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PreprintCC BY-NC-NDmedRxiv

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?

  1. 1Universite du Quebec a Montreal (UQAM)

Abstract

BackgroundFear of falling may limit mobility in older adults, particularly during winter. Pragmatic, community-based interventions are needed to support safe, sustainable walking.

ObjectiveTo assess the feasibility and acceptability of a co-created intervention (MABIDA) promoting utilitarian and recreational walking among older adults.

MethodFifty-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.

ResultsForty-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%).

ConclusionMABIDA appears feasible, acceptable, and adapted across seasons and walking speed profiles.

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BibTeX
@misc{laliberte2026feasibility,
  title = {{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?}},
  author = {M. Laliberte and H. Benabdallah and K. Lestage and M.-S. Cloutier and F. Routhier and M. Lavalliere and M. Aubertin-Leheudre},
  howpublished = {medRxiv},
  year = {2026},
  month = sep,
  doi = {10.64898/2026.09.03.26361963},
  url = {https://www.medrxiv.org/content/10.64898/2026.09.03.26361963v1},
  note = {CC BY-NC-ND},
}
RIS
TY  - UNPB
TI  - 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?
AU  - M. Laliberte
AU  - H. Benabdallah
AU  - K. Lestage
AU  - M.-S. Cloutier
AU  - F. Routhier
AU  - M. Lavalliere
AU  - M. Aubertin-Leheudre
PY  - 2026
DA  - 2026/09/03
PB  - medRxiv
DO  - 10.64898/2026.09.03.26361963
UR  - https://www.medrxiv.org/content/10.64898/2026.09.03.26361963v1
AB  - BackgroundFear of falling may limit mobility in older adults, particularly during winter. Pragmatic, community-based interventions are needed to support safe, sustainable walking.  ObjectiveTo assess the feasibility and acceptability of a co-created intervention (MABIDA) promoting utilitarian and recreational walking among older adults.  MethodFifty-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.  ResultsForty-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%).  ConclusionMABIDA appears feasible, acceptable, and adapted across seasons and walking speed profiles.
ER  -