eS246 The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282 POS251 Investigation of the reward value of exercise in comparison with food and money T. Albelwi 1,2,∗ , H.-P. Kubis 1 , R. Rogers 3 1 Bangor University, School of Sport, Health and Exercise Science, Bangor, United Kingdom 2 Ministry of Health, Riyadh, Saudi Arabia 3 Bangor University, School of Psychology, Bangor, United Kingdom Relevance: Despite the evidence supporting the health benefits of physical activity, studies show that there is low adherence level to exercise schemes (Dishman 1988). Activi- ties that lead to the individual feeling ‘good’ are more likely to facilitate future participation (Parfitt et al., 2006). However, whether sedentary and active individuals perceive exercise as rewarding as other established rewards is not well investi- gated. Purpose: This study aims to investigate the reward value of exercise using a discounting paradigm and to compare the discounting parameters of exercise with established rewards of food and money (Rasmussen et al., 2010). Moreover, the exercise discounting decay rates (k), as well as those of food and money, are compared between sedentary and active peo- ple. Discounting parameters will be analysed in association with body characteristics to find influencing factors of reward perception of exercise as well as for food and money. Methods/analysis: A cross sectional study was performed for 21 healthy subjects (nine females and 12 males), with a mean age of 31.26 (SD = ± 12.70). They underwent three exercise trials on a treadmill to determine their optimal self-selected exercise settings, then answered the delay dis- counting task for exercise, money and food on a PC. A battery of psychological and health questionnaires were also used to characterize individuals for data analysis, correlation coeffi- cient analysis and one-way ANOVA in SPSS were used. Results: The results show that exercise is discounted in a hyperbolic manner like established rewards, food and money. The goodness of fit of the indifference points using a hyper- bolic function (R 2 ) for money, exercise and food were 0.884, 0.857 and 0.91 respectively. Exercise discounting was not sig- nificantly different to those of money and food. Moreover, exercise k values were not different to other commodities, food and money. This indicates that exercise is discounted in similar fashion like money and food which are known to be perceived as rewarding. Using correlation analysis, body fat percentage and the mean k values for money and food were positively correlated, r = 0.451, P = 0.026 and r = 0.426, P = 0.027. In contrast, body fat percentage and mean k values for exercise were negatively correlated, r = -0.396, P = 0.039. Discussion and conclusions: Exercise is discounted like established rewards of money and food with k values simi- lar to the other tested modalities. Subjects with higher body fat percentages revealed higher discounting rates for money and food; on the other hand, they shown lower discounting rates for exercise. These results could be interpreted as indi- cation that exercise can be perceived as a reward if adjusted for pleasantness and that body characteristics influence the kinetic of exercise discounting. Impact and implications: This conclusion might be crucial for understanding the reasons after low exercise adher- ence rates and for improving exercise participation. Funding acknowledgement: The Saudi Ministry of Health has funded this project and related future projects. http://dx.doi.org/10.1016/j.physio.2016.10.307 POS252 Health and society applied to physical therapy graduation course S. João 1,∗ , J.L. Rocha 1 , N. Taylane 1 , P. Santana 1 , R. Hungria 1 , R. Seidy 1 , A. Siqueira Colombo 2 , C. Fu 1 1 University of Sao Paulo, Department of Physiotherapy, Communication Science & Disorders, Occupational Therapy, Sao Paulo, Brazil 2 University of Sao Paulo, University Hospital, Service of Communication Science & Disorders, Physiotherapy and Occupational Therapy, Sao Paulo, Brazil Relevance: This abstract aims to report the experience and outcomes of a group of students after the implementation of new academic disciplines in a revised program of Physical Therapy Graduation Course. Purpose: In the year of 2013 the professors of the Physi- cal Therapy Graduation Course of University of Sao Paulo’s Medical School, after years of discussion and planning, pro- posed a new course program. The new program intended to better contemplate the changes that occurred over the years in the society, students’ profile and professional needs. As a result of the new program, the disciplines “Health and Society – I” and “Health and Society – II” were created. The disci- plines’ objectives are to provide experience of the reality of the citizens’ health care, critical analysis of the situation and development of suggestions for the identified problems. Approach/evaluation: Each group of 5 to 6 students was assigned to a different setting, where they should notice some of the problem situation experienced by the health system actors (health care team, patient or family). One problem situation was chosen and worked on during the semester. The discipline program is composed by in-site visits, dur- ing which students can experience the problem situation and talk to the health system actors; and classroom meetings,