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Henson C, Rambaldini B, Freedman B, Carlson B, Parter C, Christie V, Skinner J, Meharg D, Kirwan M, Ward K, Speier SN'Ḵ', Gwynne K. Wearables for early detection of atrial fibrillation and timely referral for Indigenous people ≥55 years: mixed-methods protocol. BMJ Open 2024; 14:e077820. [PMID: 38199631 PMCID: PMC10806615 DOI: 10.1136/bmjopen-2023-077820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Accepted: 12/15/2023] [Indexed: 01/12/2024] Open
Abstract
INTRODUCTION Digital health technologies have the potential to provide cost-effective care to remote and underserved populations. To realise this potential, research must involve people not traditionally included. No research focuses on the acceptability and feasibility of older Indigenous people using wearables for early atrial fibrillation (AF) detection. This protocol compares digital augmentation against standard practice to detect AF, evaluate heart health self-efficacy and health literacy changes and identify barriers in collaboration with Aboriginal Community Controlled Health Organisations. It will establish a framework for implementing culturally safe and acceptable wearable programmes for detecting and managing AF in Indigenous adults ≥55 years and older. METHODS This mixed-methods research will use the Rambaldini model of collective impact, a user-centred, co-design methodology and yarning circles, a recognised Indigenous research methodology to assess the cultural safety, acceptability, feasibility and efficacy of incorporating wearables into standard care for early AF detection. ANALYSIS Qualitative data will be analysed to create composite descriptions of participants' experiences and perspectives related to comfort, cultural safety, convenience, confidence, family reactions and concerns. Quantitative device data will be extracted and analysed via Statistical Product and Service Solutions (SPSS). CONCLUSION Prioritising perspectives of older Indigenous adults on using wearables for detecting and monitoring cardiovascular disease will ensure that the findings are effective, relevant and acceptable to those impacted. ETHICS AND DISSEMINATION Findings will be published in open-source peer-reviewed journals, shared at professional conferences, described in lay terms and made available to the public. The AHMRC HREC Reference Number approved 1135/15.
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Affiliation(s)
- Connie Henson
- Heart Research Institute Ltd, Newtown, New South Wales, Australia
- Djurali Centre for Aboriginal and Torres Strait Islander Research and Education, Sydney, NSW, Australia
- Indigenous Studies, Division of Vice Chancellor & President, University of New South Wales (UNSW), Sydney, NSW, Australia
| | - Boe Rambaldini
- Heart Research Institute Ltd, Newtown, New South Wales, Australia
- Djurali Centre for Aboriginal and Torres Strait Islander Research and Education, Sydney, NSW, Australia
- Indigenous Studies, Division of Vice Chancellor & President, University of New South Wales (UNSW), Sydney, NSW, Australia
| | - Ben Freedman
- Heart Research Institute Ltd, Newtown, New South Wales, Australia
- Dept of Cardiology, Concord Clinical School, Concord Hospital, Sydney, NSW, Australia
| | - Bronwyn Carlson
- Indigenous Studies, Macquarie University Faculty of Arts, North Ryde, New South Wales, Australia
- Centre for Global Indigenous Futures, Macquarie University Faculty of Arts, North Ryde, New South Wales, Australia
| | - Carmen Parter
- Heart Research Institute Ltd, Newtown, New South Wales, Australia
- Djurali Centre for Aboriginal and Torres Strait Islander Research and Education, Sydney, NSW, Australia
- Indigenous Studies, Division of Vice Chancellor & President, University of New South Wales (UNSW), Sydney, NSW, Australia
| | - Vita Christie
- Heart Research Institute Ltd, Newtown, New South Wales, Australia
- Djurali Centre for Aboriginal and Torres Strait Islander Research and Education, Sydney, NSW, Australia
- Indigenous Studies, Division of Vice Chancellor & President, University of New South Wales (UNSW), Sydney, NSW, Australia
| | - John Skinner
- Heart Research Institute Ltd, Newtown, New South Wales, Australia
- Djurali Centre for Aboriginal and Torres Strait Islander Research and Education, Sydney, NSW, Australia
- Indigenous Studies, Division of Vice Chancellor & President, University of New South Wales (UNSW), Sydney, NSW, Australia
| | - David Meharg
- Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, NSW, Australia
| | - Morwenna Kirwan
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia
| | - Katrina Ward
- Brewarrina Aboriginal Medical Service, Brewarrina, New South Wales, Australia
| | | | - Kylie Gwynne
- Heart Research Institute Ltd, Newtown, New South Wales, Australia
- Djurali Centre for Aboriginal and Torres Strait Islander Research and Education, Sydney, NSW, Australia
- Indigenous Studies, Division of Vice Chancellor & President, University of New South Wales (UNSW), Sydney, NSW, Australia
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia
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