Abstract 248: Self-Reported Barriers to CPR Education Among Laypersons Offered Training
Background: Less than 30% of lay witnesses to cardiac arrest attempt cardiopulmonary resuscitation (CPR); this is in part due to poor penetration of CPR training in the US population. Little is known about self-perceived barriers to CPR education among individuals who are offered training opportunities.
Objectives: We sought to examine perceived barriers to CPR training, hypothesizing that laypersons are more inclined to fear harming arrest victims rather then expressing concern for contracting disease.
Methods: As part of a multisite CPR training study, subjects were administered a mixed quantitative and qualitative survey designed to assess perspectives of potential enrollees who either declined CPR training or those who agreed to receive CPR training. The survey questions used a Likert scaling response of 1 (strongly disagree) to 5 (strongly agree) to assess statements such as “I am afraid of getting a disease from performing CPR”. Survey responses were analyzed for statistical significance.
Results: Surveys were completed by 137 individuals, 72 of whom declined CPR training and 65 who agreed to training. The most emphasized self-perceived barrier in the declining group was fear of performing CPR incorrectly (mean Likert score 2.9±1.4). The group that accepted CPR training also prioritized this concern (mean score 2.5±1.4). Other expressed barriers in the declining group were concern for hurting someone while performing CPR and fear of getting sued, with mean scores of 2.7±1.3 and 2.7±1.4, respectively. Fear regarding contracting a disease was the lowest ranked concern in both the groups that declined CPR training and the group that accepted, with a mean score of 2.5±1.3 and 1.8±1.3, respectively. There was a significant difference in mean scores between the expressed fear of performing CPR incorrectly and fear of contracting a disease in the declining group (p=0.05) and the CPR enrollment group (p=0.005).
Conclusions: In our cohort of potential trainees, fear of incorrect CPR performance was cited more strongly than concern for disease transmission. This has implications for the public messaging surrounding CPR training, with the need to reassure potential trainees that attempting CPR, even if performed “incorrectly”, is potentially life-saving.
- © 2010 by American Heart Association, Inc.