运动报告模板共识（CERT）：改良德尔菲研究

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

作者信息

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

机构信息

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.

C.E. Dionne, PhD, Department of Rehabilitation, Faculty of Medicine, Laval University, Québec City, Québec, Canada.

出版信息

Phys Ther. 2016 Oct;96(10):1514-1524. doi: 10.2522/ptj.20150668. Epub 2016 May 5.

DOI:10.2522/ptj.20150668

PMID:27149962

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.

摘要

背景

临床试验报告中对运动干预措施的描述往往不完整，这妨碍了对结果的评估以及在实践中的重复和应用。

目的

本研究旨在开发一种用于在临床试验中报告运动项目的标准化方法：运动报告模板共识（CERT）。

设计与方法

利用赤道网络的方法框架，邀请了137名运动专家参与德尔菲共识研究。从对73项运动系统评价的元流行病学研究中确定了41项清单。对于每项内容，参与者以11分制表示同意程度。预先将项目纳入的共识定义为70%以上的受访者对某一项目评分为7分或以上。采用三轮连续的匿名在线问卷和一次德尔菲研讨会。

结果

来自11个国家和一系列学科的参与者分别对第1轮至第3轮问卷有57名（回复率=42%）、54名（回复率=95%）和49名（回复率=91%）做出回应。在第1轮中，排除了2项；24项达成纳入共识（8项按原始格式接受），16项根据参与者建议进行了修订。在第2轮的14项中，排除了3项，11项达成纳入共识（4项按原始格式接受），7项重新措辞。第3轮纳入了16项，所有项目均达成70%以上的纳入共识。