Lowlands Saves Lives: A Randomized Trial Comparing CPR-quality Between Face-to-face vs. Lifesaver VR Training

Study Overview
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Brief Summary
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The objective of the Lowlands Saves Lives trial is to compare the quality of cardiopulmonary resuscitation (CPR) between face-to-face versus Lifesaver Virtual Reality smartphone application trained participants using a randomized controlled trial.

Detailed Description
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In order to optimize survival after out-of-hospital cardiac arrest, basic life support (BLS) training of lay-person volunteers is essential. Face-to-face training has long been considered the standard, but new training-methods have emerged, of which the Lifesaver VR (developed by the UK Resuscitation Council) app seems promising. It is unknown which training method results in the highest quality of cardiopulmonary resuscitation (CPR). Therefore, we conduct this randomized controlled trial in which subjects will be randomized to either one of the two training methods. Following the training, all participants will undergo CPR-quality testing using certified manikins and blinded assessors. The present study will be conducted during Lowlands Science, a section of the Lowlands music festival exclusively dedicated to science. Lowlands will be held on August 16-18 of 2019 and over 50.000 attendees are expected.

Official Title
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Lowlands Saves Lives: A Randomized Trial to Assess the Impact of Face-to-face vs. Virtual Reality Training Using the Lifesaver VR-app on the Quality of Cardiopulmonary Resuscitation.

Conditions
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Cardiac Arrest, Cardiopulmonary Arrest, Out-Of-Hospital Cardiac Arrest

Intervention / Treatment
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* Other: Lifesaver virtual reality training
* Other: Face-to-face training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult (≥18 years). Provide informed consent. Exclusion Criteria: Alcohol level >0.5‰ and not able to perform tandem gait test. For any reason not being able to partake in the face-to-face or VR-app training (e.g. clear alcohol or drugs intoxication). For any reason not being able to perform the CPR test on the CPR-manikin (e.g. clear alcohol or drugs intoxication).

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
Interventional Model Description: Randomized controlled trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Lifesaver virtual reality (VR) training<br>Training using the Lifesaver VR application. Lifesaver VR is an interactive game that can be played on smartphones allowing users to 'resuscitate' a victim of cardiac arrest, while wearing VR-goggles showing a filmed CPR-scenario | Other: Lifesaver virtual reality training<br>* CPR training using the Lifesaver virtual reality application<br>|
| Active Comparator: Face-to-face training<br>A short face-to-face CPR training based on international guidelines provided by certified instructors | Other: Face-to-face training<br>* Short face-to-face CPR training<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Chest compression quality | Chest compression quality measured as depth (mm) and rate (compressions/min) measured using CPR manikin | During post-training CPR test, performed on the same day as the training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Flow fraction | Percentage of time where compressions are given, measured using CPR manikin | During post-training CPR test, performed on the same day as the training | 
| CPR performance score | CPR performance score from BLS-training checklist | During post-training CPR test, performed on the same day as the training | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cardiopulmonary resuscitation (CPR), Basic life support (BLS), Virtual reality (VR), Education, Lay-person training