Woo 2007.
Methods | Study design: RCT Number of study arms: 3 Length of follow‐up: 12 months |
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Participants | Setting: Hong Kong, China Number of participants: 180 Number analysed: 176 Number lost to follow‐up: 4 Sample: recruited by notices posted in 4 community centres in Shatin township Age (years): mean 69 (SD 2.6), range 65 ‐ 74 Sex: 50% female Inclusion criteria: able to walk > 8 m without assistance Exclusion criteria: neurological disease which impaired mobility; shortness of breath or angina on walking up 1 flight of stairs; dementia; already performing Tai Chi or resistance training exercise |
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Interventions | 1. Group‐based Tai Chi: Yang style Tai Chi, 3 a week for 52 weeks 2. Group‐based resistance training: used a medium‐strength Theraband for arm and leg exercises, 3 a week for 52 weeks 3. Control: no exercise prescribed | |
Outcomes | 1. Number of people who experienced 1 or more falls (risk of falling) | |
Duration of the study | 52 weeks | |
Adherence | Adherence measured by attendance rate 1. Group‐based Tai Chi group: mean attendance rate 81% with no attrition between 6 and 12 months 2. Group‐based resistance group: mean attendance rate 76% with no attrition between 6 and 12 months |
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Notes | Source of funding: Council of Hong Kong Economic information: not reported |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "Computer generated blocked randomisation" |
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 implementing the intervention not blind to allocated group, but impact of non‐blinding unclear |
Blinding of outcome assessment (detection bias) Falls | High risk | Assessors not blinded to group allocation Quote: "Falls were ascertained by diary and reported to the staff running the interventions" (personal communication reported in Gillespie 2012). |
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 (33%) |
Selective reporting (reporting bias) | High risk | Falls were measured, but number of falls not reported. Adverse events not reported |
Method of ascertaining falls (recall bias) | High risk | Quote: "Falls were ascertained by diary and reported to the staff running the interventions." (personal communication) but this could not apply to the control group (personal communication reported in Gillespie 2012) |