Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation

A nationwide survey in Taiwan

Edward Pei-Chuan Huang, Wen Chu Chiang, Ming Ju Hsieh, Hui Chih Wang, Chih Wei Yang, Tsung Chien Lu, Chih Hung Wang, Kah Meng Chong, Chih-Hao Lin, Chan Wei Kuo, Jen Tang Sun, Jr Jiun Lin, Ming Chin Yang, Matthew Huei-Ming Ma

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: A low bystander cardiopulmonary resuscitation (CPR) rate is one of the factors associated with low cardiac arrest survival. This study aimed to assess knowledge, attitudes, and willingness towards performing CPR and the barriers for implementation of bystander-initiated CPR. Methods: Telephone interviews were conducted using an author-designed and validated structured questionnaire in Taiwan. After obtaining a stratified random sample from the census, the results were weighted to match population data. The factors affecting bystander-initiated CPR were analysed using logistic regression. Results: Of the 1073 respondents, half of them stated that they knew how to perform CPR correctly, although 86.7% indicated a willingness to perform CPR on strangers. The barriers to CPR performance reported by the respondents included fear of legal consequences (44%) and concern about harming patients (36.5%). Most participants expressed a willingness to attend only an hour-long CPR course. Respondents who were less likely to indicate a willingness to perform CPR were female, healthcare providers, those who had no cohabiting family members older than 65 years, those who had a history of a stroke, and those who expressed a negative attitude toward CPR. Conclusion: The expressed willingness to perform bystander CPR was high if the respondents possessed the required skills. Attempts should be made to recruit potential bystanders for CPR courses or education, targeting those respondent subgroups less likely to express willingness to perform CPR. The reason for lower bystander CPR willingness among healthcare providers deserves further investigation.

Original languageEnglish
Pages (from-to)572-581
Number of pages10
JournalJournal of the Formosan Medical Association
Volume118
Issue number2
DOIs
Publication statusPublished - 2019 Feb 1

Fingerprint

Cardiopulmonary Resuscitation
Taiwan
Surveys and Questionnaires
Health Personnel
Censuses
Heart Arrest
Fear

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Pei-Chuan Huang, Edward ; Chiang, Wen Chu ; Hsieh, Ming Ju ; Wang, Hui Chih ; Yang, Chih Wei ; Lu, Tsung Chien ; Wang, Chih Hung ; Chong, Kah Meng ; Lin, Chih-Hao ; Kuo, Chan Wei ; Sun, Jen Tang ; Lin, Jr Jiun ; Yang, Ming Chin ; Huei-Ming Ma, Matthew. / Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation : A nationwide survey in Taiwan. In: Journal of the Formosan Medical Association. 2019 ; Vol. 118, No. 2. pp. 572-581.
@article{fb5b0226fac84e9dbc8d4835b798dcce,
title = "Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: A nationwide survey in Taiwan",
abstract = "Background: A low bystander cardiopulmonary resuscitation (CPR) rate is one of the factors associated with low cardiac arrest survival. This study aimed to assess knowledge, attitudes, and willingness towards performing CPR and the barriers for implementation of bystander-initiated CPR. Methods: Telephone interviews were conducted using an author-designed and validated structured questionnaire in Taiwan. After obtaining a stratified random sample from the census, the results were weighted to match population data. The factors affecting bystander-initiated CPR were analysed using logistic regression. Results: Of the 1073 respondents, half of them stated that they knew how to perform CPR correctly, although 86.7{\%} indicated a willingness to perform CPR on strangers. The barriers to CPR performance reported by the respondents included fear of legal consequences (44{\%}) and concern about harming patients (36.5{\%}). Most participants expressed a willingness to attend only an hour-long CPR course. Respondents who were less likely to indicate a willingness to perform CPR were female, healthcare providers, those who had no cohabiting family members older than 65 years, those who had a history of a stroke, and those who expressed a negative attitude toward CPR. Conclusion: The expressed willingness to perform bystander CPR was high if the respondents possessed the required skills. Attempts should be made to recruit potential bystanders for CPR courses or education, targeting those respondent subgroups less likely to express willingness to perform CPR. The reason for lower bystander CPR willingness among healthcare providers deserves further investigation.",
author = "{Pei-Chuan Huang}, Edward and Chiang, {Wen Chu} and Hsieh, {Ming Ju} and Wang, {Hui Chih} and Yang, {Chih Wei} and Lu, {Tsung Chien} and Wang, {Chih Hung} and Chong, {Kah Meng} and Chih-Hao Lin and Kuo, {Chan Wei} and Sun, {Jen Tang} and Lin, {Jr Jiun} and Yang, {Ming Chin} and {Huei-Ming Ma}, Matthew",
year = "2019",
month = "2",
day = "1",
doi = "10.1016/j.jfma.2018.07.018",
language = "English",
volume = "118",
pages = "572--581",
journal = "Journal of the Formosan Medical Association",
issn = "0929-6646",
publisher = "Excerpta Medica Asia Ltd.",
number = "2",

}

Pei-Chuan Huang, E, Chiang, WC, Hsieh, MJ, Wang, HC, Yang, CW, Lu, TC, Wang, CH, Chong, KM, Lin, C-H, Kuo, CW, Sun, JT, Lin, JJ, Yang, MC & Huei-Ming Ma, M 2019, 'Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation: A nationwide survey in Taiwan', Journal of the Formosan Medical Association, vol. 118, no. 2, pp. 572-581. https://doi.org/10.1016/j.jfma.2018.07.018

Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation : A nationwide survey in Taiwan. / Pei-Chuan Huang, Edward; Chiang, Wen Chu; Hsieh, Ming Ju; Wang, Hui Chih; Yang, Chih Wei; Lu, Tsung Chien; Wang, Chih Hung; Chong, Kah Meng; Lin, Chih-Hao; Kuo, Chan Wei; Sun, Jen Tang; Lin, Jr Jiun; Yang, Ming Chin; Huei-Ming Ma, Matthew.

In: Journal of the Formosan Medical Association, Vol. 118, No. 2, 01.02.2019, p. 572-581.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Public knowledge, attitudes and willingness regarding bystander cardiopulmonary resuscitation

T2 - A nationwide survey in Taiwan

AU - Pei-Chuan Huang, Edward

AU - Chiang, Wen Chu

AU - Hsieh, Ming Ju

AU - Wang, Hui Chih

AU - Yang, Chih Wei

AU - Lu, Tsung Chien

AU - Wang, Chih Hung

AU - Chong, Kah Meng

AU - Lin, Chih-Hao

AU - Kuo, Chan Wei

AU - Sun, Jen Tang

AU - Lin, Jr Jiun

AU - Yang, Ming Chin

AU - Huei-Ming Ma, Matthew

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Background: A low bystander cardiopulmonary resuscitation (CPR) rate is one of the factors associated with low cardiac arrest survival. This study aimed to assess knowledge, attitudes, and willingness towards performing CPR and the barriers for implementation of bystander-initiated CPR. Methods: Telephone interviews were conducted using an author-designed and validated structured questionnaire in Taiwan. After obtaining a stratified random sample from the census, the results were weighted to match population data. The factors affecting bystander-initiated CPR were analysed using logistic regression. Results: Of the 1073 respondents, half of them stated that they knew how to perform CPR correctly, although 86.7% indicated a willingness to perform CPR on strangers. The barriers to CPR performance reported by the respondents included fear of legal consequences (44%) and concern about harming patients (36.5%). Most participants expressed a willingness to attend only an hour-long CPR course. Respondents who were less likely to indicate a willingness to perform CPR were female, healthcare providers, those who had no cohabiting family members older than 65 years, those who had a history of a stroke, and those who expressed a negative attitude toward CPR. Conclusion: The expressed willingness to perform bystander CPR was high if the respondents possessed the required skills. Attempts should be made to recruit potential bystanders for CPR courses or education, targeting those respondent subgroups less likely to express willingness to perform CPR. The reason for lower bystander CPR willingness among healthcare providers deserves further investigation.

AB - Background: A low bystander cardiopulmonary resuscitation (CPR) rate is one of the factors associated with low cardiac arrest survival. This study aimed to assess knowledge, attitudes, and willingness towards performing CPR and the barriers for implementation of bystander-initiated CPR. Methods: Telephone interviews were conducted using an author-designed and validated structured questionnaire in Taiwan. After obtaining a stratified random sample from the census, the results were weighted to match population data. The factors affecting bystander-initiated CPR were analysed using logistic regression. Results: Of the 1073 respondents, half of them stated that they knew how to perform CPR correctly, although 86.7% indicated a willingness to perform CPR on strangers. The barriers to CPR performance reported by the respondents included fear of legal consequences (44%) and concern about harming patients (36.5%). Most participants expressed a willingness to attend only an hour-long CPR course. Respondents who were less likely to indicate a willingness to perform CPR were female, healthcare providers, those who had no cohabiting family members older than 65 years, those who had a history of a stroke, and those who expressed a negative attitude toward CPR. Conclusion: The expressed willingness to perform bystander CPR was high if the respondents possessed the required skills. Attempts should be made to recruit potential bystanders for CPR courses or education, targeting those respondent subgroups less likely to express willingness to perform CPR. The reason for lower bystander CPR willingness among healthcare providers deserves further investigation.

UR - http://www.scopus.com/inward/record.url?scp=85052723360&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052723360&partnerID=8YFLogxK

U2 - 10.1016/j.jfma.2018.07.018

DO - 10.1016/j.jfma.2018.07.018

M3 - Article

VL - 118

SP - 572

EP - 581

JO - Journal of the Formosan Medical Association

JF - Journal of the Formosan Medical Association

SN - 0929-6646

IS - 2

ER -