CPR Education: Traditional Program Versus On-line Program

Study Overview
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Brief Summary
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Out-of-hospital cardiac arrest (OHCA) is an important public health issue. Chang Gung Memorial Hospital, a university affiliated medical center in Taoyuan city, northern Taiwan, actively cooperated with the government policy to donate a total of 250 automated external defibrillators (AED) and to deploy them in public areas during the period of 2012 to 2014. In addition, nearly 200 courses of cardiopulmonary resuscitation (CPR) education for healthcare providers and citizens were provided. In order to keep the skills and the abilities of emergency medical responses in these 200 and more AED recipient areas, repeated CPR education and training should be implemented. Quality assurance and regular follow-up by medical directors with professional advice and feedback can therefore be provided at the same time. Therefore, this project aims to assess the quality of emergency responses in the recipient units in the next four years via regular follow-up by medical directors with advice and feedback. Continuing medical education of both e-learning and classes, online registration system, as well as first aid supplies will be provided at the regular follow-up visits. The results of this project will provide a feasible model of quality assurance of first aid and AED implementation program in the community.

Detailed Description
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The core value of the investigation is to provide high quality, convenient, time-saving, and cost-effective CPR training model. The training proctors will either instruct laypersons or healthcare providers to watch on-line video for 18 minutes at home then practice the skills for 30 minutes in the training scene or provide standard CPR program (90 minutes in the scene) and empower them with the life-saving skills of CPR. The American Heart Association's CPR with a DVD and laerdal QCPR manikin will be used to record. Participants will be randomly allocate into either the on-line or standard method of the training program. To assess the effects of training, the participants will receive written examinations before and after the course. The investigators will also follow up with the study participants and conduct CPR skills tests at 6 and 12 months from the time of training to assess whether the subjects retain their skills or if they have an opportunity to use the skills that they learned. Information about the willing of performing CPR and satisfaction to the training will also be collected.

Official Title
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iGOGO-Automated External Defibrillator Donation Continuing Education Project

Conditions
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Cardiopulmonary Resuscitation

Intervention / Treatment
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* Other: On-line program
* Other: Standard program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults aged 20 and over Adults who have not attended CPR training for at least one year prior to enrollment Exclusion Criteria: unable to kneel to practice CPR pregnant unwilling to sign informed consent

Ages Eligible for Study
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Minimum Age: 20 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: On-line group<br>On-line program course | Other: On-line program<br>* 18 minutes on-line video at home and 30 minutes CPR skill practice at scene in 3 days after watching on-line video<br>|
| Active Comparator: Standard group<br>Standard program course | Other: Standard program<br>* 60-minute CPR teaching video with practice, 20 minutes of automated electrical defibrillator operation, and a 10-minute discussion with regard to the legal issues associated with bystander CPR in Taiwan<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Written test for knowledge about CPR | Knowledge about CPR will be assessed via a written test before and after the CPR training. The test includes 25 questions with a total score of 100 (4 points for each). | 4 days | 
| CPR flow checklist | An evaluator who is blinded to the training allocation will assess the performance of CPR via a flow checklist. A total of 20 items will be checked with a maximum sum score of 40 points. | 4 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The percentage of correct depth of all compressions | The percentage of correct depth (5-6 centimeters) of all compressions will be assessed by High Quality CPR (HQCPR). HQCPR is a machine with interactive response system which can provide information while performing CPR on manikin (Laerdal, Resusci Anne QCPR). | 90 minutes | 
| The percentage of correct speed of compressions of all compressions | The percentage of correct speed of compressions (100 to 200 per minute) of all compressions will be assessed by HQCPR. HQCPR is a machine with interactive response system which can provide information while performing CPR on manikin (Laerdal, Resusci Anne QCPR). | 90 minutes | 
| The percentage of correct recoil of all compressions | The percentage of correct recoil (full chest recoil) of all compressions will be assessed by HQCPR. HQCPR is a machine with interactive response system which can provide information while performing CPR on manikin (Laerdal, Resusci Anne QCPR). | 90 minutes | 
| The average compression depth | The average compression depth (unit in centimeter) is calculated by summing up the depth of each compression then to be divided by the number of total compressions. The compression depth is recorded by HQCPR. HQCPR is an interactive response machine to provide the information on depth, speed and recoil while performing CPR on manikin (Laerdal, Resusci Anne QCPR). | 90 minutes | 
| The average compression speed | The average compression speed is presented as the number of compressions per minute by HQCPR. HQCPR is an interactive response machine to provide the information on depth, speed and recoil while performing CPR on manikin (Laerdal, Resusci Anne QCPR). | 90 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HQCPR between standard and on-line program, Education