Evidence map›Paper›PMID 32520938›Full record

ArticlePloS one2020

Barriers to bystander CPR in deprived communities: Findings from a qualitative study.

Fiona Dobbie, Isa Uny, Douglas Eadie, Edward Duncan, Martine Stead, Linda Bauld, Kathryn Angus, Liz Hassled, Lisa MacInnes, Gareth Clegg

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07649616 (Increasing Law Enforcement Application of Automated External Defibrillators for Cardiac Arrest), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07649616 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Increasing Law Enforcement Application of Automated External Defibrillators for Cardiac Arrest

TypeinterventionalSponsorWayne State UniversityRan2026 to 2027Enrolled30ConditionsHeart Arrest, Out-Of-Hospital, DefibrillatorsArmsAED training adjunct
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. How to evaluate first aid skills after training: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022
    Pooled it
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  14. A novel approach to community CPR and AED outreach focused on underserved learner communities.Journal of the American College of Emergency Physicians open · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Fiona DobbieUsher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-8294-8203
Isa UnyInstitute for Social Marketing and Health, School of Health Sciences, University of Stirling, Stirling, United Kingdom.
Douglas EadieInstitute for Social Marketing and Health, School of Health Sciences, University of Stirling, Stirling, United Kingdom.
Edward DuncanNursing Midwifery and Allied Health Professionals Research Unit, Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom.
Martine SteadInstitute for Social Marketing and Health, School of Health Sciences, University of Stirling, Stirling, United Kingdom.
Linda BauldUsher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, United Kingdom.
Kathryn AngusInstitute for Social Marketing and Health, School of Health Sciences, University of Stirling, Stirling, United Kingdom.
Liz HassledResuscitation Research Group, The University of Edinburgh, Edinburgh, United Kingdom.
Lisa MacInnesResuscitation Research Group, The University of Edinburgh, Edinburgh, United Kingdom.
Gareth CleggResuscitation Research Group, The University of Edinburgh, Edinburgh, United Kingdom.
University of Edinburgh · GBUniversity of Stirling · GB

Funding

Chief Scientist Office HIPS /17/10Chief Scientist Office HIPS/17/10
6 · The paper itself

Abstract

STUDY

aimRates of out of hospital cardiac arrest are higher in deprived communities. Bystander Cardiopulmonary Resuscitation (BCPR) can double the chance of survival but occurs less often in these communities in comparison to more affluent communities. People living in deprived communities are, therefore, doubly disadvantaged and there is limited evidence to explain why BCPR rates are lower. The aim of this paper is to examine the barriers to administering BCPR in deprived communities.

methodMixed method qualitative study with ten single sex focus groups (n = 61) conducted in deprived communities across central Scotland and 18 semi-structured interviews with stakeholders from the UK, Europe and the USA.

resultsTwo key themes related to confidence and environmental factors were identified to summarise the perceived barriers to administering BCPR in deprived communities. Barriers related to confidence included: self-efficacy; knowledge and awareness of how, and when, to administer CPR; accessing CPR training; having previous experience of administering BCPR; who required CPR; and whether the bystander was physically fit to give CPR. Environmental barriers focused on the safety of the physical environment in which people lived, and fear of reprisal from gangs or the police.

conclusionsBarriers to administering BCPR identified in the general population are relevant to people living in deprived communities but are exacerbated by a range of contextual, individual and environmental factors. A one-size-fits-all approach is not sufficient to promote 'CPR readiness' in deprived communities. Future approaches to working with disadvantaged communities should be tailored to the local community.

Indexed as

AdolescentAdultCardiopulmonary ResuscitationFearFemaleFirst AidHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedOut-of-Hospital Cardiac ArrestQualitative ResearchResidence CharacteristicsSafetyScotlandVulnerable Populations

Identifiers

PMID32520938
PMCPMC7286503
OpenAlexW3033274294

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.