The CRADLE vital signs alert: qualitative evaluation of a novel device designed for use in pregnancy by healthcare workers in low-resource settings

 

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dc.contributor.author Nathan, Hannah L
dc.contributor.author Boene, Helena
dc.contributor.author Munguambe, Khatia
dc.contributor.author Sevene, Esperança
dc.contributor.author Akeju, David
dc.contributor.author Adetoro, Olalekan O
dc.contributor.author Charanthimath, Umesh
dc.contributor.author Bellad, Mrutyunjaya B
dc.contributor.author de Greeff, Annemarie
dc.contributor.author Anthony, John
dc.contributor.author Hall, David R
dc.contributor.author Steyn, Wilhelm
dc.contributor.author Vidler, Marianne
dc.contributor.author von Dadelszen, Peter
dc.contributor.author Chappell, Lucy C
dc.contributor.author Sandall, Jane
dc.contributor.author Shennan, Andrew H
dc.date.accessioned 2018-01-09T09:16:50Z
dc.date.available 2018-01-09T09:16:50Z
dc.date.issued 2018-01-05
dc.identifier.citation Nathan, H. L., Boene, H., Munguambe, K., Sevene, E., Akeju, D., Adetoro, O. O., ... & Hall, D. R. (2018). The CRADLE vital signs alert: qualitative evaluation of a novel device designed for use in pregnancy by healthcare workers in low-resource settings. Reproductive Health, 15(1), 5.
dc.identifier.uri http://dx.doi.org/10.1186/s12978-017-0450-y
dc.identifier.uri http://hdl.handle.net/11427/26774
dc.description.abstract Background: Vital signs measurement can identify pregnant and postpartum women who require urgent treatment or referral. In low-resource settings, healthcare workers have limited access to accurate vital signs measuring devices suitable for their environment and training. The CRADLE Vital Signs Alert (VSA) is a novel device measuring blood pressure and pulse that is accurate in pregnancy and designed for low-resource settings. Its traffic light early warning system alerts healthcare workers to the need for escalation of care for women with hypertension, haemorrhage or sepsis. This study evaluated the usability and acceptability of the CRADLE VSA device. Methods: Evaluation was conducted in community and primary care settings in India, Mozambique and Nigeria and tertiary hospitals in South Africa. Purposeful sampling was used to convene 155 interviews and six focus groups with healthcare workers using the device (n = 205) and pregnant women and their family members (n = 41). Interviews and focus groups were conducted in the local language and audio-recorded, transcribed and translated into English for analysis. Thematic analysis was undertaken using an a priori thematic framework, as well as an inductive approach. Results: Most healthcare workers perceived the CRADLE device to be easy to use and accurate. The traffic lights early warning system was unanimously reported positively, giving healthcare workers confidence with decision-making and a sense of professionalism. However, a minority in South Africa described manual inflation as tiring, particularly when measuring vital signs in obese and hypertensive women (n = 4) and a few South African healthcare workers distrusted the device’s accuracy (n = 7). Unanimously, pregnant women liked the CRADLE device. The traffic light early warning system gave women and their families a better understanding of the importance of vital signs in pregnancy and during the postpartum period. Conclusion: The CRADLE device was well accepted by healthcare workers from a range of countries and levels of facility, including those with no previous vital signs measurement experience. The device motivated women to attend primary care and encouraged them to accept treatment and referral.
dc.language.iso en
dc.publisher BioMed Central
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.source Reproductive Health
dc.source.uri https://reproductive-health-journal.biomedcentral.com/
dc.subject.other Pregnancy
dc.subject.other Blood pressure
dc.subject.other Vital signs
dc.subject.other Early warning system
dc.subject.other Accuracy
dc.subject.other Pre-eclampsia
dc.subject.other Haemorrhage
dc.subject.other Sepsis
dc.subject.other Qualitative methods
dc.subject.other Low- and middle-income countries
dc.title The CRADLE vital signs alert: qualitative evaluation of a novel device designed for use in pregnancy by healthcare workers in low-resource settings
dc.type Journal Article
dc.date.updated 2018-01-07T04:14:55Z
dc.rights.holder The Author(s)
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Obstetrics and Gynaecology en_ZA
uct.type.filetype Text
uct.type.filetype Image


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