Dissemination of CPR video self-instruction materials to secondary trainees: Results from a hospital-based CPR education trial.
Dissemination of CPR video self-instruction materials to secondary trainees: Results from a hospital-based CPR education trial.
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DOI：
10.1016/j.resuscitation.2015.12.016
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发表时间：
2016-03
期刊：
影响因子：
6.5
通讯作者：
Blewer AL
中科院分区：
文献类型：
--
作者：
Ikeda DJ;Buckler DG;Li J;Agarwal AK;Di Taranti LJ;Kurtz J;Reis RD;Leary M;Abella BS;Blewer AL
心肺复苏 (CPR) 视频自学 (VSI) 材料已作为一种可扩展的方法得到推广，以提高普通公众心肺复苏技能的普及率，部分原因是二次培训的机会（即共享培训材料）。然而，人们对向二级学员传播 VSI 材料的动机和障碍知之甚少。这项工作代表了一项基于医院的前瞻性心肺复苏教育试验的辅助调查，其中心脏病患者的家人接受了使用 VSI 的培训。初次入学六个月后，对初级学员进行了混合方法调查。调查旨在了解共享 VSI 材料的动机和障碍、共享材料的二级学员数量以及培训的设置、时间安排和接受者。 2012 年 7 月至 2015 年 5 月期间，653 名研究参与者完成了为期六个月的后续访谈。其中，345 名学员报告与 1455 名二级学员分享了 VSI 材料。最常见的是与家庭成员共享材料。在逻辑回归分析中，与最年轻四分位数（年龄≤ 44 岁，OR 0.58，CI 0.37–0.90，p=0.02）的参与者相比，最年长四分位数（年龄 > 63 岁）的参与者共享材料的可能性较小。在 308 名未分享材料的参与者中，时间限制是最常见的不分享障碍。 VSI 材料代表了心肺复苏培训二次传播的策略，但相对于年轻人而言，老年人分享的可能性较低。需要进一步开展工作，以消除使用 VSI 方法在普通公众中传播心肺复苏术的障碍。
Cardiopulmonary resuscitation (CPR) video self-instruction (VSI) materials have been promoted as a scalable approach to increase the prevalence of CPR skills among the lay public, in part due to the opportunity for secondary training (i.e., sharing of training materials). However, the motivations for, and barriers to, disseminating VSI materials to secondary trainees is poorly understood. This work represents an ancillary investigation of a prospective hospital-based CPR education trial in which family members of cardiac patients were trained using VSI. Mixed-methods surveys were administered to primary trainees six months after initial enrollment. Surveys were designed to capture motivations for, and barriers to, sharing VSI materials, the number of secondary trainees with whom materials were shared, and the settings, timing, and recipients of trainings. Between 07/2012–05/2015, 653 study participants completed a six-month follow-up interview. Of those, 345 reported sharing VSI materials with 1455 secondary trainees. Materials were shared most commonly with family members. In a logistic regression analysis, participants in the oldest quartile (age > 63 years) were less likely to share materials compared to those in the youngest quartile (age ≤ 44 years, OR 0.58, CI 0.37–0.90, p=0.02). Among the 308 participants who did not share their materials, time constraints was the most commonly cited barrier for not sharing. VSI materials represent a strategy for secondary dissemination of CPR training, yet older individuals have a lower likelihood of sharing relative to younger individuals. Further work is warranted to remedy perceived barriers to CPR dissemination among the lay public using VSI approaches.