Effects of native language on CPR skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial

Abstract

ObjectivesThe aim was to investigate whether the students’ native language, Swedish as native language (SNL) versus other native language (ONL), affects cardiopulmonary resuscitation (CPR) skills or willingness to act after film-based training in Swedish.Setting13-year-old students in two municipalities.DesignA subgroup from a previous randomised study was analysed. During 2013 to 2014, a film-based CPR method was evaluated. Practical skills and willingness to act were assessed directly after training and after 6 months. CPR skills were evaluated using a modified Cardiff test.ParticipantsA total of 641 students were included in the analysis (SNL, n=499; ONL, n=142).Primary and secondary outcome measuresPrimary endpoint was the total score of the modified Cardiff test at 6 months. The secondary endpoints were total score directly after training, individual variables for the test and self-reported willingness to act.ResultsAt the practical test, SNL students scored better than ONL students; directly after training, 67% vs 61% of maximum score, respectively (p<0.001); at 6 months, 61% vs 56% of maximum score (p<0.001). Most students were willing to perform compressions and ventilation on a friend (SNL 85% vs ONL 84%). However, if the victim was a stranger, ONL students were more willing to perform both compressions and ventilation than SNL students (52% vs 38% after training, p<0.001; 42% vs 31% at 6 months, p=0.032). SNL students preferred to initiate chest compressions only.ConclusionsSNL students scored slightly higher in the practical CPR skill test than ONL students. Willingness to act was generally high, however ONL students reported higher willingness to perform both compressions and ventilation if the victim was a stranger. Further research is needed to investigate how CPR educational material should be designed and simplified for optimal learning by students. Different language versions or including feedback in CPR training can be a way to increase learning.Ethics approvalThe study was approved by the Regional Ethical Review Board of Linköping, Sweden (2013/358-31).Trial registration numberNCT03233490; Pre-results.

Knowledge and attitude towards cardiopulmonary resuscitation among Saudi population

“…This was supported by the lack of knowledge of these participants, as less than half of them knew where to check correctly for pulsation and a little more than half knew the indication for Heimlich maneuver. Similar lack of knowledge was found in a study in Sweden which demonstrated that students scored up to 67% directly after training, and up to 61% at 6 months [10] .…”

“…Additionally, it demonstrated that most students (up to 85%) who received CPR training were willing to perform CPR on a friend but were less willing to perform it on a stranger (up to 52% after training). This percentage, however, has come down to 31% at 6 months [10] . A study in Saudi Arabia, demonstrated that overall positive attitudes of healthcare professionals to perform CPR were seen in 53.4% of pre-training respondents and 64.8% of post-training respondents [19] .…”

“…~ 164 ~ Equipping individuals in the Community with CPR knowledge, through offering training courses, is essential for saving lives, provided that they maintain the knowledge and have the willingness to perform CPR immediately [10] . Practical training in CPR strengthens the participants' selfefficacy and increases willingness to intervene in a real OHCA situation [11,12] .…”

Community Socioeconomic Status and Dispatcher-Assisted Cardiopulmonary Resuscitation for Patients with Out-of-Hospital Cardiac Arrest

“…EMS providers should be prepared when responding to emergency calls involving patients with limited language proficiency [33]. A recent study found that the use of language might have an effect on CPR skills and willingness to intervene in OHCA [34]. Although Mandarin is the official language in Taiwan, more than 80% of Taiwanese people can speak both Mandarin and Hokkien, a Taiwanese traditional language, fluently [35].…”

Facilitators and barriers for the implementation of resuscitation training programmes for schoolchildren

“…7,25 To compensate for disadvantages, the provision of training materials with subtitles and in different languages are recommended. 7,25 There are differences between age groups 7,16,23,42 and schoolchildren of different sexes. 4,7,23,27,33 A second barrier is the large difference in the willingness to perform CPR depending on the victim's characteristics.…”