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LEADER 05209cam 2200565Ii 4500
001
on1144494824
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OCoLC
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20200518124341.0
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m o d
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cr unu||||||||
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200313s2019 ncua obm 000 0 eng d
035
a| (Sirsi) o1144494824
035
a| (OCoLC)1144494824
040
a| ERE
b| eng
e| rda
c| ERE
d| OCLCO
d| ERE
d| UtOrBLW
043
a| n-us-nc
049
a| EREE
090
a| RC685.A72
100
1
a| Kropp, Caley M.,
e| author.
?| UNAUTHORIZED
245
1
0
a| Examining the base rates of atrial fibrillation in eastern North Carolina :
b| community screening, associated risk factors, and psychological correlates of disease /
c| by Caley M. Kropp.
264
1
a| [Greenville, N.C.] :
b| [East Carolina University],
c| 2019.
300
a| 60 pages :
b| illustrations (some color)
336
a| text
b| txt
2| rdacontent
337
a| computer
b| c
2| rdamedia
338
a| online resource
b| cr
2| rdacarrier
347
a| text file
b| PDF
c| 1.384 MB
2| rda
538
a| System requirements: Adobe Reader.
538
a| Mode of access: World Wide Web.
502
b| Ph.D./Au.D.
c| East Carolina University
d| 2019.
500
a| Presented to the faculty of the Department of Psychology
500
a| Advisor: Samuel F. Sears
500
a| Title from PDF t.p. (viewed May 18, 2020).
520
3
a| Background: Eastern North Carolina has historically high prevalence rates of cardiovascular disease. Novel solutions such as mobile screening technology may aid in reaching this region's vulnerable health population to prevent further disease progression. Additionally, symptoms of psychological distress are commonly comorbid with cardiovascular disease but often overlooked as formal predictors or modifiers of increased disease burden. Behavioral medicine providers recognize the importance of screening for psychological stress as it relates to cardiovascular disease as a way to reduce disease burden and advancement. Therefore, mobile-ECG screening for atrial fibrillation and exploration of adding psychological variables to a well-established cardiovascular stroke risk calculator (CHA²́²DS²́²-VASc) are discussed. Methods: Participants (N = 250) were approached at pharmacies in Eastern North Carolina. Participants completed demographic and medical history questionnaires, the DASS-21, and were administered a single-lead mobile-ECG (mECG). All mECG readings were interpreted by the mECG device in addition to adjudication by three electrophysiologists. Medical referrals were provided when indicated. Chi-squared statistics were utilized to investigate regional rates of atrial fibrillation and associated risk factors. Binary logistic regression modeling measured the capability of the CHA²́²DS²́²-VASc stroke risk calculator to predict abnormal mECG readings both with and without the addition of DASS-21 symptom scores. Results: Rates of previously undiagnosed atrial fibrillation were much higher than rates found in studies of similar scope and design. Participants' average CHA²́²DS²́²-VASc scores (2.68 ± 1.35) signify an alarming rate of untreated ischemic stroke risk in a community sample. Additionally, the prevalence rates of six, known independent stroke risk factors were also significantly higher in the study sample than reported national US averages. Significant correlations were not found between psychological endpoints and abnormal mECG readings or elevated CHA²́²DS²́²-VASc scores, but binary logistic regression modeling revealed that a longstanding stroke risk calculator could be potentially strengthened with the addition of one (anxiety) or three (depression, anxiety, and stress) psychological endpoints. Discussion: The results of the current study further the knowledge of the utility of using mobile-health techniques to capture previously undiagnosed atrial fibrillation and associated risk factors. Prevalence of chronic disease and other health metrics in the Eastern North Carolina region are substantially worse than the general US population. Additionally, the results presented begin a compelling argument for the addition of psychological symptom scores to a long-standing stroke risk calculator.
504
a| Includes bibliographical references.
650
0
a| Atrial fibrillation
z| North Carolina
x| Testing.
=| ^A805803
650
0
a| Cardiovascular system
x| Diseases
x| Patients
z| North Carolina
x| Psychology.
=| ^A828724
650
0
a| Wireless communication systems in medical care
z| North Carolina.
=| ^A1167398
653
a| Cardiac Psychology
653
a| Health Psychology
653
a| Mobile Health
653
a| ECG
653
a| Community Screening
700
1
a| Sears, Samuel F.,
e| degree supervisor.
?| UNAUTHORIZED
710
2
a| East Carolina University.
b| Department of Psychology.
?| UNAUTHORIZED
856
4
0
z| Access via ScholarShip
u| http://hdl.handle.net/10342/7618
949
o| wjh
994
a| C0
b| ERE
596
a| 1 4
998
a| 5266632
999
a| CLICK ON WEB ADDRESS
w| ASIS
c| 1
i| 5266632-1001
l| JNET
m| JOYNER
r| Y
s| Y
t| JNE3ETD
u| 3/13/2020
x| ETD
z| JERESOURCE
999
a| CLICK ON WEB ADDRESS
w| ASIS
c| 1
i| 5266632-2001
l| HSLELEC
m| HSL
r| Y
s| Y
t| HEETD
u| 3/13/2020
x| ETD
z| HERESOURCE