Adherence
A lower-dose, theory-based maintenance intervention (Standard) achieves resistance training adherence rates statistically equivalent to a higher-dose, tailored intervention (SCT) in older adults with prediabetes, while being significantly less expensive.
To maintain resistance training long-term, you do not need expensive, highly personalized coaching. A simple, low-cost approach involving basic education, a barrier/strategy manual, and minimal check-ins (e.g., twice over six months) can be just as effective as intensive, tailored support. Focus on establishing the habit and self-regulation skills early, then reduce the intensity of external support to a sustainable, low-cost level.
SCT and Standard both resulted in similar RT, 2×/week adherence during maintenance (74.4 %) and no-contact phases (53.1 %). Cost analysis indicated the Standard intervention for transition and maintenance was inexpensive ($160).
Why this rating
Randomized controlled trial with N=159, clear adherence metrics (TLFB), and long-term follow-up (15 months), though adherence drops in the no-contact phase.
Source
Theory-based approach for maintaining resistance training in older adults with prediabetes: adherence, barriers, self-regulation strategies, treatment fidelity, costs
Richard A. Winett et al. · Translational Behavioral Medicine · 2015
DOI 10.1007/s13142-015-0304-5
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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