Assessment of CPR Skills Acquisition and Retention: Impact of Technology and Self-training (TrainCPR)

October 18, 2023 updated by: Universidade do Porto
Cardiopulmonary resuscitation (CPR) is an emergency maneuver used on a victim who is in cardiac arrest. Early and efficient CPR, with a focus on chest compressions, is a key element in increasing victim survival. The success of resuscitation does not only depend on the immediate initiation of the maneuvers, but also on the quality with which they are applied. However, there is an obvious gap in the knowledge of these maneuvers. This study aims to analyze the acquisition and retention/maintenance of cardiopulmonary resuscitation (CPR) skills and the impact of the use of technology and autonomous training in medical students.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

The objectives of this study include:

  1. Study the impact of using technology, namely simulators with automatic feedback, in CPR training.
  2. Study the potential of autonomous training as a complementary and/or alternative methodology in CPR training.
  3. Assess the acquisition and retention/maintenance of CPR skills, through autonomous and regular training.

The findings of this project are expected to promote awareness and behavioral change in the rescuer, leading to better outcomes for patients.

Experimental case-control study, aligned in two phases. In a first phase, all participants will be exposed to a period of autonomous training, with measurements of performance and quality of CPR, before and after training. This phase will allow investigating the acquisition of skills through autonomous training and leveling the skills of the entire sample. In a second phase, the sample will be randomly distributed between two groups and the retention/maintenance of skills will be evaluated over 1 year, considering that one of the groups will be exposed to 2 additional autonomous training sessions (after 2 and 6 months). The collection of technical skills data will be performed in the pre-training period, post-training (time zero) and after 2, 6 and 12 months - corresponding to 5 data collection moments, in both groups.

Both autonomous training and technical skills data collection will take place using a feedback CPR training simulator (eg Laerdal Little Anne QCPR). Along with the collection of technical skills data, theoretical knowledge will be assessed through a questionnaire. The duration of the autonomous training will be 30 minutes.

The sample will be recruited by convenience (non-probabilistic sample), using students of the 4th year of the Integrated Master in Medicine of the Faculty of Medicine of the University of Porto.

Data collection will take place at the Clinical Simulation Center of the Faculty of Medicine of the University of Porto (Portugal);

An estimate of the sample size was calculated considering the use of an ANOVA test for repeated measures. Using the G-Power software and considering an effect size of 0.20, significance level of 0.05, power of 0.95, for two groups and five measures, 96 participants will be needed. In this calculation, a null correlation coefficient was used, opting for a conservative approach to sample size calculation. Anticipating eventual dropouts, 150 participants will be recruited.

Study Type

Interventional

Enrollment (Estimated)

150

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Abel Nicolau, MSc, PhDc
  • Phone Number: 26836 (+351) 220426836
  • Email: anicolau@med.up.pt

Study Contact Backup

Study Locations

  • Portugal
      • Porto, Portugal, 4200-319
        • Recruiting
        • Faculty of Medicine (FMUP)
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Adults (>= 18 years of age);
  • Good state of health;
  • Lack of formal training in CPR.

Exclusion Criteria:

  • Pregnant women;
  • Individuals with reduced mobility;
  • Physical fatigue and/or reported muscle pain;

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Control Group
Participants with no additional autonomous training sessions.
Experimental: Intervention Group
Participants exposed to 2 additional autonomous training sessions (after 2 and 6 months).
Other: Additional autonomous training sessions
The duration of the autonomous training will be 30 minutes, using a feedback CPR training simulator (eg Laerdal Little Anne QCPR).

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in CPR skills (acquisition)
Time Frame: Measurements of performance and quality of CPR (2 minutes of continuous chest compressions), immediately before and immediately after training, during the first phase (before randomization and group allocation).
Technical skills data collection will take place using a feedback CPR training simulator (eg Laerdal Little Anne QCPR). Along with the collection of technical skills data, theoretical knowledge will be assessed through a questionnaire. Both technical skills and theoretical knowledge will be aggregated to one general skills score.
Measurements of performance and quality of CPR (2 minutes of continuous chest compressions), immediately before and immediately after training, during the first phase (before randomization and group allocation).
Difference in CPR skills retention
Time Frame: Measurements of performance and quality of CPR (2 minutes of continuous chest compressions), in second phase at 2, 6 and 12 months.
Technical skills data collection will take place using a feedback CPR training simulator (eg Laerdal Little Anne QCPR). Along with the collection of technical skills data, theoretical knowledge will be assessed through a questionnaire. Both technical skills and theoretical knowledge will be aggregated to one general skills score.
Measurements of performance and quality of CPR (2 minutes of continuous chest compressions), in second phase at 2, 6 and 12 months.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Universidade do Porto

Collaborators

Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS)
Rede de Investigação em Saúde (RISE), Laboratório Associado
Faculty of Medicine (FMUP)

Investigators

  • Principal Investigator: Carla Sa-Couto, PhD, Faculty of Medicine (FMUP)

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 1, 2023

Primary Completion (Estimated)

October 31, 2023

Study Completion (Estimated)

December 31, 2023

Study Registration Dates

First Submitted

August 1, 2022

First Submitted That Met QC Criteria

August 4, 2022

First Posted (Actual)

August 9, 2022

Study Record Updates

Last Update Posted (Actual)

October 19, 2023

Last Update Submitted That Met QC Criteria

October 18, 2023

Last Verified

October 1, 2023

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • TrainCPR

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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