CPR Education Via a Mobile Application Compared to VSI Kit

Study Overview
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Brief Summary
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Prompt delivery of cardiopulmonary resuscitation (CPR) is a crucial determinant of survival for many victims of sudden cardiac arrest (SCA), yet bystander CPR is provided in less than one third of witnessed SCA events. A number of barriers to bystander CPR training have been identified including time and cost of the training course. Since the large majority of arrest events occur in the home environment, studies have suggested that providing CPR training to family members of hospitalized cardiac patients may serve as a useful approach to address an environment in which bystander CPR is frequently not provided. Utilizing an existing in-hospital program to train adult family members, the investigators will assess the skills of those who learn CPR through two different educational methods: a mobile app and video self-instruction (VSI).

Detailed Description
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The long term goal of the investigators work is to implement real world CPR training strategies that match training locales with at-risk populations, maximize resuscitation skill retention, and promote willingness to act. To accomplish this, the investigators will empower stakeholders at the University of Pennsylvania Health System (UPHS) and local area hospitals to develop local implementation approaches, using either volunteer hospital personnel or paid research assistants as training proctors. These stakeholders will be studied as a research subset. The training proctors will educate family members or friends of patients at risk for cardiac arrest using a mobile application app or VSI kit (RCT), and empower them with the lifesaving skill of CPR. The investigators will follow up with the study subjects and conduct CPR skills tests 6 to 12 months from the time of training to assess whether the subjects retained their skills or if they had an opportunity to use the skills that they learned. The investigators will also gather information on how the subjects would like to be encouraged to practice their skills. The investigators will send a reminder notification every two months following training, to encourage subjects to refresh their training skills. At the follow-up skills test at 6 to 12 months, the investigators will administer a survey to assess whether the prompting encouraged the subjects to practice their skills. Additionally the investigators will encourage the individuals trained in-hospital to share the kit or mobile app with others. The investigators will follow-up with those who are identified as secondary trainees to assess the environment in which secondary training took place.

Official Title
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CPR Education for Families of Cardiac Patients Before Hospital Discharge

Conditions
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Cardiovascular Risk Factors, Coronary Disease, Cardiac Arrest

Intervention / Treatment
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* Other: Education: CPR Training via Mobile App
* Other: Education: CPR Training using the CPR Anytime VSI Kit


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects must be present with their family member at the hospital The family member must be at high risk for cardiac arrest (CA), including: previous myocardial infarction (MI) previous CA history of diabetes history of high cholesterol history of high blood pressure This includes subjects with family members being discharged from the Cardiac Intermediate Care Unit (CICU), Telemetry units, ICU, Cardiac Care Unit (CCU), cardiology clinics, or physicians office within the participating hospitals/health systems Exclusion Criteria: Volunteers and subjects must be 18 years of age or older Individual must be fit and able to perform moderate physical activity Volunteers must be English speaking and/or Spanish speaking

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: VSI Kit<br>Education: CPR Training using the CPR Anytime VSI Kit Individuals will learn chest-compression only CPR (no rescue breaths) using the American Heart Association's Family and Friends CPR Anytime Kit. Subjects will undergo training in-hospital and will be encouraged to take the kit home to share with their family members and friends. | Other: Education: CPR Training using the CPR Anytime VSI Kit<br>* Subjects will be trained using the American Heart Association's Family and Friends CPR Anytime Kit. Subjects will undergo training in-hospital and will be encouraged to take the kit home to share with their family members and friends.<br>* Other names: CPR Anytime Video Self Instruction (VSI);|
| Experimental: Mobile Application<br>Education: CPR Training via Mobile App Individuals will learn chest-compression only CPR (no rescue breaths) using a newly developed mobile training application. | Other: Education: CPR Training via Mobile App<br>* Using a mobile app to train users on chest-compression only CPR. Subjects will be encouraged to share the app with family and friends.<br>* Other names: CPR Training Cellphone App;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Chest compression depth | Depth of chest compression performed by the subject, recorded using the Laerdal SimPad®. This metric will be measured in millimeters (mm). This outcome measure will be collected by research coordinators during 6-month in-home follow-up visits. | 6 months | 
| Chest compression rate | Rate of chest compressions performed by the subject, recorded using the Laerdal SimPad®. This metric will be measured as the number of compressions performed in a 2 minute window. This outcome measure will be collected by research coordinators during 6-month in-home follow-up visits. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Secondary CPR training rates | Calculate the number of secondary trainees based on study participant self-reporting (via survey) collected during the 6-month follow-up. | 6 months | 
| Incidence of bystander CPR provided by subjects | Using 6 month and 12 month follow-up surveys, subjects will be asked if they had an opportunity to use their CPR skills in a real-life situation and whether or not they performed CPR in the aforementioned situation. | 6-12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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CPR, Cardiac Arrest, Family-centered Care, Health Literacy, Health Education, Education Dissemination