Abstract 17385: CPR Education in High-need Schools to Increase Student Knowledge and Comfort Performing CPR

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Debra Heard ◽  
Comilla Sasson
Keyword(s):  
Low Income ◽  
Classroom Teacher ◽  
Low Cost ◽  
The United States ◽  
Training Data ◽  
Paired Data ◽  
School Students ◽  
Chi Square ◽  
Bystander Cpr ◽  
Cpr Training

Introduction: Low-income neighborhoods are important targets for CPR trainings as they typically have high incidence of out-of-hospital cardiac arrest and low prevalence of bystander CPR. Training middle school students in these neighborhoods is a novel intervention to increase CPR awareness. Objective: Conduct a school-based CPR intervention using classroom teachers as facilitators at 1131 middle schools across the United States with a high proportion of students from lower-income families. Methods: Population: 1131 public middle and high schools in 34 states (including the District of Columbia) were selected for the 2014-2015 school year to participate based on close proximity to sponsor’s U.S. store locations and 50% or more student eligibility for free or reduced-price lunch. Intervention: Participants completed a pre-test survey to assess baseline knowledge of CPR and comfort performing CPR. A classroom Hands-Only CPR training lasting one class period was conducted with the CPR in Schools Training Kit™, which includes an educational DVD, 10 manikins and resources for any classroom teacher to conduct trainings. Participants then completed post-training knowledge and comfort survey. McNemar’s tests on paired data and chi square and t-tests on aggregated unpaired data were conducted to assess for differences in CPR knowledge and comfort performing CPR pre- and post-training. Results: Training data were returned by 563 (49.8%) participating schools training a total of 150,409 students in Hands-Only CPR. Using a sample of returned data, the mean number of questions answered correctly on CPR knowledge increased from 2.5 to 4.2 (out of 5). The majority of participants (75.8%) felt comfortable performing Hands-Only CPR after the intervention. Conclusion: A total of 150,409 students from 563 schools were trained in Hands-Only CPR (average 267 students/CPR in Schools Training Kit). At $625 per CPR in Schools Training Kit (with 10 manikins and materials), training cost $4.70 for each student trained. Participants demonstrated increased knowledge of and comfort performing CPR. The CPR in Schools Training Kit is a low cost and promising method for increasing bystander CPR awareness in the student population in low-income neighborhoods.

scholarly journals Save a Life: Implementation and Evaluation of a Community-Focused CPR Education Program in Houston, Texas

2021 ◽  
Vol 12 ◽  
pp. 215013272199824
Author(s):  
Ebun O. Ebunlomo ◽  
Laura Gerik ◽  
Rene Ramon
Keyword(s):  
Health Education ◽  
Education Program ◽  
Heart Association ◽  
The United States ◽  
Outcome Evaluation ◽  
Collaborative Education ◽  
Kirkpatrick Model ◽  
Bystander Cpr ◽  
States Experience ◽  
Cpr Training

Over 350 000 people in the United States experience out-of-hospital cardiac arrest (OHCA) annually—and almost 90% die as a result. However, survival varies widely between counties, ranging from 3.4% to 22.0%—a disparity that the American Heart Association (AHA) largely attributes to variation in rates of bystander CPR. Studies show that regions with low rates of bystander CPR have low rates of CPR training, making CPR training initiatives a high-priority intervention to reduce OHCA mortality. In Houston, Texas, researchers have identified census tracts with higher OCHA incidence and lower rates of bystander CPR. We developed a free, annual Hands-Only CPR bilingual health education program central to these high-risk neighborhoods. In 5 years, this collaborative effort trained over 2700 individuals. In 2016, 2017, and 2018, we conducted a process evaluation to assess fidelity, dose delivered, and dose received. We also conducted an outcome evaluation using the Kirkpatrick Model for Training Evaluation to assess participants’ reactions and learning. Overall, the program yielded positive outcomes. Of the 261 respondents (from 314 attendees), 63% were first-time learners. The majority (87%) were satisfied with the event and 85% felt that information was presented clearly and concisely. Pre- and post-knowledge assessments showed a 51% increase in the proportion of respondents who could correctly identify the steps for Hands-Only CPR. This program exemplifies how collaborative education can impact a community’s health status. Leveraging each partner’s resources and linkages with the community can enhance the reach and sustainability of health education initiatives.

scholarly journals 662 PAP Therapy: A Review of Resources for the Uninsured during COVID-19

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A259-A259
Author(s):  
Melissa Malinky ◽  
Abigail Oberla ◽  
Meena Khan ◽  
M Melanie Lyons
Keyword(s):  
Low Income ◽  
Web Search ◽  
Low Cost ◽  
Wait Time ◽  
The United States ◽  
Fixed Cost ◽  
United States Census ◽  
Lower Socioeconomic ◽  
Increased Risk ◽  
Available Resources

Abstract Introduction In 2019, the United States Census estimated 8% (26.1 million) people were without health insurance. Further, an estimated 3.5 million people became/remained uninsured from COVID-19-related job losses. Patients with OSA that belong to a lower socioeconomic status (SES) are less likely to have access to healthcare and may be under or uninsured. Untreated OSA can lead to increased risk of symptoms and associated co-morbidities. Resources to help the uninsured to obtain PAP therapy were available pre-COVID, including two main sources, American Sleep Apnea Association (ASAA) and our local branch serving central Ohio, The Breathing Association. However, the COVID pandemic limited access or closed these programs. Our Sleep Medicine clinics saw 148 uninsured OSA patients between March-December, 2020. Given these difficulties, we re-evaluated available resources for the uninsured. Methods We conducted a search for current low cost ($100 or less) PAP therapy options for the uninsured, March 15, 2020-December 3, 2020, by: (1) contacting pre-COVID-19 resources, including Durable Medical Equipment (DME) providers, (2) consulting social work, and (3) completing a librarian assisted web-search not limited to PubMed, Embase, CINAHL for academic related articles and electronic searches using a combination of English complete word and common keywords: OSA, PAP, uninsured, no insurance, cheap, medically uninsured, resources, self-pay, low-income, financial assistance, US. Resources such as private sellers were not investigated. Results During COVID-19, assistance for PAP machines/supplies have closed or required a protracted wait-time. Options including refurbished items range from low, one-time fixed cost or income-based discounts from: one local charity (Joint Organization for Inner-City Needs) and DME (Dasco), and four national entities (ASAA, Second Wind CPAP, Reggie White Foundation, CPAP Liquidators). An Electronic Health Record-based tool was developed and distributed to increase provider awareness of pandemic available resources. Conclusion Untreated OSA is associated with increased risk of cardiovascular co-morbidities. Access and cost may limit treatment in OSA patients from a lower SES. The COVID-19 pandemic has shuttered programs providing discount PAP and supplies, leaving fewer resources for these patients, thus further widening this health care disparity. Alternatives are needed and current resources are not easily accessible for providers and patients. Support (if any):

scholarly journals The Contested Discourses of Yoga, Youth, and Urban Schooling: Paradox and Possibility

2020 ◽  
Vol 122 (9) ◽  
pp. 1-40
Author(s):  
Janet D. Johnson
Keyword(s):  
Critical Discourse Analysis ◽  
Low Income ◽  
Classroom Teacher ◽  
Research Question ◽  
Alternative High School ◽  
The United States ◽  
Teacher Participation ◽  
Youth Of Color ◽  
Urban Schooling ◽  
Background Context

Background/Context Yoga, as a recent cultural phenomenon in the United States, is often marketed as a way to relieve stress and anxiety. This has led to yoga becoming widespread in schools, particularly schools that serve low income youth of color. While some advocates argue that yoga can help students navigate highly controlled, standards-based school environments, others assert that yoga is being used as a tool for student compliance rather than liberation. Purpose/Objective/Research Question/Focus of Study This study addresses the tensions between schooling discourses and yoga discourses, and how youth use their own discourses and agency to navigate those complications. Setting/Population This study took place in an alternative high school program for students who were in danger of not graduating because they had too few credits. Reflecting the community, the participants were low income youth of color. Research Design In this yearlong critical qualitative study, I served as an observer for weekly yoga classes at the school, interviewed the student participants during the fall and the spring, and interviewed the yoga teacher and classroom teacher during the fall and spring. I kept a field journal and wrote memos after every class and analyzed the data from the observations and interviews using critical discourse analysis. Conclusions/Recommendations Even as yoga may serve as a counternarrative to schooling discourses, it is only with intention and practice that it does not reify narratives of power and patriarchy. This is particularly true when the participants themselves may replicate these narratives, such as the participants’ complex use of heteronormative masculine discourses. For yoga to be liberatory in schools, the following aspects should be included: a sense of community where all students feel valued, classroom teacher participation, explicit instruction in the discourses of yoga around acceptance and compassion for oneself and others, and acknowledging school and youth discourses around sports and heteronormativity.

Abstract 15507: CPR Education in Middle School Students During Physical Education Class

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Kae Watanabe ◽  
Dalia Lopez-Colon ◽  
Jonathan J Shuster ◽  
Joseph Philip
Keyword(s):  
Middle School ◽  
Physical Education ◽  
Life Support ◽  
Low Cost ◽  
Statistical Significance ◽  
Randomized Study ◽  
The United States ◽  
School Students ◽  
Knowledge And Skills ◽  
Significant Difference

Introduction: AHA advocates for CPR education as a required element of the secondary school curriculum. Unfortunately, many states have not adopted CPR education as part of their standard curriculum. Our aim was to investigate a low-cost, and time effective method to educate students on Basic life Support (BLS) during a physical education (PE) class, including evaluation of the use of re-education. Hypothesis: We hypothesize that a 45 minute BLS class during PE class is sufficient to provide with CPR and AED knowledge and skills. Methods: This is a prospective, randomized study. The study included forty one 8 th grade students in an Alachua County Middle School in Gainesville, Florida. Education was performed by an AHA-certified provider during a 45 minute PE class. Education was limited to chest compressions and the usage of an Automatic External Defibrillator (AED). Students were randomized into two groups; one group received repeat education at two months post-initial education, while the second group did not. Students had a skills and knowledge test administered pre- and post-education, given after initial education and repeated two and four months later to assess retention. Total scores were compared between pre- and post- education, as well as between groups. Results: There was a significant difference in CPR skills and knowledge when comparing pre- and post-education results for all time-points (p<0.001). When assessing retention, no significant difference in mean total scores was observed between the initial post-education as compared to two and four months (p>0.1). Mean total scores compared between groups showed no statistical significance of re-education. However, a statistical significance was noted for AED usage in the repeat education group. Conclusions: Our study indicates significant increase in CPR knowledge and skills following a one-time 45 minute session. Repeat education may be useful as a yearly event, but would need further investigation. If schools across the United States invested one 45-60 minute period a year for each school year, this would ensure widespread CPR knowledge with minimal cost and loss of school time.

Food Choice With Economic Scarcity and Time Abundance: A Qualitative Study

2021 ◽  
pp. 109019812110459
Author(s):  
Sara C. Folta ◽  
Oyedolapo Anyanwu ◽  
Jennifer Pustz ◽  
Jennifer Oslund ◽  
Laura Paige Penkert ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Low Income ◽  
Food Choice ◽  
Resource Constraints ◽  
Low Cost ◽  
The United States ◽  
Photo Elicitation ◽  
Semistructured Interview ◽  
Relative Time ◽  
Multiple Resource

Consumers with low income in the United States have higher vulnerability to unhealthy diets compared with the general population. Although some literature speculates that scarcity is an explanation for this disparity, empirical evidence is lacking. We conducted a qualitative study of food choice to explore whether scarcity-related phenomena, such as tunneling and bandwidth tax, may contribute to unhealthy dietary choices. We used participant-driven photo elicitation ( n = 18) to investigate the food choice behaviors of individuals living in the greater Boston area who met the federal guidelines for poverty. Participants took photos at the point of food acquisition for 1 month, after which we interviewed them using a semistructured interview guide with the photos as prompts. Thematic coding was used for analysis. Respondents had relative time abundance. Two major themes emerged: participants used a set of strategies to stretch their budgets, and they highly prioritized cost and preference when making food choices. The extreme focus on obtaining food at low cost, which required time and effort, was suggestive of tunneling. We found no evidence of the bandwidth tax. Our findings raise the hypothesis of scarcity as a continuum: when individuals experience multiple resource constraints, they experience scarcity; whereas people with very limited finances and relative time abundance may instead be in a prescarcity condition, with a hyperfocus on a scarce resource that could lead to tunneling as constraints increase. Additional studies are needed to understand whether and how tunneling and bandwidth tax emerge, independently or together, as people face different levels and types of scarcity.

Is Cost of Living Related to Living Alone Among Older Persons? Evidence From the Elder Economic Security Standard Index

2015 ◽  
Vol 38 (17) ◽  
pp. 2495-2511
Author(s):  
Jan E. Mutchler ◽  
Jiyoung Lyu ◽  
Ping Xu ◽  
Jeffrey A. Burr
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Metropolitan Areas ◽  
Low Cost ◽  
The United States ◽  
Economic Security ◽  
Living Alone ◽  
Cost Of Living ◽  
Standard Index ◽  
Security Standard

This study examines whether the cost of living is related to the probability of living alone among unmarried persons age 65 years and older in the United States. Cost of living is measured at the metropolitan area level by the Elder Economic Security Standard Index, which takes into account geographic variability in cost of housing, food, transportation, and medical care. Using multilevel modeling, we find that higher cost of living is related to a lower likelihood of living alone net of personal resources. Results also show that the gap in the likelihood of living alone between high- and low-income older adults is slightly lessened in low-cost metropolitan areas. We conclude that the price of “purchasing privacy” is substantially higher in some metropolitan areas than in others. These findings inform policies designed to help older adults age in place.

scholarly journals Food Safety Knowledge and Behaviors of Women, Infant, and Children (WIC) Program Participants in the United States

2008 ◽  
Vol 71 (8) ◽  
pp. 1651-1658 ◽  
Author(s):  
JUNEHEE KWON ◽  
AMBER N. S. WILSON ◽  
CAROLYN BEDNAR ◽  
LISA KENNON
Keyword(s):  
United States ◽  
Food Safety ◽  
Ethnic Groups ◽  
Foodborne Pathogens ◽  
Low Income ◽  
Safety Information ◽  
The United States ◽  
Foodborne Illnesses ◽  
Chi Square ◽  
Safety Knowledge

Although the incidence of foodborne illnesses has declined, thousands of cases are still reported in the United States. In conjunction with industry efforts to reduce foodborne pathogens, consumers play an important role in decreasing foodborne illnesses. To assess food safety knowledge and food handling behaviors of low-income, high-risk populations, a study was conducted with participants of the Special Supplemental Food Program for Women, Infants, and Children (WIC). A survey was conducted with 1,598 clients from 87 WIC agencies nationwide. Descriptive statistics, chi-square analyses, t tests, and analyses of variance were calculated. A majority of respondents received food safety information from WIC (78.7%), family (63.1%), and television (60.7%). Most respondents recognized the necessity for washing and sanitizing cutting boards and utensils (94.3%), but only 66.1% knew the correct ways to sanitize. Using a thermometer to ensure doneness of meat was least recognized (23.7%) and used by even fewer respondents (7.7%). The majority (77.4%) used color of meat and/or juices when checking the doneness of ground beef items. Over half of the respondents (58.4%) used acceptable thawing methods, but many thawed frozen meats on the counter (21.0%) or in a sink filled with water (20.6%). There were significant differences in thawing methods, overall knowledge scores, and overall behavior scores among different racial and ethnic groups. White respondents had higher knowledge scores than did Hispanics, and blacks had lower behavior scores than did individuals in the other racial and ethnic groups. Results of the study suggested the need for food safety education for low-income consumers and different messages to be delivered to specific demographic groups.

Abstract 215: New Mannequin Made by Recyclable Plastic Bottles for Training Thoracic Compressions at Schools

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Agnaldo Piscopo ◽  
Isabella C Piscopo ◽  
Alvaro AVEZUM ◽  
Ibrain M Pinto ◽  
Francisco K Saraiva
Keyword(s):  
Young People ◽  
Low Income ◽  
Low Cost ◽  
Chest Compressions ◽  
Children And Young People ◽  
Plastic Bottle ◽  
And Gender ◽  
Cpr Training ◽  
Previous Training ◽  
Recycled Material

Introduction: The teaching of Cardiopulmonary Resuscitation (CPR) in schools is already established by the "Kids Save Lives".A low-cost mannequin with the possibility of using recycled material may be a new means of training for children and young people in low-income areas. Objectives: To develop a low-cost mannequin derived from recycled material and evaluate its ability to demonstrate simulations of chest compressions for children and young people. Methods: Development of the model of a low fidelity mannequin made by children in a standard platform based on a plastic bottle (PET) inserted in a T-shirt with other recycled materials such as paper and Styrofoam. The compression simulation test was conducted by a randomized, single-blind study with the inclusion of volunteers at a high school. The children, without previous training in CPR, were randomized to one of the training arms of Laerdal’s Litle Anne mannequin (L) or plastic bottle mannequin (PB). The compression test was performed on a multi-sport court, during 60 minutes, through a video demonstration of CPR with emphasis on chest compressions. The two groups were balanced in age and gender. After the training, all students underwent a test on the Anne Quality Laedal mannequin with two minutes of chest compressions supervised by an instructor (blind to the previous training), that evaluate the frequency of the compressions, correct position of the hands, mean time without compression, total number of compressions and mean depth of compressions. Results: A total of 88 children and young people with a mean age of 14 years of both genders were included. Forty children trained with the L mannequin and 48 with the PB. The variable depth of compression showed differences between the trained groups, where the PB model was 4.1 points higher than the L model (p=0.012) without being able to affirm that there was an effect on the item depth sufficient (p=0.077). Others variables did not present differences between groups. Conclusion: The PB mannequins have very low cost and can be a new model for CPR training in schools. On the compressions ability, only the depth variable was superior in the PB model, perhaps due to the greater similarity of the mannequin to human chest strength.

Abstract 260: Impact of Viewing an Ultrabrief Chest Compression--Only Video or Teaching a Chest Compression--Only Class on Lay Bystander CPR Performance in a High School

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Daniel Beskind ◽  
Rebecca Thiede ◽  
Riley Hoyer ◽  
Melissa Ludgate ◽  
Devin McMorrow ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Chest Compression ◽  
The United States ◽  
Performance Measure ◽  
Compression Rate ◽  
School Students ◽  
Compression Depth ◽  
Study Results ◽  
Bystander Cpr

Introduction: Cardiac arrest is responsible for 300,000 deaths in the United States. Bystander CPR has been shown to improve survival, but is only performed 30-50% of the time. Objectives: To determine if a chest compression-only (CCO) ultra-brief video (UBV) and a CCO-CPR class are effective at teaching CCO-CPR to high school students. Methods: This was a prospective cluster-randomized controlled trial with three arms: 1) CCO- UBV, 2) CCO-Class, 3) a control group (college recruiting video). High school students enrolled in a health course were randomized by class into of the 3 study arms. CPR performance was assessed with Laerdal Skillreporter mannequins after presentation of a scenario (sudden witnessed collapse) before (Pre), after (Post), and at 2 months following each intervention. CPR performance measures included the following: calling 911/starting compressions within 2 minutes, mean rate and depth of compressions. Results: 168/206 students 14-18 years of age, representing 5 classes, participated in this study. Results are shown in the Table. The proportion of participants that called 911 and/or started compressions within 2 minutes, as well as chest compression rate, significantly improved following the UBV and CCO-Class Post and at 2 months. Chest compression depth significantly improved following the CCO-Class both Post and at 2 months. No performance measure improved Pre to Post for the control arm. Limitations: More than one model of mannequin was used, observers and participants were not blinded to the intervention, and the study population represented a single public high school. Conclusions: A CCO-UBV and a brief CCO-CPR Class were effective at increasing the likelihood of calling 911, initiating CCO-CPR within 2 minutes and improving chest compression rate up to 2 months after the video or class in a population of high school students. The CCO-CPR class also significantly improved chest compression depth up to 2 months after the class.

scholarly journals “Sickle cell anemia: tracking down a mutation”: an interactive learning laboratory that communicates basic principles of genetics and cellular biology

2016 ◽  
Vol 40 (1) ◽  
pp. 110-115 ◽  
Author(s):  
Kevin Jarrett ◽  
Mary Williams ◽  
Spencer Horn ◽  
David Radford ◽  
J. Michael Wyss
Keyword(s):  
High School Students ◽  
Sickle Cell ◽  
Sickle Cell Anemia ◽  
Classroom Teacher ◽  
Learning Experience ◽  
Low Cost ◽  
Science Museum ◽  
School Students ◽  
Optimal Learning ◽  
Cell Mutation

“Sickle cell anemia: tracking down a mutation” is a full-day, inquiry-based, biology experience for high school students enrolled in genetics or advanced biology courses. In the experience, students use restriction endonuclease digestion, cellulose acetate gel electrophoresis, and microscopy to discover which of three putative patients have the sickle cell genotype/phenotype using DNA and blood samples from wild-type and transgenic mice that carry a sickle cell mutation. The inquiry-based, problem-solving approach facilitates the students' understanding of the basic concepts of genetics and cellular and molecular biology and provides experience with contemporary tools of biotechnology. It also leads to students' appreciation of the causes and consequences of this genetic disease, which is relatively common in individuals of African descent, and increases their understanding of the first principles of genetics. This protocol provides optimal learning when led by well-trained facilitators (including the classroom teacher) and carried out in small groups (6:1 student-to-teacher ratio). This high-quality experience can be offered to a large number of students at a relatively low cost, and it is especially effective in collaboration with a local science museum and/or university. Over the past 15 yr, >12,000 students have completed this inquiry-based learning experience and demonstrated a consistent, substantial increase in their understanding of the disease and genetics in general.

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