Learning Cardiopulmonary Resuscitation in the School Setting: RCP-KNOW Project. (RCP-KNOW)

Out-of-hospital Cardiorespiratory Arrest and Learning Cardiopulmonary Resuscitation in the School Setting: Evidence Synthesis

Title: Out-of-hospital cardiorespiratory arrest and learning cardiopulmonary resuscitation in the school setting: evidence synthesis. CPR-KNOW PROYECT.

Background: The high incidence, associated morbidity and mortality, and the great individual, social and economic impact of out-of-hospital cardiorespiratory arrest (OHCA) make it a priority for all health systems worldwide. To increase the rates of potential first responders who act appropriately, applying basic life support (BLS) measures in the OHCA, the European Resuscitation Council includes among its latest recommendations the training of all school children through the "Kids Save Lives" initiative.

Objectives: to determine, through a randomized clinical trial, the effectiveness of two training strategies for increasing theoretical and practical knowledge of BLS in schoolchildren and adolescents.

Methodology: To evaluate the effectiveness of two (Cardiopulmonary Resuscitation) CPR teaching interventions in improving the following outcome variables: theoretical knowledge and practical skills, CPR quality; as well as its relationship with the anthropometric, sociodemographic and physical condition variables of the schoolers.

• Intervention group 1 (IG1): a 2-hour theoretical-practical session on the BLS sequence taught by a Nursing professional performing the practice with a mannequin. Instructor/school ratio: 1/25 for the theoretical session and a school/mannequin ratio: 2-3/1.
• Intervention group 2 (IG2): a session with short video (approximately 5-10 min) and other teaching resources (puzzle), without practice on a mannequin. Video/school ratio: 1/25 and a school/teaching resource (puzzle) ratio: 1/1.

Study Overview

• Status: Recruiting
• Conditions: Children; Healthy Participants; School; Knowledge Acquisition; Cardiopulmonary Resuscitation (CPR)
• Intervention / Treatment: Other: Cardiopulmonary Resuscitation Teaching Intervention in Children

• Study Type: Interventional
• Enrollment (Estimated): 550
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Diana P Pozuelo-Carrascosa, Dr.; Phone Number: 926053755; Email: dianap.pozuelo@uclm.es

Study Locations

• Spain
  • Cuenca
    • Cuenca, Cuenca, Spain, 16002
      • Recruiting
      • CEIP Ciudad Encantada
      • Contact: Diana P Pozuelo Carrascosa, Dr; Phone Number: +34655412253; Email: dianap.pozuelo@uclm.es
      • Contact: Email: dianap.pozuelo@uclm.es
    • Cuenca, Cuenca, Spain, 16004
      • Recruiting
      • CEIP Isaac Albeniz
      • Contact: Diana P Pozuelo Carrascosa, Dr; Phone Number: +34655412253; Email: dianap.pozuelo@uclm.es
      • Contact: Email: dianap.pozuelo@uclm.es

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Schools that have at least one complete year of 1st, 2nd, 3rd, 4th, 5th and 6th year of Primary Education, in which the School Council has given its approval for their participation.
• Schoolchildren who wish to participate must:
• Belong to the courses from 1st to 6th grade of Primary Education
• Understand the written and spoken Spanish language
• Not have any physical, mental or cognitive pathology that prevents them from participating in the project.
• Their father/mother or guardian must have signed the informed consent to be able to participate in the project.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Traditional CPR teaching; A 2-hour session of conventional theoretical-practical training with a mannequin, about the BLS sequence to follow in a CPR-OHCA, adapted to the age of schoolchildren, and taught by nursing professionals. Theoretical-practical training on the operation of the semi-automatic defibrillator.	Other: Cardiopulmonary Resuscitation Teaching Intervention in Children; Comparation of two type of Cardiopulmonary Resuscitation Teaching Intervention in Children: traditional teaching vs video with puzzle.
Experimental: Video and teaching material; A short video (5min) in which the basic sequence of BLS to follow in a CPR-OHCA is explained, accompanied by a puzzle adapted to the age of the children in which the BLS sequence is reflected, but without practice on a mannequin. Theoretical training included in the video about the operation of the semi-automatic defibrillator.	Other: Cardiopulmonary Resuscitation Teaching Intervention in Children; Comparation of two type of Cardiopulmonary Resuscitation Teaching Intervention in Children: traditional teaching vs video with puzzle.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Theoretical CPR Knowledge	Theoretical CPR Knowledge measured by a questionnaire.	On the same day as the intervention, before (pre-intervention) and immediately after this (post-intervention) and follow-up (8 months later)
CPR Practice Skills	CPR Practice Skills measured with a checklist	On the same day as the intervention immediately after this (post-intervention) and follow-up (8 months later)
Quality of CRP	Quality of CPR measured by Little-Anne Mannequin.	On the same day as the intervention, immediately after this (post-intervention) and follow-up (8 months later)

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Anthropometry: weight	Corporal weight measured in Kilograms	Immediately post-intervention
Anthropometry: height	Height measured in centimeters	Immediately post-intervention
Anthropometry: BMI	BMI calculated by the follow form: weight (kg)/height*2 (m)	Immediately post-intervention
Anthropometry: corporal composition	Percentage of fat mass and percentage of lean mass. Measured by bioimpedance scale Tanita MC-780MA N	Immediately post-intervention
Cardiorespiratory fitness	Cardiorespiratory fitness measured through Course Navette Test	Immediately post-intervention
Muscular strength	Muscular strength measured through dynamometry and horizontal jump with feet together	Immediately post-intervention
socioeconomic variables	socioeconomic variables such as: the academic level and economic level of the father and mother	immediately post-intervention

Collaborators and Investigators

• Sponsor: University of Castilla-La Mancha
• Collaborators: European Regional Development Fund; Consejería de Educación, Cultura y Deportes de Castilla-La Mancha

Study record dates

Study Major Dates

• Study Start (Actual): September 15, 2025
• Primary Completion (Estimated): June 30, 2026
• Study Completion (Estimated): July 1, 2026

Study Registration Dates

• First Submitted: November 14, 2025
• First Submitted That Met QC Criteria: December 5, 2025
• First Posted (Actual): December 18, 2025

Study Record Updates

• Last Update Posted (Actual): December 18, 2025
• Last Update Submitted That Met QC Criteria: December 5, 2025
• Last Verified: November 1, 2025

More Information

Terms related to this study

• Other Study ID Numbers: SBPLY/23/180225/000060 (Other Grant/Funding Number: Junta de Comunidades de Castilla-La Mancha and FEDER Funds)

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