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. |
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Participants |
Population: employees of Caldrea Inc. company, USA Demographics: average age: 40.4 years; out of 28 participants, 19 were female |
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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 |
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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 |
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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. |