Wen 2008.
Methods | Design: Cluster‐randomised controlled trial Duration of follow‐up: 19 months |
|
Participants | Country: Australia Setting: Urban primary schools Intervention group: 12 schools, 1094 baseline responses Control group: 12 schools, 1164 baseline responses Age: 10‐11 years. Gender: 52% female. 54% lived within 1 km of school. 45% had >1 car in household. |
|
Interventions | For students: survey, home to school mapping exercise, preparation for high school For teachers: professional development, classroom learning materials, travel access guide for each school, launch of this guide at school Parents: parent survey, monthly newsletters, parent & citizen association meetings Council: review of safety and walkability near participating schools, working with councils to improve safety and walkability near these schools Duration of intervention: 19 months |
|
Outcomes | Student‐reported travel mode each day for five days; parent‐reported usual travel mode to and from school. Effects on inequalities not reported. Adverse effects not reported. |
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Low risk | Pulled out of a hat, alternating assignment |
Allocation concealment? | Low risk | Pulled out of a hat, alternating assignment |
Blinding? All outcomes | High risk | Not feasible. Could have influenced outcomes |
Incomplete outcome data addressed? All outcomes | Low risk | Loss to follow‐up 35%, but those lost to follow‐up similar to other participants with respect to demographics, distance to school, baseline travel mode |
Free of selective reporting? | Unclear risk | Not clear that all pre‐specified outcomes were included |
Free of other bias? | Low risk | No other sources of bias identified |
Adequate matching of intervention / control groups? | High risk | Despite randomisation, higher proportion of children lived <1km from intervention schools |