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- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT07649616
Increasing Law Enforcement Application of Automated External Defibrillators (AED)s for Cardiac Arrest
Increasing Law Enforcement Application of Automated External Defibrillators for Cardiac Arrest
The goal of this study is to learn if an automated external defibrillator (AED) training adjunct video can improve law enforcement self-efficacy, the likelihood of AED application overall, and decrease disparities in women.
Participants will be asked to:
- complete a brief initial survey
- view an AED training adjunct video
- complete another survey following the video
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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-
Michigan
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Detroit, Michigan, Estados Unidos, 48202
- Wayne State University
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Law enforcement officers from agencies in the greater Portland area served by the Portland Cardiac Arrest Epidemiologic Registry
- aged 18 years of age and older
Exclusion Criteria:
- none
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Otro
- Asignación: No aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: AED training adjunct
Receive AED training intervention
|
Participants will complete a brief survey, then watch an AED training adjunct video, followed by a repeat survey.
All components are delivered asynchronously online.
The investigators will prospectively evaluate using an existing observational registry used for quality improvement and research, the Portland Cardiac Arrest Epidemiologic Registry (PDX Epistry).
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Sin intervención: Control
Counties that do not receive the additional training will serve as control counties.
The investigators will prospectively evaluate using an existing observational registry used for quality improvement and research, the Portland Cardiac Arrest Epidemiologic Registry (PDX Epistry).
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Change in Confidence to Attach Automated External Defibrillator (AED) Pads on a Woman
Periodo de tiempo: Immediately following the AED training intervention
|
The primary training outcome is, "I am confident I can always attach AED pads in the correct position on a woman".
This question is a modified question from a validated tool to measure changes in self-efficacy, the Basic Resuscitation Skills Self-Efficacy Scale, which measures "can do" using 0-100.
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Immediately following the AED training intervention
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Change in AED Application
Periodo de tiempo: Prospectively over 18 months following AED training intervention
|
Our primary care outcome is, change in AED application by law enforcement among adult cases with law enforcement on-scene before Emergency Medical Services (EMS) arrival overall and stratified by gender relative to the same geographic region in the preceding 5-year period.
The outcome will be measured using the Portland Cardiac Arrest Epidemiologic Registry (PDX Epistry), an existing observational registry used for quality improvement and research.
|
Prospectively over 18 months following AED training intervention
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Change in AED Application by AED Training
Periodo de tiempo: Prospectively over 18 months following AED training intervention.
|
Change in AED application by law enforcement among adult cases with law enforcement on-scene before Emergency Medical Services (EMS) arrival overall and stratified by gender for counties that received the AED training adjunct versus control counties.
The outcome will be measured using the PDX Epistry, an existing observational registry used for quality improvement and research.
|
Prospectively over 18 months following AED training intervention.
|
Otras medidas de resultado
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Modified Basic Resuscitation Skills Self-Efficacy Scale
Periodo de tiempo: Immediately following AED training intervention
|
Measures "can do" using 0-100 for key skills. The investigators revised the scale based on the scope of study. In an emergency situation, I am confident I can always… (rate each on a scale of 0-100, with 100 being the most confident):
7a. Attach AED pads in the correct positions on a man 8. Ensure nobody touches the victim while the rhythm is being analyzed 9. Deliver a rapid and safe shock to the victim keeping visual check and giving verbal commands 10. Resume, without hesitation, appropriate post-shock actions according to current guidelines |
Immediately following AED training intervention
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Silla de estudio: Robert Ploutz-Snyder, PhD, PStat(r), Wayne State University
Publicaciones y enlaces útiles
Publicaciones Generales
- Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, Chamberlain AM, Chang AR, Cheng S, Delling FN, Djousse L, Elkind MSV, Ferguson JF, Fornage M, Khan SS, Kissela BM, Knutson KL, Kwan TW, Lackland DT, Lewis TT, Lichtman JH, Longenecker CT, Loop MS, Lutsey PL, Martin SS, Matsushita K, Moran AE, Mussolino ME, Perak AM, Rosamond WD, Roth GA, Sampson UKA, Satou GM, Schroeder EB, Shah SH, Shay CM, Spartano NL, Stokes A, Tirschwell DL, VanWagner LB, Tsao CW; American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association. Circulation. 2020 Mar 3;141(9):e139-e596. doi: 10.1161/CIR.0000000000000757. Epub 2020 Jan 29.
- Valenzuela TD, Roe DJ, Nichol G, Clark LL, Spaite DW, Hardman RG. Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. N Engl J Med. 2000 Oct 26;343(17):1206-9. doi: 10.1056/NEJM200010263431701.
- Hernandez-Padilla J, Suthers F, Fernandez-Sola C, Granero-Molina J. Development and psychometric assessment of the Basic Resuscitation Skills Self-Efficacy Scale. Eur J Cardiovasc Nurs. 2016 Apr;15(3):e10-8. doi: 10.1177/1474515114562130. Epub 2014 Nov 24.
- Oregon Health & Science University. PDX Epistry. https://www.ohsu.edu/school-ofmedicine/ emergency/pdx-epistry
- Cardiac Arrset Registry to Enhance Survival. 2024 CARES Survival Report.; 2024. https://mycares.net/sitepages/uploads/2025/CARES%202024%20Non-Traumatic%20National%20Survival%20Report.pdf
- Lupton JR, Johnson E, Prigmore B, Daya MR, Jui J, Thompson K, Nuttall J, Neth MR, Sahni R, Newgard CD. Out-of-hospital cardiac arrest outcomes when law enforcement arrives before emergency medical services. Resuscitation. 2024 Jan;194:110044. doi: 10.1016/j.resuscitation.2023.110044. Epub 2023 Nov 11.
- Fukushima H, Bolstad F. Telephone CPR: Current Status, Challenges, and Future Perspectives. Open Access Emerg Med. 2020 Sep 7;12:193-200. doi: 10.2147/OAEM.S259700. eCollection 2020.
- Fukushima H, Panczyk M, Spaite DW, Chikani V, Dameff C, Hu C, Birkenes TS, Myklebust H, Sutter J, Langlais B, Wu Z, Bobrow BJ. Barriers to telephone cardiopulmonary resuscitation in public and residential locations. Resuscitation. 2016 Dec;109:116-120. doi: 10.1016/j.resuscitation.2016.07.241. Epub 2016 Aug 10.
- Dobbie F, Uny I, Eadie D, Duncan E, Stead M, Bauld L, Angus K, Hassled L, MacInnes L, Clegg G. Barriers to bystander CPR in deprived communities: Findings from a qualitative study. PLoS One. 2020 Jun 10;15(6):e0233675. doi: 10.1371/journal.pone.0233675. eCollection 2020.
- Missel AL, Dowker SR, Chiola M, Platt J, Tsutsui J, Kasten K, Swor R, Neumar RW, Hunt N, Herbert L, Sams W, Nallamothu BK, Shields T, Coulter-Thompson EI, Friedman CP. Barriers to the Initiation of Telecommunicator-CPR during 9-1-1 Out-of-Hospital Cardiac Arrest Calls: A Qualitative Study. Prehosp Emerg Care. 2024;28(1):118-125. doi: 10.1080/10903127.2023.2183533. Epub 2023 Mar 13.
- Grunau B, Humphries K, Stenstrom R, Pennington S, Scheuermeyer F, van Diepen S, Awad E, Al Assil R, Kawano T, Brooks S, Gu B, Christenson J. Public access defibrillators: Gender-based inequities in access and application. Resuscitation. 2020 May;150:17-22. doi: 10.1016/j.resuscitation.2020.02.024. Epub 2020 Feb 29.
- Jadhav S, Gaddam S. Gender and location disparities in prehospital bystander AED usage. Resuscitation. 2021 Jan;158:139-142. doi: 10.1016/j.resuscitation.2020.11.006. Epub 2020 Nov 12.
- Kiyohara K, Katayama Y, Kitamura T, Kiguchi T, Matsuyama T, Ishida K, Sado J, Hirose T, Hayashida S, Nishiyama C, Iwami T, Shimazu T. Gender disparities in the application of public-access AED pads among OHCA patients in public locations. Resuscitation. 2020 May;150:60-64. doi: 10.1016/j.resuscitation.2020.02.038. Epub 2020 Mar 19.
- Aldeen AZ, Hartman ND, Segura A, Phull A, Shaw DM, Chiampas GT, Courtney DM. Video self-instruction for police officers in cardiopulmonary resuscitation and automated external defibrillators. Prehosp Disaster Med. 2013 Oct;28(5):471-6. doi: 10.1017/S1049023X13008716. Epub 2013 Jul 26.
- Uny I, Angus K, Duncan E, Dobbie F. Barriers and facilitators to delivering bystander cardiopulmonary resuscitation in deprived communities: a systematic review. Perspect Public Health. 2023 Jan;143(1):43-53. doi: 10.1177/17579139211055497. Epub 2022 Jan 31.
- Kleinman ME, Buick JE, Huber N, Idris AH, Levy M, Morgan SG, Nassal MMJ, Neth MR, Norii T, Nunnally ME, Rodriguez AJ, Walsh BK, Drennan IR. Part 7: Adult Basic Life Support: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2025 Oct 21;152(16_suppl_2):S448-S478. doi: 10.1161/CIR.0000000000001369. Epub 2025 Oct 22.
- Norskov AS, Considine J, Nehme Z, Olasveengen TM, Morrison LJ, Morley P, Bray JE; International Liaison Committee on Resuscitation Basic Life Support Task Force. Removal of bra for pad placement and defibrillation - A scoping review. Resusc Plus. 2025 Feb 3;22:100885. doi: 10.1016/j.resplu.2025.100885. eCollection 2025 Mar.
- Thompson K, Smith J, Tanski M, Neth MR, Sahni R, Kennel J, Jui J, Newgard CD, Daya MR, Lupton JR. Gender Differences in Defibrillator Practices in Out-of-Hospital Cardiac Arrest. Prehosp Emerg Care. 2025;29(5):586-592. doi: 10.1080/10903127.2024.2394590. Epub 2024 Sep 17.
- Husain S, Eisenberg M. Police AED programs: a systematic review and meta-analysis. Resuscitation. 2013 Sep;84(9):1184-91. doi: 10.1016/j.resuscitation.2013.03.040. Epub 2013 May 2.
- Hawkins SC, Shapiro AH, Sever AE, Delbridge TR, Mosesso VN. The role of law enforcement agencies in out-of-hospital emergency care. Resuscitation. 2007 Mar;72(3):386-93. doi: 10.1016/j.resuscitation.2006.07.021. Epub 2006 Dec 6.
- Baekgaard JS, Viereck S, Moller TP, Ersboll AK, Lippert F, Folke F. The Effects of Public Access Defibrillation on Survival After Out-of-Hospital Cardiac Arrest: A Systematic Review of Observational Studies. Circulation. 2017 Sep 5;136(10):954-965. doi: 10.1161/CIRCULATIONAHA.117.029067. Epub 2017 Jul 7.
- Drennan IR, Lin S, Thorpe KE, Morrison LJ. The effect of time to defibrillation and targeted temperature management on functional survival after out-of-hospital cardiac arrest. Resuscitation. 2014 Nov;85(11):1623-8. doi: 10.1016/j.resuscitation.2014.07.010. Epub 2014 Aug 12.
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 26-0365
- 26RIRA1636534 (Otro número de subvención/financiamiento: American Heart Association)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Marco de tiempo para compartir IPD
Criterios de acceso compartido de IPD
Tipo de información de apoyo para compartir IPD
- SAVIA
- CÓDIGO_ANALÍTICO
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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