Effectiveness of Extended Reality CPR Training Methods

Study Overview
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Brief Summary
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The aim of this study is to explore the efficacy and safety of the extended reality (XR)-based basic life support (BLS) training.

Detailed Description
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Conventional CPR training is based on the use of a manikin and a training video. Though several feedback devices have been developed to improve the effectiveness of the training, they were neither realistic nor immersive. In addition, in conventional training programs, trainees are constrained in terms of time and location, as they are usually kept to a schedule. Virtual reality (VR) technology, which was designed to maximize immersion, could be used to overcome those limitations, which in turn may improve the effectiveness of CPR training. However, even with VR technology, procedures such as chest compressions, ventilation, and defibrillation cannot be implemented as in the real world. Extended reality (XR), which combines the virtual and real worlds, could overcome these limitations by facilitating the use of real-world manikins in the virtual environment.

Official Title
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Comparison of Extended Reality and Conventional Methods of Basic Life Support Training: Protocol for a Multinational Pragmatic Clinical Trial (XR BLS Trial)

Conditions
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Basic Cardiac Life Support, Virtual Reality

Intervention / Treatment
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* Other: extended-reality CPR training
* Other: conventional CPR training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Individuals who are not healthcare providers and are 18 years old or older Exclusion Criteria: Participants who are not capable of performing either the training or the CPR test due to physical or cognitive limitations have upper extremity injuries are pregnant experience dizziness, headache, or motion sickness during the 2-minute XR device adaptation period that prevents them from participating in the simulation study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Sham Comparator: Conventional group<br>Conventional CPR training consists of a BLS video and a manikin equipped with a feedback device. | Other: conventional CPR training<br>* conventional CPR training with video<br>|
| Active Comparator: XR group<br>The XR group participants will be provided training via the XR BLS module and are allotted an additional 2 minutes that is needed to adapt to the XR equipment. | Other: extended-reality CPR training<br>* extended-reality technologies based CPR training module<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| mean compression depth, mm | compression depth | Test sessions on day 1 (during 5 minutes) after 1 hour training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the total number of chest compressions (n) | The total number of chest compressions | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| the mean chest compression depth(mm) | compression depth between 5cm and 6cm | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| correct hand position (n, percent) | The American Heart Association (AHA) guidelines describe the correct hand position for chest compression as the lower half of the victim's sternum in the centre of the chest, between the nipples. | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| adequate compression depth (n, percent) | compression depth between 5cm and 6cm | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| compression and full release (n, percent) | full release after chest compression | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| mean compression rate (number per minute) | mean compression rate | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| adequate compression rate (percent) | compression rate between 100 and 120 per minute | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| adequate compression depth and rate (percent) | adequate compression death and rate, simultaneously | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| hands-off time (sec) | Interruptions of chest compressions during cardiopulmonary resuscitation | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| The time interval from arrival on the scene to the first chest compression (sec) | The time interval from arrival on the scene to the first chest compression. | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| AED use | Done/Not done | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| Correct AED use | Yes/No | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| Time from powering on the AED to defibrillation (sec) | Time from powering on the AED to defibrillation (sec) | Test sessions on day 1 (during 5 minutes) after 1 hour training | 
| Time from checking for a response to defibrillation (sec) | Time from checking for a response to defibrillation (sec) | Test sessions on day 1 (during 5 minutes) after 1 hour training | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cardiopulmonary resuscitation, Basic Cardiac Life Support, Virtual Reality, Extended Reality, Education