Abstract 262: Impact of the Motive of Participants on Training Effect of CPR

Abstract

Introduction: CPR by lay people improves survival in out-of-hospital cardiac arrest (OHCA). CPR training for lay people plays a crucial role to maximize an opportunity of an effective bystander CPR. Fire Department has concentrated its efforts on growing the training popular in citizens in Japan.Some people participated in the training of their own accord, while others participated by the direction of their business companies. Aim was to elucidate a relationship between the motive of the participated people to the first aid training held by the fire department and the training effects. Methods: Tokyo Disaster Prevention and Emergency Medical Service Associate has conducted the first aid training for common people including CPR and AED training, in which a total of 3,862 adults were participated into the training between January and April 2012. Of those, 1,203 adult office workers (age: 20-49 years, 783 male, 723 compulsory participants and 420 participants of their own accord) were analyzed in this study. An anonymous questionnaire survey including their satisfaction for the course and trainer, self-checking of skill performances regarding to CPR and intention to perform bystander CPR was conducted. Results: Satisfaction with the course and the trainer was higher in the participants of their own accord compared to the compulsory participants (Kruskal-Wallis test P=0.001, P=0.001). When skills of chest compression and artificial breathing were evaluated by themselves, the evaluations were better in the participants of their own accord (P=0.04, P=0.01). Comparing their perceptions regarding their AED skills, there was no significant difference (P=0.13). Answers to the question about their intensions to perform CPR for OHCA demonstrated that the participants of their own accord would actually perform CPR more frequently (17.9% vs 11.3%, P<0.001). Conclusion: Expectation that a common lay people actually perform CPR during OHCA event is likely to depend on their motivation of the CPR ability. Their motivation also related with their perceptions of the CPR skills. It suggested that continued appealing works to the willing and perception of participants is indispensable to maximize the effectiveness of CPR training.