Have a personal or library account? Click to login
Rheumatic Heart Disease Education Tools Integrated Into a Screening Program in Brazil: Acceptability and Knowledge Gain Cover

Rheumatic Heart Disease Education Tools Integrated Into a Screening Program in Brazil: Acceptability and Knowledge Gain

Global Heart
Volume 20 (2025): Issue 1
By: Jessica Abrams,  Wanessa C. Vinhal,  Craig A. Sable,  Clareci S. Cardoso,  Liesl Zühlke,  Alison Spaziani,  Laylah Ryklief,  Maria Carmo P. Nunes,  Isabely Karoline S. Ribeiro,  Rebeca Previero,  Lorena R. Silva,  Luz M. Tacuri Chavez,  Kaciane K. B. Oliveira,  Ingred Beatriz Amaral,  Larissa Lemos,  Julliane S. Correa,  Cecília T. Coelho,  Brenno A. Santos,  Luiza H. de Paula,  Isadora S. Souza,  Maria Luiza B. S. Santiago,  Bruna C. Freitas,  Gabriel R. Angelo,  Matheus Henrique P. Nunes,  Klicia J. Pereira,  Antonio Luiz P. Ribeiro,  Bruno R. Nascimento and  On behalf of the PROVAR+ (Programa de RastreamentO da VAlvopatia Reumática and Other Cardiovascular Diseases) investigators  
Open Access
|Dec 2025

References

  1. Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global burden of cardiovascular diseases and risk factors, 1990–2019: Update from the GBD 2019 study. J Am Coll Cardiol. 2020;76(25):2982–3021. DOI: 10.1016/j.jacc.2020.11.010
    Open DOISearch in Google ScholarBack to article
  2. Institute for Health Metrics and Evaluation. GBD Compare | Viz Hub Washington, WA, USA: University of Washington; 2025 Available from: https://vizhub.healthdata.org/gbd-compare/.
    Search in Google ScholarBack to article
  3. Rwebembera J, Beaton AZ, de Loizaga SR, Rocha RTL, Doreen N, Ssinabulya I, et al. The global impact of rheumatic heart disease. Curr Cardiol Rep. 2021;23(11):160. DOI: 10.1007/s11886-021-01592-2
    Open DOISearch in Google ScholarBack to article
  4. Mota CC, Meira ZM, Graciano RN, Graciano FF, Araujo FD. Rheumatic fever prevention program: Long-term evolution and outcomes. Front Pediatr. 2014;2:141. DOI: 10.3389/fped.2014.00141
    Open DOISearch in Google ScholarBack to article
  5. Okello E, Ndagire E, Atala J, Bowen AC, DiFazio MP, Harik NS, et al. Active case finding for rheumatic fever in an endemic country. J Am Heart Assoc. 2020;9(15):e016053. DOI: 10.1161/JAHA.120.016053
    Open DOISearch in Google ScholarBack to article
  6. Bach JF, Chalons S, Forier E, Elana G, Jouanelle J, Kayemba S, et al. 10-year educational programme aimed at rheumatic fever in two French Caribbean islands. Lancet. 1996;347(9002):644–648. DOI: 10.1016/S0140-6736[96]91202-7
    Open DOISearch in Google ScholarBack to article
  7. Nordet P, Lopez R, Duenas A, Sarmiento L. Prevention and control of rheumatic fever and rheumatic heart disease: The Cuban experience (1986-1996-2002). Cardiovasc J Afr. 2008;19(3):135–140.
    Search in Google ScholarBack to article
  8. World Health Organization. WHO guideline on the prevention and diagnosis of rheumatic fever and rheumatic heart disease. Geneva: World Health Organization; 2024.
    Search in Google ScholarBack to article
  9. Daouda M, Schwaninger S, Spector J, Musuku J, Machila E, Chipili J, Long A. Health systems strengthening for prevention of rheumatic heart disease in Zambia: A novel clinic-based curriculum to help advance knowledge and skills of health workers. Pediatrics. 2018;142(1_MeetingAbstract):511. DOI: 10.1542/peds.142.1MA6.511
    Open DOISearch in Google ScholarBack to article
  10. Oliveira KKB, Nascimento BR, Beaton AZ, Nunes MCP, Silva JLP, Rabelo LC, et al. Health education about rheumatic heart disease: A community-based cluster randomized trial: Rheumatic heart disease educational strategies. Glob Heart. 2020;15(1):41. DOI: 10.5334/gh.347
    Open DOISearch in Google ScholarBack to article
  11. Proctor E, Silmere H, Raghavan R, Hovmand P, Aarons G, Bunger A, et al. Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health. 2011;38(2):65–76. DOI: 10.1007/s10488-010-0319-7
    Open DOISearch in Google ScholarBack to article
  12. Sekhon M, Cartwright M, Francis JJ. Acceptability of healthcare interventions: An overview of reviews and development of a theoretical framework. BMC Health Serv Res. 2017;17(1):88. DOI: 10.1186/s12913-017-2031-8
    Open DOISearch in Google ScholarBack to article
  13. Lopes EL, Beaton AZ, Nascimento BR, Tompsett A, Dos Santos JP, Perlman L, et al. Telehealth solutions to enable global collaboration in rheumatic heart disease screening. J Telemed Telecare. 2018;24(2):101–109. DOI: 10.1177/1357633X16677902
    Open DOISearch in Google ScholarBack to article
  14. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap): A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–381. DOI: 10.1016/j.jbi.2008.08.010
    Open DOISearch in Google ScholarBack to article
  15. Abrams J, Nascimento BR, Nunes MP, Cunha GG, Diamante L, Cardoso C, et al. Strengthening management and support for rheumatic heart disease patients in underserved communities in Brazil. J AmColl Cardiol. 2023;81(8_Suppl):2347. DOI: 10.1016/S0735-1097[23]02791-2
    Open DOISearch in Google ScholarBack to article
  16. Isezuo KO, Awosan KJ, Ango UM, Mohammed Y, Sani UM, Waziri UM, et al. Knowledge, attitude, and practice regarding prevention of rheumatic heart disease among primary health-care workers in Sokoto metropolis, Sokoto State, Nigeria. Ann AfrMed. 2023;22(1):61–69. DOI: 10.4103/aam.aam_222_21
    Open DOISearch in Google ScholarBack to article
  17. Abdelsayed K, Ali HT, Helal MB, Assar A, Madany M, Gabra MD, et al. Assessing the knowledge, attitude, and practice of frontline physicians in Egyptian university hospitals regarding pharyngitis and acute rheumatic fever: A cross-sectional study that calls for action. BMC Public Health. 2024;24(1):2235. DOI: 10.1186/s12889-024-19658-5
    Open DOISearch in Google ScholarBack to article
  18. Ndagire E, Kawakatsu Y, Nalubwama H, Atala J, Sarnacki R, Pulle J, et al. Examining the Ugandan health system’s readiness to deliver rheumatic heart disease-related services. PLoS Negl Trop Dis. 2021;15(2):e0009164. DOI: 10.1371/journal.pntd.0009164
    Open DOISearch in Google ScholarBack to article
  19. Techane T, Legesse B, Ayalew Y, Hailu A. Rheumatic heart disease knowledge and associated factors among nurses working in cardiac centers at public and private hospitals of Addis Ababa: Cross-sectional study. BMC Nurs. 2022;21(1). DOI: 10.1186/s12912-022-00910-5
    Open DOISearch in Google ScholarBack to article
  20. Namuyonga J, Ndagire E, Okumu D, Olugubuyi O, Lubega S, Omagino J, et al. Positive impact of training rural health workers in identification and prevention of acute rheumatic fever in eastern Uganda. Cardiovasc J Afr. 2023;34(2):89–92. DOI: 10.5830/CVJA-2022-029
    Open DOISearch in Google ScholarBack to article
  21. Daouda M, Schwaninger S, Spector J, Musuku J, Machila E, Chipili J, Long A. Health systems strengthening for prevention of rheumatic heart disease in Zambia: A novel clinic-based curriculum to help advance knowledge and skills of health workers. Elk Grove Village, IL, USA: American Academy of Pediatrics; 2018. DOI: 10.1542/peds.142.1MA6.511
    Open DOISearch in Google ScholarBack to article
  22. Reach. The community awareness flipchart in Uganda [Internet]; 2023 Available from: https://www.stoprhdwithreach.org/news-articles/the-community-awareness-flipchart-in-uganda.
    Search in Google ScholarBack to article
  23. Kearns TM, Schultz R, McDonald V, Andrews RM. Prophylactic penicillin by the full moon: A novel approach in Central Australia that may help to reduce the risk of rheumatic heart disease. RuralRemote Health. 2010;10(3):1–8. DOI: 10.22605/RRH1464
    Open DOISearch in Google ScholarBack to article
  24. Eluri S, Baliga BS, Rao SS, Vinayagamoorthy V, Kamath N. Can flip-chart assisted maternal education improve essential new born care knowledge and skills? A randomized controlled trial. Maternal Child Health J. 2022;26(9):1891–1906. DOI: 10.1007/s10995-022-03409-2
    Open DOISearch in Google ScholarBack to article
  25. Santos J, Carmo G, Beaton AZ, Lourenco TV, Diamantino AC, Nunes M, et al. Challenges for the implementation of the first large-scale rheumatic heart disease screening program in Brazil: The PROVAR study experience. Arq Bras Cardiol. 2017;108(4):370–374. DOI: 10.5935/abc.20170047
    Open DOISearch in Google ScholarBack to article
  26. Oliveira GMM, Brant LCC, Polanczyk CA, Malta DC, Biolo A, Nascimento BR, et al. Cardiovascular statistics – Brazil 2023. Arq Bras Cardiol. 2024;121(2):e20240079.
    Search in Google ScholarBack to article
  27. Macinko J, Harris MJ. Brazil’s family health strategy: Delivering community-based primary care in a universal health system. N Engl J Med. 2015;372(23):2177–2181. DOI: 10.1056/NEJMp1501140
    Open DOISearch in Google ScholarBack to article
DOI: https://doi.org/10.5334/gh.1510 | Journal eISSN: 2211-8179
Journal RSS Feed
Language: English
Submitted on: Aug 11, 2025
|
Accepted on: Dec 10, 2025
|
Published on: Dec 30, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Keywords:
Rheumatic Heart Disease,
Education,
Screening

© 2025 Jessica Abrams, Wanessa C. Vinhal, Craig A. Sable, Clareci S. Cardoso, Liesl Zühlke, Alison Spaziani, Laylah Ryklief, Maria Carmo P. Nunes, Isabely Karoline S. Ribeiro, Rebeca Previero, Lorena R. Silva, Luz M. Tacuri Chavez, Kaciane K. B. Oliveira, Ingred Beatriz Amaral, Larissa Lemos, Julliane S. Correa, Cecília T. Coelho, Brenno A. Santos, Luiza H. de Paula, Isadora S. Souza, Maria Luiza B. S. Santiago, Bruna C. Freitas, Gabriel R. Angelo, Matheus Henrique P. Nunes, Klicia J. Pereira, Antonio Luiz P. Ribeiro, Bruno R. Nascimento, On behalf of the PROVAR+ (Programa de RastreamentO da VAlvopatia Reumática and Other Cardiovascular Diseases) investigators, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Previous articleVolume 20 (2025): Issue 1