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Identifying elements for a comprehensive paediatric cardiac rehabilitation programme.

Tracy Curran1,2, Naomi Gauthier1, Susan M Duty2

  • 1Department of Cardiology, Boston Children's Hospital, Boston, MA, USA.

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|August 12, 2020
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Summary
This summary is machine-generated.

Experts reached consensus on key components for paediatric cardiac rehabilitation curricula for congenital heart disease patients. This establishes standards for exercise training, education, and self-confidence to optimize health outcomes.

Keywords:
Paediatric cardiac rehabilitationchildren and adolescentscongenital heart diseasecurriculumexercise

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Area of Science:

  • Cardiology
  • Paediatric Exercise Physiology
  • Rehabilitation Medicine

Background:

  • Congenital heart disease (CHD) impacts paediatric populations requiring specialized rehabilitation.
  • Developing a structured paediatric cardiac rehabilitation curriculum is crucial for managing CHD.
  • A consensus-based approach ensures comprehensive and relevant curriculum development.

Purpose of the Study:

  • To identify essential content for a paediatric cardiac rehabilitation curriculum for young patients with CHD.
  • To establish consensus on the structure and domains of the curriculum.
  • To inform the development of evidence-based practice guidelines.

Main Methods:

  • A three-round electronic Delphi study was conducted with experts in CHD and paediatric exercise physiology.
  • Experts provided and rated essential elements for the curriculum through questionnaires.
  • Consensus was defined as agreement reached on questionnaire items across specified domains.

Main Results:

  • 37 of 47 contacted experts (79%) participated, with 28 completing all three rounds.
  • Consensus was achieved on 55 out of 60 (92%) items after Round 2.
  • Key domains for consensus included exercise training, education, outcome metrics, and self-confidence.

Conclusions:

  • Consensus was established on programme structure, exercise principles, educational content, outcome measures, and self-confidence promotion.
  • This consensus provides a foundation for benchmarking standards in paediatric cardiac rehabilitation.
  • The findings support the development and testing of a curriculum to optimize health and wellness in paediatric CHD patients.