Abstract
Background: High-risk neighborhoods, defined as having a low prevalence of bystander CPR and high incidence of out-of-hospital cardiac arrest (OHCA), may be targets for community-based interventions. The HANDDS Program(identifying H igh A rrest N eighborhoods to D ecrease D isparities in S urvival) is a novel intervention to target these neighborhoods to increase CPR awareness. Objective: Conduct a community-based clinical trial in Denver’s high-risk neighborhoods. Methods Population: Convenience sample of 344 participants recruited from target neighborhoods during 12-week study period. Intervention: Participants completed a pre-test survey to assess baseline knowledge of CPR. A group hands-only CPR training lasting 1 hour was conducted with the CPR Anytime kit, which includes an educational DVD and hands-on practical skills training. Participants then completed a survey to assess their post-training knowledge and were asked to use the kits to train others. A $10 incentive was given to participants. Two-sample t -tests were conducted to assess for differences in CPR knowledge pre- and post training. Results: Participants were Asian (50.0%), Black (35.6%), female (68.0%), had completed high school (26.8%), and had an annual income of less than $30,000 (37.1%). After the CPR intervention, the mean number of questions answered correctly on CPR knowledge increased ( Table 1): Majority of participants (84.6%) felt comfortable performing hands-only CPR after the intervention. Information was returned by 154 (44.8%) participants, with an additional 836 friends and family trained. Conclusion: A total of 1180 people were trained in hands-only CPR (average 3.43 people/kit). At $35 per CPR Anytime kit, this comes to a cost $10.20 for each person trained. Participants demonstrated increased knowledge of CPR and enthusiasm to train others. The HANDDS Program is a feasible method for increasing bystander CPR training in high-risk neighborhoods.
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