Holden, Melanie A., Haywood, Kirstie L., Potia, Tanzila A., Gee, Melanie and McLean, Sionnadh (2014) Recommendations for exercise adherence measures in musculoskeletal settings : a systematic review and consensus meeting (protocol). Systematic Reviews, Volume 3 (Number 1). Article number 10. doi:10.1186/2046-4053-3-10

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Abstract

Background: Exercise programmes are frequently advocated for the management of musculoskeletal disorders; however, adherence is an important pre-requisite for their success. The assessment of exercise adherence requires the use of relevant and appropriate measures, but guidance for appropriate assessment does not exist. This research will identify and evaluate the quality and acceptability of all measures used to assess exercise adherence within a musculoskeletal setting, seeking to reach consensus for the most relevant and appropriate measures for application in research and/or clinical practice settings.

Methods/design: There are two key stages to the proposed research. First, a systematic review of the quality and acceptability of measures used to assess exercise adherence in musculoskeletal disorders; second, a consensus meeting. The systematic review will be conducted in two phases and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to ensure a robust methodology. Phase one will identify all measures that have been used to assess exercise adherence in a musculoskeletal setting. Phase two will seek to identify published and unpublished evidence of the measurement and practical properties of identified measures. Study quality will be assessed against the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. A shortlist of best quality measures will be produced for consideration during stage two: a meeting of relevant stakeholders in the United Kingdom during which consensus on the most relevant and appropriate measures of exercise adherence for application in research and/or clinical practice settings will be sought.

Discussion: This study will benefit clinicians who seek to evaluate patients’ levels of exercise adherence and those intending to undertake research, service evaluation, or audit relating to exercise adherence in the musculoskeletal field. The findings will impact upon new research studies which aim to understand the factors that predict adherence with exercise and which test different adherence-enhancing interventions. PROSPERO reference: CRD42013006212

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Musculoskeletal system -- Diseases -- Treatment -- Evaluation, Exercise therapy -- Evaluation, Patient compliance -- Evaluation
Journal or Publication Title:	Systematic Reviews
Publisher:	BioMed Central Ltd.
ISSN:	2046-4053
Official Date:	10 February 2014
Dates:	Date Event 10 February 2014 Published
Volume:	Volume 3
Number:	Number 1
Number of Pages:	6
Article Number:	Article number 10
DOI:	10.1186/2046-4053-3-10
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
Funder:	Chartered Society of Physiotherapy (Great Britain). Charitable Trust

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