{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T17:58:35Z","timestamp":1781200715479,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:00:00Z","timestamp":1778889600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:00:00Z","timestamp":1778889600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Maintaining physical function, and thus independence, is essential for people ageing with diabetes. For older adults with long\u2010term insulin\u2010treated diabetes, managing frailty, preserving body mass index (BMI) and muscle strength and mitigating hypoglycaemia risk are key challenges. Resistance training (RT) offers benefits, including reduced hypoglycaemia risk, increased bone density and improved muscle strength, yet its uptake remains low. This study explores behavioural influences and barriers to RT participation among older adults living with insulin\u2010treated diabetes and prefrailty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A qualitative approach was employed, involving semi\u2010structured interviews with individuals living with prefrailty aged 60\u2009years or older with insulin\u2010treated diabetes (type 1 diabetes (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912); type 2 diabetes with BMI\u2009&lt;\u2009=30\u2009kg\/m2 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094)). Frailty was assessed using the Rockwood Clinical Frailty Scale (3\u20134). Data were analysed using framework analysis and aligned to the COM\u2010B model of behaviour change to deductively identify barriers and facilitators.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Barriers to RT were identified across psychological capability, physical capability and social opportunity COM\u2010B domains. Key barriers included fears of fatigue, hypoglycaemia and injury, diabetes\u2010related complications and difficulties using RT equipment. Outdated advice about exercise safety and lack of awareness of RT's benefits further hindered participation. Facilitators included tailored education on diabetes\u2010specific RT benefits, a supportive, flexible training environment and the presence of an exercise\u2010competent partner.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights perceptual and practical barriers that discourage older adults with diabetes and prefrailty from engaging in resistance exercise. Addressing these barriers through educational initiatives and creating adaptable exercise programmes could enhance exercise participation rates in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.70367","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T07:55:41Z","timestamp":1778918141000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["What barriers need to be removed to incorporate resistance exercise into the lives of older adults with long\u2010term diabetes and prefrailty? A deductive framework analysis using the Capability, Opportunity, Motivation and Behaviour (\n                    <scp>COM<\/scp>\n                    \u2010B) behavioural science model"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8189-2746","authenticated-orcid":false,"given":"Rachel","family":"Stocker","sequence":"first","affiliation":[{"name":"School of Biomedical, Nutritional and Sport Sciences Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Si\u00e2n","family":"Russell","sequence":"additional","affiliation":[{"name":"School of Natural and Environmental Sciences Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5207-1498","authenticated-orcid":false,"given":"Guy S.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miles D.","family":"Witham","sequence":"additional","affiliation":[{"name":"NIHR Newcastle Biomedical Research Centre Newcastle upon Tyne Hospitals NHS Foundation Trust, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust and Newcastle University  Newcastle upon Tyne UK"},{"name":"Translational and Clinical Research Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A. M.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Translational and Clinical Research Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"West","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108078"},{"key":"e_1_2_11_3_1","first-page":"648","article-title":"Prevention of hypoglycaemia, the ASAP (anticipate, suspect, act, prevent) strategy","volume":"67","author":"Kalra S","year":"2017","journal-title":"J Pak Med 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