Objectives:
The curriculum was designed to enable local adaptation by the In-Country Master Teachers to be relevant to their local setting, including:
  1. To enable implementation of the British Thoracic Society's 'Fundamentals of PR' course in the participating countries. This included:
    • Patient section and initial assessment
    • Properties and conduct of field-based walking tests
    • Patient education
    • Fundamentals of exercise prescription – aerobic training
  2. To create a sustainable resource in each country of teachers who can disseminate this learning for the benefit of frontline staff and patients.
    • How to teach others about PR as an intervention and a service
Curriculum for RECHARGE-IPCRG Tier 1 Programme
Session 1  (4 hours)
  • Welcome and opening of the session, aims and objectives 
  • Introduction of faculty and participants
  • Country situational analysis, the context of PR, challenges and opportunities
  • Participants' learning needs  
  • Principles of teaching and theory
  • Content 1: PR patient selection and assessment
  • Summary, close and pre-work for the next session 
Session 2 (4 hours)
  • Small group work in country groups with Faculty facilitator:
  • Selection and assessment: How will this work in your country? What adaptations, if any, would you need in your context? Start to record your plan for this element of the programme.
  • Facilitated whole group discussion: How can the principles of the programme be spread, adopted, sustained and upscaled yet maintain fidelity to the original programme?
  • Content 2: Properties and conduct of field-based walking tests.
  • Constructing a local program – discussion of local suggestions and additions/adaptations.
Session 3 (4 hours)
  • Teaching others – what have you seen, what modalities might work in your situation and context? (Facilitated large group discussion)
  • Behaviour change models - whom do you need to change?
  • Content 3: Patient education
  • Small group work - PR programme in your own country
  • Framework for change - how are you going to do it?  Models of action/actor. Evaluation 
Session 4 (4 hours)
  • Content 4: Fundamentals of exercise prescription - aerobic training 
  • Facilitated small group work on next steps/ own country programme
  • Presentation of tiered teaching programmes.
  • Faculty feedback
  • Conclude: next steps, close of the programme.