Holmgren 2010.
| Methods | RCT Mobility CCT + education versus education only |
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| Participants | 34 participants (intervention = 15, comparison = 15), mean time since stroke 0.36 years, mean age 78.5 years, able to walk 10 m independently with or without gait aid (excluded if able to walk outdoors independently) | |
| Interventions | Intervention: mobility‐related CCT, focus on physical activity and functional performance and education about falls risk CCT duration not specified, 7 sessions a week for 5 weeks; education 1 h/week for 5 weeks Comparison: education about coping with hidden dysfunctions after stroke 1 h/week for 5 weeks Staff:participant ratio: not reported |
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| Outcomes | Short‐form 36, Geriatric Depression Scale | |
| Notes | Secondary outcomes reported from original trial. Original trial not published suggesting possible publication bias | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | "…was conducted with a minimization software program, MiniM to avoid imbalances at baseline between the two groups." |
| Allocation concealment (selection bias) | High risk | Two main investigators responsible for randomisation |
| Blinding (performance bias and detection bias) All outcomes | Low risk | Single‐blinded Participants were instructed not to reveal anything about group allocation. "All participants were blinded as for the content of the two different groups before randomization." No mention of blinding of staff, however unlikely due to nature of trial. Unlikely to influence outcomes. "The nurses and physiotherapists who performed the clinical test assessments were blinded to group allocation." |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | Intention‐to‐treat analysis Figure 1 shows the participant flow including reasons for loss to follow‐up All but 1 participant completed the 5‐week intervention period 2 participants dropped out at follow‐up due to health reasons |
| Selective reporting (reporting bias) | Unclear risk | No protocol available |
| Other bias | Low risk | No other sources of bias evident |