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Background A considerable number of Danish children and adolescents do not currently meet the national physical activity (PA) recommendations. In recent years, the concept of physical literacy (PL), has gained popularity worldwide, and it is considered as a proximal measure for lifelong PA. However, only a few interventions targeting PL exist on a global scale. In Denmark, the development of theoretically driven and evidence-based PL interventions that aim to increase PL among children and adolescents has not begun. Yet, a promising, theory-based, and internationally tested intervention, the Youth Physical Activity Towards Health (Y-PATH), has proven to be effective on children and adolescents’ PA levels and motor skills. This presentation introduces the Promoting Pupils’ Physical Literacy (3PL) project which aims to test the feasibility and acceptability of the Y-PATH intervention in a Danish context among pupils 9-11 years of age. Methods and Results The hypothesis is that a revised and adapted 3PL intervention protocol that aims to increase pupils’ PL is ready for effectiveness testing by the end of this project. Two public schools will be recruited and randomly assigned to intervention or control condition following a waitlist design. The primary outcomes include the feasibility and acceptability of the intervention. The feasibility of the practicality and the recruitment process will be assessed within a document log administered by research assistants. The acceptability, including demand and experiences, and the intervention implementation degree will be evaluated by short bimonthly questionnaires to teachers, and interviews with pupils, teachers, parents, and school managers. The preliminary effectiveness will be tested by comparing changes in pupils’ PL over time, assessed with the validated Danish Assessment of Physical Literacy tool. Discussion A revised PL intervention, a Template for Intervention Description and Replication TIDieR checklist, and a protocol that offers a solid empirical and theoretical foundation for a future upscaled effectiveness study. Additionally, the development of such protocol and checklist provides a national as well as an international opportunity for researchers to use and compare effectiveness of the intervention across countries.

The burden of non communicable diseases is a rising global problem and the increasing inactivity seen all over the world is extremely costly to societies (Ding et al., 2016). A recent Danish evaluation on physical activity (PA) showed that a considerable number of Danish children and adolescents do not meet national PA recommendations (The Ministry of Health, 2019). Viewing this problem through a life course perspective points to the solution of making sustainable behavioural changes with children (Frohlich & Potvin, 2010). Across the life span, there is clear evidence of the health-enhancing benefits of PA (Lee et al., 2012). However, at the same time, ample empirical evidence supports that extrinsic motives for participating in PA, such as increasing health, are insufficient when long term participation is the goal. This means that prevention and health promotion interventions should not blindly target the factors and behaviours that predict adult health, such as PA, but move towards intervening on the ‘so-called’ causes of the causes such as factors enabling a physical active lifestyle throughout life. Physical literacy (PL) is a comprehensive multidimensional concept that has been identified as a ‘cause of the causes’. PL consists of dimensions that lay the foundation for an individual’s capacity and tendency for engaging in physical activities throughout life (Whitehead, 2001). In this symposium, we aim to present four research and interventions projects from the education, sport and public health sectors that have emerged in the last couple of years, and through the presentation of these projects, how we in Denmark have established a PL ecosystem between research and practice – and how our national collaboration, PL-net, has contributed to this. Program 1) Introduction to the symposium 2) Physical literacy, physical activity and wellbeing in Danish children 3) The Child-COOP Denmark study: using physical literacy to guide and evaluate a systemic approach to health promotion 4) Staying active together in sports: the importance of and how to promote the emotional domain of physical literacy 5) 3PL: Promoting pupils’ physical literacy: a pilot study testing feasibility and acceptability of the Y-PATH intervention in a Danish school setting 6) The symposium will be ended by a panel debate where it also will be possible for the participants to comment and ask questions.

Background PL is increasingly regarded as a ‘cause of the causes’ to health promotion. Cross-sectional studies have shown associations between children’s PL, physical activity (PA) behaviors and well-being. This presentation aims to present empirical evidence from a large-scale research project in Denmark assessing children’s physical literacy. Results from two studies will be presented and discussed. The first aims to examine the associations between Danish children’s PL and their physical and psychosocial well-being and whether the associations are mediated by moderate-to-high intensity physical activity (MVPA). The second aim is to examine the synergies between movement behaviors and levels of PL. Methods Cross-sectional data from Danish school children aged 7-13 years were collected in Jan-Dec 2020 in the Danish Assessment of Physical Literacy (DAPL) project. PL was assessed with DAPL which measures the affective, cognitive, and physical domains of PL. Sedentary time and time spent in different PA intensities was measured with accelerometers (Axivity), psychosocial well-being was measured with The Strengths and Difficulties Questionnaire (SDQ), and physical wellbeing was measured with the KIDSCREEN questionnaire. In study 1, structural equation models were constructed with PL and MVPA as predictors of physical well-being and four aspects of psychosocial well-being. In study 2 a compositional analysis was applied with average weekly time spent sedentary, in low PA, moderate PA and vigorous PA as the compositional response and levels of PL as predictor. Results A positive moderate association between PL and physical well-being, partly mediated by MVPA was observed. PL was positively associated with the positive aspects of psychosocial wellbeing and negatively associated with the negative aspects (behavior problems). None of the associations between PL and aspects of psychosocial wellbeing were mediated by MVPA. Results from study 2 are ongoing. Conclusions The studies contribute to evidence on the link between PL, physical activity, and health outcomes. The study found beneficial relations between PL and physical and psychosocial well-being.