Dainty Katie N, Vaid Haris, Brooks Steven C
Rescu, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, ON, Canada.
Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.
JMIR Mhealth Uhealth. 2017 May 17;5(5):e63. doi: 10.2196/mhealth.6926.
The PulsePoint Respond app is a novel system that can be implemented in emergency dispatch centers to crowdsource basic life support (BLS) for patients with cardiac arrest and facilitate bystander cardiopulmonary resuscitation (CPR) and automated external defibrillator use while first responders are en route.
The aim of this study was to conduct a North American survey to evaluate the public perception of the above-mentioned strategy, including acceptability and willingness to respond to alerts.
We designed a Web-based survey administered by IPSOS Reid, an established external polling vendor. Sampling was designed to ensure broad representation using recent census statistics.
A total of 2415 survey responses were analyzed (1106 from Canada and 1309 from the United States). It was found that 98.37% (1088/1106) of Canadians and 96% (1259/1309) of Americans had no objections to PulsePoint being implemented in their community; 84.27% (932/1106) of Canadians and 55.61% (728/1309) of Americans said they would download the app to become a potential responder to cardiac arrest, respectively. Among Canadians, those who said they were likely to download PulsePoint were also more likely to have ever had CPR training (OR 1.7, 95% CI 1.2-2.4; P=.002); however, this was not true of American respondents (OR 1.0, 95% CI 0.79-1.3; P=.88). When asked to imagine themselves as a cardiac arrest victim, 95.39% (1055/1106) of Canadians and 92.44% (1210/1309) of Americans had no objections to receiving crowdsourced help in a public setting; 88.79% (982/1106) of Canadians and 84.87% (1111/1309) of Americans also had no objections to receiving help in a private setting, respectively. The most common concern identified with respect to PulsePoint implementation was a responder's lack of ability, training, or access to proper equipment in a public setting.
The North American public finds the concept of crowdsourcing BLS for out-of-hospital cardiac arrest to be acceptable. It demonstrates willingness to respond to PulsePoint CPR notifications and to accept help from others alerted by the app if they themselves suffered a cardiac arrest.
PulsePoint Respond应用程序是一种新型系统，可在急救调度中心实施，用于为心脏骤停患者众包基本生命支持（BLS），并在急救人员途中促进旁观者心肺复苏（CPR）和自动体外除颤器的使用。
本研究的目的是进行一项北美调查，以评估公众对上述策略的看法，包括可接受性和对警报做出响应的意愿。
我们设计了一项由知名外部民意调查供应商益普索·里德管理的基于网络的调查。抽样设计旨在利用最新的人口普查统计数据确保广泛代表性。
共分析了2415份调查回复（1106份来自加拿大，1309份来自美国）。结果发现，98.37%（1088/1106）的加拿大人和96%（1259/1309）的美国人不反对在其社区实施PulsePoint；84.27%（932/1106）的加拿大人和55.61%（728/1309）的美国人表示他们会下载该应用程序，成为心脏骤停的潜在响应者。在加拿大人中，那些表示可能会下载PulsePoint的人也更有可能接受过CPR培训（OR 1.7，95%CI 1.2 - 2.4；P = 0.002）；然而，美国受访者并非如此（OR 1.0，95%CI 0.79 - 1.3；P = 0.88）。当被要求想象自己是心脏骤停受害者时，95.39%（1055/1106）的加拿大人和92.44%（1210/1309）的美国人不反对在公共场所接受众包帮助；88.79%（982/1106）的加拿大人和84.87%（1111/1309）的美国人也不反对在私人场所接受帮助。关于PulsePoint实施确定的最常见担忧是响应者在公共场所缺乏能力、培训或无法获得适当设备。
北美公众认为为院外心脏骤停众包BLS的概念是可以接受的。这表明他们愿意响应PulsePoint CPR通知，并在自己心脏骤停时接受该应用程序提醒的其他人提供的帮助。
