Increasing lay-people's intentions to initiate CPR in out of hospital cardiac arrest: Results of a mixed-methods 'before and after' pilot study of a behavioural text-message intervention (BICeP).
Increasing lay-people's intentions to initiate CPR in out of hospital cardiac arrest: Results of a mixed-methods 'before and after' pilot study of a behavioural text-message intervention (BICeP).
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院外心脏骤停患者实施CPR的意愿增加：行为短信干预（BICeP）的“前后”混合方法试点研究结果
DOI：
10.1016/j.resplu.2022.100312
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发表时间：
2022-12
影响因子：
2.4
通讯作者：
Dixon, Diane
中科院分区：
文献类型：
--
作者：
Farquharson, Barbara;Calveley, Eileen;Clegg, Gareth;Williams, Brian;Ramsay, Pam;Macinnes, Lisa;Torrens, Claire;Dixon, Diane
及时有效的心肺复苏(CPR)可增加院外心脏骤停患者的存活率。然而，心肺复苏术通常不提供，即使是受过培训的人。自信心低、对风险的感知和情绪高涨会阻碍心肺复苏术的启动。行为改变技术可能有助于提高心肺复苏率。为了试点旨在增加启动CPR意向的短信行为干预，探索参与者的反应和未来有效性的随机对照试验的试点方法。进行了“前后”的先导研究和定性访谈。参与者为在过去两年内接受过CPR培训的非专业人士。参与者在4-6周的时间里被发送到他们的手机上进行干预，其中包括35条短信，其中包含14种行为改变技巧。主要结果：根据4种不同的情景评估启动CPR的意图。次要结果：基于理论的意图决定因素(态度、主观规范、感知的行为控制和自我效能)和自我评估能力。20名参与者(6名女性，14名男性)，年龄20-84岁，提供了基线数据。17人收到了完整的35条短信。15人提供了后续数据。在有CPR指示的情况下，实施CPR的意向在基线时很高，干预后增加(18.1%±13.2%-19.5%±1.8%/21)，自我效能和自我评估能力也增加。自我效能感、态度、行为控制感和主观规范与意图呈正相关。定性数据表明，这种干预被认为是有用的。还提出了关于交付格式和速度的其他备选方案。试点测试表明，在CPR培训后提供短信干预是可以接受的，并可能有助于增加/保持执行CPR的意图。
Prompt, effective cardio-pulmonary resuscitation (CPR) increases survival in out-of-hospital cardiac arrest. However, CPR is often not provided, even by people with training. Low confidence, perceptions of risks and high emotion can prevent initiation of CPR. Behaviour-change techniques may be helpful in increasing CPR rates. To pilot a text-message behavioural intervention designed to increase intentions to initiate CPR, explore participant responses and pilot methods for future randomised controlled trial of effectiveness. A ‘before and after’ pilot study plus qualitative interviews was undertaken. Participants were lay-people who had undertaken CPR training in previous 2 years. Participants were sent an intervention, comprising 35 text-messages containing 14 behaviour-change techniques, to their mobile phone over 4–6 weeks. Primary outcome: intentions to initiate CPR assessed in response to 4 different scenarios. Secondary outcomes: theory-based determinants of intention (attitudes, subjective norms, perceived behavioural control and self-efficacy) and self-rated competence. 20 participants (6 female, 14 male), aged 20–84 provided baseline data. 17 received the full suite of 35 text messages.15 provided follow-up data. Intentions to perform CPR in scenarios where CPR was indicated were high at baseline and increased (18.1 ± 3.2–19.5 ± 1.8/21) after the intervention, as did self-efficacy and self-rated competency. Self-efficacy, attitudes, perceived behavioural control and subjective norms were positively correlated with intentions. Qualitative data suggest the intervention was perceived as useful. Additional options for delivery format and pace were suggested. Pilot-testing suggests a text-message intervention delivered after CPR training is acceptable and may be helpful in increasing/maintaining intentions to perform CPR.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
DOI：
10.1136/bmj.n2061
发表时间：
2021-09-30
期刊：
BMJ (Clinical research ed.)
影响因子：
--
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Moore L
影响因子：
6.5
作者：
Greif, Robert;Lockey, Andrew;Monsieurs, Koenraad G.
通讯作者：
Monsieurs, Koenraad G.
影响因子：
4
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Rhon, Daniel, I;Fritz, Julie M.;Kerns, Robert D.;McGeary, Donald D.;Coleman, Brian C.;Farrokhi, Shawn;Burgess, Diana J.;Goertz, Christine M.;Taylor, Stephanie L.;Hoffmann, Tammy
通讯作者：
Hoffmann, Tammy
影响因子：
6.5
作者：
Lindner, Thomas Werner;Soreide, Eldar;Lossius, Hans Morten
通讯作者：
Lossius, Hans Morten