The RECHARGE-IPCRG 'Teach the Teacher' programme: building capacity for pulmonary rehabilitation in low- and middle-income countries
# Introduction Chronic respiratory diseases are the most common causes of morbidity and mortality globally. Pulmonary rehabilitation (PR) is a low-cost, high-impact intervention with patient education and exercise at its core. Although supported by a well-established evidence base, demand greatly e...
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| Format: | Article |
| Language: | English |
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Inishmore Laser Scientific Publishing Ltd
2022-10-01
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| Series: | Journal of Global Health Reports |
| Online Access: | https://doi.org/10.29392/001c.39598 |
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| author | Juliet McDonnell Mark Orme Linzy Houchen–Wolloff Noel Baxter Amanda Barnard Jaime Correia de Sousa Ioanna Tsiligianni Nikki Gardiner Azamat Akylbekov Gulzada Mirzalieva Maamed Mademilov Talant Sooronbaev Richard Kasiita Winceslaus Katagira Bruce Kirenga Savithri Wimalasekera Thamara Amarasekara Mathanki Sooriyakanthan Ravini Karunatilake Rubia Ishrat Obaidullah Ahmed Humaira Hanif Prajjwal Dixit Deepak Talwar Shruti Sahasrabudhe Meenakshi Bhakare Sundeep Salvi Sally J Singh |
| author_facet | Juliet McDonnell Mark Orme Linzy Houchen–Wolloff Noel Baxter Amanda Barnard Jaime Correia de Sousa Ioanna Tsiligianni Nikki Gardiner Azamat Akylbekov Gulzada Mirzalieva Maamed Mademilov Talant Sooronbaev Richard Kasiita Winceslaus Katagira Bruce Kirenga Savithri Wimalasekera Thamara Amarasekara Mathanki Sooriyakanthan Ravini Karunatilake Rubia Ishrat Obaidullah Ahmed Humaira Hanif Prajjwal Dixit Deepak Talwar Shruti Sahasrabudhe Meenakshi Bhakare Sundeep Salvi Sally J Singh |
| author_sort | Juliet McDonnell |
| collection | DOAJ |
| description | # Introduction
Chronic respiratory diseases are the most common causes of morbidity and mortality globally. Pulmonary rehabilitation (PR) is a low-cost, high-impact intervention with patient education and exercise at its core. Although supported by a well-established evidence base, demand greatly exceeds capacity in low- and middle-income countries (LMIC), including limited workforce training opportunities to support PR development and implementation. The International Primary Care Respiratory Group's (IPCRG) Teach the Teacher (TtT) is an established education programme designed to build sustainable local clinical teaching and delivery capacity.
# Methods
A collaboration between the National Institute for Health and Care Research (NIHR) funded Global RECHARGE Group for PR and IPCRG to deliver a 'Teach the Teacher' (TtT) programme for PR capacity building. Our Tier 1 TtT programme combined educational and PR service development concepts with core clinical content adapted for RECHARGE partners in India (Pune and Delhi), Sri Lanka, Kyrgyzstan and Uganda. Due to the severe acute respiratory syndrome coronavirus-2 (SARS‑CoV‑2) pandemic, the programme was adapted to a digital environment using online platforms such as Zoom video conferencing and Google Classroom. We used an adapted framework to evaluate professional learning and its impact.
# Findings
Fifteen Tier 1/local leader participants attended a sixteen-hour online programme in September-October 2021. Participants included nurses, physiotherapists, doctors and early career health professionals/researchers. As local leaders in PR, participants created a tiered teaching programme for developing a critical mass of PR expert teachers, contextualised to their local healthcare systems and cultures. Participants also explored how to engage and influence multiple professional groups and stakeholders to support the widespread sustainable implementation of PR.
# Conclusions
The RECHARGE-IPCRG TtT programme provided a clear education and service development framework to support PR capacity development in LMIC. We address a lack of empirical evidence concerning capacity-building initiatives by being explicit about the programme's learning design, management and evaluation. A whole system perspective to PR allowed consideration of health systems, culture, referral pathways and scalability. Sustainable national PR education programmes will require additional resources and a long-term strategy, potentially aligning with the TtT three-tier cascade model. |
| format | Article |
| id | doaj-art-9133e03e97d1403995cf0ec6e99f128a |
| institution | OA Journals |
| issn | 2399-1623 |
| language | English |
| publishDate | 2022-10-01 |
| publisher | Inishmore Laser Scientific Publishing Ltd |
| record_format | Article |
| series | Journal of Global Health Reports |
| spelling | doaj-art-9133e03e97d1403995cf0ec6e99f128a2025-08-20T02:07:09ZengInishmore Laser Scientific Publishing LtdJournal of Global Health Reports2399-16232022-10-01610.29392/001c.39598The RECHARGE-IPCRG 'Teach the Teacher' programme: building capacity for pulmonary rehabilitation in low- and middle-income countriesJuliet McDonnellMark OrmeLinzy Houchen–WolloffNoel BaxterAmanda BarnardJaime Correia de SousaIoanna TsiligianniNikki GardinerAzamat AkylbekovGulzada MirzalievaMaamed MademilovTalant SooronbaevRichard KasiitaWinceslaus KatagiraBruce KirengaSavithri WimalasekeraThamara AmarasekaraMathanki SooriyakanthanRavini KarunatilakeRubia IshratObaidullah AhmedHumaira HanifPrajjwal DixitDeepak TalwarShruti SahasrabudheMeenakshi BhakareSundeep SalviSally J Singh# Introduction Chronic respiratory diseases are the most common causes of morbidity and mortality globally. Pulmonary rehabilitation (PR) is a low-cost, high-impact intervention with patient education and exercise at its core. Although supported by a well-established evidence base, demand greatly exceeds capacity in low- and middle-income countries (LMIC), including limited workforce training opportunities to support PR development and implementation. The International Primary Care Respiratory Group's (IPCRG) Teach the Teacher (TtT) is an established education programme designed to build sustainable local clinical teaching and delivery capacity. # Methods A collaboration between the National Institute for Health and Care Research (NIHR) funded Global RECHARGE Group for PR and IPCRG to deliver a 'Teach the Teacher' (TtT) programme for PR capacity building. Our Tier 1 TtT programme combined educational and PR service development concepts with core clinical content adapted for RECHARGE partners in India (Pune and Delhi), Sri Lanka, Kyrgyzstan and Uganda. Due to the severe acute respiratory syndrome coronavirus-2 (SARS‑CoV‑2) pandemic, the programme was adapted to a digital environment using online platforms such as Zoom video conferencing and Google Classroom. We used an adapted framework to evaluate professional learning and its impact. # Findings Fifteen Tier 1/local leader participants attended a sixteen-hour online programme in September-October 2021. Participants included nurses, physiotherapists, doctors and early career health professionals/researchers. As local leaders in PR, participants created a tiered teaching programme for developing a critical mass of PR expert teachers, contextualised to their local healthcare systems and cultures. Participants also explored how to engage and influence multiple professional groups and stakeholders to support the widespread sustainable implementation of PR. # Conclusions The RECHARGE-IPCRG TtT programme provided a clear education and service development framework to support PR capacity development in LMIC. We address a lack of empirical evidence concerning capacity-building initiatives by being explicit about the programme's learning design, management and evaluation. A whole system perspective to PR allowed consideration of health systems, culture, referral pathways and scalability. Sustainable national PR education programmes will require additional resources and a long-term strategy, potentially aligning with the TtT three-tier cascade model.https://doi.org/10.29392/001c.39598 |
| spellingShingle | Juliet McDonnell Mark Orme Linzy Houchen–Wolloff Noel Baxter Amanda Barnard Jaime Correia de Sousa Ioanna Tsiligianni Nikki Gardiner Azamat Akylbekov Gulzada Mirzalieva Maamed Mademilov Talant Sooronbaev Richard Kasiita Winceslaus Katagira Bruce Kirenga Savithri Wimalasekera Thamara Amarasekara Mathanki Sooriyakanthan Ravini Karunatilake Rubia Ishrat Obaidullah Ahmed Humaira Hanif Prajjwal Dixit Deepak Talwar Shruti Sahasrabudhe Meenakshi Bhakare Sundeep Salvi Sally J Singh The RECHARGE-IPCRG 'Teach the Teacher' programme: building capacity for pulmonary rehabilitation in low- and middle-income countries Journal of Global Health Reports |
| title | The RECHARGE-IPCRG 'Teach the Teacher' programme: building capacity for pulmonary rehabilitation in low- and middle-income countries |
| title_full | The RECHARGE-IPCRG 'Teach the Teacher' programme: building capacity for pulmonary rehabilitation in low- and middle-income countries |
| title_fullStr | The RECHARGE-IPCRG 'Teach the Teacher' programme: building capacity for pulmonary rehabilitation in low- and middle-income countries |
| title_full_unstemmed | The RECHARGE-IPCRG 'Teach the Teacher' programme: building capacity for pulmonary rehabilitation in low- and middle-income countries |
| title_short | The RECHARGE-IPCRG 'Teach the Teacher' programme: building capacity for pulmonary rehabilitation in low- and middle-income countries |
| title_sort | recharge ipcrg teach the teacher programme building capacity for pulmonary rehabilitation in low and middle income countries |
| url | https://doi.org/10.29392/001c.39598 |
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