What barriers need to be removed to incorporate resistance exercise into the lives of older adults with long‐term diabetes and prefrailty? A deductive framework analysis using the Capability, Opportunity, Motivation and Behaviour ( COM ‐B) behavioural science model
Authors' conclusion
This study highlights perceptual and practical barriers that discourage older adults with diabetes and prefrailty from engaging in resistance exercise.
Study context
- Population
- Adults aged ≥60 years with insulin-treated diabetes and prefrailty (Rockwood Clinical Frailty Scale 3–4)
- Participants
- 12 vs 4
- Comparison
- T1D vs T2D
- T1Dn = 12
- T2Dn = 4
- Outcome
- Barriers and facilitators to resistance training (RT)
Methodological detailssemi-structured interviews, deductive framework analysis, COM-B model
- Semi-structured interviews
- Deductive framework analysis
- COM-B model
Main finding
As reported in the abstract
- Barriers to resistance training (RT) identified across psychological capability, physical capability and social opportunity COM-B domains
- Key barriers: fears of fatigue, hypoglycaemia and injury, diabetes-related complications, difficulties using RT equipment
- Outdated advice about exercise safety and lack of awareness of RT's benefits further hindered participation
- Facilitators: tailored education on diabetes-specific RT benefits, supportive flexible training environment, exercise-competent partner
Original publication
What barriers need to be removed to incorporate resistance exercise into the lives of older adults with long‐term diabetes and prefrailty? A deductive framework analysis using the Capability, Opportunity, Motivation and Behaviour ( COM ‐B) behavioural science model. Diabet Med. Published 16 May 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →