Abstract 116: Should We Target Caregivers for Cardiopulmonary Resuscitation Training?
Background: Majority of cardiac arrests occur at home. Yet, bystander cardiopulmonary resuscitation (CPR) is more often performed by strangers. Public CPR training, while increasing the number of people trained, may not be targeting those most likely to witness cardiac arrests. We aimed to assess the potential of targeted CPR training.
Methods: We surveyed participants of a public CPR training program offered by the Singapore Heart Foundation from September 2009 to December 2011, as well as caregivers of hospitalized patients in a tertiary hospital from April to June 2012. Information on demographics, attitudes towards CPR training and performance were collected.
Results: Of the 656 respondents (mean age 41.5±13 years, 50.8% males), caregivers, compared to members of the public, were less willing to perform CPR on family members (69.8% versus 88.4%, p<0.001)(Figure). In addition, they were less willing for CPR training/retraining (53.2% versus 70.3%, p<0.001). These differences persisted after adjustment for demographics and prior CPR training. Amongst public and caregivers who were trained, only 31.8% were confident in performing CPR. Trained public expressed more concerns regarding CPR performance (competency-related issues, contracting diseases and physical ability to perform CPR), while more trained caregivers had no concern regarding CPR performance.
Conclusions: We found that caregivers were less willing to perform CPR on family members despite having fewer concerns regarding CPR performance. Response bias and cultural factors may explain these. These findings suggest that changing the caregivers’ attitudes is crucial for a successful targeted CPR training program.
Author Disclosures: S. Lim: None. P. Tan: None. Y. Chan: None. Y. Tan: None. B. Leong: None.
- © 2014 by American Heart Association, Inc.