Abstract 392: Use of a Low Resource Model for Group Cardiopulmonary Resuscitation Training: Knowledge Gains and Attitude Changes

Abstract

Introduction: CPR training and regular skills practice is often limited by the availability of a high resource device such as a manikin torso. We investigated the knowledge gains and attitude changes in student participants of group hands-only CPR training (20-50 participants) using a low resource device, a bed pillow, to practice skills. Methods: Hands-only CPR trainings, utilizing a bed pillow for skills practice, were conducted for groups of college students. Using a one-group pre-test post-test design, participants (n=360) completed a questionnaire which included demographic information, prior history of CPR training, and multiple-choice questions to evaluate knowledge. Five-point Likert scale questions were used to assess attitudes specific to willingness to perform CPR, confidence in ability to perform CPR and likeliness to practice skills in the next year. The survey was completed prior to training. The participants then watched a demonstration followed by interactive skills practice on a pillow. A specially designed printed pillow case was used to show hand position landmarks and review information. The post training survey was then completed and each participant was provided a printed pillow case for future skills practice and review. Results: 129 participants (36%) had no prior CPR training, there were more females 273 (76%) than males, and the average age of participants was 20 years old. Correct knowledge regarding depth of compressions increased by 47% (47 to 94) while speed of compression knowledge increased by 52% (40 to 92). In a paired analysis, there were significant differences (p<.0001) in all attitude measures from pre-to-post training. Willingness to perform CPR increased 31% (gain=0.94, pre test=3.01), confidence to perform CPR, 45% (gain=1.18, pre test=2.64) and likeliness to practice skills in the next year, 20% (gain=0.59, pre test=2.97). Conclusions: Participation in group hands-only CPR training using a low resource device for skills practice resulted in significant knowledge gains and improved attitudes in the areas of willingness to perform CPR, confidence to perform CPR and skills practice likeliness. This training method can provide an accessible and cost-effective means for providing group CPR training.