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Table 3 Fowkes and Fulton criteria classification determined by the authors

From: Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis

Guideline

Checklist

Classification

0

+

++

Study sample representative?

Source of sample

Included many long-term institutions for elderly

Included a single long-term institution for elderly, but it was the unique on local

Included a single long-term institution for elderly, even with more institutions to be included

Sampling method

Random sample

Convenience sample, but it was a cense

Convenience sample and not a cense

Sample size

High power of study (equal or greater than 80%)

Median power of study (between 75 and 80%)

Low power of study (lower than 75%)

Entry criteria/ exclusions

inclusion and exclusion criteria well defined, namely, presented both criteria

Inclusion and exclusion criteria not well defined, namely, presented only one of them

No criteria presented

Non-respondents

Response rate of 100%

Response rate between 80 and 99%

Response rate lower than 80%

Control group acceptable?

Definition of controls

Well-defined control (adequate to the aim of the study)

Control group not well defined (inadequate to the aim of the study)

Control group not defined

Source of controls

Control group from the same city of IE and/or with comparable characteristics

Control group came from different locations (non-comparable characteristics) and/or physical activities programs, elderly group, etc.

Did not mention where the control group came from

Matching/ randomisation

Case-control relation: 1:2; 1:3, etc.

Case-control relation: 1:1

Case-control relation: 2:1; 3:1, etc.

Comparable characteristics

Paired by age, gender, socioeconomical characteristics and comorbidity

Paired by only one of the criteria: age, gender, socioeconomical characteristics or comorbidity

Not paired

Quality of measurements and outcomes?

Validity

Used a questionnaire validated and adapted to the target language and population and/or with a good Cronbach’s alpha

Used a questionnaire validated but not adapted to the target language and population and/or with a good Cronbach’s alpha

Did not use a questionnaire validated and adapted to the target language and population and/or with a good Cronbach’s alpha

Reproducibility

Used a validated questionnaire and performed kappa test, repeatability of measures and/or checking of measures

Used a validated questionnaire, but did not performed kappa test, repeatability of measurements and/or checking of measurements; or did not use a validated questionnaire, but did kappa test, repeatability of measurements and/ or checking of measurement

Did not used a validated questionnaire and did not perform kappa test, test and retest, etc

Blindness

NA

NA

NA

Quality control

Single interviewer questionnaire research

Interview questionnaire, applied by many researchers

Self-applied questionnaire

Completeness?

Compliance

NA

NA

NA

Drop outs

NA

NA

NA

Deaths

NA

NA

NA

Missing data

No loss

Up to 20% of loss

More than 20% of loss

Distorting influences?

Extraneous treatments

NA

NA

NA

Contamination

NA

NA

NA

Changes over time

NA

NA

NA

Confounding factors

No confounding factors

Some confounding factor (cognitive capacity or comorbidity)

Many confounding factors (cognitive capacity, comorbidity, etc)

Distortion reduced by analysis

All confounding factors were reduced in data analysis

Some confounding factors were reduced in data analysis

Confounding factors were not reduced in data analysis

  1. Notes: 0: No problem; +: Minor problem; ++: Major problem; NA Not Applicable