Comparison of Effectiveness of Two Different Practical Approaches to Teaching Basic Life Support and Use of an Automated External Defibrillator in Primary School Children
Abstract
:1. Introduction
2. Materials and Methods
2.1. Description of Courses
2.2. Sample
2.3. Measuring Instrument
2.4. Statistical Analysis
3. Results
4. Discussion
Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Košnik, M.; Štajer, D.; Jug, B.; Kocjan, T.; Koželj, M. (Eds.) Interna Medicina (6. Izdaja); Medicinska fakulteta Ljubljana, Knjigotrštvo Buča d.o.o: Ljubljana, Slovenija, 2022. [Google Scholar]
- Gräsner, J.-T.; Lefering, R.; Koster, R.W.; Masterson, S.; Böttiger, B.W.; Herlitz, J.; Wnent, J.; Tjelmeland, I.B.; Ortiz, F.R.; Maurer, H.; et al. EuReCa ONE—27 Nations, ONE Europe, ONE Registry:A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation 2016, 105, 188–195. [Google Scholar] [CrossRef] [PubMed]
- Gräsner, J.-T.; Wnent, J.; Herlitz, J.; Perkins, G.D.; Lefering, R.; Tjelmeland, I.; Koster, R.W.; Masterson, S.; Rossell-Ortiz, F.; Maurer, H.; et al. Survival after out-of-hospital cardiac arrest in Europe-Results of the EuReCa TWO study. Resuscitation 2020, 148, 218–226. [Google Scholar] [CrossRef] [PubMed]
- Perkins, G.D.; Gräsner, J.-T.; Semeraro, F.; Olasveengen, T.; Soar, J.; Lott, C.; Van de Voorde, P.; Madar, J.; Zideman, D.; Mentzelopoulos, S.; et al. European Resuscitation Council Guidelines 2021: Executive summary. Resuscitation 2021, 161, 1–60. [Google Scholar] [CrossRef] [PubMed]
- Semeraro, F.; Greif, R.; Böttiger, B.W.; Burkart, R.; Cimpoesu, D.; Georgiou, M.; Yeung, J.; Lippert, F.; Lockey, A.S.; Olasveengen, T.M.; et al. European Resuscitation Council Guidelines 2021: Systems saving lives. Resuscitation 2021, 161, 80–97. [Google Scholar] [CrossRef]
- Bellini, L.; Fagoni, N.; Andreassi, A.; Sechi, G.M.; Bonora, R.; Stirparo, G. Effectiveness of Cardiopulmonary Resuscitation at the Workplace. La Med. Del Lav. 2023, 114, e2023010. [Google Scholar] [CrossRef]
- Wissenberg, M.; Lippert, F.K.; Folke, F.; Weeke, P.; Hansen, C.M.; Christensen, E.F.; Jans, H.; Hansen, P.A.; Lang-Jensen, T.; Olesen, J.B.; et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA 2013, 310, 1377–1384. [Google Scholar] [CrossRef] [PubMed]
- Greif, R.; Lockey, A.; Breckwoldt, J.; Carmona, F.; Conaghan, P.; Kuzovlev, A.; Pflanzl-Knizacek, L.; Sari, F.; Shammet, S.; Scapigliati, A.; et al. European Resuscitation Council Guidelines 2021: Education for resuscitation. Resuscitation 2021, 161, 388–407. [Google Scholar] [CrossRef]
- Böttiger, B.; Bossaert, L.; Castrén, M.; Cimpoesu, D.; Georgiou, M.; Greif, R.; Grünfeld, M.; Lockey, A.; Lott, C.; Maconochie, I.; et al. Kids Save Lives–ERC position statement on school children education in CPR.: “Hands that help–Training children is training for life”. Resuscitation 2016, 105, A1–A3. [Google Scholar] [CrossRef]
- Jorge-Soto, C.; Abelairas-Gómez, C.; Barcala-Furelos, R.; Garrido-Viñas, A.; Navarro-Patón, R.; Muiño-Piñeiro, M.; Díaz-Pereira, M.P.; Rodríguez-Núñez, A. Automated external defibrillation skills by naive schoolchildren. Resuscitation 2016, 106, 37–41. [Google Scholar] [CrossRef] [PubMed]
- Mpotos, N.; Iserbyt, P. Children saving lives: Training towards CPR excellence levels in chest compression based on age and physical characteristics. Resuscitation 2017, 121, 135–140. [Google Scholar] [CrossRef] [PubMed]
- De Smedt, L.; Depuydt, C.; Vekeman, E.; De Paepe, P.; Monsieurs, K.G.; Valcke, M.; Mpotos, N. Awareness and willingness to perform CPR: A survey amongst Flemish schoolchildren, teachers and principals. Acta Clin. Belg. 2018, 74, 297–316. [Google Scholar] [CrossRef] [PubMed]
- Plant, N.; Taylor, K. How best to teach CPR to schoolchildren: A systematic review. Resuscitation 2013, 84, 415–421. [Google Scholar] [CrossRef] [PubMed]
- Pivač, S.; Gradišek, P.; Skela-Savič, B. The impact of cardiopulmonary resuscitation (CPR) training on schoolchildren and their CPR knowledge, attitudes toward CPR, and willingness to help others and to perform CPR: Mixed methods research design. BMC Public Health 2020, 20, 1–11. [Google Scholar] [CrossRef]
- Watanabe, K.; Lopez-Colon, D.; Shuster, J.J.; Philip, J. Efficacy and retention of Basic Life Support education including Automated External Defibrillator usage during a physical education period. Prev. Med. Rep. 2017, 5, 263–267. [Google Scholar] [CrossRef] [PubMed]
- Prva Pomoč. 2023. Available online: https://www.rks.si/sl/O_prvi_pomoci/ (accessed on 29 August 2023).
- Temeljni Postopki Oživljanja Z Uporabo AED Kot del Vzgoje za Zdravje. (n.d.). Available online: https://nijz.si/publikacije/temeljni-postopki-ozivljanja-z-uporabo-aed-kot-del-vzgoje-za-zdravje/ (accessed on 29 August 2023).
- Fijačko, N.; Creber, R.M.; Gosak, L.; Štiglic, G.; Egan, D.; Chaka, B.; Debeljak, N.; Strnad, M.; Skok, P. Evaluating quality, usability, evidence-based content, and gamification features in mobile learning apps designed to teach children basic life support: Systematic search in app stores and content analysis. JMIR mHealth uHealth 2021, 9, e25437. [Google Scholar] [CrossRef] [PubMed]
- Greif, R.; Bhanji, F.; Bigham, B.L.; Bray, J.; Breckwoldt, J.; Cheng, A.; Duff, J.P.; Gilfoyle, E.; Hsieh, M.-J.; Iwami, T.; et al. Education, Implementation, and Teams: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation 2020, 156, A188–A239. [Google Scholar] [CrossRef] [PubMed]
- Otero-Agra, M.; Barcala-Furelos, R.; Besada-Saavedra, I.; Peixoto-Pino, L.; Martínez-Isasi, S.; Rodríguez-Núñez, A. Let the kids play: Gamification as a CPR training methodology in secondary school students. A quasi-experimental manikin simulation study. Emerg. Med. J. 2019, 36, 653–659. [Google Scholar] [CrossRef] [PubMed]
- Semeraro, F.; Frisoli, A.; Loconsole, C.; Mastronicola, N.; Stroppa, F.; Ristagno, G.; Scapigliati, A.; Marchetti, L.; Cerchiari, E. Kids (learn how to) save lives in the school with the serious game Relive. Resuscitation 2017, 116, 27–32. [Google Scholar] [CrossRef]
- Artero, P.M.A.; Rios, M.P.; Greif, R.; Cervantes, A.B.O.; Gijón-Nogueron, G.; Barcala-Furelos, R.; Aranda-García, S.; Petersen, L.R. Efficiency of virtual reality for cardiopulmonary resuscitation training of adult laypersons: A systematic review. Medicine 2023, 102, e32736. [Google Scholar] [CrossRef]
- Connolly, M.; Toner, P.; Connolly, D.; McCluskey, D. The ‘ABC for life’ programme—Teaching basic life support in schools. Resuscitation 2007, 72, 270–279. [Google Scholar] [CrossRef] [PubMed]
- Süss-Havemann, C.; Kosan, J.; Seibold, T.; Dibbern, N.M.; Daubmann, A.; Kubitz, J.C.; Beck, S. Implementation of Basic Life Support training in schools: A randomised controlled trial evaluating self-regulated learning as alternative training concept. BMC Public Health 2020, 20, 50. [Google Scholar] [CrossRef]
- De Lurdes, R.B.; Pais Monteiro, M.; Borges Ferraz, A.I.; Pereira Rodriguez, F.M. Assessment of knowledge and self efficacy before and after teaching basic life support to schoolchildren. Rev. Paul. Pediatr. 2021, 39, e2019143. [Google Scholar] [CrossRef]
- Lesjak, V.B.; Šorgo, A.; Strnad, M. Validated Assessment of Schoolchildren’s Attitude Towards Basic Life Support and Automated External Defibrillator Use. Inq. J. Health Care Organ. Provis. Financ. 2021, 58, 00469580211056223. [Google Scholar] [CrossRef]
- Perkins, G.D.; Handley, A.J.; Koster, R.W.; Castrén, M.; Smyth, M.A.; Olasveengen, T.; Monsieurs, K.G.; Raffay, V.; Gräsner, J.T.; Wenzel, V. European Resuscitation Council Guidelines for Resuscitation 2015. Section 2. Adult basic life support and automated external defibrillation. Resuscitation 2015, 95, 81–99. [Google Scholar] [CrossRef] [PubMed]
- Olasveengen, T.M.; Semeraro, F.; Ristagno, G.; Castren, M.; Handley, A.; Kuzovlev, A.; Monsieurs, K.G.; Raffay, V.; Smyth, M.; Soar, J.; et al. European Resuscitation Council Guidelines 2021: Basic Life Support. Resuscitation 2021, 161, 98–114. [Google Scholar] [CrossRef] [PubMed]
- Lesjak, V.B.; Šorgo, A.; Strnad, M. Development, validation and assessment of the test on knowledge about basic life support and use of automated external defibrillator among schoolchildren. Scand. J. Trauma Resusc. Emerg. Med. 2019, 27, 1–7. [Google Scholar] [CrossRef]
- Greif, R.; Lockey, A.S.; Conaghan, P.; Lippert, A.; De Vries, W.; Monsieurs, K.G.; Ballance, J.H.; Barelli, A.; Biarent, D.; Bossaert, L.; et al. European Resuscitation Council Guidelines for Resuscitation 2015. Section 10. Education and implementation of resuscitation. Resuscitation 2015, 95, 288–301. [Google Scholar] [CrossRef] [PubMed]
- Annam, S.; Fleming, M.F.; Gulraiz, A.; Zafar, M.T.; Khan, S.; Oghomitse-Omene, P.T.; Saleemuddin, S.; Patel, P.; Ahsan, Z.; Qavi, M.S.S. The Impact of COVID-19 on the Behaviors and Attitudes of Children and Adolescents: A Cross-Sectional Study. Cureus 2022, 14, e29719. [Google Scholar] [CrossRef]
- Gupta, S.; Jawanda, M.K. The impacts of COVID-19 on children. Acta Paediatr. 2020, 109, 2181–2183. [Google Scholar] [CrossRef]
- Ranjbar, K.; Hosseinpour, H.; Shahriarirad, R.; Ghaem, H.; Jafari, K.; Rahimi, T.; Mirahmadizadeh, A.; Hosseinpour, P. Students’ attitude and sleep pattern during school closure following COVID-19 pandemic quarantine: A web-based survey in south of Iran. Environ. Health Prev. Med. 2021, 26, 33. [Google Scholar] [CrossRef]
- Eisenburger, P.; Safar, P. Life supporting first aid training of the public—Review and recommendations. Resuscitation 1999, 41, 3–18. [Google Scholar] [CrossRef] [PubMed]
- Ettl, F.; Testori, C.; Weiser, C.; Fleischhackl, S.; Mayer-Stickler, M.; Herkner, H.; Schreiber, W.; Fleischhackl, R. Updated teaching techniques improve CPR performance measures: A cluster randomized, controlled trial. Resuscitation 2011, 82, 730–735. [Google Scholar] [CrossRef]
- Toner, P.; Connolly, M.; Laverty, L.; McGrath, P.; Connolly, D.; McCluskey, D. Teaching basic life support to school children using medical students and teachers in a ‘peer-training’ model—Results of the ‘ABC for life’ programme. Resuscitation 2007, 75, 169–175. [Google Scholar] [CrossRef]
- Zhan, L.; Guo, D.; Chen, G.; Yang, J. Effects of repetition learning on associative recognition over time: Role of the hippocampus and prefrontal cortex. Front. Hum. Neurosci. 2018, 12, 277. [Google Scholar] [CrossRef]
- Beck, S.; Meier-Klages, V.; Michaelis, M.; Sehner, S.; Harendza, S.; Zöllner, C.; Kubitz, J.C. Teaching school children basic life support improves teaching and basic life support skills of medical students: A randomised, controlled trial. Resuscitation 2016, 108, 1–7. [Google Scholar] [CrossRef] [PubMed]
- Bohn, A.; Van Aken, H.; Lukas, R.P.; Weber, T.; Breckwoldt, J. Schoolchildren as lifesavers in Europe–Training in cardiopulmonary resuscitation for children. Best Pr. Res. Clin. Anaesthesiol. 2013, 27, 387–396. [Google Scholar] [CrossRef]
- Böttiger, B.W.; Van Aken, H. Training children in cardiopulmonary resuscitation worldwide. Lancet 2015, 385, 2353. [Google Scholar] [CrossRef]
- Kitamura, T.; Nishiyama, C.; Murakami, Y.; Yonezawa, T.; Nakai, S.; Hamanishi, M.; Marukawa, S.; Sakamoto, T.; Iwami, T. Compression-only CPR training in elementary schools and student attitude toward CPR. Pediatr. Int. 2016, 58, 698–704. [Google Scholar] [CrossRef]
- Borovnik Lesjak, V. Učenje Temeljnih Postopkov Oživljanja z Uporabo Avtomatskega Zunanjega Defibrilat Orja Ter Odnos do Oživljanja Pri Osnovnošolcih. 2023. Available online: https://dk.um.si/IzpisGradiva.php?lang=slv&id=83539 (accessed on 12 August 2024).
Course A | Course B | |
---|---|---|
City/Town | Maribor | Lovrenc na Pohorju, Miklavž na Dravskem polju |
Organizer | EMS Health Center Maribor | Association of Medical Students Maribor |
Instructor | Physician, registered nurse/paramedic | 3rd and 2nd year medical students |
Number of instructors | 1 per 10 students | 1 per 7 to 10 students |
Course format | ||
Theoretical lecture | 45 min | 45 min |
Skills practice | 45 min | 45 min |
Number of manikins | 1 per student | 2 per class |
Class | 9th | 8th and 9th |
Course | Number of Students | Boys | Girls | 8th Grade | 9th Grade | Previous Course—Yes |
---|---|---|---|---|---|---|
A | 173 | 94 | 79 | / | 173 | 25 |
B | 107 | 48 | 59 | 79 | 28 | 20 |
Question | % of Correct Answers before | % of Correct Answers after | |||
---|---|---|---|---|---|
Course A | Course B | Course A | Course B | ||
1 | How do you recognize a person in cardiac arrest? | 73% | 56% | 78% | 61% |
2 | Who can help in a case of cardiac arrest? | 78% | 88% | 94% | 85% |
3 | A person suddenly loses consciousness and collapses. What do you do? | 64% | 63% | 89% | 83% |
4 | How do you check if a person is breathing normally? | 83% | 77% | 90% | 87% |
5 | What kind of breathing is NOT a sign of life? | 64% | 1% | 88% | 1% |
6 | How is basic life support correctly performed? | 44% | 46% | 93% | 89% |
7 | On the sketch of the torso below, mark with a cross the correct site for chest compressions during basic life support: | 53% | 40% | 71% | 65% |
8 | How do you perform artificial breaths in an unconscious person? | 61% | 54% | 91% | 81% |
9 | What do you do if you are unsure whether a person is in cardiac arrest or not? | 34% | 27% | 73% | 40% |
10 | What is an AED (automatic external defibrillator)? | 42% | 57% | 86% | 81% |
Knowledge before | Knowledge after | Intention before | Intention after | |
---|---|---|---|---|
Girls | 5.35 (2.08) * | 7.63 (2.28) | 6.05 (0.83) | 6.40 (0.72) |
Boys | 5.91 (2.02) | 8.05 (2.26) | 5.93 (1.02) | 6.55 (0.66) |
Previous course | 6.16 (2.09) | 7.67 (2.82) | 6.16 (0.873) | 6.63 (0.5) |
No previous course | 5.68 (1.97) | 8.02 (1.94) | 5.96 (0.93) | 6.44 (0.74) |
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Pitz Durič, N.; Borovnik Lesjak, V.; Strnad, M. Comparison of Effectiveness of Two Different Practical Approaches to Teaching Basic Life Support and Use of an Automated External Defibrillator in Primary School Children. Medicina 2024, 60, 1363. https://doi.org/10.3390/medicina60081363
Pitz Durič N, Borovnik Lesjak V, Strnad M. Comparison of Effectiveness of Two Different Practical Approaches to Teaching Basic Life Support and Use of an Automated External Defibrillator in Primary School Children. Medicina. 2024; 60(8):1363. https://doi.org/10.3390/medicina60081363
Chicago/Turabian StylePitz Durič, Nadja, Vesna Borovnik Lesjak, and Matej Strnad. 2024. "Comparison of Effectiveness of Two Different Practical Approaches to Teaching Basic Life Support and Use of an Automated External Defibrillator in Primary School Children" Medicina 60, no. 8: 1363. https://doi.org/10.3390/medicina60081363