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Building Capacity Through ICCPR Cardiovascular Rehabilitation Foundations Certification (CRFC): EVALUATION OF REACH,
Abraham Samuel Babu1, Fiorella A Heald, Aashish Contractor
1Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India (Dr Babu); Faculty of Health, York University, Toronto, Ontario, Canada (Drs Heald and Grace); Centre for Rehabilitation Medicine and Sports Medicine, Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India (Dr Contractor); KITE-Toronto Rehabilitation Institute, University Health Network, University of Toronto, Toronto, Ontario, Canada (Drs Heald, Ghisi, and Grace); Institute of Medicine, University Centre Shrewsbury, Shrewsbury, England (Dr Buckley); Langone Medical Center, New York University, New York City, New York (Dr Mola); Independent researcher, Toronto, Ontario, Canada (Dr Atrey); Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota (Dr Lopez-Jimenez); and Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada (Dr Grace).
Purpose:
The International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) developed an online Cardiovascular Rehabilitation Foundations Certification (CRFC; https://globalcardiacrehab.com/Certification) in October 2017, to build cardiac rehabilitation (CR) delivery capacity in low-resource settings based on their guidelines. Herein we evaluate its reach globally, barriers to its completion, as well as satisfaction and impact of the course among those completing it.
Methods:
The country of origin of all applicants was tallied. An online survey was developed for learners who completed the CRFC (completers), and for those who applied but did not yet complete the program (noncompleters), administered using Google Forms.
Results:
With regard to reach, 236 applications were received from 23/203 (11%) countries in the world; 51 (22%) were from low- or middle-income countries. A total of 130 (55%) have completed the CRFC; mean scores on the final examination were 88.3 ± 7.1%, with no difference by country income classification (P= .052). Sixteen (22%) noncompleters and 37 (34%) completers responded to the survey. Barriers reported by noncompleters were time constraints, cost, and technical issues. Overall satisfaction (scale 1-5) with the CRFC was high (4.49 ± 0.51); most completers would highly recommend the CRFC to others (4.30 ± 0.66), and perceived that the information provided will contribute to their work and/or the care of their patients (4.38 ± 0.89); 29 (78%) had used the information from the CRFC in their practice.
Conclusions:
The reach of the CRFC still needs to be broadened, in particular in low-resource settings. Learners are highly satisfied with the certification, and its impacts on CR practice are encouraging. Input has been implemented to improve the CRFC.
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