Education Curriculum
Conditions
Keywords
retraining, basic life support
Brief summary
Previous studies on compression-only CPR and AED training for the general public have primarily focused on the optimal retraining interval. However, the impact of different retraining durations remains unclear. This study explores how varying practice durations in Basic Life Support (BLS) training affect BLS performance among non-professionals.
Detailed description
In this study, participants first underwent compression-only CPR and AED training. Before training, they completed a questionnaire on their perspectives on BLS retraining and basic demographic information. Knowledge tests, skill assessments, and attitude and confidence questionnaires were conducted both before and after training. During the skill assessment, two cameras recorded the process from different angles: one positioned from the feet towards the head of the manikin and the other from the left chest towards the right chest. Instructors, blinded to group allocation, later reviewed the recordings and assessed participants' performance using an evaluation form. Additionally, chest compressions were recorded using a computerized manikin (SkillReporter Resusci Anne®, Laerdal, Stavanger, Norway). Participants were then randomly assigned to one of three groups based on different retraining durations: 1. 45-minute retraining sessions 2. 60-minute retraining sessions 3. 75-minute retraining sessions All three groups underwent skill assessments and knowledge tests every three months before their respective retraining sessions. The retraining skill assessments followed the same procedure as the initial training. Each retraining session began with a 15-minute comprehensive review, followed by hands-on practice. Each participant practiced for approximately five minutes per cycle, which included two minutes of chest compressions, one minute of AED application, one minute of feedback, and one minute for role-switching. Based on this structure, participants in the 45-minute group completed two practice cycles, those in the 60-minute group completed three cycles, and those in the 75-minute group completed four cycles. Both the initial training and retraining followed the American Heart Association (AHA) Heartsaver® CPR+AED course guidelines, with a participant-to-manikin ratio of 3:1 and a maximum of six participants per instructor. One year after the initial training, before the final skill assessment, participants completed the knowledge test and the attitude and confidence questionnaire. After the final skill assessment, they completed the CPR retraining perspectives questionnaire.
Interventions
OTHERRetraining
Each retraining session begins with a 15-minute comprehensive review, followed by hands-on practice
Sponsors
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Masking description
During the skill assessment, two cameras recorded the process from different angles: one positioned from the feet towards the head of the manikin and the other from the left chest towards the right chest. Instructors, blinded to group allocation, later reviewed the recordings and assessed participants' performance using an evaluation form.
Intervention model description
Three-armed randomized controlled Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age \>=18 years old
Exclusion criteria
* Subjects whose physical condition is unsuitable for the CPR training, such as those unable to squat, extend their arms fully, or individuals who are blind or deaf. * Healthcare professionals and students majoring in healthcare-related fields. * Individuals unwilling to sign the informed consent form
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Average compression rate | one year after the initial training | The average compression rate during the skill assessment and the proportion of participants in each group with an average compression rate between 100-120 compressions per minute one year after the initial training |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Average compression depth | 3, 6, 9 and 12 months after the initial training | The average compression depth and the proportion of participants in each group with an average compression depth between 5-6 cm during the skill assessment every three months |
| Average compression rate | 3 month, 6 months and 9 months after initial training | The average compression rate and the proportion of participants in each group with an average compression rate between 100-120 compressions per minute at 3 month, 6 months and 9 months after initial training. |
| Chest recoil | 3, 6, 9 and 12 months after the initial training | The proportion of complete chest recoil in each group every three months |
| Flow time | 3, 6, 9 and 12 months after the initial training | The percentage of compression time over total assessment time in each group during the skill assessment |
| Pass rate | 3, 6, 9 and 12 months after the initial training | The proportion of participants passing the assessment evaluated by instructors |
| Passing rates for each item | 3, 6, 9 and 12 months after the initial training | The passing rate for each item on the evaluation form |
| Attitude | one year after the initial training | The attitude questionnaire consists of two questions, each rated using a Likert scale, including 'strongly disagree,' 'disagree,' 'neutral,' 'agree,' and 'strongly agree.' When calculating the scores, 'strongly disagree' is assigned 1 point, 'disagree' 2 points, 'neutral' 3 points, 'agree' 4 points, and 'strongly agree' 5 points. A higher score indicates that participants place greater importance on the item. |
| Confidence | one year after the initial training | The confidence questionnaire consists of three questions, each rated using a Likert scale, including 'strongly disagree,' 'disagree,' 'neutral,' 'agree,' and 'strongly agree.' When calculating the scores, 'strongly disagree' is assigned 1 point, 'disagree' 2 points, 'neutral' 3 points, 'agree' 4 points, and 'strongly agree' 5 points. A higher score indicates greater confidence. |
| Correct hand placement | 3, 6, 9 and 12 months after the initial training | The proportion of correct hand placement in each group during the skill assessment every three months |
Other
| Measure | Time frame | Description |
|---|---|---|
| Perspectives questionnaire on retraining | one year after the initial training | The perspective questionnaire on retraining consists of two questions: (1) How long do you think the interval for CPR retraining should be? (2) How long do you think the duration of a CPR retraining course should be? These two questions are open-ended. |
Countries
Taiwan
Contacts
Primary ContactShu-Ting Chen
Outcome results
None listed