{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T09:29:09Z","timestamp":1758274149235},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2016,3,17]],"date-time":"2016-03-17T00:00:00Z","timestamp":1458172800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951116000159_abs1\" sec-type=\"intro\"><jats:title>Introduction<\/jats:title><jats:p>Rheumatic heart disease causes substantial morbidity in children in low-income countries. School-based echocardiographic screening has been suggested as a means to identify children with latent disease; however, little is known about the experience of children and teachers participating in screenings. The aim of our study was to assess students\u2019 and teachers\u2019 experience of school-based echocardiographic screening and identify areas for improvement.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951116000159_abs2\" sec-type=\"materialsandmethods\"><jats:title>Materials and methods<\/jats:title><jats:p>A school-based echocardiographic screening programme was conducted in five schools in Northern Uganda in 2013. After 8 months, an age- and gender-stratified population that included 5% of the participating students and teachers completed a questionnaire via an in-person interview. Responses were reviewed by question and coded to identify key themes.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951116000159_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 255 students (mean 10.7 years; 48% male) and 35 teachers participated in our study. In total, 95% of the students and 100% of the teachers were happy to have participated in the screening; however, students reported feeling scared (35%) and nervous (48%) during the screening process. Programmatic strengths included the following: knowing one\u2019s health status, opportunity to receive treatment, and staff interactions. Although 43% of the patients did not suggest a change with open-ended questioning, concerns regarding privacy, fear of the screening process, and a desire to include others in the community were noted.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951116000159_abs4\" sec-type=\"discussion\"><jats:title>Discussion<\/jats:title><jats:p>School-based echocardiographic rheumatic heart disease screening was well received by students and teachers. Future programmes would likely benefit from improved pre-screening education regarding the screening process and diagnosis of rheumatic heart disease. Furthermore, education of teachers and students could improve screening perception and establish realistic expectations regarding the scope of screening.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951116000159","type":"journal-article","created":{"date-parts":[[2016,3,17]],"date-time":"2016-03-17T08:19:36Z","timestamp":1458202776000},"page":"82-89","update-policy":"http:\/\/dx.doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Child and teacher acceptability of school-based echocardiographic screening for rheumatic heart disease in Uganda"],"prefix":"10.1017","volume":"27","author":[{"given":"Michelle","family":"Ploutz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Twalib","family":"Aliku","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler","family":"Bradley-Hewitt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Dantin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethan","family":"Lemley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine W.","family":"Gillespie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Lwabi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Sable","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Beaton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2016,3,17]]},"reference":[{"key":"S1047951116000159_ref6","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2012-076"},{"key":"S1047951116000159_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12829"},{"key":"S1047951116000159_ref12","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1038\/nrcardio.2012.157","article-title":"Screening for rheumatic heart disease: current approaches and controversies","volume":"1","author":"Roberts","year":"2013","journal-title":"Nat Rev Cardiol"},{"key":"S1047951116000159_ref5","doi-asserted-by":"publisher","DOI":"10.1038\/ncpcardio1300"},{"key":"S1047951116000159_ref18","first-page":"213","article-title":"programme for the prevention of rheumatic fever\/rheumatic heart disease in 16 developing countries: report from phase I (1986\u201390): WHO cardiovascular diseases unit and principal investigators","volume":"70","year":"1992","journal-title":"Bull World Health Organ"},{"key":"S1047951116000159_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2015.03.012"},{"key":"S1047951116000159_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(64)90132-2"},{"key":"S1047951116000159_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12154"},{"key":"S1047951116000159_ref9","first-page":"1","article-title":"Echo-based screening of rheumatic heart disease in children: a cost-effectiveness Markov model","volume":"9","author":"Zachariah","year":"2015","journal-title":"J Med Econ"},{"key":"S1047951116000159_ref11","article-title":"Standardization of epidemiologic protocols for surveillance of post-streptococcal sequelae: acute rheumatic fever, rheumatic heart disease and acute post-streptococcal glomerulonephritis","author":"Carapetis","year":"2006","journal-title":"Nat Inst Allergy Infect Dis"},{"key":"S1047951116000159_ref8","doi-asserted-by":"crossref","unstructured":"Beaton A , Okello E , Lwabi P , et al. 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