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. 2019 Jan 31;2019(1):CD012424. doi: 10.1002/14651858.CD012424.pub2

Cerny 1998.

Methods Study design: RCT
 Number of study arms: 2
 Length of follow‐up: 6 months
Participants Setting: California, USA
Number of participants: 28
 Number analysed: 28
 Number lost to follow‐up: 0
 Sample: community‐dwelling "well elderly" (proportion of women not stated); some pairs of people randomised to the same group where they were (e.g. dependent on the other for transport)
 Age (years): mean 71 (SD 4)
 Inclusion criteria: none described
 Exclusion criteria: none described
Interventions 1. Group‐based balance, strength, flexibility, aerobic training and brisk walking: 1½ hours, 3 a week, 6 months
 2. Control: no intervention
Outcomes 1. Number of people who experienced 1 or more falls (risk of falling)
Duration of the study 24 weeks
Adherence Not reported
Notes Source of funding: not reported
 Economic information: not reported
Contact with lead author but no full paper or report prepared
Email communication about fall data, response received, data not included in review
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomised by coin toss. Individually randomised but some clusters, e.g. couples or 2 women where 1 was dependent on the other for transport (personal communication reported in Gillespie 2012)
Allocation concealment (selection bias) High risk Coin toss on site
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Participants and personnel not blinded to allocated group but impact of non‐blinding unclear
Blinding of outcome assessment (detection bias) 
 Falls Unclear risk Unclear if assessors were blinded, insufficient information to permit judgement
Blinding of outcome assessment (detection bias) 
 Fractures Unclear risk Not applicable
Blinding of outcome assessment (detection bias) 
 Hospital admission, medical attention and adverse events Unclear risk Not applicable
Blinding of outcome assessment (detection bias) 
 Health related quality of life (self report) Unclear risk Not applicable
Incomplete outcome data (attrition bias) 
 Falls and fallers Low risk No missing outcome data for falls
Selective reporting (reporting bias) High risk Fall data were collected but number of falls was not reported; adverse events were not reported
Method of ascertaining falls (recall bias) High risk Assume retrospective recall and 3‐ and 6‐month assessment