A Study of Improving Education of Community Chain of Survival

Study Overview
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Brief Summary
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High-quality cardiopulmonary resuscitation (CPR) and early defibrillation are the most important parts of the chain of survival, and they are highly associated with the survival rate and life quality of patients with cardiac arrest. It needs the witness to perform bystander CPR and use the automated external defibrillator (AED) if CPR and defibrillation are expected to be performed earlier. Nevertheless, few patients with cardiac arrest received bystander CPR in Taiwan. It might be caused by some reasons. First, traditional training programs were inefficient and ineffective in the retention of skills and thus students were not confident in their CPR skills after receiving training programs. Second, the current training module focused on personal skill training only and lacked teamwork skills training. It led to poor performance of the students in actual resuscitation scene, where on-scene resuscitators were usually more than one. Third, the current training contents did not improve the attitudes and willingness of performing bystander CPR and it caused people who had received training program did not resuscitate the patients finally. To improve the above-mentioned problem, a three-year research project will be implemented. The aims of the project are the following: to explore the effect of different teaching contents and hand-on practice feedback methods on the students' performance of chest compressing, ventilating and using AED in the CPR and AED training courses. to analyze the current situation of teamwork when CPR and AED were performed, to build up the collaborating module accordingly and evaluate the effect of the new module on the students' performance of chest compressing, ventilating and using AED after the module is introduced into the training course. to understand the factors affecting the motivations and willingness of people to learn and practice CPR and AED by utilizing questionnaires, and then to evaluate the effect of the creative program, which was modified according to the results of the questionnaires, on the motivations and willingness of people to learn and practice CPR and AED. The investigators expect to design a more efficient resuscitation skill training course by implementing the research project and further to improve the motivations and willingness of people to learn and practice CPR and AED in the future.

Official Title
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Improving Education of Community Chain of Survival Through Innovative Teaching, Implementing Teamwork Skills, and Survey on Attitude and Willingness: A Pilot Study

Conditions
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Cardiac Arrest Circulatory

Intervention / Treatment
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* Device: automatic computer-led feedback
* Other: instructor-led feedback


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: healthy laypersons without CPR training within two years Exclusion Criteria: non

Ages Eligible for Study
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Minimum Age: 16 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: automatic computer-led feedback<br>automated feedback for CPR quality provided by computers | Device: automatic computer-led feedback<br>* automated feedback software for CPR quality, including compression depth, rate, recoil, hands-off time, and ventilation volume<br>|
| Active Comparator: instructor-led feedback<br>feedback for CPR quality provided by instructors | Other: instructor-led feedback<br>* feedback for CPR quality by instructors<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| chest compression rate | differences of chest compression rates | immediately after the training course | 
| chest compression depth | differences of chest compression depth | immediately after the training course | 
| hands-off time of chest compression | differences of hands-off time of chest compression | immediately after the training course | 
| score of checklist | differences of scores of checklists | immediately after the training course | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| score of satisfaction questionnaire | differences of scores of satisfaction questionnaire | immediately after the training course |