Oh, Paulde Melo Ghisi, Gabriela LimaGrace, SherryCLAUDIA, CLAUDIA REGINA MOSCA GIROTOGordillo, XimenaFernandez, RosalíaQuesada, DanielLoaiciga, Blanca ArrietaReyes, PatriciaChaparro, ElenaFernandez Coronado, JuliaHeredia Ñahui, MarcoPalomino Vilchez, Rocio2021-05-122021-05-122021-05Patient Education and Counseling. Volume 104, Issue 5, May 2021, Pages 1140-11480738-3991https://doi.org/10.1016/j.pec.2020.10.008http://hdl.handle.net/10315/38318Objectives To translate, cross-culturally adapt and validate a comprehensive evidence- and theoretically-based CR education intervention in Latin America. Methods First, best practices in translation and cross-cultural adaptation were applied through 6 steps. Then, the Spanish version was delivered to CR participants from programs in Colombia, Costa Rica and Peru for validation, such that the evaluation was pre-post, uncontrolled, pragmatic, observational, and prospective in design. Participants completed surveys assessing knowledge, health literacy, self-efficacy, and health behaviours. All outcomes were assessed pre-, and post-CR, as well as 6 months after CR completion. Results After translation of the patient guide from English to Spanish, 5 of the 9 booklets were culturally adapted. Two-hundred and forty-nine patients consented to participate, of which 184 (74 %) completed post-CR, and 121 (48 %) completed final assessments. There was a significant improvement in disease-related knowledge pre- to post-CR, as well as in health literacy, self-efficacy, and health behaviours (all p < 0.05). These gains were sustained 6 months post-program. With adjustment, CR attendance (i.e., exposure to the education) was associated with greater post-CR knowledge (ß = 0.026; p = 0.01). Conclusion A patient education intervention for CR patients in Latin America has been validated, and wider implementation is warranted.enElsevier Journals © <2021>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/Attribution-NoDerivatives 4.0 InternationalLatin Americafollow-up studiespatient education as topiccardiac rehabilitationArticlehttps://www.sciencedirect.com/journal/patient-education-and-counselinghttps://www.sciencedirect.com/https://www.sciencedirect.com/science/article/abs/pii/S0738399120305437