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AuthorTurk-Adawi, Karam I
AuthorElshaikh, Usra
AuthorContractor, Aashish
AuthorHashmi, Farzana Amir
AuthorThomas, Emma
AuthorRaidah, Fabbiha
AuthorGrace, Sherry L
Available date2024-03-05T03:28:25Z
Publication Date2023
Publication NameInternational Journal of General Medicine
Identifierhttp://dx.doi.org/10.2147/IJGM.S423209
CitationTurk-Adawi KI, Elshaikh U, Contractor A, Hashmi FA, Thomas E, Raidah F, Grace SL. Development and Evaluation of the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) Program Certification for Low-Resource Settings. Int J Gen Med. 2023;16:5199-5214 https://doi.org/10.2147/IJGM.S423209
ISSN1178-7074
URIhttp://hdl.handle.net/10576/52666
AbstractCardiac rehabilitation (CR) is a proven model of secondary prevention, but new sites, providing quality care, are needed in low-resource settings. This study (1) described the development of International Council of Cardiovascular Prevention and Rehabilitation's (ICCPR) Program Certification and (2a) tested its implementation, considering (b) appropriateness of quality standards for these settings. The Steering Committee finalized 13 standards, requiring 70% be met. They are assessed initially through International CR Registry (ICRR) program survey and patient data; if Certification appears possible, a two-hour virtual site assessment is arranged to corroborate. Standard operating procedures for Assessor training were developed. A multi-method pilot study was then undertaken with a quantitative (description of quality indicators) and qualitative (focus groups on MS Teams) component. ICRR sites with post-program data by April 2022 were invited to participate. Two team members independently analyzed focus group transcripts, using a deductive-thematic approach with NVIVO. Five CR programs from the Eastern Mediterranean, South-East Asian and American regions participated. Upon application, with some data cleaning, initially four programs were eligible to proceed to virtual site assessment. Ultimately, all five programs were certified, each meeting a minimum of 12/13 standards (peak MET increase and program completion rate were not met by some centres). Four themes resulted from the two focus groups of 13 site data stewards: motivation and benefits (eg, international recognition, additional program resources), logistics (eg, communication, cost, site visit process), the standards and their assessment (eg, balance of rigor and feasibility), and suggestions for improvement (eg, website). ICCPR's Program Certification has been demonstrated to be feasible, rigorous, and acceptable. Standards are attainable in low-resource settings. Certified programs reap benefits including additional resources. This first international Certification is suitable for low-resource settings, to complement that from the American and European CR Societies.
SponsorThe International Cardiac Rehab Registry was co-funded by Qatar University, grant number (IRCC-2020-005), and York University (no grant number). E.E.T. is funded by a fellowship from the National Heart Foundation of Australia (105215). The findings achieved herein are solely the responsibility of the authors.
Languageen
PublisherDove Press Ltd
SubjectCertification
cardiac rehabilitation
cardiovascular diseases
low- and middle-income countries
quality of care
registries
TitleDevelopment and Evaluation of the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) Program Certification for Low-Resource Settings.
TypeArticle
Pagination5199-5214
Volume Number16
dc.accessType Open Access


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