Adaptation of an evidence-based home cardiac rehabilitation programme for people with coronary heart disease in Bangladesh
Rattachement africain : bd, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Abstract Background Cardiac rehabilitation (CR) is a clinically proven cost-effective intervention and reduces the risk of hospital readmissions and recurrent cardiac events and improves exercise capacity and health-related quality of life in people. However, access to CR in low and middle-income countries remains scarce and a high unmet need. The purpose of this study was to adapt a home-based CR programme (‘the Heart Manual’) originally developed and evaluated in the United Kingdom (UK) for the people with coronary heart disease (CHD) in Bangladesh. Methods Guided by the 2021 ADAPT methodological framework, a multiphase approach to intervention adaptation was undertaken that included mapping of the Bangladeshi healthcare context and in-depth consultation meetings and workshops with key stakeholders (patients and their families, healthcare professionals, and health service providers). Results In addition to language translation (English to Bangla) and cultural adaptation, the UK Heart Manual content and structure were modified whilst retaining its core interventional components and principles. The resulting Bangla Heart Manual comprises of three main adaptions: (1) combination of the UK Heart Manual post-myocardial infarction and revascularisation manuals into a single document; (2) development of a short version for easy reference for patients; and (3) creation of audiovisual and animated versions of materials to promote patient accessibility. Conclusion Using an evidence-based approach, the UK Heart Manual programme was contextually and culturally adapted for people with CHD in the Bangladesh healthcare setting. The Bangla Heart Manual provides the opportunity for access to home-based CR in a low resource setting. Research is needed to confirm the feasibility and acceptability of the delivery of the adapted Bangla Heart Manual for healthcare practitioners, patients, and their families.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
Où se fait cette recherche
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Ibrahim Cardiac Hospital & Research Institute pays non établi dans la noticeÉtablissement de santé
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University of Glasgow pays non établi dans la noticeUniversité ou école supérieure
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Bangladesh University of Health Sciences pays non établi dans la noticeUniversité ou école supérieure
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North South University pays non établi dans la noticeUniversité ou école supérieure
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Bangladesh Medical University pays non établi dans la noticeUniversité ou école supérieure
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Astley Ainslie Hospital pays non établi dans la noticeÉtablissement de santé
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University of Exeter pays non établi dans la noticeUniversité ou école supérieure
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Bangabandhu Sheikh Mujib Medical University pays non établi dans la noticeUniversité ou école supérieure
Ibrahim Cardiac Hospital & Research Institute, University of Glasgow et Bangladesh University of Health Sciences, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.