Out-of-hospital cardiac arrest (OHCA) is common and serious: UK survival is only ~10%. Immediate cardio-pulmonary-resuscitation (CPR) increases survival but is often not provided, even when ambulance services provide telephone instructions. Lay-responders encounter barriers to delivering CPR AND can experience significant distress. Currently, there is NO high-quality evidence about how telephone-CPR instructions are perceived by lay-responders. Social support theory, which posits emotional, practical, informational and appraisal support may help to optimise CPR instructions.
The aim of the proposed PhD is to investigate lay responders’ recollections and interpretations of CPR instructions to identify what was helpful/unhelpful in (i) achieving timely CPR and (ii) minimising caller distress.
Engaging with people who have recently provided CPR in an OHCA, the PhD will address the following research questions:
- What do lay-responders recall about the CPR instructions they were given and how does this relate to time elapsed since the OHCA event?
- What aspects of the call-handler interaction do lay-responders perceive as having been helpful, unhelpful, surprising or distressing at the time and in the period since the event?
- How do peoples’ recollections of telephone CPR instructions at up to 3 months after the OHCA, compare with the objective record of events at the time of the OHCA
- How does the content/style of instruction (relationship, emotional, practical, informational and appraisal support) relate to levels of psychological distress experienced after delivering CPR?
- What do people with lived experience of OHCA and of receiving telephone CPR instructions consider would be helpful modifications to the instructions
Methods: Mixed-methods, with a substantial qualitative component
Collaborative Partner: Sudden Adult Death Trust (SADS UK)
Supervisory Team:
- First Supervisor: Professor Julia Allan, julia.allan@stir.ac.uk
- Second Supervisor: Dr Barbara Farquharson, barbara.farquharson2@stir.ac.uk
- Third Supervisor: Dr Gareth Clegg, gareth.clegg@ed.ac.uk