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. 2018 Jun 20;2018(6):CD010912. doi: 10.1002/14651858.CD010912.pub4
Methods Non‐random allocation
Study duration: 6 months
Drop outs: 47%
Location: United States
Recruitment: participants were contacted by email with an invitation to participate in the study
Participants Population: call centre workers in a company (healthways) in USA. Healthways Inc., a well‐being improvement company with headquarters in Franklin, Tennessee, has multiple call centres in which their Health Coaches, Clinicians (Nurses and Dieticians), and Customer Service Representatives work.
Intervention: sit‐stand desks (45 participants0, standing desks(46 participants)
Control: seated (47 participants)
Demographics: mean age in years: sit‐stand 34.8 (SD 11.5), standing 28.9 (6.8), seated 35 (SD 13.2)
% female participants: sit‐stand 71%, standing 59%, seated 70%
BMI: sit‐stand 29 (SD 9.13), standing 26.8 (SD 5.5), seated 27.8 (SD 5.7)
Interventions Duration of intervention: 6 months
Sit‐stand desk vs. standing desk
Outcomes Outcome name, measurement time/tool (units of measurement)
  • Self reported changes in sitting/standing (minutes/ workday) measured at 6 months

  • Energy expenditure (calories/minute)

  • Participants experiences with the new workstation at 6 months

Notes Data for seated group not reported.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Likely not random and it may be that people swapped desks because of open design of call centre.
Allocation concealment (selection bias) High risk Assignment to the workstation type was dependent on Healthways, and it made assignments as random as possible.
Blinding of participants and personnel (performance bias) All outcomes Unclear risk Not reported
Blinding of outcome assessment (detection bias) All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) All outcomes High risk High dropout (47% attrition)
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 Mean age of participants was higher for sit‐desk (control) group. Both groups were comparable at baseline for gender and BMI.
Validity of outcome measure Unclear risk The armband accelerometer (SenseWear model) is a valid instrument for assessing physical activity and sedentary behaviour