Domain | Risk of bias | Support for judgement |
Random sequence generation (selection bias) |
Low risk | Computerised random number function in Microsoft Excel used to generate random number sequence |
Allocation concealment (selection bias) |
Low risk | Statistician not involved in the project allocated the services to groups using a computerised program |
Blinding of participants and personnel (performance bias) |
High risk | Assume through nature of the intervention that centre staff and study personnel delivering the intervention not blind to the study allocation and therefore potential high risk of performance bias |
Blinding of outcome assessment (detection bias) |
Low risk | Child physical activity: Measured using pedometers with research staff blind to group allocation |
High risk | Adverse effects: service manager self‐report via interview | |
Incomplete outcome data (attrition bias) |
Low risk | Child physical activity: Although there was 48% and 44% loss to follow‐up in intervention and control groups respectively, sensititvity analysis imputing missing data showed no difference in outcome analysis. |
Selective outcome reporting (reporting bias) |
Unclear risk | There are no unreported outcomes according to those planned in published protocol. |
Recruitment bias | Low risk | For the physical activity measure, children were recruited by supervisors at the centre selecting a day of the week for measurement to occur. Allocation was not revealed to services until after baseline data collection. |