Family acceptability of school-based echocardiographic screening for rheumatic heart disease in a high-risk population in New Zealand
Family acceptability of school-based echocardiographic screening for rheumatic heart disease in a high-risk population in New Zealand
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DOI：
10.1111/jpc.12829
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发表时间：
2015-07-01
影响因子：
1.7
通讯作者：
Aitken, Andrew
中科院分区：
文献类型：
--
作者：
Perelini, Fiona;Blair, Nikki;Aitken, Andrew
目的风湿性心脏病的超声心动图筛查已经在新西兰和国际上的高危地区进行了试点，并满足了有针对性的筛查计划的大部分标准。风湿性心脏病筛查的可接受性问题尚未得到评估，我们研究的目的是评估在新西兰高危人群中家长对以学校为基础的超声心动图筛查计划的接受程度。在筛查后4个月内对34例扫描结果异常的儿童家庭和80例扫描正常的儿童进行电话调查。所有家庭都支持正在进行的筛查方案。在结果异常的儿童中，62%的父母表示他们会以不同的方式对待他们的孩子；然而，所有的反应都是积极的健康促进结果。结论该研究表明，在一个急性风湿热发病率较高的社区进行学校超声心动图筛查具有很强的积极支持。这项研究没有在那些结果异常的人中发现任何短期的负面影响。调查结果表明，如果有足够的基础设施支持，家庭和社区支持在急性风湿热高发地区建立超声心动图筛查方案。
AimEchocardiographic screening for rheumatic heart disease has been piloted in high-risk areas in New Zealand and internationally, and fulfils most of the criteria for a targeted screening programme. The question of acceptability of rheumatic heart disease screening has not been assessed, and the aim of our study was to assess parental acceptability of a school-based echocardiographic screening programme in a high-risk population in New Zealand.MethodsA post-screening questionnaire was developed to survey parents of children who underwent echocardiographic screening. The families of 34 children with abnormal scan results and a sample of 80 children with normal scan results were surveyed by phone within 4 months of screening.ResultsPositive results were seen in all survey questions in both normal and abnormal scan groups. All families were supportive of an ongoing screening programme. Of children with abnormal results, 62% of their parents reported that they would treat their child differently; however, all responses were positive health-promoting outcomes.ConclusionThe study showed strong positive support for school-based echocardiographic screening by a community with high acute rheumatic fever incidence. The study did not detect any short-term negative effects in those with abnormal results. The survey result shows family and community support for the establishment of echocardiographic screening programmes in high acute rheumatic fever areas provided there is adequate infrastructural support.