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

Slade, Susan C; Dionne, Clermont E.; Underwood, Martin; Buchbinder, Rachelle; Beck, Belinda R.; Bennell, Kim L; Brosseau, Lucie; Costa, Leonardo Oliveira Pena; Cramp, Fiona; Cup, Edith; Feehan, Lynne M.; Ferreira, Manuela L; Forbes, Scott C.; Glasziou, Paul; Habets, Bas; Harris, Susan R.; Hay‐Smith, Jean; Hillier, Susan; Hinman, Rana S; Holland, Ann; Hondras, Maria; Kelly, George F.J.; Kent, Peter; Lauret, Gert-Jan; Long, Audrey; Maher, Christopher G.; Morsø, Lars; Østerås, Nina; Peterson, Tom; Quinlivan, R.; Rees, Karen; Regnaux, Jean‐Philippe; Rietberg, Marc B.; Saunders, Dave; Skoetz, Nicole; Søgaard, Karen; Takken, Tim; Tulder, Maurits W. van; Voet, Nicoline; Ward, Lesley; White, Claire

doi:10.2522/ptj.20150668

Cited by 295 publications

(242 citation statements)

References 22 publications

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“…Readers are referred to the study protocol12 and final report13 for a full description of the CERT development. We followed the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network methodological framework and 18-step checklist for developing reporting guidelines (http://www.equator-network.org),16 and the recommendations of Moher et al 17.…”

Section: Methodsmentioning

confidence: 99%

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Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement

et al. 2016

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Exercise is effective for prevention and management of acute and chronic health conditions. However, trial descriptions of exercise interventions are often suboptimal, leaving readers unclear about the content of effective programmes. To address this, the 16-item internationally endorsed Consensus on Exercise Reporting Template (CERT) was developed. The aim is to present the final template and provide an Explanation and Elaboration Statement to operationalise the CERT. Development of the CERT was based on the EQUATOR Network methodological framework for developing reporting guidelines. We used a modified Delphi technique to gain consensus of international exercise experts and conducted 3 sequential rounds of anonymous online questionnaires and a Delphi workshop. The 16-item CERT is the minimum data set considered necessary to report exercise interventions. The contents may be included in online supplementary material, published as a protocol or located on websites and other electronic repositories. The Explanation and Elaboration Statement is intended to enhance the use, understanding and dissemination of the CERT and presents the meaning and rationale for each item, together with examples of good reporting. The CERT is designed specifically for the reporting of exercise programmes across all evaluative study designs for exercise research. The CERT can be used by authors to structure intervention reports, by reviewers and editors to assess completeness of exercise descriptions and by readers to facilitate the use of the published information. The CERT has the potential to increase clinical uptake of effective exercise programmes, enable research replication, reduce research waste and improve patient outcomes.

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Section: Methodsmentioning

confidence: 99%

“…We therefore developed the Consensus on Exercise Reporting Template (CERT) to provide additional direction for reporting exercise interventions 12 13. It provides guidance on a minimum set of key items considered essential to report replicable exercise programmes.…”

Section: Introductionmentioning

confidence: 99%

Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement

et al. 2016

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“…Only studies reporting on systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), fasting glucose (FG), BMI or secondary cerebrovascular events and cardiovascular death were included. 24 was used to characterise the reporting of exercise specifics (eg, equipment required, group vs individual, level of supervision, etc) (see online supplementary material). Data required for meta-analysis were collected, including mean differences and associated SD between baseline and post-intervention outcome assessments.…”

Section: Selection Criteriamentioning

confidence: 99%

Aerobic exercise interventions reduce blood pressure in patients after stroke or transient ischaemic attack: a systematic review and meta-analysis

et al. 2018

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“…For example, when prescribing a drug, a physician determines the correct medication [TYPE] as well as the amount [INTENSITY] and frequency [FREQUENCY] of taking the medication, and the duration to continue taking the medication [TIME]. The physical therapy profession has taken a harder look at how we prescribe exercise over the last decade across multiple domains of practice, from acute care, to orthopedics to geriatric rehabilitation [6][7][8]. Similar to pharmacological interventions, incorrect exercise dosage can be ineffective in targeting the problem, and therefore costly in actual dollars and/or time.…”

Section: Editorialmentioning

confidence: 99%

Getting the Dosage Right in Balance Exercise Prescription: the Intensity Problem

Reinthal¹

2017

J Nov Physiother

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EditorialAs our population ages, finding effective interventions to treat balance impairments is critical. In the United States Medicare spent over $31 billion in 2015 managing fall injuries. More than 800,000 people a year were hospitalized because of a fall, most often a fractured hip or head injury. Fall injuries are among the top 20 most expensive medical conditions, with an average cost of over $30,000. Furthermore, these direct costs do not account for the long-term effects of these injuries such as disability, dependence on others, lost time from work and household duties, and reduced quality of life [1]. Thus, determining effective means of preventing falls is a significant health care need.There have been a large number of investigations examining various aspects related to balance training and fall prevention, with more than 50 systematic reviews and meta-analyses of this research completed since 2009 [2]. Multiple types of balance interventions have been studied, with populations of varied ages as well as with differing disabilities, and in multiple types of settings [2,3]. However, there is no simple answer about the "best" exercise prescription to prevent falls because the construct of balance itself is so complicated [4]. The ability to maintain the center of mass within the base of support, or balance is a composite impairment that is influenced by strength, flexibility, sensation, cognition, and motor control.Despite the complexity, however, developing evidence based guidelines for effective balance exercise prescription is essential. Physical therapy exercise prescription typically follows the FITT principle [5], referring to frequency, intensity, type, and time, similar to medication administration. For example, when prescribing a drug, a physician determines the correct medication [TYPE] as well as the amount [INTENSITY] and frequency [FREQUENCY] of taking the medication, and the duration to continue taking the medication [TIME]. The physical therapy profession has taken a harder look at how we prescribe exercise over the last decade across multiple domains of practice, from acute care, to orthopedics to geriatric rehabilitation [6][7][8]. Similar to pharmacological interventions, incorrect exercise dosage can be ineffective in targeting the problem, and therefore costly in actual dollars and/or time. In addition, it can be damaging [9].Because balance is a multifactorial construct, exercise prescription is complex. It is for this reason that many individuals will do better with an exercise program customized by a physical therapist rather than attending a standardized group program [10,11]. There are often multiple types of exercise necessary to address different components of the balance problem. For example, it is common to use strengthening exercises in conjunction with exercises addressing motor control components of balance, such as seen in the widely used OTAGO exercise protocol [12]. We do have guidelines for determining types of exercise, based on an individualized evaluation [2], ...

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

Cited by 295 publications

References 22 publications

Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement

Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement

Aerobic exercise interventions reduce blood pressure in patients after stroke or transient ischaemic attack: a systematic review and meta-analysis

Getting the Dosage Right in Balance Exercise Prescription: the Intensity Problem

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