Research, learning and impact
The ACROSS Evidence Library
This page brings together peer-reviewed publications, research protocols, conference presentations and other evidence produced by, or directly informing, the ACROSS programme.
New outputs will be added as the programme progresses. Each publication includes a short plain-language explanation and a link to the official academic record.
ACROSS publications
Protocols, findings and methodological research arising directly from ACROSS.
Supporting evidence
Selected research informing intervention adaptation, delivery and evaluation.
Presentations and resources
Conference materials, posters, summaries and accessible research resources.
Featured ACROSS publication
ACROSS Research Programme Protocol
STUDY PROTOCOL
2025
NIHR Open Research
Open-access programme publication
Affordable Cardiac Rehabilitation: An Outreach Inter-Disciplinary Strategic Study (ACROSS) – Research Programme Protocol
Authors: Taylor RS, Chaudhry IB, Faraque M, et al.
NIHR Open Research 2025, 5:41 | Published 6 May 2025 | Version 1
Why this publication matters
This open-access protocol explains the rationale, design and linked work packages of the ACROSS research programme. It describes the approach to developing and evaluating an affordable, culturally and contextually appropriate model of home-based cardiac rehabilitation for people living with heart disease alongside depression or anxiety.
A growing evidence collection
Further peer-reviewed papers, conference outputs and accessible evidence summaries will be added below as they become available.
Foundational and supporting research
Selected evidence informing ACROSS
These selected publications provide important evidence for home-based cardiac rehabilitation, intervention adaptation, outcome measurement and delivery in low- and middle-income settings.
VIEWPOINT 2025
Exercise-based cardiac rehabilitation: the importance of home-based approaches
Authors: Rod S Taylor and Amy Blakemore
European Heart Journal, 46(23), 2202–2204
Why it matters
This article highlights the importance of flexible, home-based approaches to cardiac rehabilitation. Such models can help reduce access barriers and support rehabilitation beyond traditional hospital-based services.
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DOI: 10.1093/eurheartj/ehaf202
VALIDATION STUDY 2025
Validation of the Bangla Version of the HeartQoL Questionnaire for Patients With Coronary Heart Disease in Bangladesh
Authors: Jamal Uddin, Sayed I Alam, Graziella Zangger, et al.
Value in Health Regional Issues, 49, 101126
Why it matters
This study evaluates a Bangla-language version of the HeartQoL questionnaire for people with coronary heart disease. A culturally and linguistically appropriate measure supports consistent assessment of patients’ health-related quality of life in Bangladesh.
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DOI: 10.1016/j.vhri.2025.101126
SCOPING REVIEW 2024
Adaptation of complex interventions for people with long-term conditions: a scoping review
Authors: Jamal Uddin, Vicky L Joshi, Valerie Wells, et al.
Translational Behavioral Medicine, 14(9), 514–526
Why it matters
The review examines how complex healthcare interventions are adapted for people with long-term conditions. It identifies the need for clearer reporting and greater attention to the priorities and constraints of low- and middle-income settings.
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DOI: 10.1093/tbm/ibae031
SYSTEMATIC REVIEW & META-ANALYSIS 2022
Effects of Cardiac Rehabilitation in Low- and Middle-Income Countries: a Systematic Review and Meta-Analysis of Randomised Controlled Trials
Authors: Taslima Mamataz, Jamal Uddin, Sayed Ibn Alam, et al.
Progress in Cardiovascular Diseases, 70, 119–174
Why it matters
This review brings together randomised-trial evidence on cardiac rehabilitation in low- and middle-income countries. It helps establish the evidence base for accessible and context-appropriate rehabilitation models in settings where services remain limited.
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DOI: 10.1016/j.pcad.2021.07.004
Access, delivery and implementation
Additional evidence relevant to ACROSS
These publications provide further evidence on cardiac rehabilitation access, home-based delivery, secondary prevention and international standards for rehabilitation practice.
NATIONAL SURVEY 2021
Secondary Preventive Care for Cardiovascular Diseases in Bangladesh: A National Survey
Authors: Sayed Ibn Alam, Jamal Uddin, Fakhrul Islam Khaled, et al.
Global Heart, 16(1), 31
Why it matters
This national survey examines the availability and delivery of secondary preventive care for cardiovascular disease in Bangladesh. It helps identify service gaps and priorities relevant to improving access to cardiac rehabilitation.
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DOI: 10.5334/gh.953
CONTROLLED TRIAL 2020
Effect of Home-Based Cardiac Rehabilitation in a Lower-Middle-Income Country
Authors: Jamal Uddin, Vicky L Joshi, Mohammad Moniruzzaman, et al.
Journal of Cardiopulmonary Rehabilitation and Prevention, 40(1), 29–34
Why it matters
This controlled study examines home-based cardiac rehabilitation in Bangladesh. It provides practical evidence about delivering rehabilitation outside specialist centres in a resource-constrained health-system setting.
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DOI: 10.1097/HCR.0000000000000471
SCIENTIFIC STATEMENT 2023
Global Perspectives on Heart Disease Rehabilitation and Secondary Prevention
Authors: Rod S Taylor, Suzanne Fredericks, Ian Jones, et al.
European Heart Journal, 44(28), 2515–2525
Why it matters
This international scientific statement considers rehabilitation and secondary prevention across different health systems. It highlights global variation in access and the need for services that are equitable, adaptable and responsive to local contexts.
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DOI: 10.1093/eurheartj/ehad225
GLOBAL REVIEW 2023
Cardiac Rehabilitation: A Global Perspective on Where We Have Come and Where We Must Go
Authors: Sherry L Grace, Rod S Taylor, Diann E Gaalema, et al.
JACC: Advances, 2(5), 100412
Why it matters
This global review examines the development of cardiac rehabilitation and priorities for its future expansion. It supports the case for improving availability, participation and delivery across diverse populations and healthcare settings.
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DOI: 10.1016/j.jacadv.2023.100412
Research dissemination
Presentations, posters and accessible resources
This section will bring together conference materials, seminar resources, posters and plain-language summaries that communicate ACROSS research to academic, clinical, policy and public audiences.
SEMINAR RESOURCE
2025
Presentation overview
Barriers and Facilitators to Group Interventions for People Living with Long-Term Conditions in South Asia
Global ACROSS Project Seminar | 24 April 2025
Presenters: Emma Victoria Shiel, Rory Myles and Elizabeth Broom
About this resource
The overview summarises preliminary findings from a meta-synthesis examining factors affecting access to and engagement with group interventions for people living with diabetes, cardiovascular disease and chronic obstructive pulmonary disease.
Growing collections
New approved outputs will be added to the appropriate collection as the programme progresses.
CONFERENCE OUTPUTS
Presentations and abstracts
Approved conference presentations, abstracts and presentation slides will be added here.
VISUAL EVIDENCE
Posters and visual abstracts
Research posters, graphical summaries and visual abstracts will be provided when available.
ACCESSIBLE SUMMARIES
Evidence in plain language
Short summaries will explain important ACROSS findings for patients, communities, practitioners and policymakers.
How evidence is presented
Where possible, every record will include an accurate citation, a plain-language explanation, its official publication or repository link, and a downloadable open-access file when one is legally available.
Follow ACROSS research and learning
Explore recorded seminars or contact the programme team about an ACROSS publication, presentation or research resource.