Education, Medical, Undergraduate, Out-of-Hospital Cardiac Arrest, Simulation Training
Conditions
Brief summary
The objective of this study is to compare two forms of pre-training (an online narrative presentation and a serious game) to prepare 2nd year medical students for a hands-on training with physical simulators about out-of-hospital cardiac arrest management.
Detailed description
Technology-enhanced simulation allows mastery learning. Mastery learning is a variety of competency-based education which has demonstrated its efficacy for skills acquisition and their transfer to actual settings. While traditional education defines fixed learning time and allows outcomes to vary, in mastery learning, all trainees must achieve a predefined level of proficiency while their learning time can vary. The main limitation of mastery learning is that it takes more time than non-mastery learning. This is of concern because the main barrier to simulation-based training is the lack of faculty time. Thus, new solutions should emerge to conciliate mastery learning and time constraints on physical simulators. Pre-training with a simulation game may be a mean to reach this objective. Simulation games are serious games which are at the cross roads between (1) educational games which are applications using the characteristics of video and computer games to create engaging and immersive learning experiences, and (2) simulation, the imitation of situations which can be encountered in real-life. They combine the advantages of educational games (active, personalized learning) and simulation (realistic and safe environment for experiential learning). By contrast, pre-training with an online course using a PowerPoint presentation with voiceover narration lecture is both passive and abstract. The objective of this study is to evaluate the time-efficiency of pre-training using a simulation game versus an online course to reach mastery learning in the management of an adult out-of-hospital cardiac arrest.
Interventions
OTHERSerious Game
OTHEROnline course
Sponsors
Ilumens
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Second-year medical students from the medical schools of Paris Descartes and Paris Diderot University who are not opposed to participate in the study.
Exclusion criteria
* Opposition to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Median Training Time Needed to Reach the Minimal Passing Score for a Simulated Out-of-hospital Cardiac Arrest Scenario Using a High-fidelity Simulator at Day 8. | The hands-on session takes place 8 days after the first pre-training when the serious game or the online course are played/watched twice, and one day after the second pre-training when they are played/watched once more | Following the 2015 European Resuscitation Council guidelines, a checklist was developed for this study. This checklist allows the assessors to evaluate the participant's compliance with guidelines, and to determine if he/she needs to practice again on the scenario or if he/she reached the minimum passing score and can stop the training. The quality of the chest compressions provided is recorded automatically through the ResusciAnne Skill Reporter Software (Laerdal, Norways), and is integrated in the checklist. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Median Training Time Needed to Reach the Minimal Passing Score for a Simulated Out-of-hospital Cardiac Arrest Scenario Using a High-fidelity Simulator | 4 months after the hands-on session. | Evaluation of skill retention. |
| Score (on the Checklist) on the First Attempt During the hands-on Session | The hands-on session takes place 8 days after the first pre-training when the serious game or the online course are played/watched twice, and one day after the second pre-training when they are played/watched once more | Name: Checklist for performance score of SCA management This checklist was adapted from the 2015 resuscitation guidelines. Points were given for the actions performed correctly in sequence and in time(sequence score, 0 to 4),and for the quality of the chest compressions (compression score,0 to 8). The minimum passing score on this checklist was 11 out of 12 (min 0-max 12), with the absolute requirement to score the maximum 4 points on the sequence score. Higher scores mean a better outcome. |
Countries
France
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Serious Game Participants in the serious game group will be pre-trained before the hands-on sessions with the serious game Staying Alive, available at http://www.stayingalive.fr/index\_us.html This game aims at teaching the management of an out-of-hospital cardiac arrest to the general public and health professionals. In this game, the player faces a man who has experienced sudden cardiac arrest and learns the appropriate behavior, movements and techniques that can contribute to saving his life. The first level of the game lasts 4-5 minutes, depending on the skills of the player. It is a point and click game, displayed on a PC computer.
Serious Game | 41 |
| Online Course Participants in the lecture group will watch individually a 4-min video of a PowerPoint presentation with voiceover narration, given in the medical school of Paris Descartes University. The video is edited to contain the same informations on out-of-hospital cardiac management than the serious game, with the same duration.
Online course | 41 |
| Total | 82 |
Baseline characteristics
| Characteristic | Serious Game | Online Course | Total |
|---|---|---|---|
| Age, Continuous | 21 years | 21 years | 21 years |
| Familiar with high-fidelity simulation | 1 Participants | 0 Participants | 1 Participants |
| Familiar with low-fidelity simulation | 11 Participants | 12 Participants | 23 Participants |
| Last basic life support course taken, < 12 months | 4 Participants | 5 Participants | 9 Participants |
| Last basic life support course taken, > 12 months | 25 Participants | 16 Participants | 41 Participants |
| Last basic life support course taken, Never | 12 Participants | 20 Participants | 32 Participants |
| Previous participation in CPA management | 2 Participants | 0 Participants | 2 Participants |
| Race and Ethnicity Not Collected | — | — | 0 Participants |
| Sex: Female, Male Female | 27 Participants | 29 Participants | 56 Participants |
| Sex: Female, Male Male | 14 Participants | 12 Participants | 26 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 41 | 0 / 41 |
| serious Total, serious adverse events | 0 / 41 | 0 / 41 |
Outcome results
Primary
Median Training Time Needed to Reach the Minimal Passing Score for a Simulated Out-of-hospital Cardiac Arrest Scenario Using a High-fidelity Simulator at Day 8.
Following the 2015 European Resuscitation Council guidelines, a checklist was developed for this study. This checklist allows the assessors to evaluate the participant's compliance with guidelines, and to determine if he/she needs to practice again on the scenario or if he/she reached the minimum passing score and can stop the training. The quality of the chest compressions provided is recorded automatically through the ResusciAnne Skill Reporter Software (Laerdal, Norways), and is integrated in the checklist.
Time frame: The hands-on session takes place 8 days after the first pre-training when the serious game or the online course are played/watched twice, and one day after the second pre-training when they are played/watched once more
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Online Course | Median Training Time Needed to Reach the Minimal Passing Score for a Simulated Out-of-hospital Cardiac Arrest Scenario Using a High-fidelity Simulator at Day 8. | 23 minutes |
| Serious Game | Median Training Time Needed to Reach the Minimal Passing Score for a Simulated Out-of-hospital Cardiac Arrest Scenario Using a High-fidelity Simulator at Day 8. | 20.5 minutes |
Secondary
Median Training Time Needed to Reach the Minimal Passing Score for a Simulated Out-of-hospital Cardiac Arrest Scenario Using a High-fidelity Simulator
Evaluation of skill retention.
Time frame: 4 months after the hands-on session.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Online Course | Median Training Time Needed to Reach the Minimal Passing Score for a Simulated Out-of-hospital Cardiac Arrest Scenario Using a High-fidelity Simulator | 11.7 Minutes |
| Serious Game | Median Training Time Needed to Reach the Minimal Passing Score for a Simulated Out-of-hospital Cardiac Arrest Scenario Using a High-fidelity Simulator | 12.1 Minutes |
p-value: <0.001Wilcoxon (Mann-Whitney)
Secondary
Score (on the Checklist) on the First Attempt During the hands-on Session
Name: Checklist for performance score of SCA management This checklist was adapted from the 2015 resuscitation guidelines. Points were given for the actions performed correctly in sequence and in time(sequence score, 0 to 4),and for the quality of the chest compressions (compression score,0 to 8). The minimum passing score on this checklist was 11 out of 12 (min 0-max 12), with the absolute requirement to score the maximum 4 points on the sequence score. Higher scores mean a better outcome.
Time frame: The hands-on session takes place 8 days after the first pre-training when the serious game or the online course are played/watched twice, and one day after the second pre-training when they are played/watched once more
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Online Course | Score (on the Checklist) on the First Attempt During the hands-on Session | 6 units on a scale |
| Serious Game | Score (on the Checklist) on the First Attempt During the hands-on Session | 6 units on a scale |
Secondary
Score (on the Checklist) on the First Attempt During the hands-on Session
Name: Checklist for performance score of SCA management This checklist was adapted from the 2015 resuscitation guidelines. Points were given for the actions performed correctly in sequence and in time(sequence score, 0 to 4),and for the quality of the chest compressions (compression score,0 to 8). The minimum passing score on this checklist was 11 out of 12 (min 0-max 12), with the absolute requirement to score the maximum 4 points on the sequence score. Higher scores mean a better outcome.
Time frame: 4 months after the hands-on session.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Online Course | Score (on the Checklist) on the First Attempt During the hands-on Session | 9 units on a scale |
| Serious Game | Score (on the Checklist) on the First Attempt During the hands-on Session | 9 units on a scale |