Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults

Examine the feasibility and acceptability of an electrocardiogram (ECG) attached to a mobile phone (iECG) screening device for atrial fibrillation (AF) in Aboriginal Controlled Community Health Services (ACCHS) and other community settings. Semi‐structured interviews were conducted with ACCHS staff...

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Published in:Australian and New Zealand journal of public health 2019-08, Vol.43 (4), p.313-318
Main Authors: Macniven, Rona, Gwynn, Josephine, Fujimoto, Hiroko, Hamilton, Sandy, Thompson, Sandra C., Taylor, Kerry, Lawrence, Monica, Finlayson, Heather, Bolton, Graham, Dulvari, Norman, Wright, Daryl C., Rambaldini, Boe, Freedman, Ben, Gwynne, Kylie
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recordid cdi_doaj_primary_oai_doaj_org_article_70ef90fa7ac4445b91c00bd354d74446
title Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults
format Article
creator Macniven, Rona
Gwynn, Josephine
Fujimoto, Hiroko
Hamilton, Sandy
Thompson, Sandra C.
Taylor, Kerry
Lawrence, Monica
Finlayson, Heather
Bolton, Graham
Dulvari, Norman
Wright, Daryl C.
Rambaldini, Boe
Freedman, Ben
Gwynne, Kylie
subjects Acceptability
Adult
Adults
Atrial Fibrillation - diagnosis
Australia
Cardiac arrhythmia
Cardiovascular disease
Cardiovascular diseases
Cell Phone
Community
Consent
Data collection
EKG
Electrocardiography
Electrocardiography - instrumentation
Electrocardiography - methods
Feasibility
Feasibility Studies
Female
Fibrillation
Health promotion
Humans
indigenous health
Interviews
Interviews as Topic
Male
Mass Screening - methods
Medical research
Mobile Applications
Mortality
Native peoples
Oceanic Ancestry Group
Patient Acceptance of Health Care
Patients
Primary Health Care
Public health
Qualitative analysis
Qualitative Research
Questions
Referrals
Research methodology
rural and remote health
Rural areas
Rural communities
Rural Health
Rural Population
Screening
Software
Studies
Urban Population
ispartof Australian and New Zealand journal of public health, 2019-08, Vol.43 (4), p.313-318
description Examine the feasibility and acceptability of an electrocardiogram (ECG) attached to a mobile phone (iECG) screening device for atrial fibrillation (AF) in Aboriginal Controlled Community Health Services (ACCHS) and other community settings. Semi‐structured interviews were conducted with ACCHS staff in urban, rural and remote communities in three Australian states/territories. Quantitative and qualitative questions identified the enabling factors and barriers for staff and Aboriginal patients' receptiveness to the device. Mean quantitative scores and their standard deviation were calculated in Microsoft Excel and qualitative questions were thematically analysed. Eighteen interviews were conducted with 23 staff across 11 ACCHS. Quantitative data found staff were confident in providing iECG screening and managing the referral pathway, and thought the process was beneficial for patients. Qualitative data highlighted the usefulness of the device to undertake opportunistic screening and acceptability in routine practice, and provided opportunities to engage patients in education around AF. The iECG device was well accepted within ACCHSs and was feasible to use to screen for AF among Aboriginal patients. The device can be used in clinical and community settings to screen Aboriginal people for atrial fibrillation to help reduce rates of stroke and other cardiovascular diseases.
language eng
source Wiley Online Library; ABI/INFORM Global; PAIS Index
identifier ISSN: 1326-0200
fulltext fulltext
issn 1326-0200
1753-6405
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Semi‐structured interviews were conducted with ACCHS staff in urban, rural and remote communities in three Australian states/territories. Quantitative and qualitative questions identified the enabling factors and barriers for staff and Aboriginal patients' receptiveness to the device. Mean quantitative scores and their standard deviation were calculated in Microsoft Excel and qualitative questions were thematically analysed. Eighteen interviews were conducted with 23 staff across 11 ACCHS. Quantitative data found staff were confident in providing iECG screening and managing the referral pathway, and thought the process was beneficial for patients. Qualitative data highlighted the usefulness of the device to undertake opportunistic screening and acceptability in routine practice, and provided opportunities to engage patients in education around AF. The iECG device was well accepted within ACCHSs and was feasible to use to screen for AF among Aboriginal patients. 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