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.

中文翻译：

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通过 ICCPR 心血管康复基金会认证 (CRFC) 进行能力建设：评估影响范围、障碍和影响

目的： 

国际心血管预防和康复理事会 (ICCPR)于 2017 年 10 月开发了在线心血管康复基金会认证 (CRFC；https: //globalcardiacrehab.com/Certification )，以在资源匮乏的环境中建立心脏康复 (CR) 的提供能力。他们的指导方针。在此，我们评估了该课程的全球影响力、完成该课程的障碍，以及该课程对完成课程的人的满意度和影响。

方法： 

统计了所有申请人的原籍国。我们为完成 CRFC 的学习者（完成者）和申请但尚未完成该课程的学习者（未完成者）开发了一项在线调查，并使用 Google 表单进行管理。

结果： 

在覆盖范围方面，收到了来自全球 23/203 (11%) 个国家的 236 份申请；51 名（22%）来自低收入或中等收入国家。共有 130 人（55%）完成了 CRFC；期末考试的平均分数为 88.3 ± 7.1%，不同国家收入分类之间没有差异 ( P = .052)。16 名 (22%) 未完成者和 37 名 (34%) 完成者对调查做出了回应。未完成者报告的障碍包括时间限制、成本和技术问题。对 CRFC 的总体满意度（1-5 级）较高（4.49 ± 0.51）；大多数完成者会向其他人强烈推荐 CRFC (4.30 ± 0.66)，并认为所提供的信息将有助于他们的工作和/或患者的护理 (4.38 ± 0.89)；29 人 (78%) 在实践中使用了来自 CRFC 的信息。

结论： 

CRFC 的覆盖范围仍需扩大，特别是在资源匮乏的地区。学习者对认证非常满意，其对 CR 实践的影响令人鼓舞。已实施投入以改进 CRFC。