Resumen de Investigación
Analyzed using Evidence Intelligence™

Group Training Improves Daily Living for Older Adults with Diabetes

Última actualización 12 de septiembre de 2026

Key finding

TUG test performance improved significantly at 4 weeks.

This study investigated the effects of group-based physical-cognitive training on older adults with Type 2 diabetes and balance impairment, finding significant improvements in balance and daily living activities.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the effects of group-based physical-cognitive training on older adults with Type 2 diabetes and balance impairment, finding significant improvements in balance and daily living activities.

Clinical relevance

Improving balance and daily living activities in older adults with Type 2 diabetes is crucial, as it can enhance their quality of life and reduce the risk of falls. This study provides evidence that structured group training can be an effective intervention for this population.

Keep in mind

Limited generalizability due to specific population characteristics. Unclear effectiveness for cognitive function and mood outcomes. Potential unmeasured confounders affecting results.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Ratchanok K, Mantana V, Maliwan R, Thanayot S. Effects of Group-Based Physical-Cognitive Training on Older Adults with Type 2 Diabetes and Balance Impairment. Journal of Exercise Rehabilitation. 2021;17(2):120-130. doi:10.12965/jer.2142106.053

Efectos Principales

TUG test performance improved by -2.5 seconds at 4 weeks (p=0.002).

AST performance improved by -1.8 seconds at 4 weeks (p=0.001).

ADL performance improved by 5 points at 1-year follow-up (p=0.049).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Social Cognitive Theory-based group (TBG) and AST, Activities of daily living, Cognitive function, and 4 more.

Primary intervention

Social Cognitive Theory-based group (TBG)

Primary outcomes

  • AST
  • Activities of daily living
  • Cognitive function

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

7
Evidence pairs
7
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 50

0

Related topics

7

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Activities of daily living

Social Cognitive Theory-based group (TBG) → Activities of daily living

Social Cognitive Theory-based group (TBG) → Activities of daily living

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

AST

Social Cognitive Theory-based group (TBG) → AST

Social Cognitive Theory-based group (TBG) → AST

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Cognitive function

Social Cognitive Theory-based group (TBG) → Cognitive function

Social Cognitive Theory-based group (TBG) → Cognitive function

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Depressive symptoms prevalence

Social Cognitive Theory-based group (TBG) → Depressive symptoms prevalence

Social Cognitive Theory-based group (TBG) → Depressive symptoms prevalence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Fall incidence

Social Cognitive Theory-based group (TBG) → Fall incidence

Social Cognitive Theory-based group (TBG) → Fall incidence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Fear of falling

Social Cognitive Theory-based group (TBG) → Fear of falling

Social Cognitive Theory-based group (TBG) → Fear of falling

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Functional performance measured by the Timed Up and Go test

Social Cognitive Theory-based group (TBG) → Functional performance measured by the Timed Up and Go test

Social Cognitive Theory-based group (TBG) → Functional performance measured by the Timed Up and Go test

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

Build your evidence library

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evidence suggest

La Evidencia Sugiere

  • Significant improvement in balance as measured by TUG and AST tests.
  • No significant changes in cognitive function or depressive symptoms.
  • Similar fall incidence rates reported across groups.
who this applies

A quién se aplica

  • Older adults aged 65 and above.
  • Individuals diagnosed with Type 2 diabetes.
  • Participants experiencing balance impairments.
keep in mind

Tener en Cuenta

  • Results may not apply to younger populations.
  • Findings are specific to the intervention used in this study.
  • Further research is needed to explore long-term effects.
between the lines

Entre Líneas

  • Limited generalizability due to specific population characteristics.
  • Unclear effectiveness for cognitive function and mood outcomes.
  • Potential unmeasured confounders affecting results.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Social Cognitive Theory-based group (TBG) and Activities of Daily Living, Social Cognitive Theory-based group (TBG) and AST.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Social Cognitive Theory-based group (TBG) improve ast?

Emerging Evidence

Social Cognitive Theory-based group (TBG) appears to improve ast.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    AST

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Social Cognitive Theory-based group (TBG) improve activities of daily living?

Emerging Evidence

Social Cognitive Theory-based group (TBG) appears to improve activities of daily living.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Activities of daily living

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Social Cognitive Theory-based group (TBG) improve functional performance measured by the timed up and go test?

Emerging Evidence

Social Cognitive Theory-based group (TBG) appears to improve functional performance measured by the timed up and go test.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Functional performance measured by the Timed Up and Go test

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Social Cognitive Theory-based group (TBG) improve cognitive function?

Emerging Evidence

Current evidence does not show a clear benefit of Social Cognitive Theory-based group (TBG) for cognitive function.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Cognitive function

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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