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Train the Trainer Course book - Cochrane Public Health Group

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(Q2) If <strong>the</strong>re were differences between groups<br />

for important confounders, were <strong>the</strong>y<br />

adequately managed in <strong>the</strong> analysis?<br />

Yes<br />

No<br />

Not applicable<br />

(Q3) Were <strong>the</strong>re important confounders not<br />

reported in <strong>the</strong> paper?<br />

Yes<br />

No<br />

RATE THIS SECTION<br />

Strong Moderate Weak<br />

Blinding<br />

(Q1) Was (were) <strong>the</strong> outcome assessor(s) aware<br />

of <strong>the</strong> intervention or exposure status of<br />

participants?<br />

Yes<br />

No<br />

Not reported<br />

Not applicable<br />

RATE THIS SECTION<br />

Strong Moderate Weak<br />

Data collection methods<br />

(Q1) Were <strong>the</strong> data collection tools shown to be<br />

valid?<br />

Yes<br />

No<br />

(Q2) Were data collection tools shown to be<br />

reliable?<br />

Yes<br />

No<br />

RATE THIS SECTION<br />

Strong Moderate Weak<br />

Withdrawals and drop-outs<br />

(Q1) Indicate <strong>the</strong> percentage of participants<br />

completing <strong>the</strong> study.<br />

80-100%<br />

60-79%<br />

Less than 60%<br />

Not reported<br />

Not applicable<br />

No differences, but results were still adjusted by<br />

possible confounders. Covariates included in<br />

regression:<br />

Baseline scores, sex, ethnicity, baseline total<br />

energy intake, baseline knowledge, having been<br />

held back in school, mobility, number of adults<br />

in <strong>the</strong> household, frequency of sit-down<br />

dinners, whe<strong>the</strong>r both parents live with <strong>the</strong><br />

child, number of children living at home, and<br />

how often <strong>the</strong> mo<strong>the</strong>r and fa<strong>the</strong>r exercised.<br />

No<br />

Moderate<br />

24-hour recall – no information provided on<br />

whe<strong>the</strong>r <strong>the</strong> interviewers were aware which<br />

group participants were allocated.<br />

FAS – teachers, who would have been aware of<br />

which group <strong>the</strong>y were allocated to, supervised<br />

<strong>the</strong> completion of <strong>the</strong> FAS.<br />

Weak<br />

No – FAS, Yes – 24-hr recall<br />

Dietary intake and physical activity: Student<br />

food and activity survey (FAS). Authors say that<br />

FAS has indicated lower validity in this age<br />

group. Therefore <strong>the</strong>y added a 24-hour recall to<br />

enhance validity (only for <strong>the</strong> post-intervention<br />

data!). The 24-hour recall method has been<br />

shown to be reliable and valid in children as<br />

young as grade 3.<br />

Yes – only 24-hr recall<br />

Dietary recalls were performed by trained<br />

interviewers. The 24-hour recall methods have<br />

been shown to be reliable and valid in children<br />

as young as grade 3.<br />

Weak (because 24-hr recall results were adjusted<br />

using <strong>the</strong> FAS)<br />

60-79%<br />

Baseline data – 90% of students completed<br />

Follow-up – 88% in control and 89% in<br />

intervention groups. Overall response rate with<br />

complete predata and postdata was 61%.<br />

99

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