Richardson 2008.
Study characteristics | ||
Methods | Randomised trial, Canada | |
Participants | 265 community‐dwelling people from family practice units. Mean age of participants was 73.89 years for the control group and 73.61 for the intervention group and were mainly female for both groups (55.1% and 53.6%, respectively) | |
Interventions | Participants in the intervention group attended a functional status lab at baseline, 9 months and 18 months post baseline. The intervention group received feedback (approximately 30 minutes) from a physiotherapist or occupational therapist about the results of their assessments. Intervention features Multiple complex feedback (multiple PROMs at multiple times) PROM(s) used as intervention: Self‐Reported Task Modification and Disability Scale, Health Utilities Index – Mark III, Short Form‐36 (SF‐36) Constructs measured: Symptoms, Functioning Instrument categories/domains: Generic, Domain/Disease specific (physical health – older adults) Administration features Where PROMs administered: Clinical setting (e.g. waiting room, office, etc) How administered: Unclear Format of PROMs questionnaire(s): Paper Feedback features Format of PROMs feedback: Paper How often information fed back: 3 times: baseline, 9 months and 18 months post baseline Who information fed back to: Clinicians, Patients Information fed back: Scores, Previous scores, Interpretation guidance |
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Outcomes | Main outcomes: health status (SF‐36), functional status (Task Modification and Disability Scale) Other outcomes: utilisation of health services, number of falls or exercise programme attendance, equipment purchase or medication change and were recorded in the encounter log | |
Notes | The study was funded by Change Foundation, Toronto, Ontario. The study period was not reported. Conflicts of interest were not reported. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated numbers were used to randomise participants to either intervention or control groups |
Allocation concealment (selection bias) | Low risk | Sealed envelopes were used |
Blinding of participants and personnel (performance bias) All outcomes | High risk | The assessors were not blinded to the group allocation as they were collecting the outcome measurements |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Outcome assessments were collected by the therapist delivering the intervention |
Baseline outcome measurements similar | Low risk | Table 2 in the study showed baseline measurements were similar between intervention and control |
Baseline characteristics similar | Low risk | Paper states quote: "Participants were similar with respect to age, sex, education and income." Table provided and no significant differences identified. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Intention‐to‐treat analysed performed. |
Was study protected against contamination | Low risk | The participants and physicians in the control group did not see the information about the intervention |
Selective reporting (reporting bias) | Unclear risk | None apparent. |