Rationale of cardiopulmonary resuscitation training as an element of multilevel educational and motivational project (MEDMOTION)

Patients after acute coronary syndrome (ACS) are of increased risk of out-of-hospital cardiac arrest (OHCA). Therefore, education of patients’ family members within the Multilevel EDucational and MOtivational intervention in patients after myocardial infarcTION (MEDMOTION) project includes practical cardiopulmonary resuscitation (CPR) skills training. The aim of this part of the MEDMOTION project is to assess the efficacy of CPR training. Methods The MEDMOTION project is designed as a multicenter, two-phase study with a 2-year follow-up. In phase 1 (the observational, prospective, multicentre study), patients in all centres will be treated, educated and motivated according to the current practice adopted in these centres. In phase 2 (the randomized, open-label, multicentre study), the participating centres will be randomized (1:1) to active group (multi-level educational and motivational interventions) or to control group (continuation of the previous strategy). In the active group, the relatives cohabitating with the patient will be encouraged to participate in CPR classes and hands-on training supported with CPR dedicated MEDMOTION brochure. To convince persons emotionally close to the patient to participate in the proposed activities, we plan to conduct motivational conversations highlighting the importance of increased patient safety and family responsibility.