Screening of atrial fibrillation in dental practices: a qualitative feasibility study

Amaar Obaid Hassan; Rosa Moreno Lopez; Deirdre A Lane; Gregory Y H Lip; Rebecca V Harris; Asfa Mughal; Corina Weir

doi:10.1080/14779072.2023.2254679

Screening of atrial fibrillation in dental practices: a qualitative feasibility study

Amaar Obaid Hassan^* (Corresponding Author), Rosa Moreno Lopez, Deirdre A Lane, Gregory Y H Lip, Rebecca V Harris, Asfa Mughal, Corina Weir

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

OBJECTIVES: To increase the detection of unknown atrial fibrillation (AF), general practitioners have started screening their patients using small hand-held devices. It is thought that dental settings could be utilized for screening as they have regular access to patients. The aim of this study was to explore the perceptions of dental staff of screening for AF using a hand-held electronic device in primary dental care.

METHODS: The research took place in one large mixed NHS and private general dental practice. Views from staff including dentists, dental therapists, dental nurses, and managers were elicited via semi-structured interviews conducted face-to-face, audio recorded, and transcribed verbatim. Interviews continued until there were no new themes or patterns emerging from the data, and thematic saturation had been achieved.

RESULTS: Eleven participants were interviewed. The main themes generated were methodology for screening, acceptability for screening within the practice, attitudes to screening, and implementation of screening. Overall, participants were positive about implementing AF screening in a dental practice but expressed concerns about time and remuneration. Staff also gave encouraging feedback regarding the simplicity of the portable screening device.

CONCLUSIONS: Participants felt that AF screening in primary care dental practices was a good concept but may be challenging to implement in NHS Dentistry, especially due to the pandemic.

Original language	English
Pages (from-to)	643-549
Number of pages	7
Journal	Expert Review of Cardiovascular Therapy
Volume	21
Issue number	9
Early online date	4 Sept 2023
DOIs	https://doi.org/10.1080/14779072.2023.2254679
Publication status	Published - 4 Sept 2023

Bibliographical note

Funding
This study was partly funded by the Oral and Dental Research Trust OHI Previser Award 2020. In this study, the funding was used to partly cover costs of University approved external transcription service, the funders had not provided any input to the study and no salary was provided to any of the authors.

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Cite this

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title = "Screening of atrial fibrillation in dental practices: a qualitative feasibility study",

abstract = "OBJECTIVES: To increase the detection of unknown atrial fibrillation (AF), general practitioners have started screening their patients using small hand-held devices. It is thought that dental settings could be utilized for screening as they have regular access to patients. The aim of this study was to explore the perceptions of dental staff of screening for AF using a hand-held electronic device in primary dental care.METHODS: The research took place in one large mixed NHS and private general dental practice. Views from staff including dentists, dental therapists, dental nurses, and managers were elicited via semi-structured interviews conducted face-to-face, audio recorded, and transcribed verbatim. Interviews continued until there were no new themes or patterns emerging from the data, and thematic saturation had been achieved.RESULTS: Eleven participants were interviewed. The main themes generated were methodology for screening, acceptability for screening within the practice, attitudes to screening, and implementation of screening. Overall, participants were positive about implementing AF screening in a dental practice but expressed concerns about time and remuneration. Staff also gave encouraging feedback regarding the simplicity of the portable screening device.CONCLUSIONS: Participants felt that AF screening in primary care dental practices was a good concept but may be challenging to implement in NHS Dentistry, especially due to the pandemic.",

author = "{Obaid Hassan}, Amaar and {Moreno Lopez}, Rosa and Lane, {Deirdre A} and Lip, {Gregory Y H} and Harris, {Rebecca V} and Asfa Mughal and Corina Weir",

note = "Funding This study was partly funded by the Oral and Dental Research Trust OHI Previser Award 2020. In this study, the funding was used to partly cover costs of University approved external transcription service, the funders had not provided any input to the study and no salary was provided to any of the authors.",

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doi = "10.1080/14779072.2023.2254679",

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T2 - a qualitative feasibility study

AU - Obaid Hassan, Amaar

AU - Moreno Lopez, Rosa

AU - Lane, Deirdre A

AU - Lip, Gregory Y H

AU - Harris, Rebecca V

AU - Mughal, Asfa

AU - Weir, Corina

N1 - Funding This study was partly funded by the Oral and Dental Research Trust OHI Previser Award 2020. In this study, the funding was used to partly cover costs of University approved external transcription service, the funders had not provided any input to the study and no salary was provided to any of the authors.

PY - 2023/9/4

Y1 - 2023/9/4

N2 - OBJECTIVES: To increase the detection of unknown atrial fibrillation (AF), general practitioners have started screening their patients using small hand-held devices. It is thought that dental settings could be utilized for screening as they have regular access to patients. The aim of this study was to explore the perceptions of dental staff of screening for AF using a hand-held electronic device in primary dental care.METHODS: The research took place in one large mixed NHS and private general dental practice. Views from staff including dentists, dental therapists, dental nurses, and managers were elicited via semi-structured interviews conducted face-to-face, audio recorded, and transcribed verbatim. Interviews continued until there were no new themes or patterns emerging from the data, and thematic saturation had been achieved.RESULTS: Eleven participants were interviewed. The main themes generated were methodology for screening, acceptability for screening within the practice, attitudes to screening, and implementation of screening. Overall, participants were positive about implementing AF screening in a dental practice but expressed concerns about time and remuneration. Staff also gave encouraging feedback regarding the simplicity of the portable screening device.CONCLUSIONS: Participants felt that AF screening in primary care dental practices was a good concept but may be challenging to implement in NHS Dentistry, especially due to the pandemic.

AB - OBJECTIVES: To increase the detection of unknown atrial fibrillation (AF), general practitioners have started screening their patients using small hand-held devices. It is thought that dental settings could be utilized for screening as they have regular access to patients. The aim of this study was to explore the perceptions of dental staff of screening for AF using a hand-held electronic device in primary dental care.METHODS: The research took place in one large mixed NHS and private general dental practice. Views from staff including dentists, dental therapists, dental nurses, and managers were elicited via semi-structured interviews conducted face-to-face, audio recorded, and transcribed verbatim. Interviews continued until there were no new themes or patterns emerging from the data, and thematic saturation had been achieved.RESULTS: Eleven participants were interviewed. The main themes generated were methodology for screening, acceptability for screening within the practice, attitudes to screening, and implementation of screening. Overall, participants were positive about implementing AF screening in a dental practice but expressed concerns about time and remuneration. Staff also gave encouraging feedback regarding the simplicity of the portable screening device.CONCLUSIONS: Participants felt that AF screening in primary care dental practices was a good concept but may be challenging to implement in NHS Dentistry, especially due to the pandemic.

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JO - Expert Review of Cardiovascular Therapy

JF - Expert Review of Cardiovascular Therapy

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Screening of atrial fibrillation in dental practices: a qualitative feasibility study

Abstract

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