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. 2012 Sep 12;2012(9):CD007146. doi: 10.1002/14651858.CD007146.pub3

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