CPR Education Via a Mobile Application Compared to VSI Kit
CPR Education Via a Mobile Application Compared to VSI Kit
Prompt delivery of cardiopulmonary resuscitation (CPR) is a crucial determinant of survival
 for many victims of sudden cardiac arrest (SCA), yet bystander CPR is provided in less than
 one third of witnessed SCA events. A number of barriers to bystander CPR training have been
 identified including time and cost of the training course. Since the large majority of arrest
 events occur in the home environment, studies have suggested that providing CPR training to
 family members of hospitalized cardiac patients may serve as a useful approach to address an
 environment in which bystander CPR is frequently not provided. Utilizing an existing
 in-hospital program to train adult family members, the investigators will assess the skills
 of those who learn CPR through two different educational methods: a mobile app and video
 self-instruction (VSI).
The long term goal of the investigators work is to implement real world CPR training
 strategies that match training locales with at-risk populations, maximize resuscitation skill
 retention, and promote willingness to act. To accomplish this, the investigators will empower
 stakeholders at the University of Pennsylvania Health System (UPHS) and local area hospitals
 to develop local implementation approaches, using either volunteer hospital personnel or paid
 research assistants as training proctors. These stakeholders will be studied as a research
 subset. The training proctors will educate family members or friends of patients at risk for
 cardiac arrest using a mobile application "app" or VSI kit (RCT), and empower them with the
 lifesaving skill of CPR. The investigators will follow up with the study subjects and conduct
 CPR skills tests 6 to 12 months from the time of training to assess whether the subjects
 retained their skills or if they had an opportunity to use the skills that they learned. The
 investigators will also gather information on how the subjects would like to be encouraged to
 practice their skills. The investigators will send a reminder notification every two months
 following training, to encourage subjects to refresh their training skills. At the follow-up
 skills test at 6 to 12 months, the investigators will administer a survey to assess whether
 the prompting encouraged the subjects to practice their skills. Additionally the
 investigators will encourage the individuals trained in-hospital to share the kit or mobile
 app with others. The investigators will follow-up with those who are identified as secondary
 trainees to assess the environment in which secondary training took place.
Inclusion Criteria:

 -  Subjects must be present with their family member at the hospital

 -  The family member must be at high risk for cardiac arrest (CA), including:

 -  previous myocardial infarction (MI)

 -  previous CA

 -  history of diabetes

 -  history of high cholesterol

 -  history of high blood pressure

 -  This includes subjects with family members being discharged from the Cardiac
 Intermediate Care Unit (CICU), Telemetry units, ICU, Cardiac Care Unit (CCU),
 cardiology clinics, or physicians office within the participating hospitals/health
 systems

 Exclusion Criteria:

 -  Volunteers and subjects must be 18 years of age or older

 -  Individual must be fit and able to perform moderate physical activity

 -  Volunteers must be English speaking and/or Spanish speaking