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. 2021 Jun 25;2021(6):CD012784. doi: 10.1002/14651858.CD012784.pub2

White 2017.

Study characteristics
Methods Study design: Randomised controlled trial
Study grouping: Intervention to reduce sedentary behaviour and control (fact sheet about physical activity)
Assessment: Measure of sedentary time using the self‐reported MOST and IPAQ questionnaires
Operational definition of sedentary time: Sum of time spent sitting as assessed by MOST and IPAQ
Randomisation method: After consent, participants were randomised by an independent trial administrator using a computer‐generated 1:1 block randomisation schedule.
Participants Baseline characteristics
Intervention
  • Age: 68.00 (4.05) years

  • Gender: 40% male

  • Race: 96% white

  • Education: 30% educated at university level

  • N = 48


Control
  • Age: 68.61 (3.52) years

  • Gender: 43% male

  • Race: 98% white

  • Education: 41% educated at university level

  • N = 48


Inclusion criteria: Aged >= 65 years. Self‐reported retired and sedentary (>= 6 hours sitting (leisure) per day). Self‐reported <= 30 consecutive minutes of leisure time physical activity of >= 3 METs
Exclusion criteria: People with physical impairments precluding light‐intensity physical activity, lacking capacity to provide informed consent, living in the same household as another study participant, or unable to speak or read English fluently
Interventions The intervention consisted of a printed A5‐sized information booklet outlining the health impact of sedentary behaviour and physical activity and 15 tips on reducing sedentary behaviour and forming physical activity habits, with 8 printed "tick‐sheets" for participants to record daily adherence to tips for both intervention and data collection purposes.
Outcomes Primary outcomes
Sedentary time (self‐reported; MOST)
  • Outcome type: Continuous outcome

  • Reporting: Fully reported

  • Unit of measure: min/day

  • Direction: Lower is better

  • Notes: Also available using IPAQ, but fewer responses

Identification Sponsorship source: The project is supported by a grant from the National Prevention Research Initiative.
Country: UK
Setting: Community
Comments: Pilot RCT to look at the effect of habit formation on SB intervention. Show change in SB in both intervention and control group (albeit control group still gets education about SB), but no group effect
Authors name: Isabelle White
Institution: King's College London
Email: benjamin.gardner@kcl.ac.uk
Address: Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, De Crespigny Park, London SE5 8AF, UK
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation performed by independent administrator using a computer‐generated sequence on 1:1 schedule.
Allocation concealment (selection bias) Low risk Computer‐generated randomisation, and independent staff performing the randomisation
Blinding of participants and personnel (performance bias)
All outcomes Low risk Both groups received printed materials and were recruited in 4 geographic clusters; participants were blinded to allocation.
Blinding of outcome assessment (detection bias)
All outcomes High risk Self‐reported measures, and assessors not blinded
Incomplete outcome data (attrition bias)
All outcomes Low risk Attrition well described, intention‐to‐treat analysis with baseline data replacement for missing data.
Selective reporting (reporting bias) High risk Indicates that other measures were collected but not reported
Other bias Low risk None

BMI: body mass index

HDL: high‐density lipoprotein

IPAQ: International Physical Activity Questionnaire

LDL: low‐density lipoprotein

METs: metabolic equivalents

MOST: Measure of Older Adults Sedentary Time

MVPA: moderate‐ to vigorous‐intensity physical activity

RCT: randomised controlled trial