Jones, ID, Lane, DA, Lotto, RR, Oxborough, D, Neubeck, L, Penson, PE, Czanner, G, Shaw, A, Johnston-Smith, E, Santos, A, McGinn, EE, Ajiboye, A, Town, N and Lip, GYH (2022) Supermarket/Hypermarket Opportunistic Screening for Atrial Fibrillation (SHOPS-AF): A Mixed Methods Feasibility Study Protocol. Journal of Personalized Medicine, 12 (4). ISSN 2075-4426

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Abstract

Aims: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and a key risk factor for ischaemic stroke. Following AF detection, treatment with oral anticoagulation can significantly lower mortality and morbidity rates associated with this risk. The availability of several hand-held devices which can detect AF may enable trained health professionals to adopt AF screening approaches which do not interfere with people’s daily routines. This study aims to investigate the effectiveness of a hand-held device (the MyDiagnostick single-lead Electrocardiogram (ECG) sensor) in screening for AF when embedded into the handles of supermarket trolleys. Methods: A mixed methods two-phase approach will be taken. The quantitative first phase will involve the recruitment of 2000 participants from a convenience sample at four large supermarkets with pharmacies. Prospective participants will be asked to conduct their shopping using a trolley embedded with a MyDiagnostick sensor. If the device identifies a participant with AF, the in-store pharmacist will be dispatched to take a manual pulse measurement, a static control sensor reading, and offer a cardiologist consultation referral. When the sensor does not detect AF, a researcher will confirm the reading with a manual pulse measurement. ECGs will be compiled, and the sensitivity, specificity and positive and negative predictive values will be determined. A qualitative second phase will consist of semi-structured interviews carried out with those pharmacists and store managers in store during the running of the trial period. These will explore the perceptions of staff regarding the merits of embedding sensors in the handles of supermarket trolleys to detect AF. Conclusion: This feasibility study will inform a larger future definitive trial.

Item Type:	Article
Subjects:	Q Science > QA Mathematics Q Science > QA Mathematics > QA75 Electronic computers. Computer science R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing T Technology > T Technology (General) T Technology > TA Engineering (General). Civil engineering (General)
Divisions:	Civil Engineering & Built Environment Computer Science & Mathematics Nursing & Allied Health Pharmacy & Biomolecular Sciences Sport & Exercise Sciences
Publisher:	MDPI AG
Date Deposited:	29 Mar 2022 14:42
Last Modified:	20 Apr 2022 08:00
DOI or ID number:	10.3390/jpm12040578
URI:	https://researchonline.ljmu.ac.uk/id/eprint/16562

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