Abstract 126: Public Knowledge and Attitude Toward Cardiopulmonary Resuscitation in Taiwan: A National Telephone Survey
Background: Cardiovascular diseases are the leading cause of death worldwide, and the integrity and public awareness of the community chain-of-survival are pivotal to survival. Taiwan is now implementing public access defibrillation, including a compression only cardiopulmonary resuscitation (CPR) protocol for layperson, an emergency medical system (EMS) law requiring automated external defibrillator (AED) in public sites, and a Good Samaritan law. A national telephone survey was conducted to assess the public knowledge and attitude toward these issues to guide policy initiatives.
Methods: This is a cross-sectional study. A structured questionnaire assessing the knowledge, attitude, and willingness of CPR and Good Samaritan law, as well as demographic characteristics, was developed and validated. A national telephone survey by Computer Assisted Telephone Interviewing System (CATIS) with stratified random sampling, was conducted in 22 cities and counties. Effects from pertinent influential factors were assessed.
Results: From April 15 to 22, 2013, 9824 calls were placed and 1073 interviews (10.9%)were completed and analyzed. Most (90.0%) respondents heard about CPR, and among them 53% understood the procedure. Thirteen percent were reluctant to perform CPR to strangers due to fearing legal problems (44.1%), harming the victims (37.9%) and infectious disease (27.8%). Among those unwilling to perform, the willingness increased (57.4%) if compression only protocol was offered. Few (9.7%) were aware of Good Samaritan law in Taiwan. Once realizing the legal protection, most (92.7%) were willing to perform compression only CPR. Although almost all (95.9%) considered CPR necessary, only half actually learned it, and many (47.1%) were from over 5 years before. Barriers to CPR training were time (63.5%), physical conditions (18.9%), and lack of confidence (10.8%). If basic life support training of CPR and AED could be reduced to less than 60 minutes, over 90% were willing to learn.
Conclusions: Gaps exist between awareness and willingness for community CPR. Compression only-CPR, shorter training, and awareness of Good Samaritan Law could increase willingness, and should be considered in formulating future policy initiatives.
- © 2013 by American Heart Association, Inc.