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Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults.
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.
Afiliación
  • Macniven R; Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous Health, The University of Sydney, New South Wales.
  • Gwynn J; Charles Perkins Centre D17, The University of Sydney, New South Wales.
  • Fujimoto H; Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous Health, The University of Sydney, New South Wales.
  • Hamilton S; Charles Perkins Centre D17, The University of Sydney, New South Wales.
  • Thompson SC; Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous Health, The University of Sydney, New South Wales.
  • Taylor K; Poche Centre for Indigenous Health, School of Indigenous Studies, The University of Western Australia, Crawley, Western Australia.
  • Lawrence M; Poche Centre for Indigenous Health, School of Indigenous Studies, The University of Western Australia, Crawley, Western Australia.
  • Finlayson H; Poche Centre for Indigenous Health, Alice Springs, Northern Territory.
  • Bolton G; Poche Centre for Indigenous Health, Flinders University of South Australia, Adelaide, South Australia.
  • Dulvari N; Brewarrina Multipurpose Service, Brewarrina, New South Wales.
  • Wright DC; Brewarrina Multipurpose Service, Brewarrina, New South Wales.
  • Rambaldini B; Albury Wodonga Aboriginal Health Service, Glenroy, New South Wales.
  • Freedman B; Tharawal Aboriginal Corporation, Airds, New South Wales.
  • Gwynne K; Faculty of Medicine and Health, Sydney Medical School, Poche Centre for Indigenous Health, The University of Sydney, New South Wales.
Aust N Z J Public Health ; 43(4): 313-318, 2019 Aug.
Article en En | MEDLINE | ID: mdl-31141280
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Aceptación de la Atención de Salud / Tamizaje Masivo / Teléfono Celular / Nativos de Hawái y Otras Islas del Pacífico / Electrocardiografía / Aplicaciones Móviles Tipo de estudio: Diagnostic_studies / Prognostic_studies / Qualitative_research / Screening_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Aust N Z J Public Health Asunto de la revista: SAUDE PUBLICA Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Aceptación de la Atención de Salud / Tamizaje Masivo / Teléfono Celular / Nativos de Hawái y Otras Islas del Pacífico / Electrocardiografía / Aplicaciones Móviles Tipo de estudio: Diagnostic_studies / Prognostic_studies / Qualitative_research / Screening_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Aust N Z J Public Health Asunto de la revista: SAUDE PUBLICA Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos