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 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.

authors

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

doi

10.1111/1753-6405.12905

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

313-318

issue

4

eissn

1326-0200

issn

1753-6405

journal_volume

43

pub_type

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