CPR Education Via a Mobile Application Compared to VSI Kit

Status:	Completed
Conditions:	Peripheral Vascular Disease, Cardiology, Cardiology
Therapuetic Areas:	Cardiology / Vascular Diseases
Healthy:	No
Age Range:	18 - Any
Updated:	1/19/2019
Start Date:	January 2016
End Date:	October 2018

CPR Education for Families of Cardiac Patients Before Hospital Discharge

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).

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.

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

We found this trial at

sites

Penn Presbyterian Medical Center

Philadelphia, Pennsylvania

from

Philadelphia, PA