title: Adapted cardiac rehabilitation programme to improve uptake in patients of Moroccan and Turkish origin in The Netherlands: a qualitative study.
abstract: OBJECTIVE
  To explore the treatment experiences in patients of Moroccan and Turkish origin and their rehabilitation therapists regarding an adapted outpatient cardiac rehabilitation programme.
  
  
  BACKGROUND
  Non-native patients who participated in a cardiac rehabilitation programme at a Dutch rehabilitation centre had more difficulties to achieve the treatment aims than native Dutch patients. Therefore, an adapted programme for non-native patients, lacking proficiency in Dutch, has been instigated. The programme contains six adapted treatment modules and additional strategies: adapted education regarding (1) the heart and the vascular system and (2) the use of healthy food, with use the of (audio) visual educational materials, (3) adapted physical exercise module with explicit involvement of the patients' relatives, (4) standard use of professional interpreters, (5) increase in the number and length of consultations and (6) individual treatment instead of a group programme.
  
  
  METHODS
  Qualitative study.
  
  
  METHODS
  Semi-structured, face-to-face interviews were conducted with eight patients of Moroccan and Turkish origin and five native Dutch rehabilitation therapists. By comparison, three native Dutch patients were interviewed regarding the regular programme.
  
  
  RESULTS
  The results indicate that the patients' disease symptoms reduced and that patients adopted lifestyle changes. Therapists experienced that the number and length of the consultations, the structural use of interpreters and (audio) visual educational materials contributed to the achievement of the treatment aims.
  
  
  CONCLUSIONS
  An adapted cardiac rehabilitation programme with separate modules and additional strategies for non-native patients appears to lead to satisfied patients who adopted lifestyle changes.
  
  
  CONCLUSIONS
  The findings of this study are important as the study highlights the practical actions that may be taken by physicians and healthworkers to adjust rehabilitation treatment to the needs of patients of non-native origin.
authors.affiliation: Reade, Centre for Rehabilitation and Rheumatology, Amsterdam, The Netherlands. m.sloots@reade.nl
authors.forename: Maurits
authors.initials: M
authors.lastname: Sloots
authors.forename: Edien A C
authors.initials: EA
authors.lastname: Bartels
authors.forename: Edmond L D
authors.initials: EL
authors.lastname: Angenot
authors.forename: Jan H B
authors.initials: JH
authors.lastname: Geertzen
authors.forename: Joost
authors.initials: J
authors.lastname: Dekker
mesh_terms: D006331:Heart Diseases / Q000208:ethnology / Q000534:rehabilitation*; D006801:Humans; D009018:Morocco / Q000208:ethnology; D009426:Netherlands; D014421:Turkey / Q000208:ethnology