Evaluating barriers to community CPR education

Fratta, Kyle A.; Bouland, Andrew J.; Vesselinov, Roumen; Levy, Matthew J.; Seaman, Kevin G.; Lawner, Benjamin J.; Hirshon, Jon Mark

doi:10.1016/j.ajem.2019.10.019

Cited by 12 publications

(18 citation statements)

References 27 publications

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“…CPR training has a positive impact on the attitudes towards performing CPR, which improves the survival rate of OHCA. 33 34 In our study, 34.8% respondents had previous CPR training, which was much more than the study of Chen et al in 2015 (8%). 14 Although the average rate of CPR training (26%) in China has improved during these years, 35 it is still lower in contrast with 53% in Crimea, 21 54.7% in the USA 36 and 55.7% in Australia.…”

Section: Discussioncontrasting

confidence: 51%

Attitudes and willingness toward out-of-hospital cardiopulmonary resuscitation: a questionnaire study among the public trained online in China

Jiang

Long

et al. 2020

BMJ Open

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ObjectivesThe incidence of bystander cardiopulmonary resuscitation (CPR) is low in China. CPR training could improve public attitudes and willingness, but at present, the attitudes of the public after online training are unclear. This study investigated individual attitudes towards CPR, the willingness to perform it in emergencies along with the main obstacles and the overall effects of online training.DesignQuestionnaires were distributed to investigate the public attitudes and willingness towards performing bystander CPR.SettingQuestionnaires were accessible after the online course ‘First Aid’.Participants1888 students who attended ‘First Aid’ from December 2019 to 1 January 2020 and then completed the questionnaire voluntarily.ResultsThe majority understood CPR (96.7%) and displayed a willingness to learn (98.4%) and to disseminate CPR knowledge (82.0%). Characteristics associated with more positive attitudes included women, the 26–35-year olds and those in medical-related occupations (p<0.05). Only 34.8% had CPR training before. Most people would willingly perform CPR on a close family member. Compared with the standard CPR (S-CPR), the public preferred chest compression-only CPR (CO-CPR) (p<0.01). The top three obstacles to performing CO-CPR were lack of confidence (26.7%), fear of harming the victim (23.4%) and causing legal trouble (20.7%), while regarding S-CPR, fear of disease transmission (22.9%) ranked second. Women, those in poor health and in medical-related occupations, were more likely to perform CPR (p<0.05). The confidence to perform CPR was improved remarkably after online training (p<0.05).ConclusionsThe overwhelming majority of respondents showed positive attitudes and willingness towards CPR. In some cases, there is still reluctance, especially towards S-CPR. Obstacles arise mainly due to lack of confidence in administering CPR, while online CPR training can markedly improve it. Therefore, we should focus on disseminating CPR knowledge, targeting those who are less willing to perform CPR and helping overcome their obstacles by online training.

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Section: Discussioncontrasting

confidence: 51%

Attitudes and willingness toward out-of-hospital cardiopulmonary resuscitation: a questionnaire study among the public trained online in China

Jiang

Long

et al. 2020

BMJ Open

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“…These issues were explored in discussions with stakeholders [ 30 , 31 ]. Although digital education was selected to increase the intervention’s reach and for scalability, these discussions acknowledged that learning in traditional ways may be preferred by some community members [ 4 , 32 ]. The digital component will be delivered using text messages, e-mail, and social media, supplemented by access to in-person education and accredited training.…”

Section: Resultsmentioning

confidence: 99%

Development of an intervention to facilitate dissemination of community-based training to respond to out-of-hospital cardiac arrest: FirstCPR

Munot

Bray²,

Bauman³

et al. 2022

PLoS ONE

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Background and aim Out-of-hospital cardiac arrest (OHCA) is a significant public health issue with low survival rates. Prompt bystander action can more than double survival odds. OHCA response training is primarily pursued due to work-related mandates, with few programs targeting communities with lower training levels. The aim of this research was to describe the development process of a targeted multicomponent intervention package designed to enhance confidence and training among laypeople in responding to an OHCA. Methods An iterative, three-phase program development process was employed using a mixed methods approach. The initial phase involved establishment of a multidisciplinary panel that informed decisions on key messages, program content, format, and delivery modes. These decisions were based on scientific evidence and guided by behavioural theories. The second phase comprised the development of the intervention package, identifying existing information and developing new material to fill identified gaps. The third phase involved refining and finalising the material via feedback from panel members, stakeholders, and community members. Results Through this approach, we collaboratively developed a comprehensive evidence-based education and training package consisting of a digital intervention supplemented with free access to in-person education and training. The package was designed to teach community members the specific steps in recognising and responding to a cardiac arrest, while addressing commonly known barriers and fears related to bystander response. The tailored program and delivery format addressed the needs of individuals of diverse ages, cultural backgrounds, and varied training needs and preferences. Conclusion The study highlights the importance of community engagement in intervention development and demonstrates the need of evidence-based and collaborative approaches in creating a comprehensive, localised, relatively low-cost intervention package to improve bystander response to OHCA.

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“…It is worth noting that these recommendations are still weak, based on low reliability evidence. This is due to, among other things, low-quality research and contradictory scientific reports on the impact of previous training on self-reported skills or self-confidence, obtained by various authors [ 24 , 26 , 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…Considering the latest ILCOR guidelines [ 12 ] and the “Intention-Focused” paradigm by Panchal et al [ 37 ], the present study also analyzed the impact of training on the willingness to undertake resuscitation. Literature analysis shows that it may differ depending on the victim involved [ 19 , 22 , 23 , 24 , 25 , 33 , 38 , 39 ]. For this reason, the willingness to undertake CPR was assessed separately for a family member, a child, a known person, and a stranger.…”

Section: Discussionmentioning

confidence: 99%

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Factors Influencing Self-Confidence and Willingness to Perform Cardiopulmonary Resuscitation among Working Adults—A Quasi-Experimental Study in a Training Environment

Jaskiewicz

Kowalewski

Kaniecka

et al. 2022

IJERPH

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Background: There is a potential relationship between the self-confidence and the willingness of bystanders to undertake resuscitation (CPR) and its training. The current guidelines increasingly focus on both the importance of the human factor and the fact that training programs should increase the willingness of bystanders to undertake resuscitation, which may have a direct impact on improving survival in out-of-hospital cardiac arrest (OHCA). Aim: The objective of the study was to analyze factors influencing the assessment of own skills crucial in basic life support (BLS) and the willingness to provide CPR to individual victims. Methods: A pre-test and post-test quasi-experimental design was used in this study. The data was collected from 4 December 2019 to 3 October 2020 in workplaces, during instructor-led BLS courses. Each intervention (training) consisted of a theoretical and a practical part. The program was focused both on the skills and the human factor. Results: Comparison of pre-test and post-test data concerning self-confidence scores of the ability to recognize OHCA among 967 participants demonstrated a significant difference (respectively, Me = 2.2, IQR [2–3] vs. Me = 3.4, IQR [3–4]; p = 0.000). Additionally, self-assessment scores for the ability to perform proper chest compressions between pre-test and post-test also differed significantly (respectively Me = 2.3, IQR [2–3] vs. Me = 3.3, IQR [3–4]; p = 0.000). A highly significant difference was found in the likelihood of changing the decision in favor of the willingness to undertake CPR for all types of victims, with the greatest difference found in relation to the willingness to conduct resuscitation on strangers (OR = 7.67, 95% CI 5.01–11.73; p < 0.01). Conclusions: Completing hands-on training has a highly significant, beneficial effect on the readiness to undertake resuscitation for all types of victims, strangers in particular. Training programs should place particular emphasis on developing readiness to undertake resuscitation for both those who have never been trained and those who had their last training more than one year ago.

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Evaluating barriers to community CPR education

Cited by 12 publications

References 27 publications

Attitudes and willingness toward out-of-hospital cardiopulmonary resuscitation: a questionnaire study among the public trained online in China

Attitudes and willingness toward out-of-hospital cardiopulmonary resuscitation: a questionnaire study among the public trained online in China

Development of an intervention to facilitate dissemination of community-based training to respond to out-of-hospital cardiac arrest: FirstCPR

Factors Influencing Self-Confidence and Willingness to Perform Cardiopulmonary Resuscitation among Working Adults—A Quasi-Experimental Study in a Training Environment

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