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

Luukinen 2007.

Methods Study design: RCT
Number of study arms: 2
Length of follow‐up: 16 months
Participants Setting: Oulu, Finland
Number of participants: 486
Number analysed: 437
Number lost to follow‐up: 49
 Sample: identified from population and geriatric registers of Oulu
 Age (years): mean 88 (SD 3)
 Sex: 79% female
Inclusion criteria: age ≥ 85; home‐dwelling; ≥ 1 risk factor for falling (≥ 2 falls in previous year, loneliness, poor self‐rated health, poor visual acuity/hearing, depression, poor cognition, impaired balance, chair rise, slow walking speed, difficulty with at least 1 ADL, able to walk outdoors, up or down stairs)
 Exclusion criteria: none described
Interventions 1. Individual balance and gait training: Individual plan for home exercise (3 a day) or group exercise, walking exercises, self‐care exercises (duration and frequency not described). Interventions carried out by OT or physiotherapist or both
 2. Control: asked to visit GP without written intervention form
Outcomes 1. Rate of falls
 2. Number of people who experienced 1 or more falls (risk of falling)
Duration of the study 16 months median falls follow‐up
Adherence Not reported
Notes Source of funding: Ministry of Health and Social Affairs of Finland
Economic information: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Randomization was done by the study statistician using a random numbers table"
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
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 Ascertinment of falls was the same in each group and performed by blinded assessor
Quote: "Fall recording was based on regular phone calls to all participants made every second month by a research nurse ... unaware of the randomization and the interventions."
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 High risk More than 20% of fall data were missing (49%)
Selective reporting (reporting bias) Unclear risk Minimum set of expected outcomes not reported (adverse events not reported)
Method of ascertaining falls (recall bias) High risk Interval recall
Quote: "Fall recording was based on regular telephone interviews once in 2 months, but did not include diary reporting"