Evidence map›Paper›PMID 41862956›Full record

ArticleBMC health services research2026

Adaptation of an evidence-based home cardiac rehabilitation programme for people with coronary heart disease in Bangladesh.

Jamal Uddin, Mithila Faruque, Saidur Rahman Mashreky, Yousra Siddiqueea, Chaudhury Meshkat Ahmed, Md Fakhrul Islam Khaled, Md Rezaul Karim, Carolyn Deighan, Louise Taylor, Hasnain Dalal and 1 more

Abstract read
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jamal UddinMRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK. uddinj83@gmail.com.
Mithila FaruqueDepartment of Non-Communicable Diseases (NCD), Faculty of Public Health, Bangladesh University of Health Sciences, Dhaka, Bangladesh.
Saidur Rahman MashrekyDepartment of Non-Communicable Diseases (NCD), Faculty of Public Health, Bangladesh University of Health Sciences, Dhaka, Bangladesh.
Yousra SiddiqueeaDepartment of Non-Communicable Diseases (NCD), Faculty of Public Health, Bangladesh University of Health Sciences, Dhaka, Bangladesh.
Chaudhury Meshkat AhmedUniversity Cardiac Centre, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Md Fakhrul Islam KhaledUniversity Cardiac Centre, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Md Rezaul KarimDepartment of Cardiology, Ibrahim Cardiac Hospital and Research Institute, Dhaka, Bangladesh.
Carolyn DeighanNHS Lothian, Heart Manual Department, Astley Ainslie Hospital, Edinburgh, UK.
Louise TaylorNHS Lothian, Heart Manual Department, Astley Ainslie Hospital, Edinburgh, UK.
Hasnain DalalPrimary Care Research Group, Department of Health and Community Sciences, University of Exeter Medical School, Exeter, UK.
Rod S TaylorMRC/CSO Social and Public Health Sciences Unit & Robertson Centre for Biostatistics, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac rehabilitation (CR) is a clinically proven cost-effective intervention and reduces the risk of hospital readmissions and recurrent cardiac events and improves exercise capacity and health-related quality of life in people. However, access to CR in low and middle-income countries remains scarce and a high unmet need. The purpose of this study was to adapt a home-based CR programme (‘the Heart Manual’) originally developed and evaluated in the United Kingdom (UK) for the people with coronary heart disease (CHD) in Bangladesh.

methodsGuided by the 2021 ADAPT methodological framework, a multiphase approach to intervention adaptation was undertaken that included mapping of the Bangladeshi healthcare context and in-depth consultation meetings and workshops with key stakeholders (patients and their families, healthcare professionals, and health service providers).

resultsIn addition to language translation (English to Bangla) and cultural adaptation, the UK Heart Manual content and structure were modified whilst retaining its core interventional components and principles. The resulting Bangla Heart Manual comprises of three main adaptions: (1) combination of the UK Heart Manual post-myocardial infarction and revascularisation manuals into a single document; (2) development of a short version for easy reference for patients; and (3) creation of audiovisual and animated versions of materials to promote patient accessibility.

conclusionUsing an evidence-based approach, the UK Heart Manual programme was contextually and culturally adapted for people with CHD in the Bangladesh healthcare setting. The Bangla Heart Manual provides the opportunity for access to home-based CR in a low resource setting. Research is needed to confirm the feasibility and acceptability of the delivery of the adapted Bangla Heart Manual for healthcare practitioners, patients, and their families.

Indexed as

Cardiac RehabilitationCoronary DiseaseHome Care ServicesBangladeshHumansAdaptationHeart manualHome-based cardiac rehabilitationPost-myocardial infarctionRevascularisation

Identifiers

PMID41862956
PMCPMC13270584

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.