The DiaActive study: feasibility, safety and acceptability of a fall-preventive rhythm- and ADL-based exercise protocol for older adults with type 2 diabetes.
Purpose: Older adults with type 2 diabetes (T2D) face an elevated risk of falls due to combined physical and cognitive impairments. The DiaActive feasibility study evaluated the safety, feasibility, and acceptability of a novel fall-prevention exercise program integrating multitask rhythm-based move...
| Publicado en: | Aging Clinical & Experimental Research Vol. 38; no. 1; pp. 1 - 14 |
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| Autores principales: | , , , , |
| Formato: | pictorial questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Springer Nature
2/4/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191517960&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191517960 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15940667 2WMP jtl: Aging Clinical & Experimental Research issn: 15940667 maglogo: N pubinfo: dt: 2/4/2026 vid: 38 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 191517960 191517960 191517960 10.1007/s40520-026-03328-0 191517960 ppf: 1 ppct: 13 formats: tig: atl: The DiaActive study: feasibility, safety and acceptability of a fall-preventive rhythm- and ADL-based exercise protocol for older adults with type 2 diabetes. aug: au: Mahalingasivam, Aksayan Arunanthy Bech, Asger Ahlmann Vestergaard, Peter Jørgensen, Martin Grønbech Rasmussen, Nicklas H. affil: https://ror.org/02jk5qe80 Steno Diabetes Center North Denmark, Aalborg University Hospital, Aalborg, Denmark sug: subj: Accidental Falls Prevention and Control Diabetes Mellitus, Type 2 Rehabilitation Diabetes Mellitus, Type 2 Complications Therapeutic Exercise Methods Protocols Psychomotor Performance Task Performance and Analysis Activities of Daily Living Social Participation Patient Safety Preventive Health Care Program Evaluation Treatment Outcomes Human Funding Source Female Male Aged Aged, 80 and Over Pilot Studies Movement Community Living In Old Age Exercise Patient Compliance Patient Satisfaction Patient Attitudes Qualitative Studies Reflection Social Inclusion Comparative Studies Motivation Open-Ended Questionnaires Structured Questionnaires Descriptive Statistics Fisher's Exact Test T-Tests Wilcoxon Rank Sum Test Thematic Analysis Neuropsychological Tests Data Analysis Software Aged: 65+ years Aged, 80 & over Female Male ab: Purpose: Older adults with type 2 diabetes (T2D) face an elevated risk of falls due to combined physical and cognitive impairments. The DiaActive feasibility study evaluated the safety, feasibility, and acceptability of a novel fall-prevention exercise program integrating multitask rhythm-based movement, activities of daily living (ADL) exercises, and a structured social component. Methods: Eight community-dwelling adults (≥ 65 years) with T2D participated in two 60-minute physiotherapist-led sessions per week for four weeks (total 480 min). The program combined rhythm-based (Rythma) and ADL exercises with structured social interaction. Feasibility outcomes included adherence, safety, satisfaction, and overall acceptability. Results: Adherence was high, with a median attendance of 88% (range 75–100%) and 100% questionnaire completion. No injuries or adverse events occurred, indicating good safety and tolerability. Participants reported that session difficulty progressed appropriately, shifting from "too easy" early on to "appropriately challenging" by week four. Satisfaction increased over time, with most rating sessions as "satisfactory" or "very satisfactory." Qualitative feedback evolved from exercise-focused comments to broader reflections on body awareness and social connectedness. The positive group atmosphere and structured social elements were key motivators supporting adherence and engagement. Conclusion: The DiaActive protocol—combining rhythm-based, ADL-focused, and social components—was safe, feasible, and well accepted by older adults with T2D. High adherence, absence of adverse events, and increasing satisfaction support progression to a fully powered randomized controlled trial to assess clinical efficacy and long-term adherence. pubtype: Academic Journal doctype: pictorial questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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