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. 2013 Dec 12;2013(12):CD008742. doi: 10.1002/14651858.CD008742.pub2

Ketola 2002.

Methods RCT; no info on randomisation procedure; ‘care‐giver’ blinded
Participants Employees working with video display units (VDUs). Neck/shoulder complaint > one month; non‐specific; n = 124. Employees who use the mouse currently
Interventions Intensive ergonomics: two physiotherapists visited the worksite and changed worksite according to checklist; n = 39
Education ergonomics: workers attended a one‐hour training session in ergonomics; n = 35
Control group: one‐page leaflet; n = 35
 
Two‐ and 10‐month follow‐up 
Outcomes Discomfort (6‐point Likert), strain (6‐point Likert), pain (yes/no)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Using stratified random sampling—The three administrational units were used as a stratum. The success of the randomization was checked.."
Allocation concealment (selection bias) Unclear risk Unclear whether allocation was concealed
Blinding of participants? Unclear risk Participants unclear whether blinded
Blinding of caregivers? Unclear risk Unclear whether care provider blinded
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Two blinded experts used to detect changes in workstations, but diary and questionnaires provided self‐reported outcomes; participants not fully blinded 
Incomplete outcome data (attrition bias) 
 All outcomes ‐ <20% drop‐outs? Low risk Seven dropouts: < 20%
Incomplete outcome data (attrition bias) 
 All outcomes ‐ ITT analysis performed? High risk No ITT analysis
Selective reporting (reporting bias) Unclear risk No protocol
Similarity of baseline characteristics? Low risk Groups similar at baseline
Co‐interventions avoided? Unclear risk Unclear whether co‐interventions were avoided
Compliance acceptable ? Unclear risk Unclear compliance rate
Timing outcome assessment comparable? Low risk Timing comparable