An "Intention-Focused" paradigm for improving bystander CPR performance

Resuscitation. 2015 Mar:88:48-51. doi: 10.1016/j.resuscitation.2014.12.006. Epub 2014 Dec 19.


Despite public education campaigns and a chest compression-only initiative, bystander cardiopulmonary resuscitation (CPR) is provided in approximately 30-40% of out of hospital cardiac arrests in the United States. Bystander CPR rates may not improve without addressing factors influencing bystanders' probability of performing CPR. We propose an "intention-focused" model for the bystander CPR performance utilizing validated behavioral theory. This model describes a framework that may predict CPR performance, with intention as the key determinant of this behavior. This model may provide specific targets for strengthening the intention to perform CPR, which could lead to increased bystander rates.

Keywords: Behavior; Behavioral theory; Bystander; CPR; Cardiopulmonary resuscitation; Intention.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cardiopulmonary Resuscitation / education*
  • Education, Medical / trends*
  • Emergency Medical Services / standards*
  • Humans
  • Intention
  • Out-of-Hospital Cardiac Arrest / therapy*
  • Registries*