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.authorNathan, Hannah L.en_ZA
dc.contributor.authorBoene, Helenaen_ZA
dc.contributor.authorMunguambe, Khatiaen_ZA
dc.contributor.authorSevene, Esperancaen_ZA
dc.contributor.authorAkeju, Daviden_ZA
dc.contributor.authorAdetoro, Olalekan O.en_ZA
dc.contributor.authorCharanthimath, Umeshen_ZA
dc.contributor.authorBellad, Mrutyunjaya B.en_ZA
dc.contributor.authorDe Greeff, Annemarieen_ZA
dc.contributor.authorAnthony, Johnen_ZA
dc.contributor.authorHall, David R.en_ZA
dc.contributor.authorSteyn, Wilhelmen_ZA
dc.contributor.authorVidler, Marianneen_ZA
dc.contributor.authorVon Dadelszen, Peteren_ZA
dc.contributor.authorChappell, Lucy C.en_ZA
dc.contributor.authorSandall, Janeen_ZA
dc.contributor.authorShennan, Andrew H.en_ZA
dc.date.accessioned2018-01-09T06:34:45Z
dc.date.available2018-01-09T06:34:45Z
dc.date.issued2018-01-05
dc.date.updated2018-01-07T06:16:30Z
dc.descriptionCITATION: Nathan, H. L. et al. 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, 15:5, doi:10.1186/s12978-017-0450-y.
dc.descriptionThe original publication is available at https://reproductive-health-journal.biomedcentral.com
dc.description.abstractBackground: 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.description.urihttps://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-017-0450-y
dc.description.versionPublisher's version
dc.format.extent11 pages
dc.identifier.citationNathan, H. L. et al. 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, 15:5, doi:10.1186/s12978-017-0450-y.
dc.identifier.issn1742-4755 (online)
dc.identifier.otherdoi:10.1186/s12978-017-0450-y
dc.identifier.urihttp://hdl.handle.net/10019.1/103028
dc.language.isoen
dc.publisherBioMed Central
dc.rights.holderAuthors retain copyright
dc.subjectPregnancyen_ZA
dc.subjectCRADLE Vital Signs Alerten_ZA
dc.subjectPhysical diagnosisen_ZA
dc.subjectPreeclampsiaen_ZA
dc.subjectSepticemiaen_ZA
dc.titleThe CRADLE vital signs alert : qualitative evaluation of a novel device designed for use in pregnancy by healthcare workers in low-resource settingsen_ZA
dc.typeArticle
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