Jt. Pacala et al., FACTORS AFFECTING SAMPLE SELECTION IN A RANDOMIZED TRIAL OF BALANCE ENHANCEMENT - THE FICSIT STUDY, Journal of the American Geriatrics Society, 44(4), 1996, pp. 377-382
OBJECTIVE: To determine demographic, functional, and health-related fa
ctors that may have influenced the selection of older adults for a ran
domized trial of balance enhancement. DESIGN: Comparison of participan
ts with nonparticipants at various stages of the recruiting process. S
ETTING: Northeastern suburban community. PARTICIPANTS: Registered vote
rs aged 75 and older (n = 7191). MEASUREMENTS: Demographic, health-rel
ated, functional, balance, gait, and falling characteristics. RESULTS:
The overall participation rate in the randomized trial was 1.5%. Comp
ared with nonparticipants, participants were significantly more likely
to be male, married, living with others, living in a house, highly ed
ucated, healthy, and physically active. CONCLUSION: Recruiting older s
ubjects by mail to studies of rigorous interventions can produce signi
ficant selection biases that may limit the population to which results
can be generalized.