Using the Physical Activity Messaging Framework to Co-Design Strength Training Messaging: Metadata and Documentation, 2023-2024

Workshop activity guide (PowerPoint attached) based off the Physical Activity Messaging Framework (PAMF) was used for the 4-hour focus group workshop on January 19, 2024 with 20 public participants aged 40-60 years old from the Greater Manchester area, United Kingdom. The aim of this workshop and study was to co-design strength training messaging guidance that aligns to the strength component of the UK's Chief Medical Officers' physical activity guidelines.

Three examples of poster outputs that adhere to the results from our co-designed messaging workshop are attached (Culture Change, Ups and Downs, and Model for my Children).

Participant consent was not sought for the availability of raw data for secondary qualitative analysis.<p>Physical inactivity costs the UK 7 billion each year and is responsible for 1 in every 6 deaths. Although a number of exercise programmes have aimed to address the global challenge of ageing and inactivity, there continues to be a shortage of successful programmes in real-world settings. When older adults become inactive, they lose their strength and become weak. Older adults who are weak are more likely to have a fall, become hospitalized, depressed, develop diabetes, cardiovascular disease, and cancer, and live in a care home much earlier than they should.

Providing people with an exercise programme while they are still healthy, and before they shown signs of muscle weakness can prevent these devastating outcomes. Exercise referral as a routine part of healthcare and providing all adults the opportunity and benefits of participating in exercise will also help to reduce health inequalities in later life. Research shows that doctors don't feel confident discussing or referring exercise to their patients. While our research shows that older adults and exercise providers are unaware of exercise guidelines, the benefits of exercise participation, and where to turn to for support.

Our mission is to connect older adults with the tailored exercise programs that are proven to lower the risk of disability and disease. Our platform will be an easy-to-use tool for doctors and exercise providers to support exercise awareness, knowledge, referral, and support while its use will lead to a happier, healthier, and more active population.</p>

本研究基于身体活动信息框架（Physical Activity Messaging Framework, PAMF）制作了工作坊活动指南（附PowerPoint文件），并于2024年1月19日开展了时长4小时的焦点小组工作坊，招募了来自英国大曼彻斯特地区的20名40至60岁的公众参与者。本次工作坊及研究的核心目标，是协同设计符合英国首席医疗官身体活动指南中力量训练板块的力量训练信息指南。

本次协同设计信息工作坊产出了三类海报成果（分别为《文化变革》《起起落落》与《为子女树立榜样》），相关示例文件已随附。

本研究未就原始数据用于二次定性分析的情况征求参与者的知情同意。

身体活动不足每年给英国造成70亿英镑的经济损失，并与每6例死亡中就有1例相关。尽管已有多项运动计划试图应对老龄化与身体活动不足这一全球性挑战，但现实场景中仍缺乏成功落地的成熟方案。老年人一旦陷入身体活动不足的状态，便会出现肌力流失与身体衰弱。衰弱的老年人更易发生跌倒、住院、罹患抑郁症、糖尿病、心血管疾病与癌症，且更早需要入住护理机构。

在老年人尚未出现肌肉衰弱迹象、仍保持健康状态时为其提供运动计划，可有效预防上述灾难性健康结局。将运动转诊纳入常规医疗服务范畴，为所有成年人提供参与运动的机会与收益，亦有助于缓解晚年的健康不平等问题。研究显示，医生在与患者讨论运动相关话题或开具运动转诊单时，普遍缺乏信心。此外，我们的研究还发现，老年人与运动服务提供者普遍对运动指南、运动参与的益处以及可获取的支持渠道一无所知。

本项目的使命在于将老年人与经证实可降低残疾与疾病风险的定制化运动计划进行对接。我们开发的平台将为医生与运动服务提供者提供一款易用工具，助力其开展运动认知普及、知识培训、转诊服务与支持工作，最终助力打造更快乐、更健康、更具活动力的人群。