Susan C Slade1, Clermont E Dionne2, Martin Underwood3, Rachelle Buchbinder4, Belinda Beck5, Kim Bennell6, Lucie Brosseau7, Leonardo Costa8, Fiona Cramp9, Edith Cup10, Lynne Feehan11, Manuela Ferreira12, Scott Forbes13, Paul Glasziou14, Bas Habets15, Susan Harris16, Jean Hay-Smith17, Susan Hillier18, Rana Hinman19, Ann Holland20, Maria Hondras21, George Kelly22, Peter Kent23, Gert-Jan Lauret24, Audrey Long25, Chris Maher26, Lars Morso27, Nina Osteras28, Tom Peterson29, Ros Quinlivan30, Karen Rees31, Jean-Philippe Regnaux32, Marc Rietberg33, Dave Saunders34, Nicole Skoetz35, Karen Sogaard36, Tim Takken37, Maurits van Tulder38, Nicoline Voet39, Lesley Ward40, Claire White41. 1. 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. 2. C.E. Dionne, PhD, Department of Rehabilitation, Faculty of Medicine, Laval University, Québec City, Québec, Canada. 3. M. Underwood, MD, Warwick Clinical Trials Unit, Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, United Kingdom. 4. R. Buchbinder, PhD, Monash Department of Clinical Epidemiology, Cabrini Institute, and Department of Epidemiology and Preventive Medicine, School of Public Health & Preventive Medicine, Monash University. 5. Belinda Beck, PhD, School of Allied Health Sciences, Griffith University, Queensland, Australia. 6. Kim Bennell, PT, PhD, Centre for Health, Exercise and Sports Medicine, School of Physiotherapy, Melbourne, Australia. 7. Lucie Brosseau, PT, PhD, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ontario, Canada. 8. Leonardo Costa, PT, PhD, Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil. 9. Fiona Cramp, PhD, Faculty of Health and Applied Sciences, University of the West of England, Bristol, United Kingdom. 10. Edith Cup, OT, PhD, Rehabilitation Department, Radboud University Medical Centre Nijmegen; Donders Centre for Neuroscience, Nijmegen, the Netherlands. 11. Lynne Feehan, PT, PhD, Physical Therapy Department, University of British Columbia, Vancouver, British Columbia, Canada. 12. Manuela Ferreira, PT, PhD, The Institute of Bone and Joint Research, The Kolling Institute & The George Institute of Global Health, Sydney Medical School, The University of Sydney, New South Wales, Australia. 13. Scott Forbes, PhD, Human Kinetics Department, Okanagan College, Kelowna, British Columbia, Canada. 14. Paul Glasziou, MD, PhD, Faculty of Health Sciences and Medicine Bond University, Queensland, Australia. 15. Bas Habets, MSc, Sports Medicine Center, Arnhem, the Netherlands. 16. Susan Harris, PT, PhD, Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada. 17. Jean Hay-Smith, PT, PhD, Department of Medicine, Rehabilitation Teaching and Research Unit, University of Otago, Wellington, New Zealand. 18. Susan Hillier, PT, PhD, International Centre for Allied Health Evidence, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia. 19. Rana Hinman, PT, PhD, Centre for Health, Exercise and Sports Medicine, School of Physiotherapy, Melbourne, Australia. 20. Ann Holland, PT, PhD, Physiotherapy Department, LaTrobe University, Melbourne, Australia. 21. Maria Hondras, DC, PhD, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. 22. George Kelly, PhD, Biostatistics Department, West Virginia University, Morgantown, West Virginia. 23. Peter Kent, DC, PT, PhD, Department of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. 24. Gert-Jan Lauret, MD, PhD, Department of Vascular Surgery, Catharina Hospital, Eindhoven, the Netherlands. 25. Audrey Long, PT, MSc, Bonavista Physical Therapy, Calgary, Alberta, Canada. 26. Chris Maher, PT, PhD, The George Institute for Global Health, The University of Sydney, New South Wales, Australia. 27. Lars Morso, PT, PhD, Centre for Quality, Institute for Regional Health Research, University of Southern Denmark, Odense, Denmark. 28. Nina Osteras, PT, PhD, Department of Rheumatology, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Oslo, Norway. 29. Tom Petersen, PT, Back Center, Copenhagen, Denmark. 30. Ros Quinlivan, MD, PhD, Centre for Neuromuscular Diseases, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom. 31. Karen Rees, PhD, Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, United Kingdom. 32. Jean-Philippe Regnaux, PT, PhD, Human & Social Sciences Department, EHESP (French School of Public Health), Rennes, France. 33. Marc Rietberg, PT, PhD, Rehabilitation Medicine Department, VU University Medical Center, Amsterdam, the Netherlands. 34. Dave Saunders, PhD, Physical Activity for Health Research Centre, University of Edinburgh, Scotland, United Kingdom. 35. Nicole Skoetz, MD, PhD, Evidence-Based Oncology, Department 1 of Internal Medicine, University Hospital of Cologne, Germany. 36. Karen Sogaard, PhD, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. 37. Tim Takken, PhD, Child Development & Exercise, Center University Medical Center Utrecht, the Netherlands. 38. Maurits van Tulder, PhD, Department of Health Sciences, VU University, Amsterdam, the Netherlands. 39. Nicoline Voet, MD, Brain Integration Department, Rehabilitation Medical Centre Groot Klimmendaal, Arhhem, the Netherlands. 40. Lesley Ward, PT, PhD, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom. 41. Claire White, PhD, Division of Health and Social Care Research, Faculty of Life Sciences & Medicine, Guy's Campus, King's College London, United Kingdom.
Abstract
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.
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.
Authors: David J Keene; Colin Forde; Thavapriya Sugavanam; Mark A Williams; Sarah E Lamb Journal: BMC Musculoskelet Disord Date: 2020-07-04 Impact factor: 2.362