Feasibility and acceptability of opportunistic screening to detect atrial fibrillation in Aboriginal adults

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

    Research output: Contribution to journalArticlepeer-review

    2 Citations (Scopus)

    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.

    Original languageEnglish
    Pages (from-to)313-318
    Number of pages6
    JournalAustralian and New Zealand Journal of Public Health
    Volume43
    Issue number4
    DOIs
    Publication statusPublished - Aug 2019

    Bibliographical note

    This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

    Keywords

    • indigenous health
    • primary health care
    • rural and remote health
    • screening

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