Reliability, usability and identified need for home-based cardiometabolic health self-assessment during the COVID-19 pandemic in Soweto, South Africa.

Autor: Calvert C; Centre for Global Health, Usher Institute, University of Edinburgh, Edinburgh, UK. clara.calvert@ed.ac.uk.; Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK. clara.calvert@ed.ac.uk., Kolkenbeck-Ruh A; SAMRC/Wits Developmental Pathways for Health Research Unit, University of Witwatersrand, Johannesburg, South Africa., Crouch SH; SAMRC/Wits Developmental Pathways for Health Research Unit, University of Witwatersrand, Johannesburg, South Africa., Soepnel LM; SAMRC/Wits Developmental Pathways for Health Research Unit, University of Witwatersrand, Johannesburg, South Africa.; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands., Ware LJ; SAMRC/Wits Developmental Pathways for Health Research Unit, University of Witwatersrand, Johannesburg, South Africa.; DSI-NRF Centre of Excellence in Human Development, University of Witwatersrand, Johannesburg, South Africa.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2022 May 03; Vol. 12 (1), pp. 7158. Date of Electronic Publication: 2022 May 03.
DOI: 10.1038/s41598-022-11072-4
Abstrakt: A major obstacle to tackling the growing burden of chronic disease in South Africa is lack of testing, particularly where individuals face multiple barriers to accessing health services. We conducted a pilot study to evaluate a cardiometabolic self-measurement kit, including assessment of blood pressure, obesity and urine analysis, amongst adults in Soweto, South Africa. Participants (N = 94) were recruited by researchers during community health screening and were provided with a home test kit including a tablet with self-measurement instructions. The participants entered their results on the tablet and, on completion, the researcher immediately repeated the measurements. We interviewed 10% of participants to understand their experience and views of the kits. Concordance correlation coefficients ranged from 0.78 for waist circumference to 0.93 for height, while the overall percentage agreement ranged from 80.5% for both urine protein and urine glucose testing to 91.4% for the identification of central obesity (ratio of waist circumference to height of ≥ 0.5). Participants saw the need for self-testing and found the process for the most part simple, though urine testing and height self-assessment presented some challenges. This pilot study suggests that self-assessment at home has the potential to facilitate the identification of individuals at risk for cardiometabolic disease in low-income settings, adding to a growing body of evidence on the use of self-testing in disease prevention and detection. However, we would not recommend self-testing for urine glucose and protein without further study.
(© 2022. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje