Mendoza 2009.
Methods | Design: Controlled before‐after study One intervention group and two control groups Duration of follow‐up: 1 month, 6 months and 12 months |
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Participants | Country: Washington (state), USA Setting: Urban primary schools Intervention group: 1 school, 347 children Control group: 2 schools, 473 (293+180) children Age: 5‐11; Gender: female 44% (intervention school), 43% and 52% (control schools) Socioeconomically disadvantaged schools |
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Interventions | Walking school bus (WSB) co‐ordinator for 10‐15 hours per week Designed WSB routes WSB operated 1‐2 days per week according to volunteer availability; parent volunteers recruited to run WSB Promotional material and events Pedestrian safety activities Duration of intervention: 12 months |
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Outcomes | Travel to school on day of survey (hands‐up survey). Survey conducted on day when WSB not operating and no other promotional event operating Effects on inequalities not reported Adverse effects not reported |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | High risk | Not randomised |
Allocation concealment? | High risk | Not randomised |
Blinding? All outcomes | High risk | Not feasible. Could have influenced outcomes |
Incomplete outcome data addressed? All outcomes | Unclear risk | No matching of participants in baseline and follow‐up samples, so not possible to fully assess attrition. From the data provided, we estimated intervention group response rates to be 81% (baseline) and 87% (12 months), while control group response rates were 79% (baseline) and 72% (12 months) |
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? | Low risk | Similar neighbourhood attributes and travel mode use at baseline |