Translation and evaluation of a comprehensive educational program for cardiac rehabilitation patients in Latin America: A multi-national, longitudinal study

Autor: Patricia Reyes, Daniel Quesada, Blanca Arrieta Loaiciga, Marco Antonio Heredia Ñahui, Sherry L. Grace, Rosalia Fernandez, Rocio Yolanda Palomino Vilchez, Paul Oh, Gabriela Lima de Melo Ghisi, Claudia V. Anchique, Elena Chaparro, Ximena Gordillo, Renzo Eduardo Soca Meza, Julia Amalia Fernández Coronado
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Patient Education and Counseling
ISSN: 1873-5134
0738-3991
Popis: Highlights • Patient education is a core component of CR but not standardized in Latin American countries. • This study presents an evidence-based comprehensive educational program for CR in Latin America. • Results support its use in different Spanish-speaking settings. • It also shows how adaptable and effective these materials can be in three different countries. • Spanish-speaking CR can benefit from this intervention, which is available online for free.
Objectives To translate, cross-culturally adapt and validate a comprehensive evidence- and theoretically-based CR education intervention in Latin America. Methods First, best practices in translation and cross-cultural adaptation were applied through 6 steps. Then, the Spanish version was delivered to CR participants from programs in Colombia, Costa Rica and Peru for validation, such that the evaluation was pre-post, uncontrolled, pragmatic, observational, and prospective in design. Participants completed surveys assessing knowledge, health literacy, self-efficacy, and health behaviours. All outcomes were assessed pre-, and post-CR, as well as 6 months after CR completion. Results After translation of the patient guide from English to Spanish, 5 of the 9 booklets were culturally adapted. Two-hundred and forty-nine patients consented to participate, of which 184 (74 %) completed post-CR, and 121 (48 %) completed final assessments. There was a significant improvement in disease-related knowledge pre- to post-CR, as well as in health literacy, self-efficacy, and health behaviours (all p < 0.05). These gains were sustained 6 months post-program. With adjustment, CR attendance (i.e., exposure to the education) was associated with greater post-CR knowledge (ß = 0.026; p = 0.01). Conclusion A patient education intervention for CR patients in Latin America has been validated, and wider implementation is warranted. Practice implications Application of this first-ever validated CR education program for Spanish-speaking settings may result in secondary prevention.
Databáze: OpenAIRE
Externí odkaz: