• Physical therapy · Oct 2016

    Consensus on Exercise Reporting Template (CERT): Modified Delphi Study.

    • Susan C Slade, Clermont E Dionne, Martin Underwood, Rachelle Buchbinder, Belinda Beck, Kim Bennell, Lucie Brosseau, Leonardo Costa, Fiona Cramp, Edith Cup, Lynne Feehan, Manuela Ferreira, Scott Forbes, Paul Glasziou, Bas Habets, Susan Harris, Jean Hay-Smith, Susan Hillier, Rana Hinman, Ann Holland, Maria Hondras, George Kelly, Peter Kent, Gert-Jan Lauret, Audrey Long, Chris Maher, Lars Morso, Nina Osteras, Tom Peterson, Ros Quinlivan, Karen Rees, Jean-Philippe Regnaux, Marc Rietberg, Dave Saunders, Nicole Skoetz, Karen Sogaard, Tim Takken, Maurits van Tulder, Nicoline Voet, Lesley Ward, and Claire White.
    • S.C. Slade, PhD, Monash Department of Clinical Epidemiology, Cabrini Institute, 183 Wattletree Rd, Ste 41, Malvern, Victoria, Australia, and Department of Epidemiology and Preventive Medicine, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia. susan.slade@monash.edu.
    • Phys Ther. 2016 Oct 1; 96 (10): 1514-1524.

    BackgroundExercise interventions are often incompletely described in reports of clinical trials, hampering evaluation of results and replication and implementation into practice.ObjectiveThe aim of this study was to develop a standardized method for reporting exercise programs in clinical trials: the Consensus on Exercise Reporting Template (CERT).Design And MethodsUsing the EQUATOR Network's methodological framework, 137 exercise experts were invited to participate in a Delphi consensus study. A list of 41 items was identified from a meta-epidemiologic study of 73 systematic reviews of exercise. For each item, participants indicated agreement on an 11-point rating scale. Consensus for item inclusion was defined a priori as greater than 70% agreement of respondents rating an item 7 or above. Three sequential rounds of anonymous online questionnaires and a Delphi workshop were used.ResultsThere were 57 (response rate=42%), 54 (response rate=95%), and 49 (response rate=91%) respondents to rounds 1 through 3, respectively, from 11 countries and a range of disciplines. In round 1, 2 items were excluded; 24 items reached consensus for inclusion (8 items accepted in original format), and 16 items were revised in response to participant suggestions. Of 14 items in round 2, 3 were excluded, 11 reached consensus for inclusion (4 items accepted in original format), and 7 were reworded. Sixteen items were included in round 3, and all items reached greater than 70% consensus for inclusion.LimitationsThe views of included Delphi panelists may differ from those of experts who declined participation and may not fully represent the views of all exercise experts.ConclusionsThe CERT, a 16-item checklist developed by an international panel of exercise experts, is designed to improve the reporting of exercise programs in all evaluative study designs and contains 7 categories: materials, provider, delivery, location, dosage, tailoring, and compliance. The CERT will encourage transparency, improve trial interpretation and replication, and facilitate implementation of effective exercise interventions into practice.© 2016 American Physical Therapy Association.

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