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dc.contributor.authorOh, Paul
dc.contributor.authorde Melo Ghisi, Gabriela Lima
dc.contributor.authorGrace, Sherry
dc.contributor.authorGordillo, Ximena
dc.contributor.authorFernandez, Rosalía
dc.contributor.authorQuesada, Daniel
dc.contributor.authorLoaiciga, Blanca Arrieta
dc.contributor.authorReyes, Patricia
dc.contributor.authorChaparro, Elena
dc.contributor.authorFernandez Coronado, Julia
dc.contributor.authorHeredia Ñahui, Marco
dc.contributor.authorPalomino Vilchez, Rocio
dc.identifier.citationPatient Education and Counseling. Volume 104, Issue 5, May 2021, Pages 1140-1148en_US
dc.description.abstractObjectives 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.en_US
dc.rightsElsevier Journals © <2021>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
dc.rightsAttribution-NoDerivatives 4.0 International*
dc.subjectLatin Americaen_US
dc.subjectfollow-up studiesen_US
dc.subjectpatient education as topicen_US
dc.subjectcardiac rehabilitationen_US
dc.titleTranslation and evaluation of a comprehensive educational program for cardiac rehabilitation patients in Latin America: A multi-national, longitudinal studyen_US

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Elsevier Journals 
© <2021>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
Except where otherwise noted, this item's license is described as Elsevier Journals © <2021>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license