Purpose: 

Evidence proves that health care providers should promote cardiac rehabilitation (CR) to patients face-to-face to increase CR enrollment. An online course was designed to promote this at the bedside; it is evaluated herein in terms of reach, effect on knowledge, attitudes, discussion self-efficacy and practices, and satisfaction.

Methods: 

Design was observational, one-group pre- and post-test. Some demographics were requested from learners taking all language versions of the 20-min course: English, Portuguese, French, Spanish, and simplified Chinese, available at: https://globalcardiacrehab.com/CR-Utilization. Investigator-generated items in the pre- and post-test and evaluation survey administered using Google Forms were based on Kirkpatrick's training evaluation model.

Results: 

The course was initiated by 522 learners from 33 of 203 (16%) countries; most commonly female (n = 341, 65%) nurses (n = 180, 34%) from high-income countries (n = 259, 57%) completing the English (n = 296, 57%) and Chinese (n = 108, 21%) versions. A total of 414 (79%) learners completed the post-test and 302 (58%) completed the evaluation. Median CR attitudes were 5 of 5 on the Likert scale at pre-test, suggesting some selection bias. Mean CR knowledge ([7.22 ± 2.14]/10), discussion self-efficacy ([3.86 ± 0.85]/5), and practice ([4.13 ± 1.11]/5) significantly improved after completion of the course (all P < .001). Satisfaction was high regardless of language version ([4.44 ± 0.64]/5; P = .593).

Conclusions: 

This free, open-access course is effective in increasing CR knowledge, self-efficacy, and encouragement practices among participating inpatient cardiac providers, with high satisfaction. While testing impact on actual CR use is needed, it should be more broadly disseminated to increase reach, in an effort to increase patient enrollment in CR, to reduce morbidity and mortality.

中文翻译：

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对住院心脏护理人员的 5 种语言在线课程促进心脏康复的评估：REACH、效果和满意度

目的： 

有证据证明，医疗保健提供者应面对面向患者推广心脏康复 (CR)，以增加 CR 注册人数。在线课程旨在在床边推广这一点；本文从影响范围、对知识的影响、态度、讨论自我效能和实践以及满意度等方面对其进行评估。

方法： 

设计是观察性的、一组前测试和后测试。参加 20 分钟课程所有语言版本的学习者要求提供一些人口统计数据：英语、葡萄牙语、法语、西班牙语和简体中文，网址为：https: //globalcardiacrehab.com/CR-Utilization。使用 Google Forms 进行的测试前和测试后及评估调查中，研究者生成的项目基于 Kirkpatrick 的培训评估模型。

结果： 

该课程由来自 203 个国家中的 33 个国家 (16%) 的 522 名学习者发起；最常见的是来自高收入国家 (n = 259, 57%) 的女性 (n = 341, 65%) 护士 (n = 180, 34%) 完成英语 (n = 296, 57%) 和中文 (n = 108 , 21%) 版本。共有 414 名学习者（79%）完成了后测，302 名学习者（58%）完成了评估。预测试时，在李克特量表中，CR 态度中位数为 5 分（满分 5 分），表明存在一定的选择偏差。完成课程后，平均 CR 知识 ([7.22 ± 2.14]/10)、讨论自我效能 ([3.86 ± 0.85]/5) 和实践 ([4.13 ± 1.11]/5) 显着改善（所有 P < . 001）。无论语言版本如何，满意度都很高（[4.44 ± 0.64]/5；P = .593）。

结论： 

这个免费、开放的课程可有效提高参与的住院心脏提供者的 CR 知识、自我效能和鼓励实践，满意度很高。虽然需要测试对 CR 实际使用的影响，但应该更广泛地传播以扩大覆盖范围，努力增加 CR 患者的入组率，从而降低发病率和死亡率。