. 2022 Jun 9;12(6):e057175.

doi: 10.1136/bmjopen-2021-057175.

Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial

Sonali Munot¹, Julie Redfern^{2

3}, Janet E Bray⁴, Blake Angell³, Adrian Bauman⁵, Andrew Coggins^{6

7}, Alan Robert Denniss⁷, Cate Ferry⁸, Garry Jennings⁹, Pramesh Kovoor⁷, Saurabh Kumar^{1

7}, Kevin Lai⁶, Sarah Khanlari¹⁰, Simone Marschner¹, Paul M Middleton^{11

12}, Michael Nelson¹⁰, Ian Opperman¹³, Christopher Semsarian¹⁴, Lee Taylor¹⁰, Matthew Vukasovic⁶, Sandra Ware¹⁵, Clara Chow^{16

3

7}

Affiliations

¹ Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
² School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
³ The George Institute for Global Health, University of New South Wales, Newtown, New South Wales, Australia.
⁴ Department of Epidemiology and Preventive Medicine, Monash University, Clayton, Victoria, Australia.
⁵ School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
⁶ Department of Emergency Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
⁷ Department of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia.
⁸ NSW Division, Heart Foundation, Sydney, New South Wales, Australia.
⁹ Sydney Health Partners, Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.
¹⁰ Centre for Epidemiology and Evidence, NSW Ministry of Health, Sydney, New South Wales, Australia.
¹¹ Emergency Department, Ingham Institute, Liverpool, New South Wales, Australia.
¹² The MARCS Institute for Brain, Behaviour and Development, Milperra, New South Wales, Australia.
¹³ NSW Data Analytics Centre, NSW Government, Sydney, New South Wales, Australia.
¹⁴ Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, The University of Sydney, Sydney, New South Wales, Australia.
¹⁵ Ambulance Service of NSW, Rozelle, New South Wales, Australia.
¹⁶ Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia clara.chow@sydney.edu.au.

PMID: 35680270
PMCID: PMC9185498
DOI: 10.1136/bmjopen-2021-057175

Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial

Sonali Munot et al. BMJ Open. 2022.

. 2022 Jun 9;12(6):e057175.

doi: 10.1136/bmjopen-2021-057175.

Authors

Affiliations

¹ Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
² School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
³ The George Institute for Global Health, University of New South Wales, Newtown, New South Wales, Australia.
⁴ Department of Epidemiology and Preventive Medicine, Monash University, Clayton, Victoria, Australia.
⁵ School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
⁶ Department of Emergency Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
⁷ Department of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia.
⁸ NSW Division, Heart Foundation, Sydney, New South Wales, Australia.
⁹ Sydney Health Partners, Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.
¹⁰ Centre for Epidemiology and Evidence, NSW Ministry of Health, Sydney, New South Wales, Australia.
¹¹ Emergency Department, Ingham Institute, Liverpool, New South Wales, Australia.
¹² The MARCS Institute for Brain, Behaviour and Development, Milperra, New South Wales, Australia.
¹³ NSW Data Analytics Centre, NSW Government, Sydney, New South Wales, Australia.
¹⁴ Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, The University of Sydney, Sydney, New South Wales, Australia.
¹⁵ Ambulance Service of NSW, Rozelle, New South Wales, Australia.
¹⁶ Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia clara.chow@sydney.edu.au.

PMID: 35680270
PMCID: PMC9185498
DOI: 10.1136/bmjopen-2021-057175

Abstract

Introduction: Out-of-hospital cardiac arrest (OHCA) is associated with poor survival outcomes, but prompt bystander action can more than double survival rates. Being trained, confident and willing-to-perform cardiopulmonary resuscitation (CPR) are known predictors of bystander action. This study aims to assess the effectiveness of a community organisation targeted multicomponent education and training initiative on being willing to respond to OHCAs. The study employs a novel approach to reaching community members via social and cultural groups, and the intervention aims to address commonly cited barriers to training including lack of availability, time and costs.

Methods and analysis: FirstCPR is a cluster randomised trial that will be conducted across 200 community groups in urban and regional Australia. It will target community groups where CPR training is not usual. Community groups (clusters) will be stratified by region, size and organisation type, and then randomly assigned to either immediately receive the intervention programme, comprising digital and in-person education and training opportunities about CPR and OHCA over 12 months, or a delayed programme implementation. The primary outcome is self-reported 'training and willingness-to-perform CPR' at 12 months. It will be assessed through surveys of group members that consent in intervention versus control groups and administered prior to control groups receiving the intervention. The primary analysis will follow intention-to-treat principles, use log binomial regression accounting for baseline covariates and be conducted at the individual level, while accounting for clustering within communities. Focus groups and interviews will be conducted to examine barriers and enablers to implementation and costs will also be examined.

Ethics and dissemination: Ethical approval was obtained from The University of Sydney. Findings from this study will be disseminated via presentations at scientific conferences, publications in peer-reviewed journals, scientific and lay reports.

Trial registration number: ACTRN12621000367842.

Keywords: CARDIOLOGY; EDUCATION & TRAINING (see Medical Education & Training); PUBLIC HEALTH.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

**Figure 1**
FirstCPR Study flow chart. CPR, cardiopulmonary resuscitation; RCT, randomised controlled trial. #Community organisations with minimum of 50 registered members that cab be contacted via digital means.

**Figure 2**
FirstCPR multicomponent intervention. CPR, cardiopulmonary resuscitation.

See this image and copyright information in PMC

References

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Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial

Affiliations

Improving community-based first response to out of hospital cardiac arrest (FirstCPR): protocol for a cluster randomised controlled trial

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

Publication types

MeSH terms

Associated data

LinkOut - more resources

Full Text Sources

Medical