Bystander Helping Behaviour for Myocardial Infarction Following First Aid Training

Study Overview
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Brief Summary
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The objective of this study is to measure the effect of an innovative training programme on the help seeking behaviour and helping rates of bystanders in medical emergencies.

Detailed Description
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A systematic review on the effects of first aid training concluded that training must also include ways to overcome obstacles to bystander intervention. This could lead to better help and higher helping rates in medical emergencies. The objective of this paper is to measure the effect of an innovative training programme on the help seeking behaviour and helping rates of bystanders in medical emergencies. We chose to test the helping behaviour for acute myocardial infarction because it is an important cause of mortality and invalidity. While the victim is urgently in need of help, delay in seeking professional help is an important problem.

Official Title
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Bystander Helping Behaviour for Acute Myocardial Infarction Following a First Aid Training Programme That Draws Attention to the Barriers to Providing Help - Protocol for a Randomized Controlled Trial

Conditions
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Acute Myocardial Infarction

Intervention / Treatment
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* Other: Helping behaviour curriculum
* Other: First aid only curriculum


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Course participants that are 18 years or older Exclusion Criteria: Course participants that are younger than 18 years Health care students Health care professionals

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: first aid and helping behaviour<br>The helping behaviour training is given after 24 hours first aid training and aims to sensitise participants towards a helping reaction and teach participants how to deal with barriers to helping | Other: Helping behaviour curriculum<br>* The objective of the helping behaviour curriculum is to sensitise participants to develop a helping reaction, and to teach participants how to deal with barriers to helping. The helping behaviour curriculum is being taught in 2hours.<br>|
| Active Comparator: first aid only<br>This group receives training in first aid only without training in helping behaviour. | Other: First aid only curriculum<br>* Two hours training on first aid for alcohol and drug incidents<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Delay time for seeking help during deception experiment | Time to seeking help was measured between the simulated patient grabbing the heart and the study participant opening the door to get help. | within 4 weeks after the control or intervention training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of helping during deception experiment | This refers to the number of participants that assessed the victim, or asked for help, or provided direct help to the victim during the test. | within 4 weeks after control or intervention training | 
| First aid self efficacy belief | scores on 6 questions related to helping behaviour barriers with the following structure:  I will do x (action) even if y (barrier) | within 15 minutes after experimental or control intervention | 
| Impact of event | This indicates how shocking the study participants found the simulated emergency situation | Within 15 minutes after deception experiment | 
| State of mood | Indication of how study participants feel after being told about the deception. | Within 15 minutes after deception experiment | 
| Credibility of deception | Indication of how credible study participants found the simulated emergency situation | Within 15 minutes after deception | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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First aid, Helping behaviour, Health education, Myocardial infarction, Emergencies