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

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Slade, Susan C
Dionne, Clermont E
Underwood, Martin
Buchbinder, Rachelle
Beck, Belinda
Bennell, Kim
Brosseau, Lucie
Costa, Leonardo
Cramp, Fiona
Cup, Edith
Feehan, Lynne
Ferreira, Manuela
Forbes, Scott
Glasziou, Paul
Habets, Bas
Harris, Susan
Hay-Smith, Jean
Hillier, Susan
Hinman, Rana
Holland, Ann
Hondras, Maria
Kelly, George
Kent, Peter
Lauret, Gert-Jan
Long, Audrey
Maher, Chris
Morso, Lars
Osteras, Nina
Peterson, Tom
Quinlivan, Ros
Rees, Karen
Regnaux, Jean-Philippe
Rietberg, Marc
Saunders, Dave
Skoetz, Nicole
Sogaard, Karen
Takken, Tim
van Tulder, Maurits
Voet, Nicoline
Ward, Lesley
White, Claire
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Background: Exercise interventions are often incompletely described in reports of clinical trials, hampering evaluation of results and replication and implementation into practice. Objective: The 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 Methods: Using 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. Results: There 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. Limitations: The 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. Conclusions: The 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.

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Physical Therapy

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