Evidence map›Paper›PMID 40248165›Full record

ArticleResuscitation plus2025

FirstCPR: A pragmatic community organisation-based cluster randomised trial to increase community training and preparedness to respond to out-of-hospital cardiac arrest.

Sonali Munot, Julie Redfern, Janet E Bray, Blake Angell, Andrew Coggins, Alan Robert Denniss, Garry Jennings, Sarah Khanlari, Pramesh Kovoor, Saurabh Kumar and 9 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Sonali MunotWestmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Julie RedfernInstitute for Evidence-Based Healthcare, Bond University, Queensland, Australia.
Janet E BraySchool of Public Health and Preventive Medicine, Monash University, Victoria, Australia.
Blake AngellThe George Institute for Global Health, University of New South Wales, Newtown, New South Wales, Australia.
Andrew CogginsWestmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Alan Robert DennissDepartment of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia.
Garry JenningsSydney Health Partners, Charles Perkins Centre, The University of Sydney, New South Wales, Australia.
Sarah KhanlariPopulation and Public Health Division, New South Wales Ministry of Health, Sydney, New South Wales, Australia.
Pramesh KovoorDepartment of Cardiology, Westmead Hospital, Sydney, New South Wales, Australia.
Saurabh KumarWestmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Kevin LaiWestmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Simone MarschnerWestmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Paul M MiddletonSouth Western Emergency Research Institute, Ingham Institute, Sydney, New South Wales, Australia.
Ian OppermannFaculty of Engineering and Information Technology, University of Technology, Sydney, New South Wales, Australia.
Zoe RockWestmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Christopher SemsarianAgnes Ginges Centre for Molecular Cardiology at Centenary Institute, The University of Sydney, Sydney, New South Wales, Australia.
Matthew VukasovicDepartment of Emergency Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
Adrian BaumanSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Clara K ChowWestmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bystander cardiopulmonary resuscitation (CPR) and defibrillation improve out-of-hospital cardiac arrest survival. However, basic life support (BLS) skills are low. Aim: The FirstCPR cluster randomised controlled trial aimed to test the effectiveness of a community organisation-targeted BLS education and training approach. Methods: Clusters (community organisations with 50+ members) were randomly allocated to intervention (12-month period of opportunities to access BLS education and training) or control (no intervention). Outcomes were assessed via surveys at 12 months and pre-specified analysis involved hierarchical mixed-models. Results: Of 165 randomised clusters (82 intervention), 58% were sports and 42% were social/faith-based. Most of the intervention clusters (74/82) participated in at least one intervention activity (15 in all activities). Factors such as the COVID-19 pandemic and organisation support impacted intervention uptake. Overall 924 members, across 93 clusters (407 from 57 intervention clusters; 517 from 36 control clusters), completed surveys. At 12-months, intervention organisation surveyed members reported higher rates of: being trained and willing to perform CPR on a stranger (primary outcome: 63.8% vs 46.9 %; Adjusted Odds Ratio (AOR) 2.22, 95% confidence interval (CI):1.50-3.30), confidence to use an automated external defibrillator (AED) (48.4% vs 26.4%; AOR:3.23, 95%CI:2.22-4.71) and willingness to use AEDs on a stranger (73.9% vs 62.9%; AOR:1.84, 95%CI:1.22-2.80). Conclusions: The results should be interpreted cautiously as the survey response rates were very low. However, survey respondents showed desired outcomes and key learnings for future research were gained.

Indexed as

Automated external defibrillatorBasic life support educationCardiopulmonary resuscitationCluster randomised controlled designCommunity-based intervention

Identifiers

PMID40248165
PMCPMC12005295

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.