Cardiac Rehabilitation Delivery Model for Low-Resource Settings: An International Council of Cardiovascular Prevention and Rehabilitation Consensus Statement
AuthorsGrace, Sherry L.
Turk-Adawi, Karam I.
Campbell, Norman R. C.
Ghisi, Gabriela L. M.
Sarkar, Bidyut K.
Yeo, Tee J.
Buckley, John P.
AffiliationUniversity Centre Shrewsbury
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AbstractCardiovascular 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.
CitationGrace, S. L., Turk-Adawi, K. I., Contractor, A., Atrey, A., Campbell, N. R. C., Derman, W., . . . Sarrafzadegan, N. (2016). Cardiac rehabilitation delivery model for low-resource settings: An international council of cardiovascular prevention and rehabilitation consensus statement. Progress in Cardiovascular Diseases, 59(3), 303-322
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