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. 2010 Mar 17;2010(3):CD005575. doi: 10.1002/14651858.CD005575.pub3

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
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
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
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
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