Promoting Cardiac Rehabilitation Program Quality in Low-Resource Settings: Needs Assessment and Evaluation of the International Council of Cardiovascular Prevention and Rehabilitation’s Registry Quality Improvement Supports

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dc.contributor.authorRaidah, Fabbiha
dc.contributor.authorLima de Melo Ghisi, Gabriela
dc.contributor.authorANCHIQUE SANTOS, CLAUDIA VICTORIA
dc.contributor.authorSoomro, Nabila
dc.contributor.authorCandelaria, Dion
dc.contributor.authorGrace, Sherry
dc.date.accessioned2025-01-17T17:40:56Z
dc.date.available2025-01-17T17:40:56Z
dc.date.issued2024-03-12
dc.descriptionThis is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.description.abstractBackground: Cardiac rehabilitation (CR) registries have the potential to support quality improvement (QImp). This study investigated the QImp needs of International CR Registry-participating programs and their evaluation of its’ supports. Methods: ICRR offers comparative outcome dashboards and QImp sessions, among other features. In this qualitative study, ICRR data stewards from the 17 active on-boarded CR programs were invited to a focus group held in November 2023 via Teams; stewards not sufficiently-proficient in English were invited to provide written input. Deductive-thematic analysis using NVIVO was undertaken by 2 researchers; member-checking ensued. Results: Nine participated, and four provided input, from eight countries. Three themes emerged; saturation was achieved. First, QImp facilitators included training, institutional requirements, dedicated staff, resources in ac ademic centres and ICRR features. Second, QImp barriers included staffing issues, the global nature of the ICRR, and structural challenges in low-resource settings. Finally, ICRR supports for QImp included didactic webinars, hearing from other programs, 1–1 support offered and assessing minimum Certification standards. Conclusion: ICRR-participating programs are satisfied with QImp supports but encounter challenges, including related to language, staffing and other resources. CR registries should be leveraged and optimized to support CR programs to assess and improve their care quality.
dc.description.sponsorshipSherry L. Grace received a minor research grant from York University, Canada.
dc.identifier.issn0167-5273
dc.identifier.urihttps://doi.org/10.1016/j.ijcard.2024.131962
dc.identifier.urihttps://hdl.handle.net/10315/42604
dc.language.isoen
dc.publisherElsevier
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCardiovascular diseases
dc.subjectRegistries
dc.subjectQuality improvement
dc.subjectCardiac rehabilitation
dc.subjectQualitative research
dc.subjectDelivery of health care
dc.titlePromoting Cardiac Rehabilitation Program Quality in Low-Resource Settings: Needs Assessment and Evaluation of the International Council of Cardiovascular Prevention and Rehabilitation’s Registry Quality Improvement Supports
dc.typeArticle

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