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. 2008 Apr 23;2008(2):CD001823. doi: 10.1002/14651858.CD001823.pub3

Kraus 2002.

Methods RCT
Participants Subjects: 12772 home attendants, 12408 female and 364 male. No more information about inclusion and exclusion criteria.
Interventions Preventive intervention: 
 1) lumbar support (n=3837), 28 months.
Control interventions: 
 2) 1 safety meeting with information about low back health (n=4300) 
 3) no intervention (n=4635)
Outcomes Back injury rates. The lumbar support group had less back injuries than the information group (not significant) and no intervention group (significant).
Notes A cluster‐randomised trial design was chosen: 9 agencies were chosen a priori and randomised. 
 Few data available regarding baseline and differences between groups. 
 Compliance per month: 80 ‐ 97%.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? High risk  
Allocation concealment? Unclear risk B ‐ Unclear
Blinding? 
 All outcomes ‐ patients? High risk  
Blinding? 
 All outcomes ‐ outcome assessor? Low risk  
Incomplete outcome data addressed? 
 All outcomes ‐ drop‐outs? High risk  
Incomplete outcome data addressed? 
 All outcomes ‐ ITT analysis? High risk  
Similarity of baseline characteristics? Unclear risk Few data available regarding baseline and differences between groups.
Co‐interventions avoided or similar? High risk  
Compliance acceptable? Low risk Compliance per month: 80 ‐ 97%.
Timing outcome assessments similar? Low risk