Home Automatic external Defibrillator Training
家用自动体外除颤器培训
基本信息
- 批准号:6777836
- 负责人:
- 金额:$ 45.36万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2004
- 资助国家:美国
- 起止时间:2004-07-01 至 2008-05-31
- 项目状态:已结题
- 来源:
- 关键词:behavioral /social science research tagbiomedical automationclinical researchcomputer assisted instructiondata collection methodology /evaluationeducation evaluation /planningelectric countershock heart resuscitationemergency carefamily medicinefunctional abilityhealth educationheart arresthome health carehuman subjectimplantable defibrillatorslocus of controllongitudinal human studyoutcomes researchpatient care managementpatient care planningperformanceportable biomedical equipmentpsychological adaptationpsychological testsquality of lifequestionnairesvideotape /videodisc
项目摘要
DESCRIPTION (provided by applicant): Out-of-hospital cardiac arrest constitutes a major public health challenge responsible for hundreds of thousands of deaths annually in the U.S. A family responder program, where family members of a person at high risk of cardiac arrest are equipped and trained with an automated external defibrillator (AED), is an innovative method to reduce mortality. Although lifesaving, the successful operation of the AED requires achievement of technical skill. Moreover given the extreme circumstances of cardiac arrest, the AED may serve to enhance or erode the psychological well-being of the patient and/or family. Behavioral theory and empirical evidence from studies of lifesaving skills training of laypersons suggest that an AED training approach that incorporates tenets of self-efficacy and perceived control may favorably impact skills retention and psychological status. To test this hypothesis, 300 (sets of) patients at high-risk of cardiac arrest and their family members will be will be randomized to one of four AED training programs: 1) instructional video, 2) video with self-efficacy, 3) face-to-face instruction with self efficacy, 4) face-to-face instruction with self-efficacy and perceived control. The specific aims are to determine which AED training program achieves optimal skills retention and psychological adjustment among heart disease patients and their family members. Patients and family members will be enrolled shortly after hospital discharge for an acute coronary syndrome. AED skills of family members will be assessed in a simulated "surprise" cardiac arrest 9 months following enrollment using a validated skills measure. Psychological adjustment of family members and patients will be assessed at baseline (prior to randomization) and 3 and 9 months later using validated survey instruments for psychological and functional health. During the initial 6 months, the investigators will gain review board approval, finalize assessment and training resources, and hire staff. For the subsequent 3 years, subjects will be enrolled and baseline and outcome measures will be assessed. Data will be analyzed and reports written during the final 12 months of the study. The study has greater than 80 percent power to detect clinically important differences between training groups. Although the programs span the spectrum from streamlined to personalized and intensive, each approach constitutes a potential real-word, generalizable AED training method. If training that is enhanced in self-efficacy and perceived control is superior, more training resources may be required to maximize the health benefits of a family responder AED program. Alternatively, if nominal video-based approaches achieve comparable outcomes, training efforts can be streamlined at considerable cost savings with fewer impediments for distribution and dissemination.
描述(由申请人提供):院外心脏骤停是一项重大公共卫生挑战,每年导致美国数十万人死亡。家庭急救计划是一种降低死亡率的创新方法,其中心脏骤停高危人群的家庭成员配备并接受自动体外除颤器 (AED) 培训。尽管可以挽救生命,但 AED 的成功操作需要具备一定的技术技能。此外,考虑到心脏骤停的极端情况,AED 可能会增强或削弱患者和/或家人的心理健康。行为理论和外行救生技能培训研究的经验证据表明,结合自我效能和感知控制原则的 AED 培训方法可能会对技能保留和心理状态产生有利影响。为了检验这一假设,300 名(组)心脏骤停高危患者及其家人将被随机分配到四个 AED 培训项目之一:1)教学视频,2)自我效能视频,3)具有自我效能的面对面教学,4)具有自我效能和感知控制的面对面教学。具体目标是确定哪种 AED 培训计划可以在心脏病患者及其家人中实现最佳的技能保留和心理调整。患者和家属将在因急性冠状动脉综合征出院后不久就被纳入研究。入组后 9 个月,将使用经过验证的技能测量,通过模拟“意外”心脏骤停来评估家庭成员的 AED 技能。将使用经过验证的心理和功能健康调查工具在基线(随机化之前)以及 3 个月和 9 个月后对家庭成员和患者的心理调整进行评估。在最初的 6 个月内,研究人员将获得审查委员会的批准,最终确定评估和培训资源,并雇用员工。在接下来的 3 年中,将招募受试者并评估基线和结果指标。将在研究的最后 12 个月内分析数据并撰写报告。该研究有超过 80% 的功效来检测训练组之间临床上重要的差异。尽管这些计划涵盖了从简化到个性化和强化的范围,但每种方法都构成了一种潜在的实际、通用的 AED 培训方法。如果增强自我效能和感知控制能力的培训效果更好,则可能需要更多的培训资源来最大限度地发挥家庭急救员 AED 计划的健康益处。或者,如果名义上的基于视频的方法取得了可比的结果,则可以简化培训工作,从而节省大量成本,同时减少分发和传播的障碍。
项目成果
期刊论文数量(0)
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{{ truncateString('THOMAS D REA', 18)}}的其他基金
Transforming Resuscitation through Artificial INtelligence (TRAIN Study)
通过人工智能改变复苏(TRAIN 研究)
- 批准号:
10712407 - 财政年份:2023
- 资助金额:
$ 45.36万 - 项目类别:
Human genetic variation and ventricular fibrillation resuscitation outcomes
人类遗传变异和心室颤动复苏结果
- 批准号:
7868043 - 财政年份:2008
- 资助金额:
$ 45.36万 - 项目类别:
Human genetic variation and ventricular fibrillation resuscitation outcomes
人类遗传变异和心室颤动复苏结果
- 批准号:
8079061 - 财政年份:2008
- 资助金额:
$ 45.36万 - 项目类别:
Human genetic variation and ventricular fibrillation resuscitation outcomes
人类遗传变异和心室颤动复苏结果
- 批准号:
7640734 - 财政年份:2008
- 资助金额:
$ 45.36万 - 项目类别:
Human genetic variation and ventricular fibrillation resuscitation outcomes
人类遗传变异和心室颤动复苏结果
- 批准号:
7380891 - 财政年份:2008
- 资助金额:
$ 45.36万 - 项目类别: