Curriculum Factors in Real-World Training Scenarios for Improving Intention of Laypersons to Perform Cardiopulmonary Resuscitation - Beijing Municipality, China, 2025.

What is already known about this topic?: Training laypersons can increase cardiopulmonary resuscitation (CPR) attempts by bystanders by improving their intention to perform CPR. However, the association between curriculum content and post-training intention to perform CPR remains unclear.

What is added by this report?: Key curriculum factors in CPR training can effectively improve laypersons' intention to perform CPR following training, and 74.7% of the laypersons enrolled in the training programs reported high CPR intention following training. In the low-intention laypersons, relative to the presence of zero to four factors, the coexistence of five to seven factors and eight or nine factors were associated with 174.7% [rate ratio (RR)=2.747; 95% confidence interval (CI): 0.964-7.826] and 283.6% (RR=3.836; 95% CI: 1.493-9.857) increase in high-intention incidence, respectively. A dose-response relationship was found in an indirect pathway in high-intention laypersons before training. However, the overall proportion of participants exposed to all nine curriculum factors was only 57.7%.

What are the implications for public health practice?: The translation of training into high post-course intention remains suboptimal in China. Identifying and improving curriculum factors linked to CPR intention would increase the prevalence of layperson interventions in China, especially factors that can increase trainees' self-efficacy in recognizing cardiac arrest and performing CPR correctly.