Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial
Introduction Out-of-hospital cardiac arrest (OHCA) is associated with poor survival outcomes, but prompt bystander action can more than double survival rates. Being trained, confident and willing-to-perform cardiopulmonary resuscitation (CPR) are known predictors of bystander action. This study aims...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-06-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e057175.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832584017205002240 |
|---|---|
| author | Sandra Ware Blake Angell Julie Redfern Clara Chow Cate Ferry Lee Taylor Christopher Semsarian Adrian Bauman Janet E Bray Simone Marschner Michael Nelson Saurabh Kumar Matthew Vukasovic Kevin Lai Paul M Middleton Pramesh Kovoor Garry Jennings Sonali Munot Andrew Coggins Alan Robert Denniss Sarah Khanlari Ian Opperman |
| author_facet | Sandra Ware Blake Angell Julie Redfern Clara Chow Cate Ferry Lee Taylor Christopher Semsarian Adrian Bauman Janet E Bray Simone Marschner Michael Nelson Saurabh Kumar Matthew Vukasovic Kevin Lai Paul M Middleton Pramesh Kovoor Garry Jennings Sonali Munot Andrew Coggins Alan Robert Denniss Sarah Khanlari Ian Opperman |
| author_sort | Sandra Ware |
| collection | DOAJ |
| description | Introduction Out-of-hospital cardiac arrest (OHCA) is associated with poor survival outcomes, but prompt bystander action can more than double survival rates. Being trained, confident and willing-to-perform cardiopulmonary resuscitation (CPR) are known predictors of bystander action. This study aims to assess the effectiveness of a community organisation targeted multicomponent education and training initiative on being willing to respond to OHCAs. The study employs a novel approach to reaching community members via social and cultural groups, and the intervention aims to address commonly cited barriers to training including lack of availability, time and costs.Methods and analysis FirstCPR is a cluster randomised trial that will be conducted across 200 community groups in urban and regional Australia. It will target community groups where CPR training is not usual. Community groups (clusters) will be stratified by region, size and organisation type, and then randomly assigned to either immediately receive the intervention programme, comprising digital and in-person education and training opportunities about CPR and OHCA over 12 months, or a delayed programme implementation. The primary outcome is self-reported ‘training and willingness-to-perform CPR’ at 12 months. It will be assessed through surveys of group members that consent in intervention versus control groups and administered prior to control groups receiving the intervention. The primary analysis will follow intention-to-treat principles, use log binomial regression accounting for baseline covariates and be conducted at the individual level, while accounting for clustering within communities. Focus groups and interviews will be conducted to examine barriers and enablers to implementation and costs will also be examined.Ethics and dissemination Ethical approval was obtained from The University of Sydney. Findings from this study will be disseminated via presentations at scientific conferences, publications in peer-reviewed journals, scientific and lay reports.Trial registration number ACTRN12621000367842. |
| format | Article |
| id | doaj-art-6077edf85ef34096b3e7be5c3586acff |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-6077edf85ef34096b3e7be5c3586acff2025-01-27T23:10:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-057175Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trialSandra Ware0Blake Angell1Julie Redfern2Clara Chow3Cate Ferry4Lee Taylor5Christopher Semsarian6Adrian Bauman7Janet E Bray8Simone Marschner9Michael Nelson10Saurabh Kumar11Matthew Vukasovic12Kevin Lai13Paul M Middleton14Pramesh Kovoor15Garry Jennings16Sonali Munot17Andrew Coggins18Alan Robert Denniss19Sarah Khanlari20Ian Opperman21Ambulance Service of NSW, Rozelle, New South Wales, Australia9 The George Institute for Global Health, Newtown, New South Wales, AustraliaThe George Institute for Global Health, University of New South Wales, Newtown, New South Wales, Australia9 Westmead Applied Research Centre, University of Sydney and Department of Cardiology, Westmead Hospital, Sydney, New South Wales, AustraliaNSW Division, Heart Foundation, Sydney, New South Wales, AustraliaSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UKAgnes Ginges Centre for Molecular Cardiology, Centenary Institute, The University of Sydney, Sydney, New South Wales, AustraliaSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaAlfred Health, Melbourne, Victoria, AustraliaWestmead Applied Research Centre, The University of Sydney, Westmead, New South Wales, Australia5 Centre for Epidemiology and Evidence, New South Wales Ministry of Health, Sydney, New South Wales, AustraliaDepartment of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia2 Department of Emergency Medicine, Westmead Hospital, Westmead, New South Wales, AustraliaDepartment of Emergency Medicine, Westmead Hospital, Sydney, New South Wales, Australia11 South Western Emergency Research Institute, Ingham Institute for Applied Medical Research, Liverpool Hospital, Liverpool, New South Wales, AustraliaUniversity of Sydney, Westmead Hospital, Sydney, New South Wales, AustraliaSydney Health Partners, Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, AustraliaWestmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Westmead, New South Wales, Australia10 Discipline of Emergency Medicine, The University of Sydney School of Medicine, Sydney, New South Wales, AustraliaDepartment of Cardiology, Westmead Hospital, Sydney, New South Wales, AustraliaCentre for Epidemiology and Evidence, NSW Ministry of Health, Sydney, New South Wales, AustraliaNSW Data Analytics Centre, NSW Government, Sydney, New South Wales, AustraliaIntroduction Out-of-hospital cardiac arrest (OHCA) is associated with poor survival outcomes, but prompt bystander action can more than double survival rates. Being trained, confident and willing-to-perform cardiopulmonary resuscitation (CPR) are known predictors of bystander action. This study aims to assess the effectiveness of a community organisation targeted multicomponent education and training initiative on being willing to respond to OHCAs. The study employs a novel approach to reaching community members via social and cultural groups, and the intervention aims to address commonly cited barriers to training including lack of availability, time and costs.Methods and analysis FirstCPR is a cluster randomised trial that will be conducted across 200 community groups in urban and regional Australia. It will target community groups where CPR training is not usual. Community groups (clusters) will be stratified by region, size and organisation type, and then randomly assigned to either immediately receive the intervention programme, comprising digital and in-person education and training opportunities about CPR and OHCA over 12 months, or a delayed programme implementation. The primary outcome is self-reported ‘training and willingness-to-perform CPR’ at 12 months. It will be assessed through surveys of group members that consent in intervention versus control groups and administered prior to control groups receiving the intervention. The primary analysis will follow intention-to-treat principles, use log binomial regression accounting for baseline covariates and be conducted at the individual level, while accounting for clustering within communities. Focus groups and interviews will be conducted to examine barriers and enablers to implementation and costs will also be examined.Ethics and dissemination Ethical approval was obtained from The University of Sydney. Findings from this study will be disseminated via presentations at scientific conferences, publications in peer-reviewed journals, scientific and lay reports.Trial registration number ACTRN12621000367842.https://bmjopen.bmj.com/content/12/6/e057175.full |
| spellingShingle | Sandra Ware Blake Angell Julie Redfern Clara Chow Cate Ferry Lee Taylor Christopher Semsarian Adrian Bauman Janet E Bray Simone Marschner Michael Nelson Saurabh Kumar Matthew Vukasovic Kevin Lai Paul M Middleton Pramesh Kovoor Garry Jennings Sonali Munot Andrew Coggins Alan Robert Denniss Sarah Khanlari Ian Opperman Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial BMJ Open |
| title | Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial |
| title_full | Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial |
| title_fullStr | Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial |
| title_full_unstemmed | Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial |
| title_short | Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial |
| title_sort | improving community based first response to out of hospital cardiac arrest firstcpr protocol for a cluster randomised controlled trial |
| url | https://bmjopen.bmj.com/content/12/6/e057175.full |
| work_keys_str_mv | AT sandraware improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT blakeangell improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT julieredfern improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT clarachow improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT cateferry improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT leetaylor improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT christophersemsarian improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT adrianbauman improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT janetebray improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT simonemarschner improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT michaelnelson improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT saurabhkumar improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT matthewvukasovic improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT kevinlai improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT paulmmiddleton improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT prameshkovoor improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT garryjennings improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT sonalimunot improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT andrewcoggins improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT alanrobertdenniss improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT sarahkhanlari improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial AT ianopperman improvingcommunitybasedfirstresponsetooutofhospitalcardiacarrestfirstcprprotocolforaclusterrandomisedcontrolledtrial |