Abstract 67: Direct Mail Improves Knowledge of CPR Guidelines 2010 in Primary Care: A Randomized Study
Background: Resuscitation councils publish new guidelines on resuscitation every 5 years. Often there is a significant delay on implementing new guidelines into clinical practice. Direct-mail is an inexpensive way of disseminating information to primary care physicians (PCP) and may improve implementation of new CPR guidelines 2010. Accordingly, the aim of this study was to investigate whether direct-mail improved knowledge on new CPR guidelines among PCPs.
Methods: All primary care clinics in Central Region Denmark were randomized to receive either direct-mail (intervention) or no direct-mail (control). The direct-mail consisted of a cover letter outlining changes in CPR guidelines and a poster on CPR and the use of an automatic external defibrillator (AED). In clinics randomized to the intervention every single PCP received a personal direct-mail. Two weeks later a multiple-choice questionnaire on CPR guidelines together with items on characteristics of the PCP were mailed to PCPs in all clinics. Non-responders received a reminder with an additional questionnaire after 20 days.
Results: A total of 830 (direct-mail, n=408; control, n=422) PCPs from 351 primary care clinics were included in the study. Overall response rate was 58%. Demographic characteristics were comparable in the two groups. The majority (91%) of PCPs receiving direct-mail stated they were familiar with the new CPR Guidelines 2010 compared to 72% in the control group (P<0.0001). Direct-mail improved the knowledge of the new recommended chest compression depth (67% vs. 40%, P<0.0001) and the new recommended chest compressions frequency (62% vs. 40%, P<0.0001).
Conclusion: Direct-mail improves disseminating knowledge on changes in CPR guidelines and thus helps implement new guidelines in general practice. Organizations i.e. resuscitation councils and medical societies for primary care may consider using this inexpensive strategy for implementing changes in clinical guidelines in the future.
- © 2011 by American Heart Association, Inc.