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

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Date

2021-05

Authors

Oh, Paul
de Melo Ghisi, Gabriela Lima
Grace, Sherry
CLAUDIA, CLAUDIA REGINA MOSCA GIROTO
Gordillo, Ximena
Fernandez, Rosalía
Quesada, Daniel
Loaiciga, Blanca Arrieta
Reyes, Patricia
Chaparro, Elena

Journal Title

Journal ISSN

Volume Title

Publisher

Elsevier

Abstract

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.

Description

Keywords

Latin America, follow-up studies, patient education as topic, cardiac rehabilitation

Citation

Patient Education and Counseling. Volume 104, Issue 5, May 2021, Pages 1140-1148