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

Logghe 2009.

Methods Study design: RCT
Number of study arms: 2
Length of follow‐up: 12 months
Participants Setting: 2 industrial towns in the western Netherlands
Number of participants: 269
Number analysed: 269
Number lost to follow‐up: 0
Sample: registered with participating 23 general practices
 Age (years): mean 77 (SD 4.6)
 Sex: 71% female
Inclusion criteria: aged ≥ 70; community‐dwelling; high falls risk (1 or more falls in previous year or 2 or more risk factors for falling (disturbed balance, mobility problems, dizziness, using benzodiazepines or diuretics))
 Exclusion criteria: none described
Interventions 1. Group‐based Tai Chi: 1 hour, 2 a week for 13 weeks + fall‐prevention brochure
 2. Control: fall‐prevention brochure
Outcomes 1. Rate of falls
2. Number of people who experienced 1 or more falls (risk of falling)
3. Number of people who died
Duration of the study 52 weeks
Adherence Adherence measured by lesson attendance
1. Group‐based Tai Chi: 47% attended 80% of lessons
Notes Source of funding: Netherlands Organization for Health Research and Development (ZonMw)
Economic information: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "An independent research assistant performed a prestratified block randomization using a computer‐generated randomization list"
Allocation concealment (selection bias) Low risk Quote: "An independent research assistant performed ... randomization"
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 Low risk Falls self‐reported but
Quote: "The blinded research assistant contacted the participant when forms were missing or incomplete, and they then completed the forms together over the telephone". Falls were recorded and confrimed using the same method in both groups
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 fall data
Selective reporting (reporting bias) Unclear risk Minimum set of expected outcomes not reported (adverse events not reported)
Method of ascertaining falls (recall bias) Low risk Quote: "At baseline, the participants received a falls calendar and the instruction to fill it out on a daily basis for 1 year ... The fall calendars were collected monthly by mail. The blinded research assistant contacted the participant when forms were missing or incomplete, and they then completed the forms together over the telephone"