Identifying Elements for a Cardiac Rehabilitation Program for Caregivers: An International Delphi Consensus
Caregivers of patients with heart disease may often feel physically, emotionally, and psychologically overwhelmed by their role. The analysis of cardiac rehabilitation (CR) components and caregivers' needs suggests that some interventions may benefit them. Therefore, this study aimed to identif...
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creator | Loureiro, Maria Duarte, João Mendes, Eugénia Oliveira, Isabel Coutinho, Gonçalo Martins, Maria Manuela Novo, André |
description | Caregivers of patients with heart disease may often feel physically, emotionally, and psychologically overwhelmed by their role. The analysis of cardiac rehabilitation (CR) components and caregivers' needs suggests that some interventions may benefit them. Therefore, this study aimed to identify a consensus on the CR components targeting caregivers of patients with heart disease.
: A three-round international e-Delphi study with experts on CR was conducted. In round 1, experts provided an electronic level of agreement on a set of initial recommendations originating from a previous scoping review. In round 2, experts were asked to re-rate the same items after feedback and summary data were provided from round 1. In round 3, the same experts were asked to re-rate items that did not reach a consensus from round 2.
: A total of 57 experts were contacted via e-mail to participate in the Delphi panel, and 43 participated. The final version presents seven recommendations for caregivers of patients with heart disease in CR programs.
These recommendations are an overview of the evidence and represent a tool for professionals to adapt to their context in the different stages of CR, integrating the caregiver as a care focus and as support for their sick family members. By identifying the components/interventions, there is potential to benchmark the development of a cardiac rehabilitation strategy to be used and tested by the healthcare team for optimizing the health and role of these caregivers. |
doi_str_mv | 10.3390/healthcare12202049 |
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: A three-round international e-Delphi study with experts on CR was conducted. In round 1, experts provided an electronic level of agreement on a set of initial recommendations originating from a previous scoping review. In round 2, experts were asked to re-rate the same items after feedback and summary data were provided from round 1. In round 3, the same experts were asked to re-rate items that did not reach a consensus from round 2.
: A total of 57 experts were contacted via e-mail to participate in the Delphi panel, and 43 participated. The final version presents seven recommendations for caregivers of patients with heart disease in CR programs.
These recommendations are an overview of the evidence and represent a tool for professionals to adapt to their context in the different stages of CR, integrating the caregiver as a care focus and as support for their sick family members. By identifying the components/interventions, there is potential to benchmark the development of a cardiac rehabilitation strategy to be used and tested by the healthcare team for optimizing the health and role of these caregivers.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare12202049</identifier><identifier>PMID: 39451464</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Cardiac patients ; Cardiovascular disease ; Care and treatment ; Caregivers ; Delphi method ; Exercise ; Health aspects ; Heart ; Heart diseases ; Intervention ; Likert scale ; Patients ; Physical fitness ; Professionals ; Psychological aspects ; Rehabilitation ; Research methodology</subject><ispartof>Healthcare (Basel), 2024-10, Vol.12 (20), p.2049</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 by the authors. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c379t-adf36c94d27389f8007e00a4246ce7f876e05f3aa821d8c0e1cc7f81450625813</cites><orcidid>0000-0001-8583-0406 ; 0000-0003-3201-3079 ; 0000-0001-6528-4284</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11506942/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11506942/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39451464$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Loureiro, Maria</creatorcontrib><creatorcontrib>Duarte, João</creatorcontrib><creatorcontrib>Mendes, Eugénia</creatorcontrib><creatorcontrib>Oliveira, Isabel</creatorcontrib><creatorcontrib>Coutinho, Gonçalo</creatorcontrib><creatorcontrib>Martins, Maria Manuela</creatorcontrib><creatorcontrib>Novo, André</creatorcontrib><title>Identifying Elements for a Cardiac Rehabilitation Program for Caregivers: An International Delphi Consensus</title><title>Healthcare (Basel)</title><addtitle>Healthcare (Basel)</addtitle><description>Caregivers of patients with heart disease may often feel physically, emotionally, and psychologically overwhelmed by their role. The analysis of cardiac rehabilitation (CR) components and caregivers' needs suggests that some interventions may benefit them. Therefore, this study aimed to identify a consensus on the CR components targeting caregivers of patients with heart disease.
: A three-round international e-Delphi study with experts on CR was conducted. In round 1, experts provided an electronic level of agreement on a set of initial recommendations originating from a previous scoping review. In round 2, experts were asked to re-rate the same items after feedback and summary data were provided from round 1. In round 3, the same experts were asked to re-rate items that did not reach a consensus from round 2.
: A total of 57 experts were contacted via e-mail to participate in the Delphi panel, and 43 participated. The final version presents seven recommendations for caregivers of patients with heart disease in CR programs.
These recommendations are an overview of the evidence and represent a tool for professionals to adapt to their context in the different stages of CR, integrating the caregiver as a care focus and as support for their sick family members. By identifying the components/interventions, there is potential to benchmark the development of a cardiac rehabilitation strategy to be used and tested by the healthcare team for optimizing the health and role of these caregivers.</description><subject>Cardiac patients</subject><subject>Cardiovascular disease</subject><subject>Care and treatment</subject><subject>Caregivers</subject><subject>Delphi method</subject><subject>Exercise</subject><subject>Health aspects</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Intervention</subject><subject>Likert scale</subject><subject>Patients</subject><subject>Physical fitness</subject><subject>Professionals</subject><subject>Psychological aspects</subject><subject>Rehabilitation</subject><subject>Research methodology</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkl1vFSEQhonR2Kb2D3hhSLzx5lQ-9gtvzMlp1ZM00Ri9JlN22KWycITdJv330p5aWxUugOF5X5jJEPKSsxMpFXs7Ivh5NJCQC8EEq9QTciiEaFeKSfH0wf6AHOd8ycpQXHayfk4OpKpqXjXVIfmx7THMzl67MNAzj1M5ZWpjokA3kHoHhn7FES6cdzPMLgb6JcUhwXQLFQQHd4Upv6PrQLdhxhRuMfD0FP1udHQTQ8aQl_yCPLPgMx7frUfk-4ezb5tPq_PPH7eb9fnKyFbNK-itbIyqetHKTtmOsRYZg0pUjcHWdm2DrLYSoBO87wxDbkwJ86pmjag7Lo_I-73vbrmYsDclpQRe75KbIF3rCE4_vglu1EO80pwXC1WJ4vDmziHFnwvmWU8uG_QeAsYla8kFq5Vioi7o67_Qy7iUGvg91fCW1ewPNYBH7YKN5WFzY6rX5eeyaWohC3XyH6rMHidnYkDrSvyRQOwFJsWcE9r7JDnTN22i_22TInr1sDz3kt9NIX8Bv7y6Bg</recordid><startdate>20241016</startdate><enddate>20241016</enddate><creator>Loureiro, Maria</creator><creator>Duarte, João</creator><creator>Mendes, Eugénia</creator><creator>Oliveira, Isabel</creator><creator>Coutinho, Gonçalo</creator><creator>Martins, Maria Manuela</creator><creator>Novo, André</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8583-0406</orcidid><orcidid>https://orcid.org/0000-0003-3201-3079</orcidid><orcidid>https://orcid.org/0000-0001-6528-4284</orcidid></search><sort><creationdate>20241016</creationdate><title>Identifying Elements for a Cardiac Rehabilitation Program for Caregivers: An International Delphi Consensus</title><author>Loureiro, Maria ; Duarte, João ; Mendes, Eugénia ; Oliveira, Isabel ; Coutinho, Gonçalo ; Martins, Maria Manuela ; Novo, André</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-adf36c94d27389f8007e00a4246ce7f876e05f3aa821d8c0e1cc7f81450625813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cardiac patients</topic><topic>Cardiovascular disease</topic><topic>Care and treatment</topic><topic>Caregivers</topic><topic>Delphi method</topic><topic>Exercise</topic><topic>Health aspects</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>Intervention</topic><topic>Likert scale</topic><topic>Patients</topic><topic>Physical fitness</topic><topic>Professionals</topic><topic>Psychological aspects</topic><topic>Rehabilitation</topic><topic>Research methodology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Loureiro, Maria</creatorcontrib><creatorcontrib>Duarte, João</creatorcontrib><creatorcontrib>Mendes, Eugénia</creatorcontrib><creatorcontrib>Oliveira, Isabel</creatorcontrib><creatorcontrib>Coutinho, Gonçalo</creatorcontrib><creatorcontrib>Martins, Maria Manuela</creatorcontrib><creatorcontrib>Novo, André</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Healthcare (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Loureiro, Maria</au><au>Duarte, João</au><au>Mendes, Eugénia</au><au>Oliveira, Isabel</au><au>Coutinho, Gonçalo</au><au>Martins, Maria Manuela</au><au>Novo, André</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identifying Elements for a Cardiac Rehabilitation Program for Caregivers: An International Delphi Consensus</atitle><jtitle>Healthcare (Basel)</jtitle><addtitle>Healthcare (Basel)</addtitle><date>2024-10-16</date><risdate>2024</risdate><volume>12</volume><issue>20</issue><spage>2049</spage><pages>2049-</pages><issn>2227-9032</issn><eissn>2227-9032</eissn><abstract>Caregivers of patients with heart disease may often feel physically, emotionally, and psychologically overwhelmed by their role. The analysis of cardiac rehabilitation (CR) components and caregivers' needs suggests that some interventions may benefit them. Therefore, this study aimed to identify a consensus on the CR components targeting caregivers of patients with heart disease.
: A three-round international e-Delphi study with experts on CR was conducted. In round 1, experts provided an electronic level of agreement on a set of initial recommendations originating from a previous scoping review. In round 2, experts were asked to re-rate the same items after feedback and summary data were provided from round 1. In round 3, the same experts were asked to re-rate items that did not reach a consensus from round 2.
: A total of 57 experts were contacted via e-mail to participate in the Delphi panel, and 43 participated. The final version presents seven recommendations for caregivers of patients with heart disease in CR programs.
These recommendations are an overview of the evidence and represent a tool for professionals to adapt to their context in the different stages of CR, integrating the caregiver as a care focus and as support for their sick family members. By identifying the components/interventions, there is potential to benchmark the development of a cardiac rehabilitation strategy to be used and tested by the healthcare team for optimizing the health and role of these caregivers.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>39451464</pmid><doi>10.3390/healthcare12202049</doi><orcidid>https://orcid.org/0000-0001-8583-0406</orcidid><orcidid>https://orcid.org/0000-0003-3201-3079</orcidid><orcidid>https://orcid.org/0000-0001-6528-4284</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Cardiac patients Cardiovascular disease Care and treatment Caregivers Delphi method Exercise Health aspects Heart Heart diseases Intervention Likert scale Patients Physical fitness Professionals Psychological aspects Rehabilitation Research methodology |
title | Identifying Elements for a Cardiac Rehabilitation Program for Caregivers: An International Delphi Consensus |
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