Research Priority Setting Project
BACPR Research Priorities
As part of its work within the BHF-CRC, in 2019 the clinical study group (CSG) established by BACPR developed a protocol to identify research priorities within the field of cardiovascular prevention and rehabilitation (CVPR). Though project initiation was delayed due to the covid-19 pandemic, BHF-CRC funding for the project was secured in early 2021 and the project has since been completed. To view the 2019 project protocol please click here.
The project examined the evidence base for CVPR to identify unanswered research questions which were used to underpin three electronic surveys sent to members and partners of BACPR. From these surveys the top 30 priority questions were identified and a top 10 list of questions finalised. These questions will help BACPR shape future advancement of the CVPR research agenda.
The full project paper, including the final top 10 priority question list is shared here. The top 10 priority questions are listed below and arranged across five key topic areas:
Access and Remote Delivery:
What is the best way to assess exercise capacity remotely when a face-to-face test is not possible?
Can cardiac rehabilitation programmes meet the needs of those with multi-morbidity?
Exercise and Physical Activity:
What is the optimal exercise-based cardiac rehabilitation frequency, intensity, time, and type to improve aerobic fitness?
When to restart moderate to high intensity exercise and sport after an acute event and decompensated heart failure.
Optimising Outcomes from Programmes:
How do content and intent of cardiac rehabilitation educational interventions compare on risk factors, behaviour, and hospitalisation in those diagnosed with coronary heart disease?
What is the efficacy of cardiac rehabilitation collaborative care management incorporating exercise, mental health, and behaviour strategies?
What is the optimal intensity and duration of behavioural change components required to achieve effective secondary prevention of coronary heart disease?
What is the role of peer group sessions on normalising and reducing psychological stress in patients with cardiac disease?
What is the effectiveness of remote delivery of psychological support vs computerised cognitive behavioural therapy for anxiety and depression in patients with cardiac disease?
The Impact of the Pandemic:
What is the long-term impact on patient health outcomes (major adverse cardiac events) in people who failed to access or delayed accessing healthcare services during the COVID-19 pandemic?