Abstract 266: Pay-It-Forward: A School-Centered Educational Intervention to Increase Bystander-Initiated Resuscitation in Neighborhoods
Objective: Bystander cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use are vital links in the chain of survival for sudden cardiac arrest (SCA). The purpose of this study was to determine the knowledge acquisition and efficiency of a school-centered SCA response educational intervention.
Methods: CPR Anytime kits were used to provide facilitated video self-instruction of compression-only CPR and AED use to 9th and 10th graders. Participants in the classroom-based educational intervention took the CPR Anytime kits home to train friends and family in our pay-it-forward model. The primary outcome measure was knowledge acquisition as determined by pre- and post-assessment surveys. The secondary outcome measure was training efficiency as determined by: (i) the training efficiency index for cardiac arrest (TEICA), i.e., volunteer hours per person trained, and (ii) cardiac arrest training yield (CATY), i.e., number trained/neighborhood population.
Results: The average percent increase of correct responses between pre and post surveys among the students was 111.8%. The average percent increase in the pay-it-forward participants was 49.5%. Four volunteer hours were used to train 418 people (71 students plus 347 friends and family members) for a TEICA of 0.0096 hours/person. The school neighborhood has 10 middle and high schools serving a population of 20,881. If we assume that this school serves 10% of the neighborhood population, the CATY for this intervention is 20% (418 / 2088).Conclusion: Our Pay-it-forward model is an efficient way to deliver an SCA educational intervention in neighborhoods. Because schools are centrally-organized settings to which all children and their families have access, school-centered interventions may significantly increase bystander CPR and AED use. Future research will seek to determine long-term knowledge retention of this educational intervention.
Author Disclosures: M. Del Rios: Research Grant; Modest; Heart Rescue Grant from Medtronic Foundation. J. Han: None. E. Demertsidis: Research Grant; Significant; Heart Rescue Grant from Medtronic Foundation. M. Llerena: None. L. McGuire: None. T. Vanden Hoek: None.
This research has received full or partial funding support from the American Heart Association.
- © 2014 by American Heart Association, Inc.