Evaluation of the willingness to perform cardiopulmonary resuscitation (CPR) with automated external defibrillator (AED) among Hong Kong Chinese using the theory of planned behaviour framework: an online cross-sectional survey
Introduction Bystander cardiopulmonary resuscitation (CPR) and defibrillation by an automated external defibrillator (AED) in out-of-hospital cardiac arrest (OHCA) events were low in Hong Kong (HK). This study evaluated the willingness and associated factors of performing CPR with AED in HK using th...
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BMJ Publishing Group
2024-07-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000406.full |
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| author | Victor C W Tam Anthony Wai Leung Kwok |
| author_facet | Victor C W Tam Anthony Wai Leung Kwok |
| author_sort | Victor C W Tam |
| collection | DOAJ |
| description | Introduction Bystander cardiopulmonary resuscitation (CPR) and defibrillation by an automated external defibrillator (AED) in out-of-hospital cardiac arrest (OHCA) events were low in Hong Kong (HK). This study evaluated the willingness and associated factors of performing CPR with AED in HK using the theory of planned behaviour (TPB).Methods A total of 1449 responses from HK Chinese aged 15–64 years were collected in a cross-sectional online survey using convenience sampling on social media including Facebook, Instagram and WhatsApp. Three TPB determinants, namely attitude, subjective norm and perceived behavioural control; and perceived barriers were asked using 5-point Likert scales. Associations between each predictor and willingness to perform CPR with AED were evaluated using univariate ordinal regressions. Predictive models were constructed using hierarchical multiple ordinal regressions (MOR) to explore associated predictors and the adjusted OR (ORadj).Results There were 44.8% and 47.8% of respondents who were willing to perform CPR and use AED, respectively. Young adults aged 18–25 years demonstrated the lowest willingness to perform CPR (ORadj=0.63, 95% CI 0.42 to 0.94, p=0.023). Knowledge level was not associated with either CPR or AED willingness, thus was eliminated in backward selection in the MOR. Attitude, subjective norm and perceived behavioural control were all positively associated with both willingness (all ORadj>1.5, p<0.001), while perceived barriers were associated with CPR willingness only (ORadj=0.77, 95% CI 0.66 to 0.91, p=0.002).Conclusions Utilisation of the TPB framework in CPR and AED community education would fill the ‘know-do’ gap and enhance the community’s willingness to perform CPR and use an AED. |
| format | Article |
| id | doaj-art-a6b8b2a7a8c34aa38b9a38d501781f3e |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Public Health |
| spelling | doaj-art-a6b8b2a7a8c34aa38b9a38d501781f3e2025-01-28T17:00:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-07-012110.1136/bmjph-2023-000406Evaluation of the willingness to perform cardiopulmonary resuscitation (CPR) with automated external defibrillator (AED) among Hong Kong Chinese using the theory of planned behaviour framework: an online cross-sectional surveyVictor C W Tam0Anthony Wai Leung Kwok1Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, Hong KongThe Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong KongIntroduction Bystander cardiopulmonary resuscitation (CPR) and defibrillation by an automated external defibrillator (AED) in out-of-hospital cardiac arrest (OHCA) events were low in Hong Kong (HK). This study evaluated the willingness and associated factors of performing CPR with AED in HK using the theory of planned behaviour (TPB).Methods A total of 1449 responses from HK Chinese aged 15–64 years were collected in a cross-sectional online survey using convenience sampling on social media including Facebook, Instagram and WhatsApp. Three TPB determinants, namely attitude, subjective norm and perceived behavioural control; and perceived barriers were asked using 5-point Likert scales. Associations between each predictor and willingness to perform CPR with AED were evaluated using univariate ordinal regressions. Predictive models were constructed using hierarchical multiple ordinal regressions (MOR) to explore associated predictors and the adjusted OR (ORadj).Results There were 44.8% and 47.8% of respondents who were willing to perform CPR and use AED, respectively. Young adults aged 18–25 years demonstrated the lowest willingness to perform CPR (ORadj=0.63, 95% CI 0.42 to 0.94, p=0.023). Knowledge level was not associated with either CPR or AED willingness, thus was eliminated in backward selection in the MOR. Attitude, subjective norm and perceived behavioural control were all positively associated with both willingness (all ORadj>1.5, p<0.001), while perceived barriers were associated with CPR willingness only (ORadj=0.77, 95% CI 0.66 to 0.91, p=0.002).Conclusions Utilisation of the TPB framework in CPR and AED community education would fill the ‘know-do’ gap and enhance the community’s willingness to perform CPR and use an AED.https://bmjpublichealth.bmj.com/content/2/1/e000406.full |
| spellingShingle | Victor C W Tam Anthony Wai Leung Kwok Evaluation of the willingness to perform cardiopulmonary resuscitation (CPR) with automated external defibrillator (AED) among Hong Kong Chinese using the theory of planned behaviour framework: an online cross-sectional survey BMJ Public Health |
| title | Evaluation of the willingness to perform cardiopulmonary resuscitation (CPR) with automated external defibrillator (AED) among Hong Kong Chinese using the theory of planned behaviour framework: an online cross-sectional survey |
| title_full | Evaluation of the willingness to perform cardiopulmonary resuscitation (CPR) with automated external defibrillator (AED) among Hong Kong Chinese using the theory of planned behaviour framework: an online cross-sectional survey |
| title_fullStr | Evaluation of the willingness to perform cardiopulmonary resuscitation (CPR) with automated external defibrillator (AED) among Hong Kong Chinese using the theory of planned behaviour framework: an online cross-sectional survey |
| title_full_unstemmed | Evaluation of the willingness to perform cardiopulmonary resuscitation (CPR) with automated external defibrillator (AED) among Hong Kong Chinese using the theory of planned behaviour framework: an online cross-sectional survey |
| title_short | Evaluation of the willingness to perform cardiopulmonary resuscitation (CPR) with automated external defibrillator (AED) among Hong Kong Chinese using the theory of planned behaviour framework: an online cross-sectional survey |
| title_sort | evaluation of the willingness to perform cardiopulmonary resuscitation cpr with automated external defibrillator aed among hong kong chinese using the theory of planned behaviour framework an online cross sectional survey |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000406.full |
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