Cardiopulmonary Resuscitation (CPR) Dissemination Study Using Nurses and Volunteers
2018年10月31日 更新者:University of Pennsylvania
An In-Hospital VSI CPR Dissemination Study Using Nurses and Volunteers
Each year in the United States, 300,000 people suffer from Cardiac Arrest (CA), and of them there is a 90% mortality rate.
Out-of-Hospital arrests in particular have a 1-5% survival to hospital discharge.
High quality CPR is crucial to lowering the mortality rate and increasing survival, yet only 15-30% of out-of-hospital CA victims receive bystander CPR.
Studies have shown that prompt administration of CPR dramatically improves outcomes.
In a recent study from Switzerland, lay bystander CPR doubled the survival rate at one month.
Our study will look to train family members of at-risk cardiac patients in the skills of CPR through the American Heart Associations (AHA) CPR Anytime Friends and Family Personal Learning Program (CPR Anytime) to see if these family members are able to learn and perform quality CPR in the event that their family member should suffer a cardiac arrest.
The unique feature of the CPR Anytime training is that it is a low-cost, self-learning, video-based program that can be completed in under 30 minutes, saving the time and expense of traditional CPR training courses.
While initial work has proven that teaching CPR in hospital using the VSI kit is feasible, little research has been conducted to make the program sustainable.
研究概览
地位
完全的
详细说明
The long term goal of our 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, we will empower stakeholders at UPHS hospitals to develop local implementation approaches, using either UPHS volunteers or nursing staff as VSI proctors.
These stakeholders will be studied as a research subset.
The VSI proctors will use the AHAs CPR Anytime kit, and will work with family members of patients at high risk for a CA to learn lifesaving CPR skills.
We will use a modified AHA CPR video using the new AHA recommendations for bystanders which suggests doing chest compression only CPR.
Using the original AHA video and the modified chest compression only video, we will randomize family members of patients at high risk for CA to one of these groups.
The VSI proctors will also be blinded to which video these subjects will be watching.
We will follow up with the family members at 1 month, 3 months, 6 months and 12 months to see if they retained their CPR knowledge and skills and to see if they had been in a situation where their CPR skills were needed and assess whether they performed their skills or not.
We will also measure the number of people with whom the subjects shared their CPR Anytime kits a quantity known as the multiplier effect to determine if they had shared the CPR Anytime kit with their family and friends, thereby increasing the possible number of lay persons trained in CPR and in turn able to perform bystander CPR if needed.
We will also assess the perceptions and attitudes of the nurses and volunteers regarding this project.
研究类型
介入性
注册 (实际的)
500
阶段
- 阶段2
- 阶段1
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
-
-
Pennsylvania
-
Philadelphia、Pennsylvania、美国、19104
- Penn Presbyterian Medical Center
-
Philadelphia、Pennsylvania、美国、19106
- Pennsylvania Hospital
-
-
参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
是的
有资格学习的性别
全部
描述
Inclusion Criteria:
- Family Member's of Patients with known coronary disease or cardiovascular risk factors, such as history of diabetes and hypertension.
Exclusion Criteria:
- If someone is physically unable to undergo CPR Training
- Someone who has received CPR training in the past 2 years
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
有源比较器:Standard CPR
Individuals will learn the Standard form of CPR (30:2, compressions:breathes) Main data points being collected at various increments over 12 months are: 1) Comfort Level with using CPR 2) Secondary Training "multiplier effect" 3) CPR Skills
|
Subjects will be trained using the American Heart Association's Family and Friends CPR Anytime Kit.
The subject's will undergo training in-hospital then they will be encouraged to take the kit home with them to practice CPR with their family members and friends.
|
有源比较器:Recruitment with Volunteers
UPHS volunteer subjects will be identified by hospital stakeholders, and they will be given surveys to assess their confidence, attitudes and beliefs towards this program at 3-month integrals.
|
UPHS Nurses and Volunteers will be trained in our in-hospital CPR Training Model using VSI Kits, and encouraged to implement the training program in their respective hospitals.
|
有源比较器:Recruitment with Nurses
UPHS Nurse subjects will be identified by hospital stakeholders, and they will be given surveys to assess their confidence, attitudes and beliefs towards this program at 3-month integrals.
|
UPHS Nurses and Volunteers will be trained in our in-hospital CPR Training Model using VSI Kits, and encouraged to implement the training program in their respective hospitals.
|
有源比较器:Chest Compressions Only CPR
Individuals will learn the chest compression only form of CPR (no rescue breathes) Main data points being collected at various increments over 12 months are: 1) Comfort Level with using CPR 2) Secondary Training "multiplier effect" 3) CPR Skills
|
Subjects will be trained using the American Heart Association's Family and Friends CPR Anytime Kit.
The subject's will undergo training in-hospital then they will be encouraged to take the kit home with them to practice CPR with their family members and friends.
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Assessing Nurses and Volunteers implementation of the in-hospital CPR Training Program
大体时间:2 years
|
To determine if volunteers or nursing staff can adequately implement a CPR Training Program for at risk family members of patients hospitalized for cardiac risk-factors.
Subjects will be given "enroller surveys" in 3-month integrals to assess comfort level with the program.
|
2 years
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
CPR Skills Performance and Retention
大体时间:up to 1 year
|
To assess skill performance by subject family members and retention with chest compression only CPR versus standard CPR education.
Subjects will be asked to perform 2 minutes of CPR on a Laerdal SkillReporter ResusciAnne mannequin.
|
up to 1 year
|
Assessing bystander CPR training dissemination
大体时间:up to 1 year
|
To quantify the multiplier effect, an assessment of the number of people who received secondary CPR training via CPR Anytime kits shared with them by study subjects.
|
up to 1 year
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2010年10月1日
初级完成 (实际的)
2012年10月1日
研究完成 (实际的)
2012年10月1日
研究注册日期
首次提交
2010年11月29日
首先提交符合 QC 标准的
2010年11月30日
首次发布 (估计)
2010年12月2日
研究记录更新
最后更新发布 (实际的)
2018年11月1日
上次提交的符合 QC 标准的更新
2018年10月31日
最后验证
2015年12月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
CPR Training using the Family and Friends CPR Anytime VSI Kit的临床试验
-
University of PennsylvaniaAmerican Heart Association完全的