{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T23:33:46Z","timestamp":1787960026247,"version":"build-2784847793"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T00:00:00Z","timestamp":1597104000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951120002346_as1\"><jats:title>Introduction:<\/jats:title><jats:p>The aim of this study was to identify relevant content among four important domains for the development and structure of a paediatric cardiac rehabilitation curriculum for young patients with congenital heart disease using a consensus approach.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002346_as2\"><jats:title>Methods:<\/jats:title><jats:p>A three-round e-Delphi study among congenital heart disease and paediatric exercise physiology experts was conducted. Round 1, experts provided opinions in a closed- and open-ended electronic questionnaire to identify specific elements necessary for inclusion in a paediatric cardiac rehabilitation programme. Round 2, experts were asked to re-rate the same items after feedback and summary data were provided from round 1. Round 3, the same experts were asked to re-rate items that did not reach consensus from round 2.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002346_as3\"><jats:title>Results:<\/jats:title><jats:p>Forty-seven experts were contacted via e-mail to participate on the Delphi panel, 37 consented, 35 completed round 1, 29 completed round 2, and 28 completed the final round. After round 2, consensus was reached in 55 of 60 (92%) questionnaire items across four domains: exercise training, education, outcome metrics, and self-confidence.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002346_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>This study established consensus towards programme structure, exercise training principles, educational content, patient outcome measures, and self-confidence promotion. By identifying the key components within each domain, there is potential to benchmark recommended standards and practice guidelines for the development of a paediatric cardiac rehabilitation curriculum to be used and tested by exercise physiologists, paediatric and adult congenital cardiologists, and other healthcare team members for optimising the health and wellness of paediatric patients with congenital heart disease.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951120002346","type":"journal-article","created":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T07:28:07Z","timestamp":1597130887000},"page":"1473-1481","source":"Crossref","is-referenced-by-count":14,"title":["Identifying elements for a comprehensive paediatric cardiac rehabilitation programme"],"prefix":"10.1017","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9368-1105","authenticated-orcid":false,"given":"Tracy","family":"Curran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Gauthier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"Duty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachele","family":"Pojednic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,8,11]]},"reference":[{"key":"S1047951120002346_ref13","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1080\/13611260500069947","article-title":"The Delphi technique in health sciences education research","volume":"27","author":"de Villiers","year":"2005","journal-title":"Med Teacher"},{"key":"S1047951120002346_ref3","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.jshs.2012.11.005","article-title":"Physical activity and exercise in children with chronic health conditions","volume":"2","author":"Riner","year":"2013","journal-title":"J Sport Health Sci"},{"key":"S1047951120002346_ref17","volume-title":"The Delphi Technique in Nursing and Health Research","author":"Keeney","year":"2010"},{"key":"S1047951120002346_ref4","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1177\/1741826711420000","article-title":"Recommendations for physical activity, recreation sport, and exercise training in paediatric patients with congenital heart disease: a report from the Exercise, Basic and Translational Research Section of the European Association of Cardiovascular Prevention and Rehabilitation, the European Congenital Heart and Lung Exercise Group, and the Association for European Paediatric Cardiology","volume":"19","author":"Takken","year":"2012","journal-title":"Eur J Cardiovasc Prev Rehab"},{"key":"S1047951120002346_ref5","first-page":"38","article-title":"Cardiac rehabilitation past, present and future: an overview","volume":"2","author":"Mampuya","year":"2012","journal-title":"Cardiovasc Diagn Ther"},{"key":"S1047951120002346_ref12","unstructured":"12. Pediatric Heart Network. What is the pediatric heart network (PHN)? 2017. http:\/\/www.pediatricheartnetwork.org\/ForProviders\/WhatisthePediatricHeartNetwork.aspx"},{"key":"S1047951120002346_ref27","volume-title":"Physical Activity Guidelines for Americans","year":"2018"},{"key":"S1047951120002346_ref29","first-page":"214 p","volume-title":"Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs\/American Association of Cardiovascular and Pulmonary Rehabilitation","year":"2013"},{"key":"S1047951120002346_ref8","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1016\/0002-9149(85)91155-5","article-title":"Effect of intense aerobic training on exercise performance in children after surgical repair of tetralogy of Fallot or complete transposition of the great arteries","volume":"56","author":"Bradley","year":"1985","journal-title":"Am J Cardiol"},{"key":"S1047951120002346_ref19","doi-asserted-by":"crossref","first-page":"226","DOI":"10.22237\/jmasm\/1241137140","article-title":"Which parametric statistical method to use for analyzing Delphi data?","volume":"8","author":"Shah","year":"2009","journal-title":"J Mod Appl Stat Method"},{"key":"S1047951120002346_ref2","unstructured":"2. 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Data and statistics on congenital heart defects. 2010 Available from: https:\/\/www.cdc.gov\/ncbddd\/heartdefects\/data.html"},{"key":"S1047951120002346_ref10","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1542\/peds.68.5.691","article-title":"Effect of physical training on exercise performance in children following surgical repair of congenital heart disease","volume":"68","author":"Goldberg","year":"1981","journal-title":"Pediatrics"},{"key":"S1047951120002346_ref7","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1017\/S1047951111002010","article-title":"Paediatric cardiac rehabilitation in congenital heart disease: a systematic review","volume":"3","author":"Tikkanen","year":"2012","journal-title":"Cardiol Young"},{"key":"S1047951120002346_ref18","first-page":"1","article-title":"The Delphi technique: making sense of consensus","volume":"12","author":"Hsu","year":"2007","journal-title":"Pract Assess Res 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