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Cardiopulmonary Resuscitation Self-training

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ClinicalTrials.gov Identifier: NCT03729037
Recruitment Status : Completed
First Posted : November 2, 2018
Last Update Posted : November 2, 2018
Sponsor:
Information provided by (Responsible Party):
Pontificia Universidade Católica do Rio Grande do Sul

Brief Summary:
Participants were 45 first-year medical students randomly assigned to cardiopulmonary resuscitation (CPR) self-training using either a video-based presentation or a serious game developed in a 3D learning environment for up to 20 min. Each participant was evaluated on a written, multiple-choice test (theoretical test) and then on a scenario of cardiac arrest (practical test) before and after exposure to the self-learning methods.

Condition or disease Intervention/treatment Phase
Cardiopulmonary Arrest With Successful Resuscitation Other: CPR self-training Not Applicable

Detailed Description:

A prospective, simulation-based, randomised controlled trial was conducted. Participants were randomised to the video group watched a video-recorded lecture on the management of adult cardiac arrest, while participants randomised to the game group played a serious game on the same topic.

The video was developed based on a previously recorded Keynote presentation (version 6.6.2, Apple Inc.) with the addition of voice-over narration of the events. The video was edited to contain the same information as provided in the serious game. The learning environment simulated an urban public space where the player should identify a victim of cardiac arrest and perform CPR manoeuvres. The game was designed to be a CPR self-learning tool for both health professionals and the lay public. The game involved only one rescuer without access to a portable defibrillator. During the game, the player should identify the victim, diagnose cardiac arrest correctly and initiate CPR as early as possible. The actions of the player were guided throughout the game by step-by-step instructions that should be followed to save the victim's life and to score on the game. Whenever the manoeuvres were not performed correctly, the victim died and the game automatically restarted from the beginning.

After exposure to the self-learning methods, participants were reassessed individually for their theoretical knowledge on a written, 10-question, multiple-choice test (theoretical post-test) and for their practical performance by three examiners, blinded to group assignment, who independently rated the participants' actions on a 10-min simulated scenario of cardiac arrest using a CPR training manikin (practical post-test).

Simulated scenario The same simulated scenario was used for pre-exposure and post-exposure practical evaluation. When the student entered the simulation room, a manikin was lying on the floor, simulating a person lying on the street, unconscious, not responding to stimulation and with no respiratory effort or pulse. The student was alone without access to medical equipment such as a defibrillator. Participants were expected to recognise the cardiac arrest, call the emergency services, and initiate chest compressions and ventilations as soon as possible for at least two cycles. A 10-min time limit was set for each simulation session.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 45 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Masking Description: Single (outcomes assessor)
Primary Purpose: Other
Official Title: Comparative Evaluation of Video-based On-line Course vs. Serious Game for Training Medical Students in Cardiopulmonary Resuscitation: a Randomized Trial
Actual Study Start Date : August 10, 2016
Actual Primary Completion Date : June 20, 2017
Actual Study Completion Date : August 20, 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: CPR

Arm Intervention/treatment
Experimental: Serious game
Intervention: CPR self-training with serious game.
Other: CPR self-training
Active Comparator: Training video
Intervention: CPR self-training with Keynote presentation with the addition of voice-over narration.
Other: CPR self-training



Primary Outcome Measures :
  1. American Heart Association (AHA) Guidelines for CPR [ Time Frame: 2 hours ]
    Mean performance score of students on each (theoretical and practical) test for each study arm.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Being a medical student;
  • Voluntary participation;
  • No previous participation in CPR training.

Exclusion Criteria:

  • Previous participation in CPR training.
  • Refusal to participate.
  • Not being enrolled in medical school.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03729037


Sponsors and Collaborators
Pontificia Universidade Católica do Rio Grande do Sul
Investigators
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Principal Investigator: David P Sena, MD, PhD Pontificia Universidade Catolica do Rio Grande do Sul (PUCRS)
Publications:
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Responsible Party: Pontificia Universidade Católica do Rio Grande do Sul
ClinicalTrials.gov Identifier: NCT03729037    
Other Study ID Numbers: 1818537
First Posted: November 2, 2018    Key Record Dates
Last Update Posted: November 2, 2018
Last Verified: October 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Pontificia Universidade Católica do Rio Grande do Sul:
Virtual learning
Educational technology
Medical education
Additional relevant MeSH terms:
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Heart Arrest
Heart Diseases
Cardiovascular Diseases