Abstract
Article: Sonographer-Identified Barriers and Facilitators to Prenatal Screening for Congenital Heart Disease: A Mixed Methods Study
Authors: Nelangi Pinto, MD, MS, Xiaoming Sheng, PhD, Heather T. Keenan, MDCM, PhD, Janice L. B. Byrne, MD, Belva Stanton, RDMS, RDCS, Anita Y. Kinney, PhD
Category: Cardiac (Fetal) [FE]
Credit: 1.0 SDMS CME Credit
Objectives: After studying the article entitled “Sonographer-Identified Barriers and Facilitators to Prenatal Screening for Congenital Heart Disease: A Mixed Methods Study,” you will be able to:
Describe the most commonly found barriers to fetal heart screening
Describe the four important categories of barriers to fetal heart screening
Describe potential solutions to overcome the barriers to fetal heart screening
Survey results indicated that the intention to screen for congenital heart defects was “almost always” _____ of the time. 75%–80% 80%–85% 85%–90% 90%–95%
Cardiac screening images included in the survey were interpreted correctly _____ of the time. 75%–80% 80%–85% 85%–90% 90%–95%
Focus group discussions identified participants’ overall knowledge as a/an ______ barrier influencing the performance of screening for congenital heart defects. Intrinsic Extrinsic Informational Societal expectations
National guidelines recommend that prenatal screening for heart defects occur During the first trimester During the second trimester During the third trimester Not at all
Studies have shown that during routine clinical care, approximately ____ of congenital heart defects are detected. 80%–90% 50%–70% 40%–60% 30%–50%
The rate of detection of congenital heart defects during prenatal screening using the four-chamber view and outflow tract imaging is approximately 80% 85% 90% 95%
The ability reported by participants in the focus groups to obtain adequate images during prenatal cardiac screening was Uniformly high Uniformly low Consistent at about 50% Widely variable
Survey results showed that correct interpretation of normal versus abnormal four-chamber images was significantly associated with Years of obstetric sonography experience Social expectancies Facilitating conditions Behavioral intentions
A sonographer-perceived significant barrier to prenatal cardiac screening was Lack of behavioral motivation Lack of adequate facilities Lack of knowledge of the fetal heart The practice setting
Performance in interpreting screening images was strongly associated with The perceived usefulness of screening The practice setting Societal expectations of screening The existence of national screening guidelines
Footnotes