Acute cardiac care & resuscitationResearch article

A scoping review of support interventions for bystanders involved in out-of-hospital cardiac arrest

ResuscitationPublished

  • Scoping review
  • Joanna Briggs Institute methodology
  • PRISMA-ScR reporting
  • grey literature searched

Authors' conclusion

New support interventions for bystanders involved in OHCA are emerging, particularly in Western countries. The most common component of these interventions is information-giving, with the majority also providing debriefing and psychological support. However, more research is needed on the most effective ways to promote these interventions and on the effects of these interventions on outcomes important to bystanders.

Study context

Population
Adult OHCA bystanders witnessing or performing cardiopulmonary resuscitation (CPR)

Main finding

As reported in the abstract

Included sources and interventions

Peer-reviewed articles or published studies included

Sixteen

Support interventions from included articles

eleven

Additional interventions identified through grey literature

three

Total interventions

fourteen

Further findings

Characteristics of interventions

Most interventions were developed in the past decade in high-income Western countries
Support mainly consisted of information-giving and debriefing, delivered on scene, shortly after the event via telephone or in person, or through digital platforms
Promotional methods included on-scene written materials, emergency medical service dispatcher- or clinician-initiated contact, app-triggered messages, and public-facing websites or social media

Participant outcomes reported

Studies reporting participant outcomes
five
Studies assessing psychological distress
two
No study evaluated intervention effectiveness

Original publication

A scoping review of support interventions for bystanders involved in out-of-hospital cardiac arrest. Resuscitation. Published 5 July 2026. doi:10.1016/j.resuscitation.2026.111202

Summarised from the published abstract; every number is checked against it