Huang, Jessica Jenn
(2024)
Increasing Bystander CPR Performance by Examining the Influence of Willingness, Self-Confidence, and Intention Among a Cohort of Middle School Students.
Master Essay, University of Pittsburgh.
Abstract
Background: Sudden cardiac arrests are of great public health significance, as rates of mortality and survival are exacerbated by racial/ethnic, sex, and socioeconomic disparities. Timely and quality bystander CPR (bCPR) is an effective intervention to reduce out-of-hospital cardiac arrest mortality, but there are substantial barriers to CPR performance and disparities in the receipt of bCPR. There is a need to explore innovative methods of CPR teaching methodologies to increase bCPR training and its translation to bCPR performance with an increasing recognition on the role self-confidence, willingness, and intention play in actual bCPR performance.
Purpose: To elucidate the barriers and facilitators to bCPR performance through a literature review and analysis of pre- and post- survey data of a novel, youth-engaged Hands-Only bCPR training program.
Methods: Forty-five seventh graders participated in a Hands-Only bCPR Save a Life Day training in December 2023 through a collaboration between University of Pittsburgh and Arsenal Middle School. Descriptive and analytical statistics of pre-and post-test surveys were performed using IBM SPSS Version 29.0 to assess the association between measures of self-confidence, willingness, and knowledge of CPR steps.
Results: Following the bCPR curriculum, there were increases in all the Likert-type scale questions and in ability to correctly order the steps of CPR. Notably, there was an overall 30.2% (p=< 0.001) increase in self-confidence about performing CPR and 67.5% (p= <0.001) increase in
participants indicating they know the steps of CPR. There were also statistically significant increases in willingness to perform CPR if participants saw someone who needed it (p= 0.017) and in wanting to teach family and friends about CPR (p=0.044).
Conclusion: Consistent with literature, the successful results of the youth-engaged Hands- Only bCPR training support the role of self-confidence as a modulator of willingness to perform CPR and the importance of empowerment among a diverse cohort of middle schoolers. By addressing social behavioral factors of bCPR performance, bCPR education, such as this program, can increase willingness and intention to perform CPR, which has the potential to reduce disparities in the receipt of bCPR throughout the community.
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| Item Type: |
Other Thesis, Dissertation, or Long Paper
(Master Essay)
|
| Status: |
Unpublished |
| Creators/Authors: |
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| Contributors: |
| Contribution | Contributors Name | Email | Pitt Username | ORCID  |
|---|
| Committee Chair | Hoffman, Beth L | beth.hoffman@pitt.edu | blh72 | 0000-0001-6576-8748 | | Committee Member | Fabio, Anthony | anthony.fabio@pitt.edu | afabio | 0000-0002-6808-4939 |
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| Date: |
26 June 2024 |
| Date Type: |
Completion |
| Access Restriction: |
No restriction; Release the ETD for access worldwide immediately. |
| Number of Pages: |
98 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Public Health > Behavioral and Community Health Sciences |
| Degree: |
MPH - Master of Public Health |
| Thesis Type: |
Master Essay |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
bystander CPR, out-of-hospital cardiac arrests, cardiac arrest, bystander CPR disparities, CPR performance, CPR intention, CPR models |
| Date Deposited: |
27 Jun 2024 01:36 |
| Last Modified: |
27 Jun 2024 01:36 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/46581 |
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