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Increasing Self-Efficacy and Bystander CPR Rates:A Train-the-Trainer Program.

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Community-led bystander cardiopulmonary resuscitation (BCPR) training in underserved areas significantly boosted training rates and participant confidence. This approach effectively increases the number of individuals prepared to act during out-of-hospital cardiac arrests.

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Area of Science:

  • Public Health
  • Emergency Medicine
  • Community Health Education

Background:

  • Out-of-hospital cardiac arrests (OHCA) require immediate bystander intervention.
  • Underserved communities often have lower rates of bystander cardiopulmonary resuscitation (BCPR) training.
  • Improving BCPR accessibility and effectiveness in these areas is crucial.

Purpose of the Study:

  • To increase BCPR-trained community members in underserved areas.
  • To enhance self-efficacy in performing BCPR among participants.
  • To establish a sustainable train-the-trainer program utilizing community leaders.

Main Methods:

  • A quantitative, before-and-after study design was employed.
  • Participants received BCPR training using mannequins with automatic feedback.
  • Pre- and post-training surveys assessed changes in self-efficacy levels.

Main Results:

  • Statistically significant increases in self-efficacy were observed post-training (paired t-test, p < 0.001; Wilcoxon Signed-Rank test, p < 0.01).
  • The training program successfully increased the number of community members trained in BCPR.
  • The train-the-trainer model proved effective in empowering community leaders.

Conclusions:

  • Community-led BCPR training, especially in underserved areas, is effective.
  • Automatic feedback mannequins enhance the learning experience and self-efficacy.
  • This model offers a scalable solution to improve OHCA response rates.