Recent studies have indicated that the probability of death from an out-of-hospital cardiac arrest can be reduced by the initiation of cardiopulmonary resuscitation. Since the majority of sudden deaths occur in the individual's home, CPR training of family members can be expected to have a significant impact on death due to sudden cardiac events. Preliminary research by the principal investigators, however, suggests that CPR training of family members may produce negative psychological and social outcomes, particularly for patients. Moreover, given such consequences, CPR training with family members may actually precipitate future cardiac events. The purpose of the proposed study is to initiate a multi-center prospective clinical trial that would randomize family members of high-risk cardiac patients into either a standard CPR training group or a CPR training group with structured psychological intervention. A third group of patient/families will receive no interventions (control group). The goals of the project are: to document the impact of family CPR training on mortality due to sudden death events; to determine the response of family members trained in CPR to a potential sudden death event; to determine any psychological risks and/or benefits of these interventions for family members and patients; to determine the degree of CPR skill retention by family members; and to develop an intervention to prevent or offset anxiety, depression and other adverse psychological effects of CPR training on both patients and family members.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL032171-03
Application #
3343454
Study Section
Behavioral Medicine Study Section (BEM)
Project Start
1984-08-01
Project End
1987-11-30
Budget Start
1986-08-01
Budget End
1987-11-30
Support Year
3
Fiscal Year
1986
Total Cost
Indirect Cost
Name
University of California Los Angeles
Department
Type
Schools of Arts and Sciences
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Moser, Debra K; Dracup, Kathleen (2004) Role of spousal anxiety and depression in patients' psychosocial recovery after a cardiac event. Psychosom Med 66:527-32
Moser, D K; Dracup, K (2000) Impact of cardiopulmonary resuscitation training on perceived control in spouses of recovering cardiac patients. Res Nurs Health 23:270-8
Dracup, K; Moser, D K; Taylor, S E et al. (1997) The psychological consequences of cardiopulmonary resuscitation training for family members of patients at risk for sudden death. Am J Public Health 87:1434-9
Moser, D K; Dracup, K (1995) Psychosocial recovery from a cardiac event: the influence of perceived control. Heart Lung 24:273-80
Brecht, M L; Dracup, K; Moser, D K et al. (1994) The relationship of marital quality and psychosocial adjustment to heart disease. J Cardiovasc Nurs 9:74-85
Dracup, K; Moser, D K; Guzy, P M et al. (1994) Is cardiopulmonary resuscitation training deleterious for family members of cardiac patients? Am J Public Health 84:116-8
Moser, D K; Dracup, K A; Marsden, C (1993) Needs of recovering cardiac patients and their spouses: compared views. Int J Nurs Stud 30:105-14
Dracup, K; Moser, D K (1991) Treatment-seeking behavior among those with signs and symptoms of acute myocardial infarction. Heart Lung 20:570-5
Dracup, K; Moser, D K; Marsden, C et al. (1991) Effects of a multidimensional cardiopulmonary rehabilitation program on psychosocial function. Am J Cardiol 68:31-4
Kolar, J A; Dracup, K (1990) Psychosocial adjustment of patients with ventricular dysrhythmias. J Cardiovasc Nurs 4:44-55

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