Barriers to bystanders defibrillation: A national survey on public awareness and willingness of bystanders defibrillation☆
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 (G...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-03-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S092966462030499X |
| _version_ | 1819284295493091328 |
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| author | Edward Pei-Chuan Huang Wen-Chu Chiang Tsung-Chien Lu Chih-Hung Wang Jen-Tang Sun Ming-Ju Hsieh Hui-Chih Wang Chih-Wei Yang Chih-Hao Lin Jr-Jiun Lin Ming-Chin Yang Matthew Huei-Ming Ma |
| author_facet | Edward Pei-Chuan Huang Wen-Chu Chiang Tsung-Chien Lu Chih-Hung Wang Jen-Tang Sun Ming-Ju Hsieh Hui-Chih Wang Chih-Wei Yang Chih-Hao Lin Jr-Jiun Lin Ming-Chin Yang Matthew Huei-Ming Ma |
| author_sort | Edward Pei-Chuan Huang |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-24T01:45:06Z |
| format | Article |
| id | doaj.art-34569b1affe5438eaf41c66da7eb9584 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-24T01:45:06Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-34569b1affe5438eaf41c66da7eb95842022-12-21T17:21:53ZengElsevierJournal of the Formosan Medical Association0929-66462021-03-011203974982Barriers to bystanders defibrillation: A national survey on public awareness and willingness of bystanders defibrillation☆Edward Pei-Chuan Huang0Wen-Chu Chiang1Tsung-Chien Lu2Chih-Hung Wang3Jen-Tang Sun4Ming-Ju Hsieh5Hui-Chih Wang6Chih-Wei Yang7Chih-Hao Lin8Jr-Jiun Lin9Ming-Chin Yang10Matthew Huei-Ming Ma11Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu City, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital, Yun-Lin Branch, Yun-Lin County, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan; Department of Medical Education, National Taiwan University Hospital, Taipei, TaiwanDepartment of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, TaiwanInstitute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan; Corresponding author.Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan; Department of Emergency Medicine, National Taiwan University Hospital, Yun-Lin Branch, Yun-Lin County, Taiwan; Corresponding author. Department of Emergency Medicine, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City, 100, Taiwan. Fax: +886 2 23223150.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.http://www.sciencedirect.com/science/article/pii/S092966462030499XAutomated external defibrillatorsPublic access defibrillationGood Samaritan lawSurvey |
| spellingShingle | Edward Pei-Chuan Huang Wen-Chu Chiang Tsung-Chien Lu Chih-Hung Wang Jen-Tang Sun Ming-Ju Hsieh Hui-Chih Wang Chih-Wei Yang Chih-Hao Lin Jr-Jiun Lin Ming-Chin Yang Matthew Huei-Ming Ma Barriers to bystanders defibrillation: A national survey on public awareness and willingness of bystanders defibrillation☆ Journal of the Formosan Medical Association Automated external defibrillators Public access defibrillation Good Samaritan law Survey |
| title | Barriers to bystanders defibrillation: A national survey on public awareness and willingness of bystanders defibrillation☆ |
| title_full | Barriers to bystanders defibrillation: A national survey on public awareness and willingness of bystanders defibrillation☆ |
| title_fullStr | Barriers to bystanders defibrillation: A national survey on public awareness and willingness of bystanders defibrillation☆ |
| title_full_unstemmed | Barriers to bystanders defibrillation: A national survey on public awareness and willingness of bystanders defibrillation☆ |
| title_short | Barriers to bystanders defibrillation: A national survey on public awareness and willingness of bystanders defibrillation☆ |
| title_sort | barriers to bystanders defibrillation a national survey on public awareness and willingness of bystanders defibrillation☆ |
| topic | Automated external defibrillators Public access defibrillation Good Samaritan law Survey |
| url | http://www.sciencedirect.com/science/article/pii/S092966462030499X |
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