Comparison of instructor-led automated external defibrillation training and three alternative DVD-based training methods
Autor: | Wiebe de Vries, N. M. Turner, Koenraad G. Monsieurs, Joost J.L.M. Bierens, Rudolph W. Koster |
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Přispěvatelé: | Anesthesiology, ICaR - Heartfailure and pulmonary arterial hypertension, Amsterdam Cardiovascular Sciences, Cardiology |
Jazyk: | angličtina |
Rok vydání: | 2010 |
Předmět: |
Educational measurement
medicine.medical_specialty Randomization education Electric Countershock Emergency Nursing Manikins Videodisc Recording Education Nonprofessional law.invention Automation Randomized controlled trial law Intensive care Clinical endpoint Humans Medicine Prospective Studies business.industry Training (meteorology) Basic life support Problem-Based Learning Cardiopulmonary Resuscitation Confidence interval Emergency Medicine Physical therapy Educational Measurement Cardiology and Cardiovascular Medicine business Defibrillators |
Zdroj: | Resuscitation, 81(8), 1004-1009. Elsevier Ireland Ltd de Vries, W, Turner, N M, Monsieurs, K G, Bierens, J J L M & Koster, R W 2010, ' Comparison of instructor-led automated external defibrillation training and three alternative DVD-based training methods ', Resuscitation, vol. 81, no. 8, pp. 1004-1009 . https://doi.org/10.1016/j.resuscitation.2010.04.006 |
ISSN: | 0300-9572 |
Popis: | Background: Self-directed BLS-training, using a personal training manikin with video has been shown to be as effective as instructor-led training. This has not previously been investigated for AED-training. Materials and methods: This prospective, randomized study with a non-inferiority design compared traditional instructor-led training with three DVD-based AED-training methods (2.5 min DVD without practice; 4.5 min DVD with manikin practice; 9 min DVD with manikin practice and scenario training). After DVD BLS-training, 396 participants were assigned to one of the four AED-training methods by randomization stratified for age. Participants were tested immediately after the training (post-test) and 2 months later (retention-test) using modified Cardiff criteria. The primary endpoint was the percentage of providers scoring 70% or higher on testing. The secondary endpoints were the mean scores and differences per item per age group. Results: Comparison non-inferiority could not be accepted for the post-test or retention-test. Relative risk (RR) and 95% confidence interval (CI) of passing for DVD without practice, with manikin practice and with manikin practice and scenario training compared to instructor-led training were 0.36 (0.25-0.53), 0.35 (0.24-0.51), 0.55 (0.38-0.79), respectively for the post-test, and 0.82 (0.68-0.97), 0.82 (0.68-0.97), and 0.84 (0.70-1.00), respectively for the retention-test. The performance of participants in all DVD-based training groups was significantly higher on the retention-test than on the post-test. Those receiving scenario training scored higher on the post-test compared to the other DVD-training groups (p |
Databáze: | OpenAIRE |
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