title: Consensus on Exercise Reporting Template (CERT): Modified Delphi Study.
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).
  
  
  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.
  
  
  CONCLUSIONS
  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.affiliation: 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.
authors.forename: Susan C
authors.initials: SC
authors.lastname: Slade
authors.affiliation: C.E. Dionne, PhD, Department of Rehabilitation, Faculty of Medicine, Laval University, Québec City, Québec, Canada.
authors.forename: Clermont E
authors.initials: CE
authors.lastname: Dionne
authors.affiliation: M. Underwood, MD, Warwick Clinical Trials Unit, Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, United Kingdom.
authors.forename: Martin
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authors.lastname: Underwood
authors.affiliation: 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.
authors.forename: Rachelle
authors.initials: R
authors.lastname: Buchbinder
authors.affiliation: Belinda Beck, PhD, School of Allied Health Sciences, Griffith University, Queensland, Australia.
authors.forename: Belinda
authors.initials: B
authors.lastname: Beck
authors.affiliation: Kim Bennell, PT, PhD, Centre for Health, Exercise and Sports Medicine, School of Physiotherapy, Melbourne, Australia.
authors.forename: Kim
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authors.affiliation: Lucie Brosseau, PT, PhD, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ontario, Canada.
authors.forename: Lucie
authors.initials: L
authors.lastname: Brosseau
authors.affiliation: Leonardo Costa, PT, PhD, Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
authors.forename: Leonardo
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authors.lastname: Costa
authors.affiliation: Fiona Cramp, PhD, Faculty of Health and Applied Sciences, University of the West of England, Bristol, United Kingdom.
authors.forename: Fiona
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authors.lastname: Cramp
authors.affiliation: Edith Cup, OT, PhD, Rehabilitation Department, Radboud University Medical Centre Nijmegen; Donders Centre for Neuroscience, Nijmegen, the Netherlands.
authors.forename: Edith
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authors.affiliation: Lynne Feehan, PT, PhD, Physical Therapy Department, University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Lynne
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authors.affiliation: 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.
authors.forename: Manuela
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authors.lastname: Ferreira
authors.affiliation: Scott Forbes, PhD, Human Kinetics Department, Okanagan College, Kelowna, British Columbia, Canada.
authors.forename: Scott
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authors.affiliation: Paul Glasziou, MD, PhD, Faculty of Health Sciences and Medicine Bond University, Queensland, Australia.
authors.forename: Paul
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authors.affiliation: Bas Habets, MSc, Sports Medicine Center, Arnhem, the Netherlands.
authors.forename: Bas
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authors.affiliation: Susan Harris, PT, PhD, Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Susan
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authors.lastname: Harris
authors.affiliation: Jean Hay-Smith, PT, PhD, Department of Medicine, Rehabilitation Teaching and Research Unit, University of Otago, Wellington, New Zealand.
authors.forename: Jean
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authors.lastname: Hay-Smith
authors.affiliation: Susan Hillier, PT, PhD, International Centre for Allied Health Evidence, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia.
authors.forename: Susan
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authors.affiliation: Rana Hinman, PT, PhD, Centre for Health, Exercise and Sports Medicine, School of Physiotherapy, Melbourne, Australia.
authors.forename: Rana
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authors.affiliation: Ann Holland, PT, PhD, Physiotherapy Department, LaTrobe University, Melbourne, Australia.
authors.forename: Ann
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authors.affiliation: Maria Hondras, DC, PhD, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
authors.forename: Maria
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authors.affiliation: George Kelly, PhD, Biostatistics Department, West Virginia University, Morgantown, West Virginia.
authors.forename: George
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authors.affiliation: Peter Kent, DC, PT, PhD, Department of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
authors.forename: Peter
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authors.lastname: Kent
authors.affiliation: Gert-Jan Lauret, MD, PhD, Department of Vascular Surgery, Catharina Hospital, Eindhoven, the Netherlands.
authors.forename: Gert-Jan
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authors.lastname: Lauret
authors.affiliation: Audrey Long, PT, MSc, Bonavista Physical Therapy, Calgary, Alberta, Canada.
authors.forename: Audrey
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authors.lastname: Long
authors.affiliation: Chris Maher, PT, PhD, The George Institute for Global Health, The University of Sydney, New South Wales, Australia.
authors.forename: Chris
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authors.lastname: Maher
authors.affiliation: Lars Morso, PT, PhD, Centre for Quality, Institute for Regional Health Research, University of Southern Denmark, Odense, Denmark.
authors.forename: Lars
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authors.lastname: Morso
authors.affiliation: Nina Osteras, PT, PhD, Department of Rheumatology, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.
authors.forename: Nina
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authors.lastname: Osteras
authors.affiliation: Tom Petersen, PT, Back Center, Copenhagen, Denmark.
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authors.affiliation: Ros Quinlivan, MD, PhD, Centre for Neuromuscular Diseases, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom.
authors.forename: Ros
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authors.lastname: Quinlivan
authors.affiliation: Karen Rees, PhD, Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, United Kingdom.
authors.forename: Karen
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authors.lastname: Rees
authors.affiliation: Jean-Philippe Regnaux, PT, PhD, Human & Social Sciences Department, EHESP (French School of Public Health), Rennes, France.
authors.forename: Jean-Philippe
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authors.lastname: Regnaux
authors.affiliation: Marc Rietberg, PT, PhD, Rehabilitation Medicine Department, VU University Medical Center, Amsterdam, the Netherlands.
authors.forename: Marc
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authors.lastname: Rietberg
authors.affiliation: Dave Saunders, PhD, Physical Activity for Health Research Centre, University of Edinburgh, Scotland, United Kingdom.
authors.forename: Dave
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authors.lastname: Saunders
authors.affiliation: Nicole Skoetz, MD, PhD, Evidence-Based Oncology, Department 1 of Internal Medicine, University Hospital of Cologne, Germany.
authors.forename: Nicole
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authors.lastname: Skoetz
authors.affiliation: Karen Sogaard, PhD, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
authors.forename: Karen
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authors.affiliation: Tim Takken, PhD, Child Development & Exercise, Center University Medical Center Utrecht, the Netherlands.
authors.forename: Tim
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authors.lastname: Takken
authors.affiliation: Maurits van Tulder, PhD, Department of Health Sciences, VU University, Amsterdam, the Netherlands.
authors.forename: Maurits
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authors.lastname: van Tulder
authors.affiliation: Nicoline Voet, MD, Brain Integration Department, Rehabilitation Medical Centre Groot Klimmendaal, Arhhem, the Netherlands.
authors.forename: Nicoline
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authors.affiliation: Lesley Ward, PT, PhD, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
authors.forename: Lesley
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authors.lastname: Ward
authors.affiliation: Claire White, PhD, Division of Health and Social Care Research, Faculty of Life Sciences & Medicine, Guy's Campus, King's College London, United Kingdom.
authors.forename: Claire
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mesh_terms: D057189:Checklist; D002986:Clinical Trials as Topic; D003697:Delphi Technique; D005081:Exercise Therapy; D006801:Humans; D012107:Research Design; D011795:Surveys and Questionnaires