The Consensus on Exercise Reporting Template (CERT) in a systematic review of exercise-based rehabilitation effectiveness: completeness of reporting, rater agreement, and utility

Hay-Smith, E. Jean C.; Englas, Kadri; Dumoulin, Chantale; Ferreira, Carmen V.; Frawley, Helena; Weatherall, Mark

doi:10.23736/s1973-9087.19.05791-5

Cited by 16 publications

(17 citation statements)

References 28 publications

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“…For every instrument used in this study, more than half of the items on the list were reported less than 50% of the time. These results align with the findings of Hay-Smith et al, 37 as well as other studies that have shown poor exercise-based intervention reporting in the physiotherapy management of pelvic floor and other conditions. [4][5][6][7][8][9][10][11] This trend across the physiotherapy literature demonstrates the necessity for the systematic use of standardized instruments such as CERT and TIDieR to detail, as much as possible, all of the parameters of an exercise intervention to facilitate best practices implementation.…”

Section: Discussionsupporting

confidence: 91%

“…The fact that the two reviewers in this study had different backgrounds (one PT clinician vs a nonclinician), did not seem to have had much of an impact on inter‐rater reliability. This concurs with the findings of a recent study that suggested that detailed training on how to use CERT is more relevant than the level of expertize in pelvic health physiotherapy when evaluating exercise reporting in clinical trials on pelvic floor exercise …”

Section: Limitationssupporting

confidence: 91%

“…Nonetheless, they also reported some disagreements which they attributed to ambiguities with respect to the description of certain items on the three instruments. The reviewers felt that explanation statements with specific PFMT examples, as suggested by other researchers in the field, 37,39 would be beneficial to help them score items with more confidence. Moreover, most of the items required many conditions to be satisfied to be considered complete, and often, only one requirement was missing.…”

Section: Discussionmentioning

confidence: 99%

“…This concurs with the findings of a recent study that suggested that detailed training on how to use CERT is more relevant than the level of expertize in pelvic health physiotherapy when evaluating exercise reporting in clinical trials on pelvic floor exercise. 37…”

Section: Limitationsmentioning

confidence: 99%

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How well do published randomized controlled trials on pelvic floor muscle training interventions for urinary incontinence describe the details of the intervention? A review

Charette

Bérubé

Brooks

et al. 2019

Neurourology and Urodynamics

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Context: Pelvic floor muscle training (PFMT) is strongly recommended for the management of mild to moderate urinary incontinence (UI) in women, yet the specific elements of PFMT that lead to improvement have not been identified. This gap in knowledge may be related, at least in part, to the lack of detail provided on intervention parameters reported in randomized controlled trials (RCTs)Objective: Using three different instruments: the Consensus on Exercise Reporting Template (CERT), the template for intervention description and replication (TIDieR) checklist, and the Consensus on Therapeutic Exercise Training (CONTENT) scale, the purpose of this study was to assess the completeness of exercise reporting among moderate to high quality RCTs on PFMT for women with UI.Methods: Two raters independently scored all 65 RCTs (n = 65) retrieved by the most up-to-date Cochrane Systematic Review on PFMT for women with UI, and only those of moderate to high quality (>6 on the PEDro scale) were retained. Eighteen articles met the inclusion criteria and were scored by two independent reviewers using the CERT, TIDieR, and CONTENT instruments.The completeness of intervention reporting was evaluated using descriptive statistics. Results: Over half of the items on each instrument were reported less than 50% of the time. Overall, completeness of exercise reporting was 31% (5.8/16 ± 2.4) on CERT, 47% (5.6/12 ± 1.5) on TIDieR, and 46% (4.1/9 ± 1) on CONTENT. The least frequently reported items were the provider of the intervention, the equipment used, the tailoring of exercises, the rationale behind the intervention, and adherence to the intervention.Conclusion: PFMT parameters are not adequately reported in the primary RCTs that currently guide clinical practice. K E Y W O R D SCERT, CONTENT, exercise reporting, pelvic floor muscle training, TIDieR, urinary incontinence

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Section: Discussionsupporting

confidence: 91%

Section: Limitationssupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

See 2 more Smart Citations

How well do published randomized controlled trials on pelvic floor muscle training interventions for urinary incontinence describe the details of the intervention? A review

Charette

Bérubé

Brooks

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…That meeting was supported by a "Catalyst: Seeding" grant from the Royal Society Te Apārangi of New Zealand 8 . As a result of a 2-day meeting and multiple discussions, a series of papers underlining the complexity of the field of rehabilitation and its representation in rehabilitation research were written and published in a special Issue of the European Journal of Physical and Rehabilitation Medicine [8][9][10][11][12][13][14][15][16][17][18][19] .…”

Section: A C C E P T E Dmentioning

confidence: 99%