Di Monaco 2008.
Study characteristics | ||
Methods | Quasi‐randomised trial (alternation) | |
Participants | Setting: Torino, Italy
N = 119
Sample: women in hospital after a fall‐related hip fracture Age (years): mean 80 (SD 6.6) Inclusion criteria: history of fall‐related hip fracture; returning to same dwelling in the community; aged ≥ 60 years Exclusion criteria: not living in Turin; MMSE < 23 |
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Interventions | 1. Multidisciplinary fall prevention programme during hospital stay plus single home visit by OT (median 20 days post discharge); assessed hazards, gave advice on modifying home environment, behaviour changes and use of assistive devices 2. Control: as above but no home visit | |
Outcomes | 1. Rate of falls 2. Number of people falling | |
Duration of the study | 6 months | |
Notes | Intervention commences in hospital but designed to prevent falls in the community | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Quote: "...119 women were allocated to intervention or control groups alternately." |
Allocation concealment (selection bias) | High risk | Randomised by alternation. No concealment. |
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 | High risk | Falls data were collected at home visit at 6 months by same OTs that carried out the interventions, i.e. not blind to intervention group |
Incomplete outcome data (attrition bias) Falls | High risk | SeeAppendix 3 for method of assessment |
Incomplete outcome data (attrition bias) Fallers | High risk | SeeAppendix 3 for method of assessment |
Risk of bias in recall of falls | Unclear risk | Quote: "During their stay in hospital, all the women were asked to record falls occurring after discharge, and to report them at a home visit by an occupational therapist scheduled for approximately 6 months after discharge. During this home visit, the occupational therapist asked the women in detail about falls occurring after discharge from hospital." |