Feasibility & Acceptability of a co-created pragmatic walkability program to promote mobility in older adults with fear of falling: A question of season and mobility profile?
Year: 2026
Type: preprint
Study design: Clinical Trial
Abstract: ABSTRACT Background Fear of falling may limit mobility in older adults, particularly during winter. Pragmatic, community-based interventions are needed to support safe, sustainable walking. Objective To assess the feasibility and acceptability of a co-created intervention (MABIDA) promoting utilitarian and recreational walking among older adults. Method Fifty-two older adults with fear of falling participated in a 12-week group intervention (summer/winter) consisting of one 60-minute supervised walking session/week, incorporating exercises. Walking group level was assessed using a subjective decisional tree. Results Forty-one participants (73.3±5.7years) completed the study (dropout: winter only). Retention and adherence exceeded 75%. Intervention settings were considered appropriate (≥81%). The decisional tree correctly classified 72% of participants. Participants reported satisfaction (82%) and enjoyment (81%). No differences were observed between seasons or walking groups (p>0.05). Group walking was the main facilitator (59%), while weather was the main barrier (17%). Conclusion MABIDA appears feasible, acceptable, and adapted across seasons and walking speed profiles.
Source: medRxiv
Institutions: Université du Québec à Montréal, Institut Universitaire de Gériatrie de Montréal, Santé Montérégie, Santé Québec, Institut National de la Recherche Scientifique, Centre Urbanisation Culture Société, Université Laval, Centre interdisciplinaire de recherche en réadaptation et intégration sociale, Université du Québec à Chicoutimi
Language: English
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7212086815