Hands-Only Cardiopulmonary Resuscitation Education: A Comparison of On-Screen With Compression Feedback, Classroom, and Video Education
| Autor: | Audrey L Blewer, Debra Heard, Kevin H. Andresen, Lana M. Gent, Katie M. Guthmiller, Kennon Heard, Comilla Sasson, Benjamin S. Abella, Ryan Lucas |
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| Rok vydání: | 2018 |
| Předmět: |
Program evaluation
Adult Male medicine.medical_specialty business.product_category medicine.medical_treatment education Interactive kiosk Affect (psychology) Manikins law.invention Feedback 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Humans 030212 general & internal medicine Session (computer science) Cardiopulmonary resuscitation Simulation Training business.industry Retraining Videotape Recording 030208 emergency & critical care medicine Confidence interval Cardiopulmonary Resuscitation Heart Arrest Emergency Medicine Physical therapy Female business Out-of-Hospital Cardiac Arrest Program Evaluation |
| Zdroj: | Annals of emergency medicine. 73(6) |
| ISSN: | 1097-6760 |
| Popis: | Study objective We compare 3 methods of hands-only cardiopulmonary resuscitation (CPR) education, using performance scores. A paucity of research exists on the comparative effectiveness of different types of hands-only CPR education. This study also includes a novel kiosk approach that has not previously been studied, to our knowledge. Methods A randomized, controlled study compared participant scores on 4 hands-only CPR outcome measures after education with a 25- to 45-minute practice-while-watching classroom session (classroom), 4-minute on-screen feedback and practice session (kiosk), and 1-minute video viewing (video only). Participants took a 30-second compression test after initial training and again after 3 months. Results After the initial education session, the video-only group had a lower total score (compressions correct on hand placement, rate, and depth) (–9.7; 95% confidence interval [CI] –16.5 to –3.0) than the classroom group. There were no significant differences on total score between classroom and kiosk participants. Additional outcome scores help explain which components negatively affect total score for each education method. The video-only group had lower compression depth scores (–9.9; 95% CI –14.0 to –5.7) than the classroom group. The kiosk group outperformed the classroom group on hand position score (4.9; 95% CI 1.3 to 8.6) but scored lower on compression depth score (–5.6; 95% CI –9.5 to –1.8). The change in 4 outcome variables was not significantly different across education type at 3-month follow-up. Conclusion Participants exposed to the kiosk session and those exposed to classroom education performed hands-only CPR similarly, and both groups showed skill performance superior to that of participants watching only a video. With regular retraining to prevent skills decay, the efficient and free hands-only CPR training kiosk has the potential to increase bystander intervention and improve survival from out-of-hospital cardiac arrest. |
| Databáze: | OpenAIRE |
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