Advanced Cardiovascular Life Support
Conditions
Keywords
Simulation, Blended Learning, Cost-Effectiveness, Online Learning
Brief summary
The investigators conducted a stratified randomized controlled trial with an embedded cost-effectiveness analysis at a tertiary hospital in China. Participants were randomized to either traditional instructor-led ACLS training (ILT ACLS) or blended-learning HeartCode ACLS training (HC ACLS). The primary outcome was the overall first-attempt ACLS certification pass rate. A cost-effectiveness analysis was conducted from the institutional perspective using certification pass rate as the effectiveness measure. Costs estimation included program delivery costs and productivity losses associated with participant training time.
Interventions
BEHAVIORALInstructor-Led ACLS Training
A traditional, entirely in-person ACLS course delivered by certified instructors, following standard American Heart Association (AHA) guidelines, without online pre-learning components.
BEHAVIORALHeartCode ACLS Blended Learning
A blended-learning ACLS course combining online HeartCode self-paced modules with instructor-facilitated hands-on practice sessions.
Sponsors
Shanghai East Hospital of Tongji University
Tongji University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
This is an educational intervention study comparing two training methods.
Eligibility
Sex/Gender
ALL
Age
22 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Second-year resident physicians and nurses * Working in the emergency, critical care, or anesthesiology departments * Valid Basic Life Support (BLS) certification * No prior Advanced Cardiovascular Life Support (ACLS) training * Physical ability to perform chest compressions, bag-mask ventilation, and defibrillation * Willing and able to provide written informed consent
Exclusion criteria
* Individuals without a valid BLS certification
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall First-Attempt ACLS Certification Pass Rate | Up to 2 days. | The proportion of participants who pass the ACLS certification examination on their first attempt after completing the assigned training program. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| First-Attempt Pass Rate for Individual Assessments | Up to 2 days. | Proportion of participants who pass each of the three individual assessments (high-quality BLS, airway management, and Megacode) on the first attempt. |
| CPR Quality - Compression Depth | Up to 2 days. | Mean chest compression depth (mm) recorded during Megacode assessment, measured by high-fidelity manikin with QCPR technology. |
| CPR Quality - Compression Rate | Up to 2 days. | Mean chest compression rate (compressions per minute) recorded during Megacode assessment. |
| CPR Quality - Chest Recoil | Up to 2 days. | Proportion of compressions with adequate chest recoil (percentage) recorded during Megacode assessment. |
| Training Cost per Participant | Through study completion, an average of 6 months. | Mean total training cost per participant (in RMB), including program delivery costs (equipment, facilities, materials, personnel) and productivity losses. |
| Participant Satisfaction | Up to 2 days. | Learner satisfaction measured using the AHA ACLS Classroom Course Evaluation Form, completed immediately after course completion. |
Countries
China
Contacts
PRINCIPAL_INVESTIGATORMin Ding, MMED
Department of Post-Graduate Education, Shanghai East Hospital, Tongji University School of Medicine
Outcome results
None listed