TY - JOUR
T1 - Barriers to bystanders defibrillation
T2 - A national survey on public awareness and willingness of bystanders defibrillation☆
AU - Pei-Chuan Huang, Edward
AU - Chiang, Wen Chu
AU - Lu, Tsung Chien
AU - Wang, Chih Hung
AU - Sun, Jen Tang
AU - Hsieh, Ming Ju
AU - Wang, Hui Chih
AU - Yang, Chih Wei
AU - Lin, Chih Hao
AU - Lin, Jr Jiun
AU - Yang, Ming Chin
AU - Huei-Ming Ma, Matthew
N1 - Funding Information:
The authors thank Professor Chung-Liang Shih for his insightful suggestions on the study and questionnaire design and Yu-yun Wu for her help with data gathering and statistical analysis. The Taiwan Ministry of Health and Welfare funded most of this study. The Taiwan Ministry of Science and Technology also contributed partially. (MOHW-102B2158, MOST 103-2628-B-002-007-MY2, MOST 104-2314-B-002-032-MY2). The study sponsors had no involvement in the study design, in the collection, analysis and interpretation of data; in the writing of the manuscript and in the decision to submit the manuscript for publication.
Publisher Copyright:
© 2020
PY - 2021/3
Y1 - 2021/3
N2 - Background: After years of setting up public automated external defibrillators (AEDs), the rate of bystander AED use remains low all over the world. This study aimed to assess the public awareness and willingness of bystanders to use AEDs and to investigate the awareness on the Good Samaritan Law (GSL) and the factors associated with the low rate of bystander AED use. Methods: Using stratified random sampling, national telephone interviews were conducted using an author-designed structured questionnaire. The results were weighted to match the census data in Taiwan. The factors associated with public awareness and willingness of bystanders to use AEDs were analysed by logistic regression. Results: Of the 1073 respondents, only 15.2% had the confidence to recognise public AEDs, and 5.3% of them had the confidence to use the AED. Concerns on immature technique and legal issues remain the most common barriers to AED use by bystanders. Moreover, only 30.8% thought that the public should use AEDs at the scene. Few respondents (9.6%) ever heard of the GSL in Taiwan, and less than 3% understood the meaning of GSL. Positive awareness on AEDs was associated with high willingness of bystanders to use AEDs. Respondents who were less likely to use AEDs as bystanders were healthcare personnel and women. Conclusion: The importance of active awareness and the barriers to the use of AEDs among bystanders seemed to have been underestimated in the past years. The relatively low willingness to use AEDs among bystander healthcare providers and women needs further investigation.
AB - Background: After years of setting up public automated external defibrillators (AEDs), the rate of bystander AED use remains low all over the world. This study aimed to assess the public awareness and willingness of bystanders to use AEDs and to investigate the awareness on the Good Samaritan Law (GSL) and the factors associated with the low rate of bystander AED use. Methods: Using stratified random sampling, national telephone interviews were conducted using an author-designed structured questionnaire. The results were weighted to match the census data in Taiwan. The factors associated with public awareness and willingness of bystanders to use AEDs were analysed by logistic regression. Results: Of the 1073 respondents, only 15.2% had the confidence to recognise public AEDs, and 5.3% of them had the confidence to use the AED. Concerns on immature technique and legal issues remain the most common barriers to AED use by bystanders. Moreover, only 30.8% thought that the public should use AEDs at the scene. Few respondents (9.6%) ever heard of the GSL in Taiwan, and less than 3% understood the meaning of GSL. Positive awareness on AEDs was associated with high willingness of bystanders to use AEDs. Respondents who were less likely to use AEDs as bystanders were healthcare personnel and women. Conclusion: The importance of active awareness and the barriers to the use of AEDs among bystanders seemed to have been underestimated in the past years. The relatively low willingness to use AEDs among bystander healthcare providers and women needs further investigation.
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U2 - 10.1016/j.jfma.2020.10.020
DO - 10.1016/j.jfma.2020.10.020
M3 - Article
C2 - 33218851
AN - SCOPUS:85096377348
VL - 120
SP - 974
EP - 982
JO - Journal of the Formosan Medical Association
JF - Journal of the Formosan Medical Association
SN - 0929-6646
IS - 3
ER -