{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T19:06:41Z","timestamp":1763665601005,"version":"build-2065373602"},"reference-count":33,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T00:00:00Z","timestamp":1729036800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Background\/Objectives: Caregivers of patients with heart disease may often feel physically, emotionally, and psychologically overwhelmed by their role. The analysis of cardiac rehabilitation (CR) components and caregivers\u2019 needs suggests that some interventions may benefit them. Therefore, this study aimed to identify a consensus on the CR components targeting caregivers of patients with heart disease. Methods: A three-round international e-Delphi study with experts on CR was conducted. In round 1, experts provided an electronic level of agreement on a set of initial recommendations originating from a previous scoping review. In round 2, experts were asked to re-rate the same items after feedback and summary data were provided from round 1. In round 3, the same experts were asked to re-rate items that did not reach a consensus from round 2. Results: A total of 57 experts were contacted via e-mail to participate in the Delphi panel, and 43 participated. The final version presents seven recommendations for caregivers of patients with heart disease in CR programs. Conclusions: These recommendations are an overview of the evidence and represent a tool for professionals to adapt to their context in the different stages of CR, integrating the caregiver as a care focus and as support for their sick family members. By identifying the components\/interventions, there is potential to benchmark the development of a cardiac rehabilitation strategy to be used and tested by the healthcare team for optimizing the health and role of these caregivers.<\/jats:p>","DOI":"10.3390\/healthcare12202049","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T04:45:35Z","timestamp":1729485935000},"page":"2049","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Identifying Elements for a Cardiac Rehabilitation Program for Caregivers: An International Delphi Consensus"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3201-3079","authenticated-orcid":false,"given":"Maria","family":"Loureiro","sequence":"first","affiliation":[{"name":"School of Medicine and Biomedical Sciences Abel Salazar, Cintesis-NursID, 3000-602 Coimbra, Portugal"},{"name":"Coimbra Local Health Unit, 3000-602 Coimbra, Portugal"}]},{"given":"Jo\u00e3o","family":"Duarte","sequence":"additional","affiliation":[{"name":"Coimbra Local Health Unit, 3000-602 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6528-4284","authenticated-orcid":false,"given":"Eug\u00e9nia","family":"Mendes","sequence":"additional","affiliation":[{"name":"LiveWell-Research Centre for Active Living and Wellbeing, School of Health, Polytechnic Institute of Bragan\u00e7a, 5300-121 Bragan\u00e7a, Portugal"}]},{"given":"Isabel","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Nursing School of Coimbra (ESEnfC), The Health Sciences Research Unit: Nursing (UICISA:E), 3004-011 Coimbra, Portugal"}]},{"given":"Gon\u00e7alo","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Coimbra Local Health Unit, 3000-602 Coimbra, Portugal"},{"name":"Faculty of Medicine, University of Coimbra, 3000-602 Coimbra, Portugal"}]},{"given":"Maria Manuela","family":"Martins","sequence":"additional","affiliation":[{"name":"Nursing School of Porto, Cintesis-NursID, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8583-0406","authenticated-orcid":false,"given":"Andr\u00e9","family":"Novo","sequence":"additional","affiliation":[{"name":"LiveWell-Research Centre for Active Living and Wellbeing, School of Health, Polytechnic Institute of Bragan\u00e7a, 5300-121 Bragan\u00e7a, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"E153","DOI":"10.1161\/CIR.0000000000001052","article-title":"Heart Disease and Stroke Statistics\u20142022 Update: A Report From the American Heart Association","volume":"145","author":"Tsao","year":"2022","journal-title":"Circulation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1093\/eurjpc\/zwab007","article-title":"Exercise intensity assessment and prescription in cardiovascular rehabilitation and beyond: Why and how: A position statement from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology","volume":"29","author":"Hansen","year":"2022","journal-title":"Eur. 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