CPR Education: Traditional Program Versus On-line Program

"iGOGO-Automated External Defibrillator Donation "Continuing Education Project

Out-of-hospital cardiac arrest (OHCA) is an important public health issue. Chang Gung Memorial Hospital, a university affiliated medical center in Taoyuan city, northern Taiwan, actively cooperated with the government policy to donate a total of 250 automated external defibrillators (AED) and to deploy them in public areas during the period of 2012 to 2014. In addition, nearly 200 courses of cardiopulmonary resuscitation (CPR) education for healthcare providers and citizens were provided.

In order to keep the skills and the abilities of emergency medical responses in these 200 and more AED recipient areas, repeated CPR education and training should be implemented. Quality assurance and regular follow-up by medical directors with professional advice and feedback can therefore be provided at the same time. Therefore, this project aims to assess the quality of emergency responses in the recipient units in the next four years via regular follow-up by medical directors with advice and feedback. Continuing medical education of both e-learning and classes, online registration system, as well as first aid supplies will be provided at the regular follow-up visits. The results of this project will provide a feasible model of quality assurance of first aid and AED implementation program in the community.

Study Overview

• Status: Completed
• Conditions: Cardiopulmonary Resuscitation
• Intervention / Treatment: Other: On-line program; Other: Standard program

Detailed Description

The core value of the investigation is to provide high quality, convenient, time-saving, and cost-effective CPR training model. The training proctors will either instruct laypersons or healthcare providers to watch on-line video for 18 minutes at home then practice the skills for 30 minutes in the training scene or provide standard CPR program (90 minutes in the scene) and empower them with the life-saving skills of CPR. The American Heart Association's CPR with a DVD and laerdal QCPR manikin will be used to record. Participants will be randomly allocate into either the on-line or standard method of the training program. To assess the effects of training, the participants will receive written examinations before and after the course. The investigators will also follow up with the study participants and conduct CPR skills tests at 6 and 12 months from the time of training to assess whether the subjects retain their skills or if they have an opportunity to use the skills that they learned. Information about the willing of performing CPR and satisfaction to the training will also be collected.

• Study Type: Interventional
• Enrollment (Actual): 832
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Taiwan
  • Taoyuan, Taiwan, 333
    • Chang Gung Memorial Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Adults aged 20 and over
• Adults who have not attended CPR training for at least one year prior to enrollment

Exclusion Criteria:

• unable to kneel to practice CPR
• pregnant
• unwilling to sign informed consent

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: On-line group; On-line program course	Other: On-line program; 18 minutes on-line video at home and 30 minutes CPR skill practice at scene in 3 days after watching on-line video
Active Comparator: Standard group; Standard program course	Other: Standard program; 60-minute CPR teaching video with practice, 20 minutes of automated electrical defibrillator operation, and a 10-minute discussion with regard to the legal issues associated with bystander CPR in Taiwan

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Written test for knowledge about CPR	Knowledge about CPR will be assessed via a written test before and after the CPR training. The test includes 25 questions with a total score of 100 (4 points for each).	4 days
CPR flow checklist	An evaluator who is blinded to the training allocation will assess the performance of CPR via a flow checklist. A total of 20 items will be checked with a maximum sum score of 40 points.	4 days

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The percentage of correct depth of all compressions	The percentage of correct depth (5-6 centimeters) of all compressions will be assessed by High Quality CPR (HQCPR). HQCPR is a machine with interactive response system which can provide information while performing CPR on manikin (Laerdal, Resusci Anne QCPR).	90 minutes
The percentage of correct speed of compressions of all compressions	The percentage of correct speed of compressions (100 to 200 per minute) of all compressions will be assessed by HQCPR. HQCPR is a machine with interactive response system which can provide information while performing CPR on manikin (Laerdal, Resusci Anne QCPR).	90 minutes
The percentage of correct recoil of all compressions	The percentage of correct recoil (full chest recoil) of all compressions will be assessed by HQCPR. HQCPR is a machine with interactive response system which can provide information while performing CPR on manikin (Laerdal, Resusci Anne QCPR).	90 minutes
The average compression depth	The average compression depth (unit in centimeter) is calculated by summing up the depth of each compression then to be divided by the number of total compressions. The compression depth is recorded by HQCPR. HQCPR is an interactive response machine to provide the information on depth, speed and recoil while performing CPR on manikin (Laerdal, Resusci Anne QCPR).	90 minutes
The average compression speed	The average compression speed is presented as the number of compressions per minute by HQCPR. HQCPR is an interactive response machine to provide the information on depth, speed and recoil while performing CPR on manikin (Laerdal, Resusci Anne QCPR).	90 minutes

Collaborators and Investigators

• Sponsor: Chang Gung Memorial Hospital
• Investigators: Principal Investigator: Cheng-Yu Chien, Dr., Chang Gung Memorial Hospital

Publications and helpful links

General Publications

• Chien CY, Fang SY, Tsai LH, Tsai SL, Chen CB, Seak CJ, Weng YM, Lin CC, Chien WC, Huang CH, Lin CY, Chaou CH, Liu PH, Tseng HJ, Chen JC, Peng SY, Cheng TH, Hsu KH, Ng CJ. Traditional versus blended CPR training program: A randomized controlled non-inferiority study. Sci Rep. 2020 Jun 22;10(1):10032. doi: 10.1038/s41598-020-67193-1.

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2016
• Primary Completion (Actual): November 30, 2017
• Study Completion (Actual): December 31, 2018

Study Registration Dates

• First Submitted: June 28, 2018
• First Submitted That Met QC Criteria: July 12, 2018
• First Posted (Actual): July 16, 2018

Study Record Updates

• Last Update Posted (Actual): March 12, 2020
• Last Update Submitted That Met QC Criteria: March 10, 2020
• Last Verified: March 1, 2020

More Information

Terms related to this study

• Keywords: Education; HQCPR between standard and on-line program
• Other Study ID Numbers: GMRPG3F1273

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No