Increasing Law Enforcement Application of Automated External Defibrillators (AED)s for Cardiac Arrest
17 augustus 2026 bijgewerkt door: Amanda Missel, Wayne State University
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
Studie Overzicht
Toestand
Aanmelden op uitnodiging
Interventie / Behandeling
Gedetailleerde beschrijving
The investigators will conduct a pilot study to examine the efficacy of an education intervention, based on new 2025 American Heart Association guidelines, to improve the likelihood of AED application.
The intervention and surveys will be delivered asynchronously online.
The investigators will use a short pre-intervention survey to gather information about participants' likelihood and self-efficacy to apply an AED overall and specifically to women.
The investigators will also gather basic demographic information including gender, Basic Life Support certification status, and experience responding to cardiac arrests.
Participants will then watch a short video, followed by a post-intervention survey to examine changes in likelihood and self-efficacy to apply an AED.
All three components will be delivered within the same Qualtrics survey (i.e., pre-survey, video, post-survey).
Studietype
Ingrijpend
Inschrijving (Geschat)
30
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
-
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Michigan
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Detroit, Michigan, Verenigde Staten, 48202
- Wayne State University
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-
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Nee
Beschrijving
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
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ander
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: AED training adjunct
Receive AED training intervention
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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).
|
|
Geen tussenkomst: 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).
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Change in Confidence to Attach Automated External Defibrillator (AED) Pads on a Woman
Tijdsspanne: 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
Tijdsspanne: Prospectively over 18 months following AED training intervention
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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
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change in AED Application by AED Training
Tijdsspanne: 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.
|
Andere uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Modified Basic Resuscitation Skills Self-Efficacy Scale
Tijdsspanne: 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
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Studie stoel: Robert Ploutz-Snyder, PhD, PStat(r), Wayne State University
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- 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.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Werkelijk)
14 juli 2026
Primaire voltooiing (Geschat)
31 december 2027
Studie voltooiing (Geschat)
31 december 2027
Studieregistratiedata
Eerst ingediend
3 juni 2026
Eerst ingediend dat voldeed aan de QC-criteria
9 juni 2026
Eerst geplaatst (Werkelijk)
16 juni 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
19 augustus 2026
Laatste update ingediend die voldeed aan QC-criteria
17 augustus 2026
Laatst geverifieerd
1 augustus 2026
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 26-0365
- 26RIRA1636534 (Ander subsidie-/financieringsnummer: American Heart Association)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
JA
Beschrijving IPD-plan
All newly generated factual data that is needed for independent verification of research results will be made freely and publicly available in the AHA-approved repository, Zendo following the FAIR data sharing paradigm.
This includes anonymized demographic information, self-efficacy data, and AED training.
The investigators will not deposit open-ended survey responses due to an inability to anonymize or aggregate the data.
IPD-tijdsbestek voor delen
03/31/2028
IPD-toegangscriteria voor delen
freely available
IPD delen Ondersteunend informatietype
- SAP
- ANALYTIC_CODE
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .