TY - JOUR
T1 - Adapting an evidence-based, home cardiac rehabilitation programme for people with heart failure and their caregivers to the Danish context
T2 - DK:REACH-HF study
AU - Eghøj, Martin
AU - Zinckernagel, Line
AU - Brinks, Thea S
AU - Kristensen, Astrid L S
AU - Hviid, Signe S
AU - Tolstrup, Janne S
AU - Dalal, Hasnain M
AU - Taylor, Rod S
AU - Zwisler, Ann-Dorthe O
PY - 2024/10
Y1 - 2024/10
N2 - AimsAdapting interventions with an existing evidence base offers a more efficient approach than developing a new intervention. The aim of this study was to describe the process of adapting a home-based cardiac rehabilitation (CR) programme (REACH-HF) intervention originally developed in the UK for people with heart failure (HF) to the Danish health system - the 'DK:REACH-HF' programme. Methods and resultsWe followed methodological framework for the conduct and reporting of studies adapting interventions, utilizing documentary analysis, qualitative interviews, stakeholder consultations, and mapping of the Danish policy context. Our study found broad support for the REACH-HF intervention as an alternative to existing centre-based CR. We also identified three key areas of adaptation for the Danish context. First, reduce the word count of the intervention's resources by linking to existing publicly available CR materials. Second, while retaining REACH-HF core components, adapt its content and delivery to reflect differences between Denmark and UK. Third, develop a digital version of the intervention. ConclusionUsing an evidence-based approach, we successfully adapted the REACH-HF intervention to the context of the Danish healthcare setting, maintaining core components of the original intervention and developing both a paper-based and digital version of the programme material. To inform scaled national implementation of the DK:REACH-HF programme, we seek to undertake a pilot study to test the adapted intervention materials feasibility and acceptability to healthcare practitioners, patients, and their caregivers and confirm the positive impact on the outcomes of HF patients and caregivers.
AB - AimsAdapting interventions with an existing evidence base offers a more efficient approach than developing a new intervention. The aim of this study was to describe the process of adapting a home-based cardiac rehabilitation (CR) programme (REACH-HF) intervention originally developed in the UK for people with heart failure (HF) to the Danish health system - the 'DK:REACH-HF' programme. Methods and resultsWe followed methodological framework for the conduct and reporting of studies adapting interventions, utilizing documentary analysis, qualitative interviews, stakeholder consultations, and mapping of the Danish policy context. Our study found broad support for the REACH-HF intervention as an alternative to existing centre-based CR. We also identified three key areas of adaptation for the Danish context. First, reduce the word count of the intervention's resources by linking to existing publicly available CR materials. Second, while retaining REACH-HF core components, adapt its content and delivery to reflect differences between Denmark and UK. Third, develop a digital version of the intervention. ConclusionUsing an evidence-based approach, we successfully adapted the REACH-HF intervention to the context of the Danish healthcare setting, maintaining core components of the original intervention and developing both a paper-based and digital version of the programme material. To inform scaled national implementation of the DK:REACH-HF programme, we seek to undertake a pilot study to test the adapted intervention materials feasibility and acceptability to healthcare practitioners, patients, and their caregivers and confirm the positive impact on the outcomes of HF patients and caregivers.
KW - Adaptation
KW - Cardiac rehabilitation
KW - Complex interventions
KW - Evidence-based interventions
KW - Heart failure
KW - Cardiac Rehabilitation/methods
KW - Humans
KW - Middle Aged
KW - Male
KW - Heart Failure/rehabilitation
KW - Home Care Services/organization & administration
KW - Caregivers/psychology
KW - Denmark
KW - Female
KW - Aged
U2 - 10.1093/eurjcn/zvae037
DO - 10.1093/eurjcn/zvae037
M3 - Journal article
C2 - 38526240
SN - 1474-5151
VL - 23
SP - 728
EP - 736
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
IS - 7
ER -