Abstract 18364: Barriers to Community CPR Training in High-risk Neighborhoods- Lessons Learned From the Hands-only CPR Program
Background: Improving the performance of bystander CPR in high-risk communities is essential for decreasing disparities in cardiac arrest survival. In this study, we identified the barriers to community CPR training in high-risk neighborhoods as part of the multi-centered trial of the Hands-Only™ CPR Program - a novel intervention targeting neighborhoods with high incidence of cardiac arrest and low bystander CPR rates.
Methods: The Hands-Only CPR program was implemented in high-risk neighborhoods in Tampa, FL, Columbus, OH and Chicago, IL. Participants underwent group-based Hands-Only CPR training (1 hour) with a CPR Anytime kit, which includes a DVD and manikin. A $10 gift card incentive was offered to participants who used the kits to train family and friends and returned data at 2 weeks. Study coordinators identified barriers and facilitators to recruitment, training and follow-up.
Results: In 20 weeks, 815 participants were recruited (Tampa, n=580; Columbus, n=165; Chicago, n=70). Participant demographics differed by site. Participants in Columbus and Chicago were predominantly Black (81% and 88%, respectively) whereas in Tampa they were White (42%) and Hispanic (38%). Annual income was < $30,000 for 45% of participants. Recruitment was challenging even with participants receiving a $10 incentive, CPR Anytime kit, and meal with training. This may be related to CPR training being a low priority compared to other needs (i.e work, child care, neighborhood safety). Communication challenges with the community was cited as another barrier leading to low return response rate of 11%. Highest response rates occurred in Columbus (33%) where community liaisons lived in the neighborhood and interacted with residents daily. Participants did feel comfortable training others using the CPR Anytime kits (P<0.001) The average number of family and friends trained was 4.1 (range: 1 to 15) individuals per respondent.
Conclusion: The Hands-Only CPR program facilitates training in high-risk neighborhoods and minority populations through a train the trainer model. The biggest challenges faced by the sites were recruiting participants and response rates on family and friends trained. Future research will need to assess methods to improve outreach to this population.
Author Disclosures: A.R. Panchal: None. M. Del Rios: None. J. Waxler: None. D. Heard: Consultant/Advisory Board; Significant; American Heart Association. C. Sasson: Employment; Significant; American Heart Association.
- © 2015 by American Heart Association, Inc.