Attitude and behavior toward bystander cardiopulmonary resuscitation during COVID-19 outbreak.
<h4>Background</h4>Outbreaks of emerging infectious diseases, such as COVID-19, have negative impacts on bystander cardiopulmonary resuscitation (BCPR) for fear of transmission while breaking social distancing rules. The latest guidelines recommend hands-only cardiopulmonary resuscitatio...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2021-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0252841 |
| _version_ | 1819012376539693056 |
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| author | Kah-Meng Chong Jiun-Wei Chen Wan-Ching Lien Mei-Fen Yang Hui-Chih Wang Sot Shih-Hung Liu Yen-Pin Chen Chien-Yu Chi Marvin Chih-Hsien Wu Cheng-Yi Wu Edward Che-Wei Liao Edward Pei-Chuan Huang Hsien-Chin He Hsiang-Wen Yang Chien-Hua Huang Patrick Chow-In Ko |
| author_facet | Kah-Meng Chong Jiun-Wei Chen Wan-Ching Lien Mei-Fen Yang Hui-Chih Wang Sot Shih-Hung Liu Yen-Pin Chen Chien-Yu Chi Marvin Chih-Hsien Wu Cheng-Yi Wu Edward Che-Wei Liao Edward Pei-Chuan Huang Hsien-Chin He Hsiang-Wen Yang Chien-Hua Huang Patrick Chow-In Ko |
| author_sort | Kah-Meng Chong |
| collection | DOAJ |
| description | <h4>Background</h4>Outbreaks of emerging infectious diseases, such as COVID-19, have negative impacts on bystander cardiopulmonary resuscitation (BCPR) for fear of transmission while breaking social distancing rules. The latest guidelines recommend hands-only cardiopulmonary resuscitation (CPR) and facemask use. However, public willingness in this setup remains unknown.<h4>Methods</h4>A cross-sectional, unrestricted volunteer Internet survey was conducted to assess individuals' attitudes and behaviors toward performing BCPR, pre-existing CPR training, occupational identity, age group, and gender. The raking method for weights and a regression analysis for the predictors of willingness were performed.<h4>Results</h4>Among 1,347 eligible respondents, 822 (61%) had negative attitudes toward performing BCPR. Healthcare providers (HCPs) and those with pre-existing CPR training had fewer negative attitudes (p < 0.001); HCPs and those with pre-existing CPR training and unchanged attitude showed more positive behaviors toward BCPR (p < 0.001). Further, 9.7% of the respondents would absolutely refuse to perform BCPR. In contrast, 16.9% would perform BCPR directly despite the outbreak. Approximately 9.9% would perform it if they were instructed, 23.5%, if they wore facemasks, and 40.1%, if they were to perform hands-only CPR. Interestingly, among the 822 respondents with negative attitudes, over 85% still tended to perform BCPR in the abovementioned situations. The weighted analysis showed similar results. The adjusted predictors for lower negative attitudes toward BCPR were younger age, being a man, and being an HCP; those for more positive behaviors were younger age and being an HCP.<h4>Conclusions</h4>Outbreaks of emerging infectious diseases, such as COVID-19, have negative impacts on attitudes and behaviors toward BCPR. Younger individuals, men, HCPs, and those with pre-existing CPR training tended to show fewer negative attitudes and behaviors. Meanwhile, most individuals with negative attitudes still expressed positive behaviors under safer measures such as facemask protection, hands-only CPR, and available dispatch instructions. |
| first_indexed | 2024-12-21T01:43:04Z |
| format | Article |
| id | doaj.art-2707cba02fa64ae7a2c749a280eee53d |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-21T01:43:04Z |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-2707cba02fa64ae7a2c749a280eee53d2022-12-21T19:20:06ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01166e025284110.1371/journal.pone.0252841Attitude and behavior toward bystander cardiopulmonary resuscitation during COVID-19 outbreak.Kah-Meng ChongJiun-Wei ChenWan-Ching LienMei-Fen YangHui-Chih WangSot Shih-Hung LiuYen-Pin ChenChien-Yu ChiMarvin Chih-Hsien WuCheng-Yi WuEdward Che-Wei LiaoEdward Pei-Chuan HuangHsien-Chin HeHsiang-Wen YangChien-Hua HuangPatrick Chow-In Ko<h4>Background</h4>Outbreaks of emerging infectious diseases, such as COVID-19, have negative impacts on bystander cardiopulmonary resuscitation (BCPR) for fear of transmission while breaking social distancing rules. The latest guidelines recommend hands-only cardiopulmonary resuscitation (CPR) and facemask use. However, public willingness in this setup remains unknown.<h4>Methods</h4>A cross-sectional, unrestricted volunteer Internet survey was conducted to assess individuals' attitudes and behaviors toward performing BCPR, pre-existing CPR training, occupational identity, age group, and gender. The raking method for weights and a regression analysis for the predictors of willingness were performed.<h4>Results</h4>Among 1,347 eligible respondents, 822 (61%) had negative attitudes toward performing BCPR. Healthcare providers (HCPs) and those with pre-existing CPR training had fewer negative attitudes (p < 0.001); HCPs and those with pre-existing CPR training and unchanged attitude showed more positive behaviors toward BCPR (p < 0.001). Further, 9.7% of the respondents would absolutely refuse to perform BCPR. In contrast, 16.9% would perform BCPR directly despite the outbreak. Approximately 9.9% would perform it if they were instructed, 23.5%, if they wore facemasks, and 40.1%, if they were to perform hands-only CPR. Interestingly, among the 822 respondents with negative attitudes, over 85% still tended to perform BCPR in the abovementioned situations. The weighted analysis showed similar results. The adjusted predictors for lower negative attitudes toward BCPR were younger age, being a man, and being an HCP; those for more positive behaviors were younger age and being an HCP.<h4>Conclusions</h4>Outbreaks of emerging infectious diseases, such as COVID-19, have negative impacts on attitudes and behaviors toward BCPR. Younger individuals, men, HCPs, and those with pre-existing CPR training tended to show fewer negative attitudes and behaviors. Meanwhile, most individuals with negative attitudes still expressed positive behaviors under safer measures such as facemask protection, hands-only CPR, and available dispatch instructions.https://doi.org/10.1371/journal.pone.0252841 |
| spellingShingle | Kah-Meng Chong Jiun-Wei Chen Wan-Ching Lien Mei-Fen Yang Hui-Chih Wang Sot Shih-Hung Liu Yen-Pin Chen Chien-Yu Chi Marvin Chih-Hsien Wu Cheng-Yi Wu Edward Che-Wei Liao Edward Pei-Chuan Huang Hsien-Chin He Hsiang-Wen Yang Chien-Hua Huang Patrick Chow-In Ko Attitude and behavior toward bystander cardiopulmonary resuscitation during COVID-19 outbreak. PLoS ONE |
| title | Attitude and behavior toward bystander cardiopulmonary resuscitation during COVID-19 outbreak. |
| title_full | Attitude and behavior toward bystander cardiopulmonary resuscitation during COVID-19 outbreak. |
| title_fullStr | Attitude and behavior toward bystander cardiopulmonary resuscitation during COVID-19 outbreak. |
| title_full_unstemmed | Attitude and behavior toward bystander cardiopulmonary resuscitation during COVID-19 outbreak. |
| title_short | Attitude and behavior toward bystander cardiopulmonary resuscitation during COVID-19 outbreak. |
| title_sort | attitude and behavior toward bystander cardiopulmonary resuscitation during covid 19 outbreak |
| url | https://doi.org/10.1371/journal.pone.0252841 |
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