Dever Fitzgerald 2016.
Study characteristics | ||
Methods |
Study design: randomised controlled trial (not registered, no study protocol published) Intervention period: not clearly reported Duration of follow‐up: 8 months (4 months baseline period, follow‐up data were collected 4 months after the end of the baseline period) Study period: not reported |
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Participants |
Country: Canada Setting: recruited from 26 different nursing homes (no further information reported) Participants:
Baseline characteristics:
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Interventions |
Intervention: fall risk assessment (providing information about residents' fall risk to nursing staff) Control: usual care |
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Outcomes | No primary outcome defined
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Notes | Funding: partly funded through a grant from the Saskatchewan Health Research Foundation | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Participants were randomly assigned to the control or experimental groups". No further information provided Personal communication with study authors: "Each participant was assigned to the control vs. experimental group via coin toss." |
Allocation concealment (selection bias) | High risk | No information reported Personal communication with study authors: "No specific method/effort to conceal allocation was used." |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Blinding of personnel was not possible as the same nurses cared for participants in both study groups and there was a risk of contamination. Although no pressure sensors were available for the participants allocated to the control group, a performance bias might be present. Personal communication with study authors: The participants were informed about the study, but the intervention was delivered to the nursing staff. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Outcome assessors were not blinded to group allocation. We judged risk of bias to be unclear since the assessment of some measures included a judgement of the outcome assessors not blinded to group allocation (e.g. whether a fixed table at the wheelchair was used as a restrictive measure or not). |
Incomplete outcome data (attrition bias) All outcomes | Low risk | "Overall, our sample had an attrition rate of 17% (i.e. 22 participants passed away before the follow‐up period was completed and four discontinued for other reasons)." Attrition rates were comparable between studies and the reasons were reported. |
Selective reporting (reporting bias) | Unclear risk | Not registered; no study protocol available. We had insufficient information to permit a judgement of ‘low risk’ or ‘high risk'. |