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 journalArticle

2 Citations (Scopus)
6 Downloads (Pure)

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. 

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
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

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

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