Abstract P43: Self-Instructional CPR Training for Parents of High Risk Infants
Objective: Premature infants and infants with congenital heart disease have a high risk of respiratory or cardiac arrest in the first year of life. Parental retention of CPR skills is poor 6 months after CPR instruction in the hospital. The purpose of this study was to assess usefulness of providing a self-instructional video kit (Infant CPRAnytime) to families of high risk infants. We hypothesized that comfort level of providing CPR would increase, the kit would be shared with other care providers and would be reviewed at regular intervals.
Methods: Families of an infant born prematurely (<35 wks or <2500 gms) or with congenital heart disease were given a self-instructional CPR kit . One care provider completed a questionnaire, reviewed the DVD, and practiced CPR before discharge. The care provider was asked to share the kit with other care providers, practice CPR every 3 months and respond to a questionnaire at 4 months. The initial questionnaire included questions about prior CPR training, comfort level doing CPR on their child, plans to share the kit with other care providers and plans to review the kit. The 4 month survey included questions about comfort level performing CPR, how often the kit was reviewed, and number of additional persons who reviewed the kit. Comfort level was evaluated with a 5 point Likert scale.
Results: Fifty families have enrolled in the study. Eighty-two percent of participants had prior CPR training. Initial comfort level with CPR was 2.9 + 1.25. Participants planned to share the kit with 3.8 + 1.22 persons, and planned to review the kit 3.3 + 0.77 times over a 12 month interval. Four month survey response was 34%. Comfort level improved to 3.6 ± 0.94 (p < 0.05 vs. initial survey) The kit was shared with 2.5 + 1.66 persons. The kit was reviewed by the primary caregiver 1.2 + 0.75 times over the 4 month interval. Two families successfully performed CPR on their infant and indicated the kit was very helpful.
Conclusions. Comfort level with infant CPR increased after using the kit, despite prior CPR training. The kit was used to teach an additional 2 people. Families use the kit to refresh their skills. The self-instructional CPR kit successfully provides CPR training to parents of high risk infants