Beling 2009.
Study characteristics | ||
Methods | RCT | |
Participants | Setting: California State University, Northridge, California, USA N = 23 Sample: volunteers recruited through press releases, newspaper advertisements and university website (42% women) Age (years): mean 80 (SD 5.7) Inclusion criteria: ≥ 65 years; community‐dwelling; English speaking; minimal vision and hearing deficit; access to transportation; consenting; with physician approval to participate; MMSE ≥ 24/30; 3 m TUG test ≥ 13.5 sec and/or to have ≥ 2 falls in past year and/or 1 injurious fall in the past year Exclusion criteria: cardiac conditions; musculoskeletal and/or neurological impairment that could result in falls, e.g. stroke, Parkinson's disease, lower extremity joint replacement, fracture in last year | |
Interventions | Both groups received multifactorial intervention (assessment and referral) prior to randomisation 1. Intervention: physiotherapist‐led, group‐based balance training 3 x per wk for 12 wks. Tailored to address risk factors identified at pre‐testing. Home assessment by physiotherapist students. Written recommendations given and discussed. Funding to assist with modifications. Measured and supplied with hip protectors. 2. Control: usual activities but offered intervention after post test |
|
Outcomes | 1. Rate of falls Other outcomes reported but not included in this review | |
Duration of the study | 3 months | |
Notes | Required to attend minimum of 30 sessions | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "Twelve subjects were randomly assigned to the experimental group and 11 subjects were assigned to the control group." Insufficient information to permit judgement. |
Allocation concealment (selection bias) | Unclear risk | Quote: "randomly assigned". Insufficient information to permit judgement. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Participants and personnel not blind to allocated group but impact of non‐blinding unclear |
Blinding of outcome assessment (detection bias) Falls and fallers | Unclear risk | No information on method of recording falls. Insufficient information to permit judgement. |
Incomplete outcome data (attrition bias) Falls | High risk | SeeAppendix 3 for method of assessment |
Risk of bias in recall of falls | High risk | Quote: "The number of falls that occurred in both groups during the 12 week intervention was also collected at the end of the intervention." Ascertainment relied on participant recall at the end of the 12 week intervention. |