TY - JOUR
T1 - Cardiac Rehabilitation Delivery Model for Low-Resource Settings
T2 - An International Council of Cardiovascular Prevention and Rehabilitation Consensus Statement
AU - Grace, Sherry L.
AU - Turk-Adawi, Karam I.
AU - Contractor, Aashish
AU - Atrey, Alison
AU - Campbell, Norman R.C.
AU - Derman, Wayne
AU - Ghisi, Gabriela L.M.
AU - Sarkar, Bidyut K.
AU - Yeo, Tee J.
AU - Lopez-Jimenez, Francisco
AU - Buckley, John
AU - Hu, Dayi
AU - Sarrafzadegan, Nizal
N1 - Funding Information:
Endorsed by: International Council of Cardiovascular Prevention and Rehabilitation, World Hypertension League, British Association of Cardiovascular Prevention and Rehabilitation, Singapore Heart Foundation, Grupo Interamericano de Prevención y Rehabilitación Cardiovascular, the Groupe Exercise Réadaptation Sport of the French Society of Cardiology, Group of Cardiopulmonary and Metabolic Rehabilitation of the Brazilian Society of Cardiology, the Russian National Society of Preventive Cardiology, the African Heart Network, Canadian Association of Cardiovascular Prevention and Rehabilitation, and the Australian Cardiovascular Health and Rehabilitation Association. A shorter version of this paper was previously published (Ref 12).
Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Cardiovascular disease (CVD) is a global epidemic, which is largely preventable. Cardiac rehabilitation (CR) is demonstrated to be efficacious and cost-effective for secondary prevention in high-income countries. Given its affordability, CR should be more broadly implemented in middle-income countries as well. Hence, the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) convened a writing panel to recommend strategies to deliver all core CR components in low-resource settings, namely: (1) initial assessment, (2) lifestyle risk factor management (i.e., diet, tobacco, mental health), (3) medical risk factor management (lipids, blood pressure), (4) education for self-management; (5) return to work; and (6) outcome evaluation. Approaches to delivering these components in alternative, arguably lower-cost settings, such as the home, community and primary care, are provided. Recommendations on delivering each of these components where the most-responsible CR provider is a non-physician, such as an allied healthcare professional or community health care worker, are also provided.
AB - Cardiovascular disease (CVD) is a global epidemic, which is largely preventable. Cardiac rehabilitation (CR) is demonstrated to be efficacious and cost-effective for secondary prevention in high-income countries. Given its affordability, CR should be more broadly implemented in middle-income countries as well. Hence, the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) convened a writing panel to recommend strategies to deliver all core CR components in low-resource settings, namely: (1) initial assessment, (2) lifestyle risk factor management (i.e., diet, tobacco, mental health), (3) medical risk factor management (lipids, blood pressure), (4) education for self-management; (5) return to work; and (6) outcome evaluation. Approaches to delivering these components in alternative, arguably lower-cost settings, such as the home, community and primary care, are provided. Recommendations on delivering each of these components where the most-responsible CR provider is a non-physician, such as an allied healthcare professional or community health care worker, are also provided.
KW - Cardiac rehabilitation
KW - Community health
KW - Delivery models
KW - Middle-income countries
KW - Primary care
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U2 - 10.1016/j.pcad.2016.08.004
DO - 10.1016/j.pcad.2016.08.004
M3 - Review article
C2 - 27542575
AN - SCOPUS:84994504384
VL - 59
SP - 303
EP - 322
JO - Progress in Cardiovascular Diseases
JF - Progress in Cardiovascular Diseases
SN - 0033-0620
IS - 3
ER -