Efficacy of a standardized computer-based training curriculum to teach echocardiographic identification of rheumatic heart disease to non-expert users

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dc.creatorAndreabeaton
dc.creatorLuciana C.x. Lafeta
dc.creatorHedda Richards
dc.creatorLindsay Perlman
dc.creatorCatherine l. Webb
dc.creatorAntonio Luiz Pinho Ribeiro
dc.creatorCraig Sable
dc.creatorMaria do Carmo p. Nunes
dc.creatorBruno r. Nascimento
dc.creatorAdriana c. Diamantino
dc.creatorGabriel T.r. Pereira
dc.creatorEduardo L.v. Lopes
dc.creatorCassio o. Miri
dc.creatorKaciane K.o. Bruno
dc.creatorGraziela Chequer
dc.creatorCamila g. Ferreira
dc.date.accessioned2023-06-12T20:58:38Z
dc.date.accessioned2025-09-09T00:07:20Z
dc.date.available2023-06-12T20:58:38Z
dc.date.issued2016
dc.format.mimetypepdf
dc.identifier.doi10.1016/j.amjcard.2016.03.006
dc.identifier.issn00029149
dc.identifier.urihttps://hdl.handle.net/1843/54847
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofThe American Journal of Cardiology
dc.rightsAcesso Restrito
dc.subjectCardiopatia Reumática
dc.subjectValvopatia Aórtica
dc.subjectEcocardiografia
dc.subject.otherValvopatias
dc.subject.otherEcocardiografia
dc.subject.otherCardiopatia Reumática
dc.titleEfficacy of a standardized computer-based training curriculum to teach echocardiographic identification of rheumatic heart disease to non-expert users
dc.typeArtigo de periódico
local.citation.epage1789
local.citation.spage1785
local.citation.volumeEpub
local.description.resumoThe ability to integrate echocardiographic for rheumatic heart disease (RHD) into RHD prevention programs is limited because of lack of financial and expert human resources in endemic areas. Task shifting to nonexperts is promising; but investigations into workforce composition and training schemes are needed. The objective of this study was to test nonexperts' ability to interpret RHD screening echocardiograms after a brief, standardized, computer-based training course. Six nonexperts completed a 3-week curriculum on image interpretation. Participant performance was tested in a school-screening environment in comparison to the reference approach (cardiologists, standard portable echocardiography machines, and 2012 World Heart Federation criteria). All participants successfully completed the curriculum, and feedback was universally positive. Screening was performed in 1,381 children (5 to 18 years, 60% female), with 397 (47 borderline RHD, 6 definite RHD, 336 normal, and 8 other) referred for handheld echo. Overall sensitivity of the simplified approach was 83% (95% CI 76% to 89%), with an overall specificity of 85% (95% CI 82% to 87%). The most common reasons for false-negative screens (n = 16) were missed mitral regurgitation (MR; 44%) and MR ≤1.5 cm (29%). The most common reasons for false-positive screens (n = 179) included identification of erroneous color jets (25%), incorrect MR measurement (24%), and appropriate application of simplified guidelines (39.4%). In conclusion, a short, independent computer-based curriculum can be successfully used to train a heterogeneous group of nonexperts to interpret RHD screening echocardiograms. This approach helps address prohibitive financial and workforce barriers to widespread RHD screening.
local.identifier.orcidhttps://orcid.org/0000-0002-7539-4994
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0002914916303526?via%3Dihub

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