Evolution of Bystander Intention to Perform Resuscitation Since Last Training: Web-Based Survey

Article Article scientifique Article Evolution of Bystander Intention to Perform Resuscitation Since Last Training: Web-Based Survey eng 2020-11-30 2020-11-30 author Regard Simon 0000-0002-3979-7593 558033 author Rosa Django 0000-0003-4752-6184 816312 author Suppan Mélanie 0000-0002-8807-9619 526789 author Giangaspero Chiara 0000-0002-5022-6409 801257 author Larribau Robert Michel P. D. 0000-0002-5200-4199 91013 author Niquille Marc 0000-0002-2671-6889 527068 author Sarasin François 0000-0002-1169-8526 65003 author Suppan Laurent 0000-0001-6989-6421 505697 e24798 10.2196/24798 33252342 2561-326X PMC7735898 http://formative.jmir.org/2020/11/e24798/ Background: Victims of out-of-hospital cardiac arrest (OHCA) have higher survival rates and more favorable neurological outcomes when basic life support (BLS) maneuvers are initiated quickly after collapse. Although more than half of OHCAs are witnessed, BLS is infrequently provided, thereby worsening the survival and neurological prognoses of OHCA victims. According to the theory of planned behavior, the probability of executing an action is strongly linked to the intention of performing it. This intention is determined by three distinct dimensions: attitude, subjective normative beliefs, and control beliefs. We hypothesized that there could be a decrease in one or more of these dimensions even shortly after the last BLS training session. Objective: The aim of this study was to measure the variation of the three dimensions of the intention to perform resuscitation according to the time elapsed since the last first-aid course. Methods: Between January and April 2019, the two largest companies delivering first-aid courses in the region of Geneva, Switzerland sent invitation emails on our behalf to people who had followed a first-aid course between January 2014 and December 2018. Participants were asked to answer a set of 17 psychometric questions based on a 4-point Likert scale (“I don't agree,” “I partially agree,” “I agree,” and “I totally agree”) designed to assess the three dimensions of the intention to perform resuscitation. The primary outcome was the difference in each of these dimensions between participants who had followed a first-aid course less than 6 months before taking the questionnaire and those who took the questionnaire more than 6 months and up to 5 years after following such a course. Secondary outcomes were the change in each dimension using cutoffs at 1 year and 2 years, and the change regarding each individual question using cutoffs at 6 months, 1 year, and 2 years. Univariate and multivariable linear regression were used for analyses. Results: A total of 204 surveys (76%) were analyzed. After adjustment, control beliefs was the only dimension that was significantly lower in participants who took the questionnaire more than 6 months after their last BLS course (P<.001). Resisting diffusion of responsibility, a key element of subjective normative beliefs, was also less likely in this group (P=.001). By contrast, members of this group were less afraid of disease transmission (P=.03). However, fear of legal action was higher in this group (P=.02). Conclusions: Control beliefs already show a significant decrease 6 months after the last first-aid course. Short interventions should be designed to restore this dimension to its immediate postcourse state. This could enhance the provision of BLS maneuvers in cases of OHCA. Attitude Basic life support Behavior Belief Bystander Cardiac arrest Cardiopulmonary resuscitation Confidence First aid Heart attack Intention Out-of-hospital cardiac arrest Resuscitation Survey Dewey 617 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 false 17 Médecine d'urgence 24 https://doi.org/10.17632/7cny37gdmm.1 JMIR formative research 4 11 1bb2e6c1-48ca-451b-8b81-0412dfea77ac Article (Published version) Public document(2).pdf 290224 application/pdf CC BY-4.0 a4925ade-37f8-466c-a401-2e23eda733d6 Appendix Public Article-scientifique-from-unpaywall.pdf 328128 application/pdf CC BY 8a9ef90e-406d-46b4-a235-dc4951f1fb66 Appendix Public formative_v4i11e24798_app2.pdf 198195 application/pdf CC BY ff83a9cd-ebe6-4e88-b53a-2311603dda2c Appendix Public formative_v4i11e24798_app3.pdf 198809 application/pdf CC BY openAccess Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences

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Evolution of Bystander Intention to Perform Resuscitation Since Last Training: Web-Based Survey	JMIR formative research			2020	285	270

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Giangaspero, Chiara