Abstract 17196: Hands-only CPR Video Self-instruction Promotes Self-confidence and Secondary Training: A Hospital-based Randomized Trial
Background: Recent work suggests that hands-only CPR (omitting rescue breaths) is an acceptable layperson resuscitation strategy. It is unknown whether training in hands-only CPR or standard CPR (30 compressions:2 breaths) engenders more rescuer confidence or encourages wider dissemination.
Objectives: We hypothesized that laypersons receiving video self-instruction (VSI) CPR training will be more confident in their skills and more likely to share the VSI kit with additional family members (secondary training), when randomized to hands-only CPR instruction versus training in standard CPR.
Methods: In a multisite trial of CPR educational strategies, family members of hospitalized cardiac patients were trained in CPR using an established VSI kit. Subjects were randomized to standard or hands-only modes of CPR education, using videos with the same actor and similar video duration. CPR skills and subject impressions on training were then assessed. The magnitude of secondary training was measured via survey one month after initial instruction.
Results: Of 1038 individuals screened, 380 consented to CPR training. Enrolled subject mean age was 53±14 years, 307/380 (81%) were spouses/immediate family of the hospitalized patients and 319/380 (84%) were never CPR trained or had not received training in over 10 years. Skills performance was indistinguishable between the hands-only and standard CPR groups (checking responsiveness, calling for help, compression rate/depth). Trainees in the hands-only group were significantly more likely to rate themselves “very comfortable” with the idea of using CPR skills in an actual event than standard group trainees (71 vs 50, p=0.01). Subjects were contacted one month after initial training to assess secondary training. VSI kits were shared with a mean of 3.8±4.2 additional family members in the hands-only group versus 3.2±2.6 in the standard CPR group (p=NS).
Conclusions: Hands-only CPR education resulted in a statistically significant increase in self-confidence compared to standard CPR training, and a trend towards increased secondary training using VSI kits. This work suggests that implementation of VSI training programs using hands-only CPR may confer broader dissemination of life-saving skills.
- © 2010 by American Heart Association, Inc.