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Abstract Background Family socioeconomic indicators (education, occupation, and household income) are key determinants influencing children’s physical activity (PA). This study aims to systematically review the current research about the association between family socioeconomic indicators and PA among primary school-aged children and to quantify the distribution of reported associations by childs’ and parents’ sex and according to analysis and assessment methods. Methods A systematic literature research in multiple scientific databases (MEDLINE via PubMed, Web of Science, ScienceDirect, SPORTDiscus and ERIC) was performed for literature published between 1st January 2010 and 31st March 2022. Only studies reporting statistical associations between an SES indicator of at least one parent (education, occupation, income, or an SES index) and different types and intensities of PA in primary school-aged children (6 to 12 years) were included in the analysis. The distributions of the reported associations were evaluated across and differentiated by sub-group analysis of assessment methods (objectively measured vs. self-reported PA) and analysis methods (univariate vs. multivariate models). Results Overall, 93 studies reported in 77 publications were included in this review. Most of the studies were conducted in Europe and used self-reports (questionnaires) to assess PA. Most studies used only a single SES indicator (commonly maternal education), and only two studies calculated an SES index. The majority of the studies focused on moderate-to-vigorous physical activity (MVPA), total physical activity (TPA), and organized physical activity (OPA). Results showed predominantly positive associations between SES indicators and OPA. In contrast, results regarding different intensities of daily PA (TPA, LPA, MPA, MVPA, VPA, LTPA) were heterogeneous, with overwhelmingly no associations. Conclusion Overall, the results expand the knowledge about the association between family socioeconomic indicators and children’s PA and disprove the hypothesis of a clear positive association. However, large multicenter studies are lacking using a real SES index as a predictor and analyzing gender-specific multivariate models.

IntroductionSociodemographic factors such as parental education level (ED) influence the physical activity (PA) and sedentary behavior (SED) of primary school-aged children. In this context, family factors, such as the physical activity-related Family Health Climate (FHCPA), are relevant. However, the effect of FHCPA on the interaction between ED and children’s activity behavior has not yet been investigated. Therefore, this study aimed to analyze the mediating effect of FHCPA on the relation between parental ED and children’s device-based measured PA and SED.MethodsA total of 94 children and their parents participated in the study. Questionnaires were used to assess parental ED and FHCPA. Children’s moderate to vigorous physical activity (MVPA) and SED were measured using accelerometers. Bivariate correlations were conducted to investigate associations between parental ED and MVPA/SED/FHCPA. Mediation analyses were used to investigate the role of FHCPA in the association between maternal and paternal ED and children’s MVPA/SED. Results indicate a small correlation between maternal ED and FHCPA for the total sample (ρ = 0.318, p < 0.001) and a medium correlation for girls only (ρ = 0.570, p < 0.001). Mediation analyses showed no significant mediation effect. However, there was a significant direct association when considering FHCPA in the relation between higher maternal ED and SED in girls compared to lower ED.DiscussionFuture research should examine more complex models to further develop and refine to facilitate the derivation of more effective recommendations for health prevention programs, particularly for mothers and girls.

Introduction Colorectal cancer (CRC) poses a significant global health threat, necessitating early detection. Traditional diagnostic tools like optical colonoscopy have limitations prompting our ‘5G-SUCCEEDS’ initiative to explore a novel approach involving remote colon capsule endoscopy (CCE).Methods This prospective feasibility study was conducted at a single hospital in England. Between December 2022 and September 2023, we introduced a remote CCE service within the 5G-SUCCEEDS framework. We undertook a feasibility study of CCE in patients with low-risk/moderate-risk CRC stratified by faecal haemoglobin. Outcomes included carbon footprint analysis (outlined through three potential clinical pathways) and patient-reported outcomes through structured questionnaires and interviews.Results Among 25 participants, 88% expressed satisfaction with remote CCE. 82% were willing to have remote CCE if clinically indicated in future. CCE findings included adenomatous polyps (58%), normal results (17%) and diverticulosis (21%), with no cancers identified in this pilot. Notably, we found that the carbon footprint associated with delivery of CCE at home (pathway 3) was lower compared with CCE delivered in a clinical setting (pathway 2). A fully optimised, automated scaled-up pathway would combine the delivery and collection of CCE equipment within a local area to reduce the carbon footprint of the travel element by 75%. Moreover, the conversion rate into a colonoscopy pathway is not static and clinicians acknowledge that this could be as low as 28%. Carbon footprint is more favourable for home-delivered CCE in the optimised scenario, while less so when considering the need for additional procedures (colonoscopy conversion).Conclusion The 5G-SUCCEEDS initiative highlights the feasibility and advantages of home-based diagnostics using CCE.

Abstract Background Interdisciplinary cooperation among university actors and resulting intersectoral synergies are considered cornerstones in the process of incorporating health promotion practices in everyday university life in order to break down barriers and provide better access to health promotion services. To date, no network of a health-promoting university has been examined regarding the processes underlying tie formation, network emergence, and maintenance. Objectives and methods The goals of this study are to obtain insight into the mechanisms of cooperation between university actors in a health-promoting network and to identify the structural and attributive factors associated with establishing cooperation between actors in the observed network in order to better understand how to build and develop successful networks in the future. For this purpose, a social network analysis was carried out and exponential random graph models were estimated to test corresponding hypotheses. Results The network at hand consists of 33 actors (e.g. University Sports Center, General Student Committee) and shows a flat, non-hierarchical structure. Data reveal that attributed competence predicts cooperation (0.32; p

Adipositas gilt als wesentliches Public-Health Problem. Folglich sind zielgruppenadäquate Therapieansätze zur Reduktion der enormen Adipositasprävalenz erforderlich. Die Digitalisierung der Patient:innenschulung bietet dafür Optimierungspotenziale, verlangt jedoch neue Kompetenzen von Schulungsanbietenden. Bildungswissenschaftliche Forschung offeriert diesbezüglich theoretische Grundlagen, welche der Konzeption von Weiterbildungen dient und zur Steigerung von Schulungswirksamkeit führt. Für die Adipositastherapie existieren keine Kompetenzmodellierungen und entsprechende Erhebungsinstrumente. Folglich wird eruiert, welche Kompetenzstrukturen zur Planung und Umsetzung digitaler Therapie benötigt werden. Die Konstruktion des Erhebungsinstruments basierte auf einer Literaturrecherche, um therapieadäquate Kompetenzkonzeptualisierungen zu erfassen. Mittels Inhaltsanalyse wurden Dimensionen und Items abgeleitet. Zur Absicherung und Optimierung des Fragebogens erfolgte eine Expert:innen-Befragung. Auf Grundlage bestehender Evidenz beinhaltet das Erhebungsinstrument drei Themenbereiche: therapieadäquate Kompetenzen, Kompetenzmoderatoren und demografische Angaben, die 16 Dimensionen (z. B. Medienanpassung, digitale Lernüberwachung) und 46 Frageitems umfassen. Aus der Expert:innenbefragung (n = 11) resultierten 40 Überarbeitungshinweise (z. B. zu Sprache und Inhalt). Die durchschnittliche Beantwortungszeit des Fragebogens betrug 8,8 Minuten. Mit dem vorliegenden Instrument wurden erstmalig literaturbasiert Kompetenzstrukturen für die Planung und Umsetzung digitaler Adipositastherapie identifiziert und durch Expert:innen abgesichert. Nach der geplanten Validierung besteht die Möglichkeit, den Einfluss von Kompetenzen auf Therapieeffektivität zu evaluieren, Rückschlüsse für die Konzeption von Aus- und Fortbildung abzuleiten und einen Beitrag zur Wirksamkeitssteigerung der Therapie zu leisten.

Abstract Background Structured exercise programs provide considerable health benefits for cancer patients. Therefore, various OnkoAktiv (OA) networks were established in Germany with the aim to connect cancer patients with certified exercise programs. However, knowledge about the integration of exercise networks into cancer care systems and conditions of interorganisational collaboration is lacking. The aim of this work was to analyse the OA networks to guide further network development and implementation work. Methods We used methods of social network analysis within a cross-sectional study design. Network characteristics were analysed such as node and tie attributes, cohesion and centrality. We classified all networks into their level of organisational form in integrated care. Results We analysed 11 OA networks with 26 actors and 216 ties on average. The smallest network counted 12 actors/56 ties, the largest 52/530. 76% of all actors operated within the medical/exercise sector, serving 19 different medical professions. In smaller “linkage” networks, several individual professionals were linked “from service to service”, whereas the more integrated networks revealed a core-periphery-structure. Discussion Collaborative networks enable the involvement of professional actors from different operational fields. This study provides an in-depth understanding of underlying organisational structures that provides information for further development of exercise oncology provision. Trial registration Not applicable, as no health care intervention was performed.

The crystalline‐to‐vitreous phase transformation of a SiO2 bilayer supported on Ru(0001) was studied by time‐dependent LEED, local XPS, and DFT calculations. The silica bilayer system has parallels to 3D silica glass and can be used to understand the mechanism of the disorder transition. DFT simulations show that the formation of a Stone–Wales‐type of defect follows a complex mechanism, where the two layers show decoupled behavior in terms of chemical bond rearrangements. The calculated activation energy of the rate‐determining step for the formation of a Stone—Wales‐type of defect (4.3 eV) agrees with the experimental value. Charge transfer between SiO2 bilayer and Ru(0001) support lowers the activation energy for breaking the Si−O bond compared to the unsupported film. Pre‐exponential factors obtained in UHV and in O2 atmospheres differ significantly, suggesting that the interfacial ORu underneath the SiO2 bilayer plays a role on how the disordering propagates within the film. [ABSTRACT FROM AUTHOR]