long term health conditions - Research library - 'We can move' insight2024-03-29T13:19:48Zhttps://www.wecanmoveinsight.net/articles/feed/tag/long+term+health+conditionsLink Worker social prescribing to improve health and well-being for people with long-term conditions: qualitative study of service user perceptionshttps://www.wecanmoveinsight.net/articles/link-worker-social-prescribing-to-improve-health-and-well-being-f2023-02-21T15:38:11.000Z2023-02-21T15:38:11.000ZHannah Meekhttps://www.wecanmoveinsight.net/members/HannahMeek<div><p>Source: BMJ Open 25/05/2017</p>
<p><a href="{{#staticFileLink}}10970903680,original{{/staticFileLink}}">BMJ - Link_Worker_social_prescribing.pdf</a></p>
<p>To describe the experiences of patients with long-term conditions who are referred to and engage with a Link Worker social prescribing programme and identify the impact of the Link Worker programme on health and wellbeing.</p></div>World Health Day: Supporting people with health conditions to be activehttps://www.wecanmoveinsight.net/articles/world-health-day-supporting-people-with-health-conditions-to-be-a2022-04-27T11:53:39.000Z2022-04-27T11:53:39.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/10443205253?profile=RESIZE_400x&width=400"></div><div><p>Source: Sport England 07.04.22</p>
<p><a href="https://www.sportengland.org/news/world-health-day-supporting-people-health-conditions-be-active" target="_blank">https://www.sportengland.org/news/world-health-day-supporting-people-health-conditions-be-active</a></p>
<p> </p>
<p>On World Health Day (7th April), Sport England with the Richmond Group of Charities, called on the sport and physical activity sector to help more people with long term health conditions to be active, knowing the benefits it can have on their health.</p>
<p>Sport England, has launched a new resource pack that collates the latest research on the barriers to activity for people with long-term health conditions, highlights key benefits of promoting physical activity to this group and provides examples of practical changes to support improved accessibility and inclusion.</p>
<p>More than 40% of the adult population live with at least one long-term health condition and this group is twice as likely to be inactive as those without conditions. The removal of coronavirus restrictions presents an opportunity for the sport and physical activity sector to reinvent and ensure they are meeting the needs of the least active people, who live with multiple health conditions.</p></div>New guidance to help people with long-term health conditions get activehttps://www.wecanmoveinsight.net/articles/new-guidance-to-help-people-with-long-term-health-conditions-get-2022-04-04T13:04:17.000Z2022-04-04T13:04:17.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/10260884077?profile=RESIZE_400x&width=400"></div><div><p>Source: Sport England 23.03.22</p>
<p><a href="https://www.sportengland.org/news/new-guidance-help-people-long-term-health-conditions-get-active" target="_blank">https://www.sportengland.org/news/new-guidance-help-people-long-term-health-conditions-get-active</a></p>
<p> </p>
<p>New guidance published today aims to support people with long-term health conditions to be more physically active.</p>
<p>Co-produced by Sport England, in collaboration with Sheffield Hallam University and the National Centre for Sport & Exercise Medicine (NCSEM), ‘Easier to be Active’ is aimed at those working in sectors promoting, providing, delivering or connecting physical activity to people with long-term health conditions.</p>
<p>One-in-three adults currently live with a long-term health condition and more people are now developing multiple (two or more) physical or mental health conditions. </p></div>Movement for All evaluation report publishedhttps://www.wecanmoveinsight.net/articles/movement-for-all-evaluation-report-published2022-02-24T09:44:38.000Z2022-02-24T09:44:38.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/10149982890?profile=RESIZE_400x&width=400"></div><div><p>Source: Sport England 17.02.22</p>
<p><a href="https://www.sportengland.org/news/movement-all-evaluation-report-published" target="_blank">https://www.sportengland.org/news/movement-all-evaluation-report-published</a></p>
<p><a href="https://richmondgroupofcharities.org.uk/publications" target="_blank">https://richmondgroupofcharities.org.uk/publications</a></p>
<p>A new report is calling on organisations to work collectively in using existing insight to develop opportunities for people with long-term health conditions to be active. Produced by the Richmond Group of Charities, the report is an evaluation of its Movement for All project that began in 2018.</p>
<p>It was funded by an initial £1.3 million investment from Sport England of National Lottery money, which saw it work in partnership with the group and their charities.</p>
<p>The report has produced a number of practical tips on:</p>
<ul>
<li>delivering and evaluating physical activity projects aimed at people with long-term health conditions</li>
<li>collaboratively delivering programmes of work</li>
<li>orchestrating organisational change through the prioritisation and embedding of physical activity into ‘business as usual’ work.</li>
</ul></div>Physical activity benefits outweigh risks for people with long-term health conditionshttps://www.wecanmoveinsight.net/articles/physical-activity-benefits-outweigh-risks-for-people-with-long-te2021-11-21T19:43:59.000Z2021-11-21T19:43:59.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/9829932863?profile=RESIZE_400x&width=400"></div><div><p>Source:Sport England 05.11.2021</p>
<p><a href="https://www.sportengland.org/news/physical-activity-benefits-outweigh-risks-people-long-term-health-conditions" target="_blank">https://www.sportengland.org/news/physical-activity-benefits-outweigh-risks-people-long-term-health-conditions</a></p>
<p> </p>
<p style="line-height:15.75pt;vertical-align:middle;margin:12pt 0cm 0cm 0cm;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">A major review of scientific evidence and expert clinical consensus has found physical activity is safe – even for people living with long-term health conditions. The findings offer guidance for healthcare professionals that physical activity can be used to manage long-term health conditions and lead to more people being encouraged to become active.</span></p>
<p style="line-height:15.75pt;vertical-align:middle;margin:15pt 0cm 0cm 0cm;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">A quarter of the population in England live with long-term health conditions, and those in this category are twice as likely to be inactive, despite evidence that being active can help manage many conditions. Fears that physical activity may exacerbate symptoms, or the necessity of getting the doctor's clearance prior to increasing activity levels have been identified as barriers to increasing physical activity. </span></p>
<p style="line-height:15.75pt;vertical-align:middle;margin:15pt 0cm 0cm 0cm;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">The new consensus statement aims to dismantle these barriers by addressing safety considerations and bridging the gap between evidence, clinical and public health guidelines, and people’s experience.</span></p>
<p style="line-height:15.75pt;vertical-align:middle;margin:15pt 0cm 0cm 0cm;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">There are five impact statements that make up the consensus: </span></p>
<p style="margin:20px 0px 0px 72px;line-height:15.75pt;text-indent:-18pt;vertical-align:middle;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Symbol;font-size:10pt;position:relative;"><span style="margin:0px;">·<span style="font:7pt 'Times New Roman';margin:0px;"> </span></span></span><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">For people living with long-term conditions, the benefits of physical activity far outweigh the risks and physical activity is safe, even for people living with symptoms of multiple long-term conditions </span></p>
<p style="margin:0px 0px 0px 72px;line-height:15.75pt;text-indent:-18pt;vertical-align:middle;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Symbol;font-size:10pt;position:relative;"><span style="margin:0px;">·<span style="font:7pt 'Times New Roman';margin:0px;"> </span></span></span><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">Despite the risks of serious events being very low, perceived risk is high </span></p>
<p style="margin:0px 0px 0px 72px;line-height:15.75pt;text-indent:-18pt;vertical-align:middle;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Symbol;font-size:10pt;position:relative;"><span style="margin:0px;">·<span style="font:7pt 'Times New Roman';margin:0px;"> </span></span></span><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">It's not as easy as just telling someone to move more; person-centred conversations are essential for addressing perceived risk </span></p>
<p style="margin:0px 0px 0px 72px;line-height:15.75pt;text-indent:-18pt;vertical-align:middle;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Symbol;font-size:10pt;position:relative;"><span style="margin:0px;">·<span style="font:7pt 'Times New Roman';margin:0px;"> </span></span></span><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">Everybody has their own starting point </span></p>
<p style="margin:0px 0px 0px 72px;line-height:15.75pt;text-indent:-18pt;vertical-align:middle;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Symbol;font-size:10pt;position:relative;"><span style="margin:0px;">·<span style="font:7pt 'Times New Roman';margin:0px;"> </span></span></span><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">People should stop and seek medical attention if they experience a dramatic increase in symptoms. </span></p></div>Benefits outweigh the risks: a consensus statement on the risks of physical activity for people living with long-term conditionshttps://www.wecanmoveinsight.net/articles/benefits-outweigh-the-risks-a-consensus-statement-on-the-risks-12021-11-11T12:11:52.000Z2021-11-11T12:11:52.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/9791084489?profile=RESIZE_400x&width=331"></div><div><p>Source: BMJ Nov 2021</p>
<p><a href="https://bjsm.bmj.com/content/early/2021/11/03/bjsports-2021-104281" target="_blank">https://bjsm.bmj.com/content/early/2021/11/03/bjsports-2021-104281</a></p>
<p><a href="{{#staticFileLink}}9791086462,original{{/staticFileLink}}">bjsports-2021-104281.full.pdf</a></p>
<p id="p-3" style="background-color:transparent;color:#333333;font-family:interfaceregular;font-size:17px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;margin:0px 0px 10px 0px;">The benefits of physical activity for people living with long-term conditions (LTCs) are well established. However, the risks of physical activity are less well documented. The fear of exacerbating symptoms and causing adverse events is a persuasive barrier to physical activity in this population.</p>
<p id="p-4" style="background-color:transparent;color:#333333;font-family:interfaceregular;font-size:17px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;margin:0px 0px 10px 0px;">This work aimed to agree clear statements for use by healthcare professionals about medical risks of physical activity for people living with LTCs through expert consensus. These statements addressed the following questions: (1) Is increasing physical activity safe for people living with one or more LTC? (2) Are the symptoms and clinical syndromes associated with common LTCs aggravated in the short or long term by increasing physical activity levels? (3) What specific risks should healthcare professionals consider when advising symptomatic people with one or more LTCs to increase their physical activity levels?</p></div>We Are Undefeatable partners with Loose Womenhttps://www.wecanmoveinsight.net/articles/we-are-undefeatable-partners-with-loose-women2021-11-03T11:55:01.000Z2021-11-03T11:55:01.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/9763162489?profile=RESIZE_400x&width=400"></div><div><p>Source: Sport England 25.10.21</p>
<p><a href="https://www.sportengland.org/news/we-are-undefeatable-partners-loose-women" target="_blank">https://www.sportengland.org/news/we-are-undefeatable-partners-loose-women</a></p>
<p> </p>
<p style="line-height:15.75pt;vertical-align:middle;margin:12pt 0cm 0cm 0cm;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">The We Are Undefeatable campaign, aimed at helping those with long-term health conditions to get active, is back on our screens as part of a new partnership with Loose Women.</span></p>
<p style="line-height:15.75pt;vertical-align:middle;margin:15pt 0cm 0cm 0cm;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">An advert featuring familiar faces from the campaign’s previous stories began a four-week run on television, on demand services and social media on Friday.</span></p>
<p style="line-height:15.75pt;vertical-align:middle;margin:15pt 0cm 0cm 0cm;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">And the campaign, which is a collaboration between 16 leading health and social care charities that is funded by the National Lottery, will have more time in the spotlight as it begins the two-week tie-in with ITV’s daytime show Loose Women.</span></p>
<p style="line-height:15.75pt;vertical-align:middle;margin:15pt 0cm 15pt 0cm;"><span style="margin:0px;top:-8.5pt;color:#333333;font-family:Arial, sans-serif;font-size:10.5pt;position:relative;">With the aim of reaching a larger proportion of the campaign’s target audience, the partnership will see an ad featuring panellists from the show Kaye Adams, Nadia Sawalha, Gloria Hunniford and Brenda Edwards – who all have experience of either living with a long-term health condition or caring for someone who does.</span></p></div>Benefits outweigh the risks: a consensus statement on the risks of physical activity for people living with long-term conditionshttps://www.wecanmoveinsight.net/articles/benefits-outweigh-the-risks-a-consensus-statement-on-the-risks-of2021-10-21T09:27:00.000Z2021-10-21T09:27:00.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><p>Source: BMJ Journal Oct2021</p>
<p><a href="https://bjsm.bmj.com/content/early/2021/10/14/bjsports-2021-104281" target="_blank">https://bjsm.bmj.com/content/early/2021/10/14/bjsports-2021-104281</a></p>
<p><a href="{{#staticFileLink}}9721360100,original{{/staticFileLink}}">bjsports-2021-104281.full.pdf</a></p>
<p> </p>
<p id="p-3" style="background-color:transparent;color:#333333;font-family:interfaceregular;font-size:17px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;margin:0px 0px 10px 0px;">The benefits of physical activity for people living with long-term conditions (LTCs) are well established. However, the risks of physical activity are less well documented. The fear of exacerbating symptoms and causing adverse events is a persuasive barrier to physical activity in this population.</p>
<p id="p-4" style="background-color:transparent;color:#333333;font-family:interfaceregular;font-size:17px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;line-height:25px;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;margin:0px 0px 10px 0px;">This work aimed to agree clear statements for use by healthcare professionals about medical risks of physical activity for people living with LTCs through expert consensus. These statements addressed the following questions: (1) Is increasing physical activity safe for people living with one or more LTC? (2) Are the symptoms and clinical syndromes associated with common LTCs aggravated in the short or long term by increasing physical activity levels? (3) What specific risks should healthcare professionals consider when advising symptomatic people with one or more LTCs to increase their physical activity levels?</p>
<div id="sec-2" class="subsection" style="background-color:transparent;color:#333333;font-family:interfaceregular;font-size:17px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">
<p id="p-5" style="line-height:25px;margin:0px 0px 10px 0px;"><strong style="font-weight:bold;">Methods</strong> Statements were developed in a multistage process, guided by the Appraisal of Guidelines for Research and Evaluation tool. A patient and clinician involvement process, a rapid literature review and a steering group workshop informed the development of draft symptom and syndrome-based statements. We then tested and refined the draft statements and supporting evidence using a three-stage modified online Delphi study, incorporating a multidisciplinary expert panel with a broad range of clinical specialties.</p>
</div>
<div id="sec-3" class="subsection" style="background-color:transparent;color:#333333;font-family:interfaceregular;font-size:17px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">
<p id="p-6" style="line-height:25px;margin:0px 0px 10px 0px;"><strong style="font-weight:bold;">Results</strong> Twenty-eight experts completed the Delphi process. All statements achieved consensus with a final agreement between 88.5%–96.5%. Five ‘impact statements’ conclude that (1) for people living with LTCs, the benefits of physical activity far outweigh the risks, (2) despite the risks being very low, perceived risk is high, (3) person-centred conversations are essential for addressing perceived risk, (4) everybody has their own starting point and (5) people should stop and seek medical attention if they experience a dramatic increase in symptoms. In addition, eight symptom/syndrome-based statements discuss specific risks for musculoskeletal pain, fatigue, shortness of breath, cardiac chest pain, palpitations, dysglycaemia, cognitive impairment and falls and frailty.</p>
</div>
<div id="sec-4" class="subsection" style="background-color:transparent;color:#333333;font-family:interfaceregular;font-size:17px;font-style:normal;font-variant:normal;font-weight:400;letter-spacing:normal;text-align:left;text-decoration:none;text-indent:0px;text-transform:none;white-space:normal;word-spacing:0px;">
<p id="p-7" style="line-height:25px;margin:0px 0px 10px 0px;"><strong style="font-weight:bold;">Conclusion</strong> Clear, consistent messaging on risk across healthcare will improve people living with LTCs confidence to be physically active. Addressing the fear of adverse events on an individual level will help healthcare professionals affect meaningful behavioural change in day-to-day practice. Evidence does not support routine preparticipation medical clearance for people with stable LTCs if they build up gradually from their current level. The need for medical guidance, as opposed to clearance, should be determined by individuals with specific concerns about active symptoms. As part of a system-wide approach, consistent messaging from healthcare professionals around risk will also help reduce cross-sector barriers to engagement for this population.</p>
</div></div>New £2.9 million project to develop rehabilitation programme for people with multiple long-term conditionshttps://www.wecanmoveinsight.net/articles/new-2-9-million-project-to-develop-rehabilitation-programme-for-p2021-08-05T12:39:00.000Z2021-08-05T12:39:00.000ZLouise Silverhttps://www.wecanmoveinsight.net/members/LouiseSilver<div><img src="https://storage.ning.com/topology/rest/1.0/file/get/9384559480?profile=RESIZE_400x&width=400"></div><div><p>Source: University of Leicester 13.07.2021</p>
<p><a href="https://le.ac.uk/news/2021/july/perform" target="_blank">https://le.ac.uk/news/2021/july/perform</a></p>
<p>Researchers in Leicester are developing a new programme to provide exercise-based rehabilitation to people living with multiple long-term health conditions.</p>
<p>The PERFORM study (Personalised Exercise-Rehabilitation for people with Multiple long-term conditions) is funded by the National Institute of Health Research (NIHR). The project is led by researchers in Leicester and University of Glasgow and supported by the NIHR Leicester Biomedical Research Centre – a partnership between the University of Leicester and University Hospitals of Leicester NHS Trust. </p>
<p>There are a growing number of people living with more than one long-term health condition as care improves and life expectancy has increased. However, health care services often only address one condition at a time. People with more than one health condition often have complex needs that are not always met by this approach. </p>
<p>The researchers hope to produce a personalised exercise-rehabilitation programme for people living with multiple long term health conditions that factors in these complex needs. </p>
<p>Exercise based rehabilitation is currently used to support patients with a range of conditions including chronic obstructive pulmonary disease (COPD), heart failure and chronic renal disease. The aim of exercise based rehabilitation is to reduce the impact of symptoms on quality of life, rather than treat the condition itself, yet is usually disease-specific. </p>
<p>Professor Sally Singh, co-lead of the project and Professor of Cardiac and Pulmonary Rehabilitation at the University of Leicester and Leicester Hospitals, said: “We know that people who undergo respiratory or cardiac exercise-based rehabilitation see a real improvement in their quality of life, a reduction in their symptoms and an increased ability to carry out their day-to-day tasks. However, we’ve also heard from a lot of people with multiple long term conditions that current rehabilitation programmes don’t meet their needs.</p>
<p>“This programme will take a more personalised, patient-centred, and holistic approach to exercise rehabilitation. People will undergo individual assessments of their needs so we can focus on improving what matters most to them.”</p>
<p>The research team will work with people living with multiple long term health conditions, current rehabilitation service users, and healthcare workers to design the new programme. It will then be tested in clinical trials across the UK to investigate the benefit to patients. The team are also working with experts from the Universities of Birmingham, Exeter, Salford, York and Royal College of Surgeons in Ireland.</p>
<p>Professor Rod Taylor, co-lead and Professor of Population Health Research, MRC/CSO Social and Public Health Sciences Unit & Robertson Centre for Biostatistics, University of Glasgow said: “The traditional approach of rehabilitation which focuses on single diseases, limits what we can offer to the wider population of people with multiple long-term conditions who could benefit from these services. This NIHR Programme Grant represents an exciting opportunity for us to address this important issue.”</p></div>Health Conditions and physical activity - the impact of Covid-19https://www.wecanmoveinsight.net/articles/health-conditions-and-physical-activity-the-impact-of-covid-192020-06-19T05:57:11.000Z2020-06-19T05:57:11.000ZAlan Inman-Wardhttps://www.wecanmoveinsight.net/members/AlanInmanWard<div><p>Source: <a href="https://sportengland-production-files.s3.eu-west-2.amazonaws.com/s3fs-public/2020-06/Covid-19%20insight%20pack.pdf?_6NuZas7gBc1ZWfioqtvwuBCU0C9ppxK">https://sportengland-production-files.s3.eu-west-2.amazonaws.com/s3fs-public/2020-06/Covid-19%20insight%20pack.pdf?_6NuZas7gBc1ZWfioqtvwuBCU0C9ppxK</a></p>
<p>June 2020</p>
<p><a href="{{#staticFileLink}}6102045885,original{{/staticFileLink}}">Covid-19 insight pack.pdf</a></p>
<p> </p>
<p>Welcome to our latest insight pack focused on people with longterm health conditions in which we share our most up to date insights on the impact of COVID-19 on their behaviours and attitudes towards physical activity.</p>
<p><br /> Over 19 million adults in England (the equivalent of more than 4 in 10) live with one of more longstanding health condition, and, prior to the pandemic, this group were almost twice as likely to be inactive compared to people without a health condition.</p>
<p>Despite this stubborn inequality, significant progress was being made. Figures published every 6 months via our Active Lives Survey reveal a steady and significant increase in the proportion of adults with a disability or long term health condition who are regularly active, and a steadily decreasing proportion who are inactive. However, there are signs that this progress is being disrupted (for some) as a result of COVID-19.</p>
<p><br /> This report, developed in collaboration with our We Are Undefeatable partners, therefore draws upon a range of sources to provide the most up to date picture of activity amongst adults with long term health conditions, and importantly, what they are thinking and feeling in light of COVID-19.</p>
<p><br /> We Are Undefeatable was created in response to a deep exploration of the barriers faced by people living with long-term health conditions, responding to their feelings and needs by supporting them to build physical activity into their lives in a way that their condition allows. Our research shows how important<br /> this continues to be.</p>
<p><br /> We are all in unfamiliar territory, so we feel this insight can be a valuable guide when you are developing plans and supporting people with health conditions, as well as for activating the WAU campaign.</p>
<p><br /> I hope you find it a useful document in helping you build a picture of how COVID-19 is impacting people with health conditions and in developing solutions to help many more become or remain active in a way that’s right for them.</p>
<p><br /> Lisa O’Keefe<br /> Insight Director, Sport England</p></div>