Listen to Your Heart and Mind: A Pilot Mixed-Methods Study on Combined Screening for Raised Blood Pressure, Atrial Fibrillation, Cognitive Impairment and Hearing Loss in Older Adults

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing Pub Date : 2026-10-07 DOI:10.1111/ajag.70243

Isabella Tan, Aletta E. Schutte, Catherine Morgan, Henry Brodaty, Sonali R. Gnanenthiran, Katya Numbers, Hueiming Liu, Menglu Ouyang, Paola Incerti, Padraig Kitterick, Mridula Sharma

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Abstract

Objective

To determine the potential feasibility and acceptability of combined screening for raised blood pressure (BP), atrial fibrillation (AF) and cognitive impairment (CI) in older adults within a setting of hearing health assessment for detection of hearing loss.

Methods

We recruited participants aged 65 years or older (n = 35; mean age 73 ± 6 years, 51% females) from the community to attend a single visit lasting approximately 60–90 min. Prior to a comprehensive hearing assessment, BP was measured with an automatic BP monitor with AF detection, and CI screening was conducted using the patient section of the General Practitioner Assessment of Cognition instrument. A subset of participants (n = 16, 50% females) was interviewed post study to evaluate acceptability.

Results

A total of 21 positive screens (six raised BP; two possible AF; 13 hearing loss) and 12 potential positive screens for possible CI were detected in 25 (71%) participants. Eight participants (23%) had more than one newly detected condition. Interviews revealed that combined screening was feasible and acceptable as participants felt it was ‘convenient,’ ‘saves time’ and ‘more efficient.’

Conclusions

Combined screening for raised BP, AF and CI in older adults within a hearing health assessment setting appears feasible and was generally perceived positively by participants in this pilot study. Further implementation studies should be conducted with process and outcome evaluation embedded to confirm feasibility and acceptability as well as to evaluate cost-effectiveness and health outcomes for combined screening in older adults.

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倾听你的心灵：老年人血压升高、心房颤动、认知障碍和听力损失联合筛查的试点混合方法研究。

目的：确定在听力健康评估中联合筛查老年人血压升高（BP）、心房颤动（AF）和认知障碍（CI）以检测听力损失的潜在可行性和可接受性。方法：我们从社区招募65岁或以上的参与者（n = 35；平均年龄73±6岁，51%为女性）参加一次持续约60-90分钟的单次访问。在进行全面的听力评估之前，使用自动血压监测仪测量血压并检测心房颤动，并使用全科医生认知评估仪的患者部分进行CI筛查。一部分参与者（n = 16, 50%为女性）在研究结束后接受了采访，以评估可接受性。结果：在25名（71%）参与者中共检测到21例阳性筛查（6例血压升高，2例可能AF， 13例听力损失）和12例可能CI的潜在阳性筛查。8名参与者（23%）有不止一种新发现的疾病。访谈显示，联合筛查是可行和可接受的，因为参与者认为它“方便”、“节省时间”和“更有效”。结论：在听力健康评估设置中，对老年人血压升高、房颤和CI进行联合筛查似乎是可行的，并且在这项初步研究中，参与者普遍认为这是积极的。应开展进一步的实施研究，并对过程和结果进行评估，以确认可行性和可接受性，并评估老年人联合筛查的成本效益和健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Journal on Ageing 医学-老年医学

CiteScore

3.10

自引率

6.20%

发文量

114

审稿时长

>12 weeks

期刊介绍： Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.