh Murphy 1 , Barry Lambe 1 1 Department of Sport and Exercise Science, Waterford Institute of Technology, Waterford, Ireland Corresponding author: dylan.power@postgrad.wit.ie Background Systems approaches have been used in recent years in addressing complex public health problems such as obesity and physical inactivity. Depicting these 'wicked' problems through systems maps has helped system actors better understand the entire systems in which these problems exist. Like physical activity (PA) promotion, there are multiple sectors and organisations who have a stake in the promotion of walking. However, their efforts are seldom combined, and stakeholders often work in conceptual silos when tackling the same problem. Walking has been described as a 'best buy' for public health (Bull and Hardman, 2018). However, walking promotion requires efforts across the entire ecosystem if population-level PA goals are to be reached. The purpose of this study is to generate a systems map of the factors that influence walking in Cork.

Methods
Participants of the workshops all work in Cork, Ireland. Participants remotely attended two online Zoom workshops to develop the systems map. The Australian Systems Map for Physical Activity (Bellew et al., 2020) was used as a framework in the development of the map. Semi-structured interviews (n = 5) were used to supplement the online workshops. A third online workshop is planned for October 2020 to discuss identified interventions.

Background
The extent to which people are physically inactive is dependent upon social gradients. Numerous studies have proven that individuals with social disadvantages are not active enough. Parallel to this, several researchers have raised concerns that public health interventions may increase inequalities in the population. However, little is known about the success of community-based physical activity promotion among individuals with social disadvantages. Hence, our goal was to identify the characteristics of successful interventions within this field. Methods From March 2015 to March 2019, a search for systematic reviews dealing with community-based physical activity promotion was carried out using the databases PubMed, Scopus, PsycInfo/SPORTDiscus (via Ebscohost), ERIC and IBSS (via ProQuest). Only articles written in English or German were included. Studies without information about socially disadvantaged groups or physical activity promotion in low and middleincome countries were excluded. Checking of the reference lists of included reviews completed the research. Two authors independently conducted the screening, selection and data extraction. Results were synthesized narratively.

Results
In the first step, a total of 2,610 articles were identified. After the screening, 20 publications could be considered, while only six involved individuals with social disadvantages. In particular, these articles described environmental interventions, tailoring, and involvement of the target group, as effective among individuals with social disadvantages. In addition, strategies for gaining political support, intersectionality strategies, and the creation of access routes to reach individuals with social disadvantages were specified as requirements for effectiveness.

Conclusion
The current state of research concerning physical activity interventions in a community setting for individuals with social disadvantages is very limited. Because the target group is so broad, the evidence of successful approaches is heterogeneous. In order to assess the characteristics of physical activity promotion interventions, additional studies that focus on various groups of people with social disadvantages in real-P08-07 The effects of an integrated approach to a worksite intervention on the mental health and wellbeing of cleaners: A randomized stepped wedge worksite study