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. 2018 Jun 20;2018(6):CD010912. doi: 10.1002/14651858.CD010912.pub4
Methods Random allocation with cross‐over
Unblinded
Study duration: 10 weeks
Dropout: 1231 working hours data were missing
Location: USA
Recruitment: a word‐of‐mouth search was performed for finding interested companies to host the study and Caldrea Inc. volunteered. A recruitment presentation was made at an all‐employee meeting (n ˜ 50) and was followed a few days later by enrolment interviews.
Participants Population: employees of Caldrea Inc. company, USA
Demographics: average age: 40.4 years; out of 28 participants, 19 were female
Interventions Duration of intervention: 4 weeks
Intervention: sit‐stand desk
Three different models of desks were used: Workfit‐S, a setup that attaches to the front of one’s existing desk that can hold the computer monitor, keyboard and mouse; Workfit‐A, a setup that is identical to Workfit‐S but attaches to the back of one’s existing desk; and Workfit‐D, a whole desk that is easily moved up and down. The Workfit‐A and S also came with an added work‐surface and all three types of desks came with anti‐fatigue floor mats for comfort during standing.
Control: no sit‐stand desk
Outcomes Outcome name, measurement time/tool (units of measurement)
Sitting time, standing time, and light activity at work self‐reported and objectively assessed with accelerometer‐inclinometer
Self‐reported energy and relaxation levels
Notes James A. Levine has patents in accelerometer algorithms with Gruve Technologies Inc. but he did not access or analyse the raw the data from the Gruve device.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Participants were randomly assigned to receive the intervention during period 1 or period 2, using a 1:1 allocation in 1 block of 35, using Microsoft Excel 2007.
Allocation concealment (selection bias) High risk Allocation concealment was not possible due to the nature of the intervention.
Blinding of participants and personnel (performance bias) All outcomes High risk Blinding of participants and personnel was not possible due to the nature of intervention.
Blinding of outcome assessment (detection bias) All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) All outcomes High risk If we assume a person works for 40 hours per week, then for 28 participants the working hours will be 8960 hours for 8 weeks (4 weeks intervention and 4 weeks control period). However the study reported only 7,729 working hours based on accelerometer data.
Selective reporting (reporting bias) Low risk All outcomes mentioned in the methods section were reported. The study protocol was not available.
Baseline comparability/ imbalance Low risk There were no significant differences in age or BMI between interventions and control groups. Most of the participants were female.
Validity of outcome measure Low risk The accelerometer is a valid instrument for the measurement of sitting time.