Academic Journal
Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults
العنوان: | Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults |
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المؤلفون: | Macniven, R, Gwynn, J, Fujimoto, H, Hamilton, S, Thompson, SC, Taylor, K, Lawrence, M, Finlayson, H, Bolton, G, Dulvari, N, Wright, DC, Rambaldini, B, Freedman, B, Gwynne, K |
المصدر: | urn:ISSN:1326-0200 ; urn:ISSN:1753-6405 ; Australian and New Zealand Journal of Public Health, 43, 4, 313-318 |
بيانات النشر: | Elsevier |
سنة النشر: | 2019 |
المجموعة: | UNSW Sydney (The University of New South Wales): UNSWorks |
مصطلحات موضوعية: | 4203 Health Services and Systems, 4206 Public Health, 42 Health Sciences, Health Services, Heart Disease, Clinical Research, Cardiovascular, 4.2 Evaluation of markers and technologies, 4.4 Population screening, 3 Good Health and Well Being, Adult, Atrial Fibrillation, Australia, Cell Phone, Electrocardiography, Feasibility Studies, Female, Humans, Interviews as Topic, Male, Mass Screening, Mobile Applications, Patient Acceptance of Health Care, Primary Health Care, Qualitative Research, Rural Health, Rural Population, Urban Population, indigenous health, rural and remote health |
الوصف: | 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. |
نوع الوثيقة: | article in journal/newspaper |
وصف الملف: | application/pdf |
اللغة: | unknown |
Relation: | http://hdl.handle.net/1959.4/unsworks_71756 |
DOI: | 10.1111/1753-6405.12905 |
الاتاحة: | http://hdl.handle.net/1959.4/unsworks_71756 https://unsworks.unsw.edu.au/bitstreams/b2f1bb9f-f672-4da0-b962-43166f923a8f/download https://doi.org/10.1111/1753-6405.12905 |
Rights: | open access ; https://purl.org/coar/access_right/c_abf2 ; CC-BY-NC-ND ; https://creativecommons.org/licenses/by-nc-nd/4.0/ ; CC BY-NC-ND ; free_to_read |
رقم الانضمام: | edsbas.5D4F939C |
قاعدة البيانات: | BASE |
DOI: | 10.1111/1753-6405.12905 |
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