The school Lifesavers study—A randomised controlled trial comparing the impact of Lifesaver only, face-to-face training only, and Lifesaver with face-to-face training on CPR knowledge, skills and attitudes in UK school children

Yeung, Joyce; Ković, Ivor; Vidačić, Marija; Perkins, Gavin D.; Higgins, Dan; Melody, Teresa; Lockey, Andrew

doi:10.1016/j.resuscitation.2017.08.010

Cited by 58 publications

(92 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…17 18 The McNemar's test was used in a post hoc analysis of the OSCE passing rate over time in students who played the 'Lifesaver' game. 8 The school intraclass correlation was estimated after performing a mixed-effects logistic regression for OSCE skills. SPSS V.24.0 (IBM) software and Stata V.16.0 (StataCorp, College Station, TX) were used for data analyses.…”

Section: Discussionmentioning

confidence: 99%

“…At the 3-month follow-up, our students maintained a high level of BLS skills with shorter median time to first shock. A possible explanation is that students refreshed their training before the follow-up, with some playing the 'Lifesaver' game 8 and others remembering the examiner's feedback for improvements after the first OSCE performance. Our knowledge and skill results are also consistent with the findings in a systematic review of a wide range of BLS programmes in schoolchildren.…”

Section: Discussionmentioning

confidence: 99%

“…4 5 Teenagers are competent in learning and performing BLS skills after a brief training intervention. [6][7][8][9][10][11] However, the effectiveness of these BLS programmes varies according to trainer type, content and duration of training, assessment methods and students' age, gender and body weight. 6 12 13 Currently, there is no consensus on the optimal content and duration of training for use of AEDs.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…At the end of the training session, we introduced the 'Lifesaver' game 8 to the students by showing the weblink and a screen capture of it. We did not demonstrate how to play the game but did encourage the students to check it out as an extra educational resource for reference.…”

Section: Objective Structured Clinical Examinationmentioning

confidence: 99%

See 3 more Smart Citations

Brief compression-only cardiopulmonary resuscitation and automated external defibrillator course for secondary school students: a multischool feasibility study

Tsui

et al. 2020

BMJ Open

View full text Add to dashboard Cite

ObjectivesThis study assessed the feasibility and preliminary efficacy of a 2-hour compression-only cardiopulmonary resuscitation and automated external defibrillator (CO-CPRAED) course in secondary school students.DesignProspective pre-post feasibility study.Setting and participants128 students (12–15 years old) without prior basic life support (BLS) training at four secondary schools in Hong Kong. All students were followed up at 3 months after training.InterventionsEmergency medicine-trained nurse and physicians taught the 2-hour CO-CPRAED course using the American Heart Association ‘CPR in School Training Kit’ programme. Students were trained in groups up to 40 students/session, with an instructor to student ratio not exceeding 1:10. To practise hands-on compressions, the manikin to student ratio was 1:1. For a simulated cardiac arrest, the manikin and AED to student ratio was 1:10.Primary and secondary outcomesCPR and AED knowledge, attitude statements towards bystander CPR and AED, quality of BLS performance skills during training and at 3 months.ResultsSome students (46%) knew how deep to push on an adult chest when doing CO-CPR before training. The course was associated with an increase in knowledge score (pretraining 55%, post-training 93%; adjusted mean difference (MD) 38%, 95% CI 33% to 43%; p<0.001). Most students (68%) thought that CPR education in senior secondary school was essential before training. The students had a very positive attitude towards CPR; no change in the mean (SD) attitude score out of 30 over time (pretraining 27.2 (2.5), post-training 27.6 (2.7); adjusted MD 0.5, 95% CI −0.1 to 1.0; p=0.132). Most students were competent in performing BLS immediately after training (77%) and at 3 months (83%) (adjusted MD 6%, 95% CI −4% to 15%; p=0.268).ConclusionsThe results demonstrate the feasibility of scaling up the number of secondary schools trained in a brief CO-CPRAED course within the local school curriculum.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Section: Objective Structured Clinical Examinationmentioning

confidence: 99%

See 2 more Smart Citations

Brief compression-only cardiopulmonary resuscitation and automated external defibrillator course for secondary school students: a multischool feasibility study

Tsui

et al. 2020

BMJ Open

View full text Add to dashboard Cite

show abstract

“…The participants were questioned regarding CPR awareness, knowledge, and willingness, and the status of CPR education. Among the questions about CPR knowledge, hand position, rate, and depth in chest compressions were included, as those questions were included in both surveys and three elements are commonly asked in other studies assessing CPR knowledge of general public[18–19]. Moreover, we also considered the possible barriers to perform bystander CPR and whether the interviewee was familiar with the current Korean Good Samaritans’ Law.…”

Section: Methodsmentioning

confidence: 99%

A 5-year change of knowledge and willingness by sampled respondents to perform bystander cardiopulmonary resuscitation in a metropolitan city

et al. 2019

View full text Add to dashboard Cite

BackgroundNationwide and regional interventions can help improve bystander cardiopulmonary resuscitation (CPR) awareness, knowledge, and the willingness. Periodic community investigation will help monitor the effect. This study aimed to compare the experience of CPR education, CPR knowledge, and CPR willingness, during a 5-year interval.MethodsThis is a pre and post study. Two surveys were done in February 2012 and December 2016. National and regional intervention including legislation promoting public involvement, standardizing CPR education programs, training CPR instructors, and installing supporting organizations were done at the period. In both surveys, respondents were selected via quota sampling in Daegu Metropolitan City and answered the survey through face-to-face interview. Respondents’ general demographic characteristics, CPR educational experience, CPR knowledge and CPR willingness were questioned.ResultsTotal of 2141 respondents (1000 in 2012, 1141 in 2016) were selected. The percentage of respondents who received CPR education itself and recent education were higher after intervention compared to before intervention (36.2% vs. 55.1%, 16.9% vs. 30.1%, respectively). Correct knowledge of performing CPR seems to be improved overall (1.6% vs. 11.7%, odd ratio 14.28, 95% confidence interval 5.68–35.94). However, less respondents were willing to perform CPR on strangers (54.5% vs 35.0%).ConclusionNationwide and regional interventions to promote bystander CPR and CPR education were associated with increased CPR education experience and improved correct CPR knowledge in performing bystander CPR. Willingness to perform bystander CPR on family did not increase significantly and CPR willingness to strangers was decreased. Additional legal and technological measures should be implemented to promote bystander CPR.

show abstract

Effect of Face-to-Face vs Virtual Reality Training on Cardiopulmonary Resuscitation Quality

et al. 2020

View full text Add to dashboard Cite

Bystander cardiopulmonary resuscitation (CPR) is crucial for survival after cardiac arrest but not performed in most cases. New, low-cost, and easily accessible training methods, such as virtual reality (VR), may reach broader target populations, but data on achieved CPR skills are lacking. OBJECTIVE To compare CPR quality between VR and face-to-face CPR training. DESIGN, SETTING, AND PARTICIPANTS Randomized noninferiority trial with a prospective randomized open blinded end point design. Participants were adult attendees from the science section of the Lowlands Music Festival (August 16 to 18, 2019) in the Netherlands. Analysis began September 2019. INTERVENTIONS Two standardized 20-minute protocols on CPR and automated external defibrillator use: instructor-led face-to-face training or VR training using a smartphone app endorsed by the Resuscitation Council (United Kingdom). MAIN OUTCOMES AND MEASURESDuring a standardized CPR scenario following the training, we assessed the primary outcome CPR quality, measured as chest compression depth and rate using CPR manikins. Overall CPR performance was assessed by examiners, blinded for study groups, using a European Resuscitation Council-endorsed checklist (maximum score, 13). Additional secondary outcomes were chest compression fraction, proportions of participants with mean depth (50 mm-60 mm) or rate (100 min −1 -120 min −1 ) within guideline ranges, and proportions compressions with full release. RESULTS A total of 381 participants were randomized: 216 women (57%); median (interquartile range [IQR]) age, 26 (22-31) years. The VR app (n = 190 [49.9%]) was inferior to face-to-face training (n = 191 [50.1%]) for chest compression depth (mean [SD], VR: 49 [10] mm vs face to face: 57 [5] mm; mean [95% CI] difference, −8 [−9 to −6] mm), and noninferior for chest compression rate (mean [SD]: VR: 114 [12] min −1 vs face to face: 109 [12] min −1 ; mean [95% CI] difference, 6 [3 to 8] min −1 ). The VR group had lower overall CPR performance scores (median [IQR], 10 [8-12] vs 12 [12-13]; P < .001). Chest compression fraction (median [IQR], 61% [52%-66%] vs 67% [62%-71%]; P < .001) and proportions of participants fulfilling depth (51% [n = 89] vs 75% [n = 133], P < .001) and rate (50% [n = 87] vs 63% [n = 111], P = .01) requirements were also lower in the VR group. The proportion of compressions with full release was higher in the VR group (median [IQR], 98% [59%-100%] vs 88% [55%-99%]; P = .002). CONCLUSIONS AND RELEVANCE In this randomized noninferiority trial, VR training resulted in comparable chest compression rate but inferior compression depth compared with face-to-face training. Given the potential of VR training to reach a larger target population, further development is needed to achieve the compression depth and overall CPR skills acquired by face-to-face training.

show abstract

The school Lifesavers study—A randomised controlled trial comparing the impact of Lifesaver only, face-to-face training only, and Lifesaver with face-to-face training on CPR knowledge, skills and attitudes in UK school children

Cited by 58 publications

References 18 publications

Brief compression-only cardiopulmonary resuscitation and automated external defibrillator course for secondary school students: a multischool feasibility study

Brief compression-only cardiopulmonary resuscitation and automated external defibrillator course for secondary school students: a multischool feasibility study

A 5-year change of knowledge and willingness by sampled respondents to perform bystander cardiopulmonary resuscitation in a metropolitan city

Effect of Face-to-Face vs Virtual Reality Training on Cardiopulmonary Resuscitation Quality

Contact Info

Product

Resources

About