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Consensus on exercise reporting template (Cert): Modified delphi study

Lauret, Gert Jan; Cramp, Fiona; Regnaux, Jean Philippe; Petersen, Tom; Slade, Susan C.; Dionne, Clermont E.; Underwood, Martin; Buchbinder, Rachelle; Beck, Belinda; Cramp, Fiona A; Bennell, Kim; Brosseau, Lucie; Costa, Leonardo; Cup, Edith; Feehan, Lynne; Ferreira, Manuela; Forbes, Scott; Glasziou, Paul; Habets, Bas; Harris, Susan; Hay-Smith, Jean; Hillier, Susan; Hinman, Rana; Holland, Ann; Lauret, G.-J.; Hondras, Maria; Kelly, George; Kent, Peter; Peterson, T.; Long, Audrey; Maher, Chris; Morso, Lars; Osteras, Nina; Regnaux, J.-P.; Quinlivan, Ros; Rees, Karen; Rietberg, Marc; Saunders, Dave; Skoetz, Nicole; Sogaard, Karen; Takken, Tim; Van Tulder, Maurits; Voet, Nicoline; Ward, Lesley; White, Claire

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Gert Jan Lauret

Fiona Cramp

Jean Philippe Regnaux

Tom Petersen

Susan C. Slade

Clermont E. Dionne

Martin Underwood

Rachelle Buchbinder

Belinda Beck

Fiona Cramp
Professor in Long Term Conditions

Kim Bennell

Lucie Brosseau

Leonardo Costa

Edith Cup

Lynne Feehan

Manuela Ferreira

Scott Forbes

Paul Glasziou

Bas Habets

Susan Harris

Jean Hay-Smith

Susan Hillier

Rana Hinman

Ann Holland

G.-J. Lauret

Maria Hondras

George Kelly

Peter Kent

T. Peterson

Audrey Long

Chris Maher

Lars Morso

Nina Osteras

J.-P. Regnaux

Ros Quinlivan

Karen Rees

Marc Rietberg

Dave Saunders

Nicole Skoetz

Karen Sogaard

Tim Takken

Maurits Van Tulder

Nicoline Voet

Lesley Ward

Claire White


© 2016 American Physical Therapy Association. 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.


Lauret, G. J., Regnaux, J. P., Petersen, T., Cramp, F., Slade, S. C., Dionne, C. E., …White, C. (2016). Consensus on exercise reporting template (Cert): Modified delphi study. Physical Therapy, 96(10), 1514-1524.

Journal Article Type Article
Acceptance Date Apr 28, 2016
Online Publication Date Oct 1, 2016
Publication Date Oct 1, 2016
Deposit Date Nov 8, 2016
Publicly Available Date Oct 2, 2017
Journal Physical Therapy
Print ISSN 0031-9023
Electronic ISSN 1538-6724
Publisher Oxford University Press (OUP)
Peer Reviewed Peer Reviewed
Volume 96
Issue 10
Pages 1514-1524
Keywords CERT, Delphi study, exercise
Public URL
Publisher URL
Additional Information Additional Information : Copyright 2016 American Physical Therapy Association.


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