Evidence map›Paper›PMID 33144350›Full record

ArticleBritish journal of sports medicine2021

i-CONTENT tool for assessing therapeutic quality of exercise programs employed in randomised clinical trials.

Thomas J Hoogeboom, Martijn C Kousemaker, Nico Lu van Meeteren, Tracey Howe, Kari Bo, Peter Tugwell, Manuela Ferreira, Rob A de Bie, Cornelia Hm van den Ende, Jennifer E Stevens-Lapsley

Abstract read
In one paragraph

Article in British journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  4. Evaluating the therapeutic quality of prehabilitation programmes in patients scheduled for colorectal surgery: A systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
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  10. Physical Effects, Safety and Feasibility of Prehabilitation in Patients Awaiting Orthotopic Liver Transplantation, a Systematic Review.Transplant international : official journal of the European Society for Organ Transplantation · 2022
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  17. Reporting randomised trials of physical exercise or training interventions in older adults: the PETIO guideline.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Thomas J HoogeboomRadboud Institute for Health Sciences, IQ healthcare, Radboudumc, Nijmegen, Gelderland, The Netherlands thomas.hoogeboom@radboudumc.nl.ORCID http://orcid.org/0000-0003-2103-419X
Martijn C KousemakerBiomedical Sciences, Radboud University, Nijmegen, Gelderland, The Netherlands.
Nico Lu van MeeterenExecutive Director, Top Sector Life Sciences & Health (Health~Holland), The Hague; Professor, Dept Anesthesiology, Erasmus MC, Rotterdam; CEO, Topcare, The Netherlands.
Tracey HoweGlobal Aging, Cochrane Collaboration, London, Oxfordshire, UK.
Kari BoDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Akershus, Norway.ORCID http://orcid.org/0000-0003-1176-9272
Peter TugwellDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.ORCID http://orcid.org/0000-0001-5062-0556
Manuela FerreiraInstitute of Bone and Joint Research, The Kolling Institute, University of Sydney Sydney Medical School, Sydney, New South Wales, Australia.
Rob A de BieDepartment of Epidemiology, Maastricht University, Maastricht, Limburg, The Netherlands.
Cornelia Hm van den EndeDepartment of Rheumatology, Sint Maartenskliniek, Nijmegen, Gelderland, The Netherlands.
Jennifer E Stevens-LapsleyDepartment of Physical Medicine and Rehabilitation, University of Colorado Denver School of Medicine, Aurora, Colorado, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWhen appraising the quality of randomised clinical trial (RCTs) on the merits of exercise therapy, we typically limit our assessment to the quality of the methods. However, heterogeneity across studies can also be caused by differences in the quality of the exercise interventions (ie, 'the potential effectiveness of a specific intervention given the potential target group of patients')-a challenging concept to assess. We propose an internationally developed, consensus-based tool that aims to assess the quality of exercise therapy programmes studied in RCTs: the international Consensus on Therapeutic Exercise aNd Training (i-CONTENT) tool.

methodsForty-nine experts (from 12 different countries) in the field of physical and exercise therapy participated in a four-stage Delphi approach to develop the i-CONTENT tool: (1) item generation (Delphi round 1), (2) item selection (Delphi rounds 2 and 3), (3) item specification (focus group discussion) and (4) tool development and refinement (working group discussion and piloting).

resultsOut of the 61 items generated in the first Delphi round, consensus was reached on 17 items, resulting in seven final items that form the i-CONTENT tool: (1) patient selection; (2) qualified supervisor; (3) type and timing of outcome assessment; (4) dosage parameters (frequency, intensity, time); (5) type of exercise; (6) safety of the exercise programme and (7) adherence to the exercise programme.

conclusionThe i-CONTENT-tool is a step towards transparent assessment of the quality of exercise therapy programmes studied in RCTs, and ultimately, towards the development of future, higher quality, exercise interventions.

Indexed as

Exercise TherapyConsensusDelphi TechniqueHumansRandomized Controlled Trials as Topicconsensusexercise rehabilitationphysiotherapyvalidity

Identifiers

PMID33144350
PMCPMC8479742

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.