Key result
Community-based mHealth screening yields a ~53% response rate for identifying high CVD risk.
Why the study?
The COVID-19 pandemic caused a significant decline in NCD screening and early detection activities, especially for cardiovascular disease, necessitating alternative approaches.
Does community-based self-screening through an mHealth application facilitate early detection of CVD risk in the general population during the COVID-19 pandemic?
Cross-Sectional (n=442)
No
Does community-based self-screening through an mHealth application facilitate early detection of CVD risk in the general population during the COVID-19 pandemic?
Community-based self-screening using an mHealth application facilitated by local health workers is a feasible and well-accepted strategy to maintain CVD risk detection during pandemic-related social restrictions.
mHealth self-screening may be feasible during restrictions; leaves open whether it improves early CVD detection.
BACKGROUND: The Coronavirus Disease 2019 (COVID-19) pandemic has led to a significant decline in Non Communicable Diseases (NCD) screening and early detection activities, especially Cardiovascular Disease (CVD). This study aims to assess the potential of community-based self-screening of CVD risk through the mhealth application. METHODS: This is operational research by actively involving the community to carry out self-screening through the mHealth application. Community health workers were recruited as facilitators who encourage the community to carry out self-screening. To evaluate the potential of community-based self-screening of CVD risk, we use several indicators: responses rate, level of CVD risk, and community acceptance. RESULTS: Of the 846 individuals reached by the cadres, 53% or 442 individuals carried out self-screening. Based on the results of self-screening of CVD risk, it is known that around 21.3% are at high risk of developing CVD in the next 10 years. The results of the evaluation of semi-structured questions showed that about 48% of the people had positive impressions, 22% assessed that this self-screening could increase awareness and was informative, 3% suggested improvements to self-screening tools. CONCLUSION: Cadres play an important role in reaching and facilitating the community in their environment to remain aware of their health conditions by conducting self-screening of CVD risk. The availability of the mHealth application that the public can easily access can simplify CVD risk prediction and expand screening coverage, especially during the COVID-19 pandemic, where there are social restrictions policies and community activities.
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Siregar et al. (2021) conducted a cross-sectional in Cardiovascular Disease Risk (n=442). mHealth application for CVD risk self-screening was evaluated on Response rate to mHealth self-screening and proportion of individuals at high risk for CVD. A community-based mHealth application for self-screening of cardiovascular disease risk achieved a 53% response rate, identifying 21.3% of participants as having a high risk of developing CVD in the next 10 years.
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