Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD)

Couzens, Edward

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Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD) / Edward Couzens

Swansea University Author: Edward Couzens

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Abstract

Background: This study investigated what athletes (professional, semi – professional and amateur athletes) and medical professionals knew about Sudden Cardiac Death (SCD) and the associated risk factor screening. In addition, the study explored the main perceived barriers and facilitators of impleme...

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Published:	Swansea 2022
Institution:	Swansea University
Degree level:	Master of Research
Degree name:	MSc by Research
Supervisor:	Hudson, Joanne ; Lewis, Michael
URI:	https://cronfa.swan.ac.uk/Record/cronfa62291
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first_indexed	2023-01-10T14:42:36Z
last_indexed	2023-01-16T17:31:05Z
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Methods: 12 semi structured interviews were completed, 9 with athletes, between the ages of 18 – 45 years, and 3 with doctors. Interview responses aided the design of a questionnaire which further investigated athletes’ knowledge, experiences, and opinions. The questionnaire was completed by 98 athletes competing at different levels of sport, again between 18 – 45 years of age. Interview and questionnaire responses were analysed using thematic inductive analysis and descriptive statistics, respectively. Results: Interviews with athletes showed a clear consensus that there was little knowledge of SCD and SCD screening. Interview transcripts showed that athletes believed the biggest facilitator for a screening programme was peace of mind for athletes and their families, while the biggest barriers were a lack of knowledge / awareness and the potential financial costs. The mean age of the athletes who completed the questionnaire was 24.7 (± 6.3). 69% of respondents were male and most were amateur athletes (75.5%). 85% of the athlete respondents had never been screened before. Results showed that if athletes were recommended to stop participation in sport by a doctor they would adhere to this advice. Athletes believed screening was vital in all levels of sports participation and that it was equally important for males and females. Results clearly displayed that SCD risk screening would not deter athletes from sports participation and that a number of respondents, 44%, felt the choice to be screened should remain with the individual. Doctors displayed greater knowledge during interviews, but this varied and was still limited in some cases. They agreed that SCD is a significant clinical problem and that a 12 – lead ECG was an effective screening tool, enhanced by looking at family history. Doctors’ views varied on whether the incidence of SCD in the UK warranted a national screening programme. All doctors identified saving lives as a key facilitator and the main barriers revolved around the impact of screening on an athlete’s mental health, as well as concerns regarding financial implications. Conclusion: This study has obtained insight into the knowledge and perceptions of primarily athletes, along with a small sample of doctors, on the topic of SCD and SCD risk factor screening. Results identified that the main barriers currently facing the implementation of a national screening programme are, the negative impact screening can have on an individual’s mental health, severe lack of knowledge about SCD and risk screening, especially within athletes, on the topic as a whole, and the financial cost and cost effectiveness of such a programme’s implementation. 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spelling	2023-01-16T15:14:13.1155892 v2 62291 2023-01-10 Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD) bf82dbf082fd2d5e5ad7940c126df5d8 Edward Couzens Edward Couzens true false 2023-01-10 FGSEN Background: This study investigated what athletes (professional, semi – professional and amateur athletes) and medical professionals knew about Sudden Cardiac Death (SCD) and the associated risk factor screening. In addition, the study explored the main perceived barriers and facilitators of implementing a nationwide screening programme. Methods: 12 semi structured interviews were completed, 9 with athletes, between the ages of 18 – 45 years, and 3 with doctors. Interview responses aided the design of a questionnaire which further investigated athletes’ knowledge, experiences, and opinions. The questionnaire was completed by 98 athletes competing at different levels of sport, again between 18 – 45 years of age. Interview and questionnaire responses were analysed using thematic inductive analysis and descriptive statistics, respectively. Results: Interviews with athletes showed a clear consensus that there was little knowledge of SCD and SCD screening. Interview transcripts showed that athletes believed the biggest facilitator for a screening programme was peace of mind for athletes and their families, while the biggest barriers were a lack of knowledge / awareness and the potential financial costs. The mean age of the athletes who completed the questionnaire was 24.7 (± 6.3). 69% of respondents were male and most were amateur athletes (75.5%). 85% of the athlete respondents had never been screened before. Results showed that if athletes were recommended to stop participation in sport by a doctor they would adhere to this advice. Athletes believed screening was vital in all levels of sports participation and that it was equally important for males and females. Results clearly displayed that SCD risk screening would not deter athletes from sports participation and that a number of respondents, 44%, felt the choice to be screened should remain with the individual. Doctors displayed greater knowledge during interviews, but this varied and was still limited in some cases. They agreed that SCD is a significant clinical problem and that a 12 – lead ECG was an effective screening tool, enhanced by looking at family history. Doctors’ views varied on whether the incidence of SCD in the UK warranted a national screening programme. All doctors identified saving lives as a key facilitator and the main barriers revolved around the impact of screening on an athlete’s mental health, as well as concerns regarding financial implications. Conclusion: This study has obtained insight into the knowledge and perceptions of primarily athletes, along with a small sample of doctors, on the topic of SCD and SCD risk factor screening. Results identified that the main barriers currently facing the implementation of a national screening programme are, the negative impact screening can have on an individual’s mental health, severe lack of knowledge about SCD and risk screening, especially within athletes, on the topic as a whole, and the financial cost and cost effectiveness of such a programme’s implementation. The main facilitators identified were, that screening could be potentially lifesaving, peace of mind is provided to athletes and close family, and SCD factor screening as part of a pre – participation screening (PPS) programme would not deter people from sports participation. E-Thesis Swansea facilitators, barriers, screening, sudden, cardiac, death, SCD, sport, exercise, cardiology, heart, ECG, arrhythmia, Ajzen, behaviour, national, UK, hypertrophic, cardiomyopathy, HCM 31 12 2022 2022-12-31 COLLEGE NANME Science and Engineering - Faculty COLLEGE CODE FGSEN Swansea University Hudson, Joanne ; Lewis, Michael Master of Research MSc by Research 2023-01-16T15:14:13.1155892 2023-01-10T14:39:00.7518607 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Edward Couzens 1 62291__26233__e07661a356834f94b9f8ba4c5ae2dffb.pdf Couzens_Edward_MSc_Research_Thesis_Final_Redacted_Signature.pdf 2023-01-10T14:49:49.5214011 Output 2201081 application/pdf E-Thesis – open access true Copyright: The author, Edward Couzens, 2022. true eng
title	Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD)
spellingShingle	Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD) Edward Couzens
title_short	Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD)
title_full	Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD)
title_fullStr	Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD)
title_full_unstemmed	Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD)
title_sort	Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD)
author_id_str_mv	bf82dbf082fd2d5e5ad7940c126df5d8
author_id_fullname_str_mv	bf82dbf082fd2d5e5ad7940c126df5d8_***_Edward Couzens
author	Edward Couzens
author2	Edward Couzens
format	E-Thesis
publishDate	2022
institution	Swansea University
college_str	Faculty of Science and Engineering
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hierarchy_top_id	facultyofscienceandengineering
hierarchy_top_title	Faculty of Science and Engineering
hierarchy_parent_id	facultyofscienceandengineering
hierarchy_parent_title	Faculty of Science and Engineering
department_str	School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
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description	Background: This study investigated what athletes (professional, semi – professional and amateur athletes) and medical professionals knew about Sudden Cardiac Death (SCD) and the associated risk factor screening. In addition, the study explored the main perceived barriers and facilitators of implementing a nationwide screening programme. Methods: 12 semi structured interviews were completed, 9 with athletes, between the ages of 18 – 45 years, and 3 with doctors. Interview responses aided the design of a questionnaire which further investigated athletes’ knowledge, experiences, and opinions. The questionnaire was completed by 98 athletes competing at different levels of sport, again between 18 – 45 years of age. Interview and questionnaire responses were analysed using thematic inductive analysis and descriptive statistics, respectively. Results: Interviews with athletes showed a clear consensus that there was little knowledge of SCD and SCD screening. Interview transcripts showed that athletes believed the biggest facilitator for a screening programme was peace of mind for athletes and their families, while the biggest barriers were a lack of knowledge / awareness and the potential financial costs. The mean age of the athletes who completed the questionnaire was 24.7 (± 6.3). 69% of respondents were male and most were amateur athletes (75.5%). 85% of the athlete respondents had never been screened before. Results showed that if athletes were recommended to stop participation in sport by a doctor they would adhere to this advice. Athletes believed screening was vital in all levels of sports participation and that it was equally important for males and females. Results clearly displayed that SCD risk screening would not deter athletes from sports participation and that a number of respondents, 44%, felt the choice to be screened should remain with the individual. Doctors displayed greater knowledge during interviews, but this varied and was still limited in some cases. They agreed that SCD is a significant clinical problem and that a 12 – lead ECG was an effective screening tool, enhanced by looking at family history. Doctors’ views varied on whether the incidence of SCD in the UK warranted a national screening programme. All doctors identified saving lives as a key facilitator and the main barriers revolved around the impact of screening on an athlete’s mental health, as well as concerns regarding financial implications. Conclusion: This study has obtained insight into the knowledge and perceptions of primarily athletes, along with a small sample of doctors, on the topic of SCD and SCD risk factor screening. Results identified that the main barriers currently facing the implementation of a national screening programme are, the negative impact screening can have on an individual’s mental health, severe lack of knowledge about SCD and risk screening, especially within athletes, on the topic as a whole, and the financial cost and cost effectiveness of such a programme’s implementation. The main facilitators identified were, that screening could be potentially lifesaving, peace of mind is provided to athletes and close family, and SCD factor screening as part of a pre – participation screening (PPS) programme would not deter people from sports participation.
published_date	2022-12-31T04:21:47Z
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score	11.035634

Facilitators and barriers of introducing a screening programme for sudden cardiac death (SCD) / Edward Couzens

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