Evidence map›Paper›PMID 41916629›Full record

ArticleBMJ open2026

Assessment of the Bangla Heart Manual in patients with coronary heart disease and their caregivers in Bangladesh: a feasibility study.

Jamal Uddin, Mithila Faruque, Saidur Rahman Mashreky, Yousra Siddiqueea, Meshkat A Chowdhury, Rezaul Karim, Md Fakhrul Islam Khaled, Louise Taylor, Hasnain M Dalal, Rod Taylor

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In one paragraph

Article in BMJ open, 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

10 authors.

Jamal UddinMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, College of Medical Veterinary and Life Sciences, Glasgow, UK uddinj83@gmail.com.ORCID http://orcid.org/0000-0001-5964-6381
Mithila FaruqueDepartment of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh.ORCID http://orcid.org/0000-0002-4731-2824
Saidur Rahman MashrekyDepartment of Public Health, North South University, Dhaka, Bangladesh.ORCID http://orcid.org/0000-0001-7892-798X
Yousra SiddiqueeaDepartment of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh.
Meshkat A ChowdhuryUniversity Cardiac Centre, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Rezaul KarimDepartment of Cardiology, Ibrahim Cardiac Hospital and Research Institute, Dhaka, Bangladesh.
Md Fakhrul Islam KhaledUniversity Cardiac Centre, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Louise TaylorThe Heart Manual Department, NHS Lothian, Edinburgh, UK.
Hasnain M DalalResearch, Development and Innovation, Royal Cornwall Hospitals NHS Trust, Truro, UK.ORCID http://orcid.org/0000-0002-7316-7544
Rod TaylorMRC/CSO Social and Public Health Sciences Unit & Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the feasibility and acceptability of the home-based Bangla Heart Manual of Cardiac Rehabilitation (CR) programme for people with coronary heart disease (CHD) following revascularisation living in Bangladesh. DESIGN AND SETTINGS: Tertiary level cardiac hospital in Dhaka city; a single-centre feasibility pilot study, with a mixed-methods single arm pre-post design.

participantsThe study involved 33 patients with CHD admitted for revascularisation (coronary artery bypass graft or percutaneous coronary intervention) between June and July 2024, selected from 72 screened. Two physiotherapists and one nurse conducted the research, focusing on patients deemed suitable for CR.

interventionSelected patients received the Bangla Heart Manual intervention that consisted of a 6-week programme of home-based CR including exercise training, self-care, relaxation, risk factor management and psychological support facilitated by a healthcare professional. PRIMARY AND SECONDARY OUTCOMES: The primary outcomes focused on feasibility, assessing patient recruitment, retention and adherence to the intervention using quantitative and qualitative methods, including interviews with patients, caregivers and healthcare professionals. Secondary outcomes measured patient-reported metrics like health-related quality of life (HeartQoL, EQ-5D-5L), psychological well-being, exercise capacity (Hospital Anxiety and Depression Scale), and serious adverse events (hospitalisation and mortality) before and after the Bangla Heart Manual intervention.

resultsThe 33 patients recruited included 29 (88%) males with a mean age of 55 years. The following feasibility outcomes were achieved: 46% (33 patients from 72 screened) recruited, 91% (30/33) retention (complete outcome data at follow-up) and 75% intervention adherence (≥6 sessions attended of 8 sessions). Improvements following CR participation were seen in patient-reported outcomes and exercise capacity. Two deaths and one rehospitalisation occurred during the study.

conclusionsThis study showed that the Bangla Heart Manual home-based CR programme was acceptable and feasible for people with CHD in Bangladesh and healthcare professional staff to deliver. Our results also support the feasibility of recruitment and data collection processes for a future multicentre randomised trial to formally test the clinical and cost effectiveness of the adapted Bangla Heart Manual. TRIAL REGISTRATION NUMBER: ISRCTN1545620.

Indexed as

Cardiac RehabilitationCaregiversCoronary DiseaseExercise TherapyAdultAgedBangladeshFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsQuality of LifeSelf CareCoronary heart diseaseExerciseMyocardial infarctionREHABILITATION MEDICINESelf Care

Identifiers

PMID41916629
PMCPMC13052692

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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.