Evidence map›Paper›PMID 16183652›Full record

Trial reportBMJ (Clinical research ed.)2005

Randomised controlled trial of prevention of falls in people aged > or =75 with severe visual impairment: the VIP trial.

A John Campbell, M Clare Robertson, Steven J La Grow, Ngaire M Kerse, Gordon F Sanderson, Robert J Jacobs, Dianne M Sharp, Leigh A Hale

Open access · bronzeAbstract readClinical TrialComparative StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 21 pooled it
32.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 21 syntheses or guidelines pooled it, 406 citations in OpenAlex.

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  11. Accessible Home Environments for People with Functional Limitations: A Systematic Review.International journal of environmental research and public health · 2016
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  14. Vitamin D supplementation for prevention of mortality in adults.The Cochrane database of systematic reviews · 2014
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  18. Interventions for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2012
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  20. Modification of the home environment for the reduction of injuries.The Cochrane database of systematic reviews · 2011
    Pooled it

43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

A John CampbellDepartment of Medical and Surgical Sciences, Otago Medical School, Dunedin, New Zealand. john.campbell@stonebow.otago.ac.nz
M Clare Robertson
Steven J La Grow
Ngaire M Kerse
Gordon F Sanderson
Robert J Jacobs
Dianne M Sharp
Leigh A Hale
University of Otago · NZHealth Research Council of New Zealand · NZUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the efficacy and cost effectiveness of a home safety programme and a home exercise programme to reduce falls and injuries in older people with low vision.

designRandomised controlled trial.

settingDunedin and Auckland, New Zealand.

participants391 women and men aged > or =75 with visual acuity of 6/24 or worse who were living in the community; 92% (361 of 391) completed one year of follow-up.

interventionsParticipants received a home safety assessment and modification programme delivered by an occupational therapist (n = 100), an exercise programme prescribed at home by a physiotherapist plus vitamin D supplementation (n = 97), both interventions (n = 98), or social visits (n = 96).

main outcome measuresNumbers of falls and injuries resulting from falls, costs of implementing the home safety programme.

resultsFewer falls occurred in the group randomised to the home safety programme but not in the exercise programme (incidence rate ratios 0.59 (95% confidence interval 0.42 to 0.83) and 1.15 (0.82 to 1.61), respectively). However, within the exercise programme, stricter adherence was associated with fewer falls (P = 0.001). A conservative analysis showed neither intervention was effective in reducing injuries from falls. Delivering the home safety programme cost NZ650 dollars (234 pounds sterling, 344 euros, US432 dollars) (at 2004 prices) per fall prevented.

conclusionThe home safety programme reduced falls and was more cost effective than an exercise programme in this group of elderly people with poor vision. The Otago exercise programme with vitamin D supplementation was not effective in reducing falls or injuries in this group, possibly due to low levels of adherence. Trial registration number ISRCTN15342873.

Indexed as

Accidental FallsAccidents, HomeAgedAged, 80 and overCost-Benefit AnalysisExercise TherapyFemaleHome Care ServicesHumansMaleNew ZealandOccupational TherapyPersons with Visual DisabilitiesSafetyVision DisordersVisual Acuity

Identifiers

PMID16183652
PMCPMC1246082
OpenAlexW2132746553

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.