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

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
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."