Ballard 2004.
Study characteristics | ||
Methods | RCT | |
Participants | Setting: USA N = 40 Sample: volunteers (100% women) Age (years): mean 72.9 (SD 6) Inclusion criteria: aged ≥ 65; ambulatory; community‐dwelling; history of falling in previous year or fear of future fall; able to moderate exercise Exclusion criteria: cardiovascular disease or extreme vertigo that might prohibit moderate exercise; requiring walker for support | |
Interventions | 1. Exercise sessions (warm up, low impact aerobics, exercise for strength and balance, cool down) 1 hour, 3 x per wk, for 15 wk. Plus 6 home safety education classes. 2. Control: exercise sessions as above 1 hour, 3 x per wk, for 2 wk + videotape so could continue at home. Plus 6 home safety education classes as above. | |
Outcomes | 1. Rate of falls
2. Number of people falling Falls a secondary outcome of study Other outcomes reported but not included in this review |
|
Duration of the study | 16 months | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "assigned to exercise and control groups using stratified randomisation". |
Allocation concealment (selection bias) | Unclear risk | Insufficient information to permit judgement |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Control group had 2 wk exercise programme ‐ study group 15 wk. Neither participants or study personnel blinded. |
Blinding of outcome assessment (detection bias) Falls and fallers | Unclear risk | Falls data collected by telephone at 1 year. Blinding of telephone assessors not reported. |
Incomplete outcome data (attrition bias) Falls | Low risk | SeeAppendix 3 for method of assessment |
Incomplete outcome data (attrition bias) Fallers | Low risk | SeeAppendix 3 for method of assessment |
Risk of bias in recall of falls | High risk | Falls identified retrospectively during intervention at each home safety class (every 2 months), and by telephone follow‐up 1 year after end of intervention |