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

Dapp 2011.

Study characteristics
Methods RCT (cluster‐randomised by household if more than one person per household)
Participants Setting: 14 general practices, Hamburg, Germany
N = 2580
Sample: registered with participating practices (63% women)
Age (years): mean 71.8 (SD 7.6)
Inclusion criteria: aged ≥ 60
Exclusion criteria: need for human help or nursing care; cognitive impairment; terminal disease
Interventions 1. High‐risk appraisal with GP feedback. Patients chose reinforcement with group sessions or home visits
2. Control: usual care
Outcomes 1. Number of fallers
Duration of the study 1 year
Notes Health promotion rather than fall prevention specifically
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "computer generated allocation sequence"
Allocation concealment (selection bias) Low risk Quote: "randomly allocated to intervention and control groups by the independent study centre"
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 Low risk Questionnaire completed independently by participant at home, and then "All data were double entered by staff blinded for subject allocation."
Incomplete outcome data (attrition bias)
Fallers Low risk SeeAppendix 3 for method of assessment
Risk of bias in recall of falls High risk Retrospective recall at 12 months