The Effect of Different Simulation Methods Used in Adult Basic Life Support Training

The Effect of Different Simulation Methods Used in Adult Basic Life Support Training on Knowledge, Skills, Self-Efficacy, and Satisfaction in Layperson First Aider

The aim of this study is to evaluate the effects of different simulation methods Virtual Reality-Aided Simulation (VRS), High-Fidelity Simulation (HFS), Low-Fidelity Simulation (LFS) used in adult Basic Life Support (BLS) training on the knowledge, skills, self-efficacy, and satisfaction levels of lay rescuers who are not health professionals.

Study Overview

• Status: Completed
• Conditions: First Aid
• Intervention / Treatment: Behavioral: Providing BLS and AED trainings given by the Ministry of Health with Low Realism Simulation.; Behavioral: Providing BLS and AED trainings given by the Ministry of Health with High Reality Simulation; Behavioral: Providing BLS and AED trainings given by the Ministry of Health with Virtual Reality

Detailed Description

The study population included Ministry of Health personnel, and the sample comprised participants of the certified BLS training held on December 3-6, 2023. Sample size was calculated using G*Power (v3.1.9), based on a medium effect size (f = 0.25), with α = 0.05, power = 0.90, three groups, and two time points. The analysis indicated a minimum of 54 participants; accounting for possible dropouts, 21 individuals were included per group, totaling 63 volunteers. The data collection instruments included the Descriptive Characteristics Form, the General Self-Efficacy Scale (GSES), the BLS Knowledge Level Assessment Form, the BLS Skills Evaluation Form, the BLS Self-Efficacy Questionnaire, and the BLS Training Satisfaction Survey.

• Study Type: Interventional
• Enrollment (Actual): 63
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Ankara, Turkey (Türkiye), 06800
    • T.R. Ministry of Health Bilkent Campus Universiteler District Şehit Mehmet Bayraktar Caddesi
  • Altindağ
    • Ankara, Altindağ, Turkey (Türkiye), 06340
      • Ankara University, Nursing Faculty

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Voluntarily agreeing to participate in the research
• Being between the ages of 18-65
• Having applied for Basic life support and Automatic external defibrillator training with a participation certificate issued by the Ministry of Health.
• Being a Ministry of Health personnel.

Exclusion Criteria:

• Refusal to participate in the research
• Becoming a health professional
• Receiving previously authorized basic first aid training.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Skill training with Low Realism Simulation; the theoretical part of the TYD and OED training with Participation Certificate, the curriculum of which is created by the Ministry of Health, will be explained (by the Researcher). (1 hours) Skill training with Low Realism Simulation (1 hour) Basic CPR Manikin (classical training provided by the Ministry of Health),	Behavioral: Providing BLS and AED trainings given by the Ministry of Health with Low Realism Simulation.; the theoretical part of the Certificate of Participation TYD and OED training, the curriculum of which is created by the Ministry of Health, will be explained (by the researcher) (1hours). Skill training with Low Realism Simulation (1 hour) Basic CPR Manikin (classical training given by the Ministry of Health),
Experimental: Skills training with High Reality Simulation; the theoretical part of the TYD and OED training with Participation Certificate, the curriculum of which is created by the Ministry of Health, will be explained (by the Researcher). (1 hours) Skills training with High Reality Simulation (1 hour) SimMan® 3G (Laerdal medical)	Behavioral: Providing BLS and AED trainings given by the Ministry of Health with High Reality Simulation; the theoretical part of the Certificate of Participation TYD and OED training, the curriculum of which is created by the Ministry of Health, will be explained (by the researcher) (1 hours). Skill training with High Reality Simulation (1 hour) SimMan® 3G (Laerdal medical)
Experimental: Skill training will be given with Virtual Reality Application Supported Simulation; the theoretical part of the TYD and OED training with Participation Certificate, the curriculum of which is created by the Ministry of Health, will be explained (by the Researcher). (1 hours) Skill training will be given with Virtual Reality Application Supported Simulation (1 hour) and application training will be given with 3D MedSim.	Behavioral: Providing BLS and AED trainings given by the Ministry of Health with Virtual Reality; the theoretical part of the Certificate of Participation TYD and OED training, the curriculum of which is created by the Ministry of Health, will be explained (by the researcher) (1 hours). Skill training with Virtual Reality Application Supported Simulation (1 hour) Application training will be given with 3D MedSim.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Basic Life Support (BLS) Knowledge Level Evaluation	20 multiple-choice questionnaires aimed at measuring the BLS knowledge level prepared by the researcher in line with the relevant literature. It is evaluated on the basis of the highest 20 and the lowest 0 points. Getting high scores from the questions indicates a high level of BLS knowledge. Application process; pre-test, post-training post-test and 3-month post-test.	3 months
Basic Life Support Self-Efficacy	It was created to measure self-efficacy in emergency CPR, based on the General Self-Efficacy Scale. 4 items are 7-point Likert type. Getting high scores on the items indicates a high level of general self-efficacy. Application process; post-training test and 3-month post-test.	3 months
Basic Life Support Training Satisfaction	A choice will be made between 0 and 10. "0" indicates I am not satisfied at all, "10" indicates I am very satisfied. Application process; post-training testing.	3 days
Basic Life Support Application Skill	Basic Life Support Application Skill Form and CPR effectiveness : BLS skill evaluation form used by the Ministry of Health. It consists of 11 questions. The highest score is 20 and the lowest is 0. Getting high scores from the questions indicates a high level of BLS skill level. CPR effectiveness (compression rate, depth and chest recoil) will be measured via a QCPR manikin. Application process; post-training test and 3-month post-test.	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
General Self-Efficacy Scale (GÖYS)	The number of items is 10. The scale was prepared as a 4-point Likert type. Getting high scores on the items indicates a high level of general self-efficacy. Application process; pre-training test.	3 days

Collaborators and Investigators

• Sponsor: Ankara University

Study record dates

Study Major Dates

• Study Start (Actual): December 6, 2023
• Primary Completion (Actual): March 8, 2024
• Study Completion (Actual): June 29, 2025

Study Registration Dates

• First Submitted: November 24, 2023
• First Submitted That Met QC Criteria: December 5, 2023
• First Posted (Actual): December 14, 2023

Study Record Updates

• Last Update Posted (Actual): February 10, 2026
• Last Update Submitted That Met QC Criteria: February 7, 2026
• Last Verified: June 1, 2025

More Information

Terms related to this study

• Keywords: Health Education; Simulation; Adult Basic Life Support; Layperson First Aider
• Additional Relevant MeSH Terms: Behavior; Treatment Adherence and Compliance; Health Behavior; Patient Compliance; Patient Acceptance of Health Care; Adherence Interventions; Medication Adherence; Health Education
• Other Study ID Numbers: AU-N-AYA-01

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