Methods |
Cluster RCT. Worksite was the unit of randomisation. Blocking criteria included baseline survey response rates, type and size of worksite and % of female employees. Analysis was at the level of the cluster. |
Participants |
28 worksites (educational, medical and other) were randomised. All worksites with food serving cafeterias and with between 250 and 2000 employees within the greater metropolitan area of Seattle, USA were eligible. |
Interventions |
The Special Intervention developed around the stages of change model addressing both the work environment and individual behaviour change. Each worksite had an employee advisory board (EAB) using a protocol specifying minimum activities required at each worksite and general structure for organising and implementing the intervention activities. The EAB met with a member of the research group approximately every 2 weeks, who provided materials, assisted with activities and participated in EAB meetings. The EABs took responsibility for tailoring the intervention. Intervention messages included increasing awareness about 5 a day and introducing the idea of eating more F&V in the workplace. The intervention targeted transition points from precontemplation to contemplation, contemplation to preparation, preparation to action and action to maintainance. The control group received a minimal intervention which encouraged eating more F&V using posters and brochures, newsletters, food demonstrations and a self help manual. Follow‐up was at 24 months. |
Outcomes |
Fruit and vegetable servings/day. |
Notes |
|
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Unclear risk |
See Table 1 |
Allocation concealment (selection bias) |
Unclear risk |
See Table 1 |
Blinding of participants and personnel (performance bias)
All outcomes |
Unclear risk |
See Table 1 |
Blinding of outcome assessment (detection bias)
All outcomes |
Unclear risk |
See Table 1 |
Incomplete outcome data (attrition bias)
All outcomes |
Unclear risk |
See Table 1 |