Table 4.
CERT domain | Item no. and abbreviated item description | 2020 Carli (8) | 2018 Barberan-Garcia (34) | 2018 Minnella (30) |
---|---|---|---|---|
What | 1. Type of exercise equipment | Recumbent stepper Resistance bands | Cycle-ergometer stationary bicycle | Resistance bands |
Who | 2. Qualifications, teaching/supervising expertise and/or training of the exercise instructor | Kinesiologist | Specialised Physiotherapist | Physician prescribed; Kinesiologist demonstrated |
How | 3. Whether exercise are performed individually or in a group | Not specified | Individually | Individual |
4. Whether exercises are supervised or unsupervised | Supervised and home based | Supervised | Unsupervised | |
5. Measurement and reporting of adherence to exercise | Attendance at the in-hospital exercise session. Self-reported in diary and weekly telephone calls | Attendance at exercise sessions | Self-reported logbookWeekly telephone calls with kinesiologist | |
6. Details of motivation strategies | CD with audio instructions. Weekly telephone calls | Motivational Interviewing and objective setting prior to exercise program and revisited throughout program | Weekly telephone calls with kinesiologist | |
7. Decision rules for progressing the exercise program | No details in paper—references Bousquet-Dion 2018 for reporting of intervention | Peak work rate increased by ~5% every week up to a maximum of 85% peak work rate and 50% peak work rate for active rest. | Not reported | |
8. Each exercise is described so that it can be replicated (e.g., illustrations, photographs) | No details in paper—references Bousquet-Dion 2018 for reporting of intervention | Detailed description provided | Aerobic described in terms of time, type, intensity (RPE), resistance less described | |
9. Content of any home program component | Personalised progression of mod aerobic−30 min walking and resistance training x3/week | Personalised walking program focusing on increasing steps per day (using pedometer) and optimisation of walking intensity (using BORG scale) | All home based | |
10. Non exercised components | Nutrition intervention +/– protein supplementation, psychology assessment, and personalised coping strategies, counselling for smoking and alcohol cessation. | Motivational interview | Nutrition assessment and supplements as needed. | |
11. How adverse events that occur during exercise are documented and managed | No adverse events | No adverse events reported | No adverse events reported | |
Where | 12. Setting in which exercises are performed | Hospital prehabilitation unit and home based | Community | Home based |
When, how much | 13. Detailed description of the exercises (e.g., set, reps, ration, intensity) | 1 supervised session per week for 4 weeks. Warm up: 5 minAerobic: 30 min moderate intensity Resistance: 25 min, Stretching: 5 min | 1–3 sessions per week Duration: 47 min Warm up: 5 min 30% peak work rate Intervals: 2 min 70%peak work rate, 3 min active rest 40% peak work rate Cool Down: 5 min 20% peak work rate Cycling Rate: 60-70RPM | Aerobic-−3 per week of 30 min moderate continuous training (incl 5 min warm up, 5 min cool down)BORG 12–13Strengthening 1 per week of 30 min (incl 5 min flexibility and 5 min stretching)–−3 sets x8-12 reps of 8 muscle groups. |
Tailoring | 14. Whether exercises are generic (“one size fits all”) or tailored to the individual | Personalised | Patient specific program | Individualised |
15. Decision rule that determines the starting level of exercise | No detail in paper—references Bousquet-Dion 2018 for reporting intervention. | Cardiopulmonary Exercise Test | Based on personal level and attitude. Based on BORG or 10 point resistance intensity scale. | |
How well | 15. Whether the exercise intervention is delivered and performed as planned | Attendance of hospital sessions—mean (SD) 68% (38). Overall adherence 80% (27) | Nil reported | Overall compliance with programme reported (63%) |
CERT tables for all included studies can be found in Supplementary 1.
RPM, revolutions per minute; HR-max, maximum heart rate.