04015nas a2200697 4500000000100000008004100001653001100042653002000053653002100073653002100094653003100115653001400146653002900160653001400189100001600203700001600219700002000235700002100255700002400276700001700300700001600317700001900333700001900352700001600371700001400387700001700401700002100418700001700439700001800456700001500474700001700489700001900506700001800525700001600543700001600559700001800575700001700593700001500610700002000625700001600645700001500661700001700676700001700693700001800710700001500728700002600743700001800769700001800787700001800805700001800823700001500841700002300856700001800879700001600897700001700913245007600930300001401006490000701020520227601027022001403303 2016 d10aHumans10aResearch Design10aExercise Therapy10aDelphi Technique10aSurveys and Questionnaires10aChecklist10aClinical Trials as Topic10aConsensus1 aMaher Chris1 aSlade Susan1 aDionne Clermont1 aUnderwood Martin1 aBuchbinder Rachelle1 aBeck Belinda1 aBennell Kim1 aBrosseau Lucie1 aCosta Leonardo1 aCramp Fiona1 aCup Edith1 aFeehan Lynne1 aFerreira Manuela1 aForbes Scott1 aGlasziou Paul1 aHabets Bas1 aHarris Susan1 aHay-Smith Jean1 aHillier Susan1 aHinman Rana1 aHolland Ann1 aHondras Maria1 aKelly George1 aKent Peter1 aLauret Gert-Jan1 aLong Audrey1 aMorso Lars1 aOsteras Nina1 aPeterson Tom1 aQuinlivan Ros1 aRees Karen1 aRegnaux Jean-Philippe1 aRietberg Marc1 aSaunders Dave1 aSkoetz Nicole1 aSogaard Karen1 aTakken Tim1 avan Tulder Maurits1 aVoet Nicoline1 aWard Lesley1 aWhite Claire00aConsensus on Exercise Reporting Template (CERT): Modified Delphi Study. a1514-15240 v963 a

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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