The Effect of Different Simulation Methods Used in Adult Basic Life Support Training

Study Overview
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Brief Summary
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Aim: The aim of this study, evaluating the effects of different simulation methods (virtual reality assisted simulation, high reality simulation, low reality simulation) used in Adult Basic Life Support (BLS) training on knowledge, skills, self-efficacy and satisfaction characteristics in Layperson First Aider

Detailed Description
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Aim: The aim of this study, evaluating the effects of different simulation methods (virtual reality assisted simulation, high reality simulation, low reality simulation) used in Adult Basic Life Support (BLS) training on knowledge, skills, self-efficacy and satisfaction characteristics in Layperson First Aider Material and Method: The population of the research consists of participants in the TYD and OED (Automatic External Defibrillator) training with participation certificate to be given to public institutions by the Ministry of Health in Ankara between 01.01.2024 and 10.03.2024. Power analysis was performed using the G*Power (v3.1.9) program to determine the sample size. The medium effect size (d=0.45) used in a previous similar study was calculated at the end of the study as. Type I error α=0.05, Study power 1-β (β=Type II error probability) 0.8, and 3 groups were calculated by means of a statistical power analysis. The estimated total sample size of all intervention groups was 51. Considering that there may be losses during the study process, it was decided to recruit 20 people in each group.This study was designed as a prospective randomized controlled trial. As data collection tools: Introductory Characteristics Form, General Self-Efficacy Scale (GAS), Basic Life Support Knowledge Level Evaluation Form, Basic Life Support Application Skill Form, Basic Life Support Self-Efficacy Questionnaire and Basic Life Support Education Satisfaction Questionnaire were used.

Official Title
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The Effect of Different Simulation Methods Used in Adult Basic Life Support Training on Knowledge, Skills, Self-Efficacy, and Satisfaction in Layperson First Aider

Conditions
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First Aid

Intervention / Treatment
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* Behavioral: Providing BLS and AED trainings given by the Ministry of Health with Low Realism Simulation.
* Behavioral: Providing BLS and AED trainings given by the Ministry of Health with High Reality Simulation
* Behavioral: Providing BLS and AED trainings given by the Ministry of Health with Virtual Reality


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Voluntarily agreeing to participate in the research Being between the ages of 18-65 Having applied for Basic life support and Automatic external defibrillator training with a participation certificate issued by the Ministry of Health. Being a Ministry of Health personnel. Exclusion Criteria: Refusal to participate in the research Becoming a health professional Receiving previously authorized basic first aid training.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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 |
| --- | --- |
| Active Comparator: Skill training with Low Realism Simulation<br>the theoretical part of the TYD and OED training with Participation Certificate, the curriculum of which is created by the Ministry of Health, will be explained (by the Researcher). (2 hours) Skill training with Low Realism Simulation (1 hour) Basic CPR Manikin (classical training provided by the Ministry of Health), | Behavioral: Providing BLS and AED trainings given by the Ministry of Health with Low Realism Simulation.<br>* the theoretical part of the Certificate of Participation TYD and OED training, the curriculum of which is created by the Ministry of Health, will be explained (by the researcher) (2 hours). Skill training with Low Realism Simulation (1 hour) Basic CPR Manikin (classical training given by the Ministry of Health),<br>|
| Experimental: Skills training with High Reality Simulation<br>the theoretical part of the TYD and OED training with Participation Certificate, the curriculum of which is created by the Ministry of Health, will be explained (by the Researcher). (2 hours) Skills training with High Reality Simulation (1 hour) SimMan® 3G (Laerdal medical) | Behavioral: Providing BLS and AED trainings given by the Ministry of Health with High Reality Simulation<br>* the theoretical part of the Certificate of Participation TYD and OED training, the curriculum of which is created by the Ministry of Health, will be explained (by the researcher) (2 hours). Skill training with High Reality Simulation (1 hour) SimMan® 3G (Laerdal medical)<br>|
| Experimental: Skill training will be given with Virtual Reality Application Supported Simulation<br>the theoretical part of the TYD and OED training with Participation Certificate, the curriculum of which is created by the Ministry of Health, will be explained (by the Researcher). (2 hours) Skill training will be given with Virtual Reality Application Supported Simulation (1 hour) and application training will be given with 3D MedSim. | Behavioral: Providing BLS and AED trainings given by the Ministry of Health with Virtual Reality<br>* the theoretical part of the Certificate of Participation TYD and OED training, the curriculum of which is created by the Ministry of Health, will be explained (by the researcher) (2 hours). Skill training with Virtual Reality Application Supported Simulation (1 hour) Application training will be given with 3D MedSim.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Basic Life Support (BLS) Knowledge Level Evaluation | 20 multiple-choice questionnaires aimed at measuring the BLS knowledge level prepared by the researcher in line with the relevant literature. It is evaluated on the basis of the highest 20 and the lowest 0 points. Getting high scores from the questions indicates a high level of BLS knowledge. Application process; pre-test, post-training post-test and 3-month post-test. | 3 months | 
| Basic Life Support Application Skill | Basic Life Support Application Skill Form: BLS skill evaluation form used by the Ministry of Health. It consists of 11 questions. The highest score is 20 and the lowest is 0. Getting high scores from the questions indicates a high level of BLS skill level. Application process; post-training test and 3-month post-test. | 3 months | 
| Basic Life Support Self-Efficacy | It was created to measure self-efficacy in emergency CPR, based on the General Self-Efficacy Scale. 4 items are 7-point Likert type. Getting high scores on the items indicates a high level of general self-efficacy. Application process; post-training test and 3-month post-test. | 3 months | 
| Basic Life Support Training Satisfaction | A choice will be made between 0 and 10. 0 indicates I am not satisfied at all, 10 indicates I am very satisfied. Application process; post-training testing. | 3 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| General Self-Efficacy Scale (GÖYS) | The number of items is 10. The scale was prepared as a 4-point Likert type. Getting high scores on the items indicates a high level of general self-efficacy. Application process; pre-training test. | 3 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adult Basic Life Support, Health Education, Simulation, Layperson First Aider