Clinical trial NCT02548793: CPR Education Via a Mobile Application Compared to VSI Kit
Official title: CPR Education for Families of Cardiac Patients Before Hospital Discharge
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cardiovascular Risk Factors
Coronary Disease
Cardiac Arrest
Keywords: Cardiac Arrest
CPR
Family-centered Care
Health Literacy
Health Education
Education Dissemination
Lead sponsor: University of Pennsylvania
Sponsor class: OTHER
Collaborators: name: Patient-Centered Outcomes Research Institute
First posted: 2015-09-14
Enrollment: 1679
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Chest compression depth
timeFrame: 6 months
measure: Chest compression rate
timeFrame: 6 months
Secondary outcomes:
measure: Secondary CPR training rates
timeFrame: 6 months
measure: Incidence of bystander CPR provided by subjects
timeFrame: 6-12 months
Other outcomes:
measure: Qualitative analysis of patient's perspective of the family member's receiving hands-only CPR training using semi-structured
timeFrame: 6-12 months
Locations:
city: Camden
country: United States
facility: Cooper University Hospital
state: New Jersey
city: Philadelphia
country: United States
facility: Hospital of the University of Pennsylvania
state: Pennsylvania
city: Philadelphia
country: United States
facility: Penn Presbyterian Medical Center
state: Pennsylvania
city: Philadelphia
country: United States
facility: Pennsylvania Hospital
state: Pennsylvania
city: Philadelphia
country: United States
facility: Albert Einstein Medical Center
state: Pennsylvania
city: Upland
country: United States
facility: Crozer-Keystone Health System
state: Pennsylvania
city: West Chester
country: United States
facility: The Chester County Hospital and Health System
state: Pennsylvania
Study officials:
affiliation: University of Pennsylvania
name: Benjamin S Abella, MD, MPhil
role: PRINCIPAL_INVESTIGATOR
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