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297 Positive shifts in knowledge, attitudes and practice after a 60-minute CPR-AED training
  1. AE White1,
  2. M Hong2,
  3. JS Poh1,
  4. N Lum1,
  5. A Jalil1,
  6. PHJ Kua3,
  7. MEH Ong2,4
  1. 1Unit for Prehospital Emergency Care, Singapore General Hospital, Singapore
  2. 2Department of Emergency Medicine, Singapore General Hospital, Singapore
  3. 3Emergency Department, Woodland Health Campus, Singapore
  4. 4Health Services and Systems Research, Duke-NUS Graduate Medical School, Singapore


Background Training and motivating more laypeople to respond to out-of-hospital cardiac arrest (OHCA) is associated with improved OHCA survival rates. This study involved measuring the change in knowledge, attitudes and practice after a 60-minute CPR-AED training.

Method We administered pre-/post-training surveys to 337 participants who underwent CPR/AED training. McNemar’s and paired t-tests were used to analyse responses. Compression performance was measured during 2 compression performance rounds on the same day.

Results Favourable shift in knowledge was observed in post-training survey (p<0.001) as follows: ‘First thing to do…’ (pre 48.2% vs post 90.9%, p<0.0001); ‘Correct number to dial…’ (pre 88.4% vs post 99.7%, p<0.0001); ‘…after getting dispatcher on the phone…’ (pre 65.5% vs post 96.0%, p<0.0001); ‘…how deep to compress’ (pre 47.0% vs post 96.4%, p<0.0001); ‘…how fast to compress’ (pre 14.7% vs post 56.1%, p<0.0001). Attitudes improved towards CPR and AED use where 71.5% and 72.5% said ‘I don’t know/unlikely/very unlikely’ to perform CPR and use AED at pre-training then improved to 79.5% and 82.2% would ‘likely/very likely’ afterwards. In CPR practice, average optimal CPR compression depth improved from 70% to 74.9% (t(336)=-3.74, p<0.001); however, compressions at >120 per minute increased from 22.5% to 31.1% (t(336)=-5.72, p<0.001).

Conclusion We observed favourable shifts in knowledge, attitudes and practice for CPR-AED use amongst our participants that were likely due to undergoing the brief CPR/AED training. The increased average rate observed in the second round of compressions could be an effect of fatiguing.

Conflict of interest None.

Funding Ministry of Health, Singapore.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: .

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