Exploring acceptability of dispatch-assisted telephone CPR (T-CPR) in Limited English Proficient (LEP) communities

Background: Dispatch-assisted telephone CPR (T-CPR) instructions have been shown to reduce mortality from cardiac arrest. Even without prior training, bystanders can perform CPR with the help from 9-1-1 dispatchers. However, little is known about LEP individuals' understanding of bystander CPR and acceptability of T-CPR. Methods: In collaboration with the Chinese Information Services Center, we conducted 4 gender matched focus groups with adult Chinese immigrants who speak little or no English to understand their experience in calling 9-1-1, CPR knowledge, and acceptability of T-CPR. Each focus group consisted of 8-10 men or women. All discussions were audio-recorded, transcribed verbatim, and analyzed. Results: Few participants have received CPR training but many recognize important signs to start CPR. Performing bystander CPR was interpreted as a measure to save life. Although few have ever called 9-1-1 and trained in CPR, LEP individuals are willing to perform CPR if instruction is given over the phone using their own language. LEP individuals welcomed dispatch-assisted telephone CPR but asked for more training, especially about the instructions and procedures involved. When told, most LEP individuals welcomed the new CPR guideline which eliminates ventilations. Participants indicated they are more likely to perform CPR as a result of this. Conclusion: Lack of opportunities to get trained for CPR and language barriers hinder LEP individuals' ability to perform dispatch-assisted telephone CPR. Public health officials need to design effective strategies to disseminate new guidelines and to improve access to training both for CPR and T-CPR.