TY - JOUR AU - Neubeck L. AU - Clark R. AU - Gray K. AU - Briffa T. AU - Ferry C. AU - Woodruffe S. AU - Finan J. AU - Sanderson S. AB -

BACKGROUND: Research on Australian cardiovascular disease secondary prevention and cardiac rehabilitation to guide practice needs updating to reflect current context of practice. It is timely therefore to review the core components that underpin effective services that deliver maximum benefits for participants. METHODS: The Australian Cardiovascular Health and Rehabilitation Association (ACRA) convened an inter-agency, multidisciplinary, nationally representative expert panel of Australia's leading cardiac rehabilitation clinicians, researchers and health advocates who reviewed the research evidence. RESULTS: Five core components for quality delivery and outcomes of services were identified and are recommended; 1) Equity and access to services, 2) Assessment and short-term monitoring, 3) Recovery and longer term maintenance, 4) Lifestyle/behavioural modification and medication adherence, and 5) Evaluation and quality improvement. CONCLUSIONS: ACRA seeks to provide guidance on the latest evidence in cardiovascular disease secondary prevention and cardiac rehabilitation. Clinicians should use these core components to guide effective service delivery and promote high quality evidence based care. Directors of hospitals and health services should use these core components to aid decision-making about the development and maintenance of these services.

AD - Ipswich Cardiac Rehabilitation Service, West Moreton Hospital and Health Service, Ipswich QLD 4305. Electronic address: steve.woodruffe@health.qld.gov.au.
Sydney Nursing School, Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006; The George Institute for Global Health, Camperdown, NSW 2050.
School of Nursing and Midwifery, Faculty of Health Sciences, Flinders University, Adelaide South Australia 5000.
Physiotherapy Department, Austin Health, Victoria Australia 3084.
National Heart Foundation of Australia (NSW Division), Strawberry Hills NSW 2012.
Calvary Health Care Adelaide, Calvary Rehabilitation Hospital, 18 North East Road, Walkerville, SA 5081.
Cardiology, Royal Hobart Hospital Hobart Tasmania.
School of Population Health, The University of Western Australia. AN - 25637253 BT - Heart, Lung & Circulation DP - NLM ET - 2015/02/01 LA - Eng LB - CDV M1 - 5 N1 - Woodruffe, Stephen
Neubeck, Lis
Clark, Robyn A
Gray, Kim
Ferry, Cate
Finan, Jenny
Sanderson, Sue
Briffa, Tom G
REVIEW
Heart Lung Circ. 2015 Jan 12. pii: S1443-9506(14)00822-1. doi: 10.1016/j.hlc.2014.12.008. N2 -

BACKGROUND: Research on Australian cardiovascular disease secondary prevention and cardiac rehabilitation to guide practice needs updating to reflect current context of practice. It is timely therefore to review the core components that underpin effective services that deliver maximum benefits for participants. METHODS: The Australian Cardiovascular Health and Rehabilitation Association (ACRA) convened an inter-agency, multidisciplinary, nationally representative expert panel of Australia's leading cardiac rehabilitation clinicians, researchers and health advocates who reviewed the research evidence. RESULTS: Five core components for quality delivery and outcomes of services were identified and are recommended; 1) Equity and access to services, 2) Assessment and short-term monitoring, 3) Recovery and longer term maintenance, 4) Lifestyle/behavioural modification and medication adherence, and 5) Evaluation and quality improvement. CONCLUSIONS: ACRA seeks to provide guidance on the latest evidence in cardiovascular disease secondary prevention and cardiac rehabilitation. Clinicians should use these core components to guide effective service delivery and promote high quality evidence based care. Directors of hospitals and health services should use these core components to aid decision-making about the development and maintenance of these services.

PY - 2015 SN - 1444-2892 (Electronic)
1443-9506 (Linking) SP - 430 EP - 41 T2 - Heart, Lung & Circulation TI - Australian Cardiovascular Health and Rehabilitation Association (ACRA) Core Components of Cardiovascular Disease Secondary Prevention and Cardiac Rehabilitation 2014 VL - 24 ER -