Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults
Abstract Objective: 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. Methods: Semi‐structured interviews wer...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-08-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.12905 |
| _version_ | 1827841674814947328 |
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| author | Rona Macniven Josephine Gwynn Hiroko Fujimoto Sandy Hamilton Sandra C. Thompson Kerry Taylor Monica Lawrence Heather Finlayson Graham Bolton Norman Dulvari Daryl C. Wright Boe Rambaldini Ben Freedman Kylie Gwynne |
| author_facet | Rona Macniven Josephine Gwynn Hiroko Fujimoto Sandy Hamilton Sandra C. Thompson Kerry Taylor Monica Lawrence Heather Finlayson Graham Bolton Norman Dulvari Daryl C. Wright Boe Rambaldini Ben Freedman Kylie Gwynne |
| author_sort | Rona Macniven |
| collection | DOAJ |
| description | Abstract Objective: 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. Methods: 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. Results: 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. Conclusion: The iECG device was well accepted within ACCHSs and was feasible to use to screen for AF among Aboriginal patients. Implications for public health: 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. |
| first_indexed | 2024-03-12T07:56:53Z |
| format | Article |
| id | doaj.art-70ef90fa7ac4445b91c00bd354d74446 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T07:56:53Z |
| publishDate | 2019-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-70ef90fa7ac4445b91c00bd354d744462023-09-02T20:09:36ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052019-08-0143431331810.1111/1753-6405.12905Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adultsRona Macniven0Josephine Gwynn1Hiroko Fujimoto2Sandy Hamilton3Sandra C. Thompson4Kerry Taylor5Monica Lawrence6Heather Finlayson7Graham Bolton8Norman Dulvari9Daryl C. Wright10Boe Rambaldini11Ben Freedman12Kylie Gwynne13Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous Health The University of Sydney New South WalesFaculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous Health The University of Sydney New South WalesFaculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous Health The University of Sydney New South WalesPoche Centre for Indigenous Health, School of Indigenous Studies The University of Western Australia Crawley Western AustraliaPoche Centre for Indigenous Health, School of Indigenous Studies The University of Western Australia Crawley Western AustraliaPoche Centre for Indigenous Health Alice Springs Northern TerritoryPoche Centre for Indigenous Health Flinders University of South Australia Adelaide South AustraliaBrewarrina Multipurpose Service Brewarrina New South WalesBrewarrina Multipurpose Service Brewarrina New South WalesAlbury Wodonga Aboriginal Health Service Glenroy New South WalesTharawal Aboriginal Corporation Airds New South WalesFaculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous Health The University of Sydney New South WalesFaculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous Health The University of Sydney New South WalesFaculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous Health The University of Sydney New South WalesAbstract Objective: 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. Methods: 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. Results: 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. Conclusion: The iECG device was well accepted within ACCHSs and was feasible to use to screen for AF among Aboriginal patients. Implications for public health: 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.https://doi.org/10.1111/1753-6405.12905indigenous healthrural and remote healthprimary health carescreening |
| spellingShingle | Rona Macniven Josephine Gwynn Hiroko Fujimoto Sandy Hamilton Sandra C. Thompson Kerry Taylor Monica Lawrence Heather Finlayson Graham Bolton Norman Dulvari Daryl C. Wright Boe Rambaldini Ben Freedman Kylie Gwynne Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults Australian and New Zealand Journal of Public Health indigenous health rural and remote health primary health care screening |
| title | Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults |
| title_full | Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults |
| title_fullStr | Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults |
| title_full_unstemmed | Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults |
| title_short | Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults |
| title_sort | feasibility and acceptability of opportunistic screening to detect atrial fibrillation in aboriginal adults |
| topic | indigenous health rural and remote health primary health care screening |
| url | https://doi.org/10.1111/1753-6405.12905 |
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