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Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults
- Source :
- Australian and New Zealand Journal of Public Health, Vol 43, Iss 4, Pp 313-318 (2019)
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
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.
- Subjects :
- Adult
Male
Rural Population
medicine.medical_specialty
Native Hawaiian or Other Pacific Islander
rural and remote health
Urban Population
Referral
030309 nutrition & dietetics
indigenous health
Enabling Factors
Qualitative property
Rural Health
Interviews as Topic
Electrocardiography
03 medical and health sciences
0302 clinical medicine
Atrial Fibrillation
Humans
Mass Screening
Medicine
030212 general & internal medicine
Opportunistic screening
Qualitative Research
0303 health sciences
business.industry
screening
lcsh:Public aspects of medicine
Public health
Australia
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
Atrial fibrillation
Patient Acceptance of Health Care
medicine.disease
Mobile Applications
primary health care
Family medicine
Community health
Feasibility Studies
Community setting
Female
business
Cell Phone
Subjects
Details
- ISSN :
- 13260200
- Volume :
- 43
- Database :
- OpenAIRE
- Journal :
- Australian and New Zealand Journal of Public Health
- Accession number :
- edsair.doi.dedup.....02e96e963a0761f6b0a401bf8d38e9de