Aims Adapting interventions with an existing evidence base offers a more efficient approach than development of a new intervention. The aim of this study was to describe the process of adapting a home-based cardiac rehabilitation (CR) programme (REACH-HF) intervention originally developed in the United Kingdom for people with heart failure (HF) to the Danish health system - the ‘DK:REACH-HF’ programme. Methods and Results We followed methodological framework for the conduct and reporting of studies adapting interventions, utilizing documentary analysis, qualitative interviews, stakeholder consultations, and mapping of the Danish policy context. Our study found broad support for the REACH-HF intervention as an alternative to existing centre-based CR. We also identified three key areas of adaptation for the Danish context. First, reduce the word-count of the intervention’s resources by linking to existing publicly available CR materials. Second, whilst retaining REACH-HF core components, adapt its content and delivery to reflect differences between Denmark and United Kingdom. Thirdly, to develop a digital version of the intervention. Conclusion Using an evidence-based approach, we successfully adapted the REACH-HF intervention to the context of the Danish healthcare setting, maintaining core components of the original intervention, and developing both a paper based and digital version of the programme material. To inform scaled national implementation of the DK:REACH-HF programme, we seek to undertake a pilot study to test the adapted intervention materials feasibility and acceptability to healthcare practitioners, patients, and their caregivers and confirm the positive impact on the outcomes of HF patients and caregivers.

中文翻译：

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为心力衰竭患者及其护理人员调整基于证据的家庭心脏康复计划，使其适应丹麦的情况：DK:REACH-HF 研究

目标 根据现有证据基础调整干预措施提供了比开发新干预措施更有效的方法。本研究的目的是描述将最初在英国为心力衰竭 (HF) 患者开发的家庭心脏康复 (CR) 计划 (REACH-HF) 干预措施适应丹麦卫生系统的过程 - “ DK：REACH-HF'计划。方法和结果 我们遵循方法框架来进行和报告研究，调整干预措施，利用文献分析、定性访谈、利益相关者磋商和丹麦政策背景绘制。我们的研究发现，REACH-HF 干预作为现有中心 CR 的替代方案得到了广泛支持。我们还确定了适合丹麦国情的三个关键适应领域。首先，通过链接到现有的公开 CR 材料来减少干预资源的字数。其次，在保留 REACH-HF 核心组成部分的同时，调整其内容和交付方式以反映丹麦和英国之间的差异。第三，开发干预的数字版本。结论 使用基于证据的方法，我们成功地将 REACH-HF 干预措施适应丹麦医疗保健环境，保留了原始干预措施的核心组成部分，并开发了纸质版本和数字版本的计划材料。为了为 DK:REACH-HF 计划在全国范围内的实施提供信息，我们寻求开展一项试点研究，以测试改编的干预材料的可行性以及医疗保健从业者、患者及其护理人员的可接受性，并确认对心力衰竭患者预后的积极影响和护理人员。