Impact of Mobile Phone Application Use on Adult BLS

Study Overview
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Brief Summary
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The aim of the study is to investigate whether a serious smartphone game (called MOBI-CPR game) used in the home environment has an impact on the retention of adult basic life support knowledge and skills.

Detailed Description
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The trial design will be randomized, controlled, cross-over study. Data will be collected between March and May 2023 at the Faculty of health science, University of Maribor. The consentience of nursing students will be collected. The Faculty of health science, University of Maribor already give permission for conducting this study. The goal will be to have around 100 nursing students in the study. In the study a serious smartphone game called MOBI-CPR will be used. The MOBI-CPR game will be available at https://mobicpr.si/. The MOBI-CPR game will be install on the smartphone and will be used at home by nursing students with a goal to obtain adult basic life support knowledge and skills. Before each nursing student will get MOBI-CPR game for home usage we will 1) measure acute stress, and 2) assess adult basic life support knowledge and skills. For measuring acute stress the Empatica E4 watch will be used. Measuring will be perform in a quiet room without disruptions. When measuring acute stress each nursing student will be coloring the mandalas circles. Level of acute stress measure by Empatica E4 watch (1-5 is non stress area, and 6-10 is stress area). For the knowledge part the online modified questionnaire (available in: https://www.1ka.si/d/en) the multiple choice questions will be used, and for the skills part the Resusci Anne QCPR QCPR manikin and Defibtech Trainer AED will be used. Each nursing student will be given the scenarios to read before the start of the assistance to the victim of a sudden cardiac arrest. The investigators will use a modified checklist to assess students' performance in adult basic life support.

Official Title
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Impact of Serious Smartphone-based Game Use on Adult Performance of Basic Life Support Skills

Conditions
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Out-Of-Hospital Cardiac Arrest, Mobile Phone Use, Stress, Knowledge, Attitudes, Practice

Intervention / Treatment
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* Device: MOBI-CPR game


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Nursing students over eighteen years old Without training in adult basic life support or within the past six mounts Physically able to perform CPR Willingness to perform rescue breathing on a manikin A completed and signed consent form Exclusion Criteria: Nursing student younger than 18 years old Undergone training on adult basic life support within the past six mounts Physically not able to perform CPR Do not want to perform rescue breathing on a manikin Do not want to participate

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: Basic Science
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Balanced and randomized controlled cross-over within-subjects design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: MOBI-CPR<br>Participants use MOBI-CPR game at home environment. | Device: MOBI-CPR game<br>* Participants use MOBI-CPR game at home environment.<br>|
| No Intervention: No MOBI-CPR<br>Participants do not use MOBI-CPR game at home environment. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Impact of the use of the MOBI-CPR game on the total score of theoretical adult basic life support knowledge | Total score from the questionnaire (50 questions with multiple open answer, each right answer is 1 point) on the theoretical adult basic life support knowledge. If the assessment score is over 70%, it indicates that the nursing student is successful. | 2 weeks after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the total score of theoretical adult basic life support knowledge | Total score from the questionnaire (50 questions with multiple open answer, each right answer is 1 point) on the theoretical adult basic life support knowledge. If the assessment score is over 70%, it indicates that the nursing student is successful. | 4 weeks after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the total score of theoretical adult basic life support knowledge | Total score from the questionnaire (50 questions with multiple open answer, each right answer is 1 point) on the theoretical adult basic life support knowledge. If the assessment score is over 70%, it indicates that the nursing student is successful. | 6 mounts after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the total score of theoretical adult basic life support knowledge | Total score from the questionnaire (50 questions with multiple open answer, each right answer is 1 point) on the theoretical adult basic life support knowledge. If the assessment score is over 70%, it indicates that the nursing student is successful. | 1 year after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the total score of theoretical adult basic life support knowledge | Total score from the questionnaire (50 questions with multiple open answer, each right answer is 1 point) on the theoretical adult basic life support knowledge. If the assessment score is over 70%, it indicates that the nursing student is successful. | 3 years after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the total score of practical adult basic life support skills | Total score from the checklist (20 steps with correct or not correct assess of the adult basic life support, each right assess is 1 point) on the practical adult basic life support skills. If the assessment score is over 70%, it indicates that the nursing student is successful. | 2 weeks after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the total score of practical adult basic life support skills | Total score from the checklist (20 steps with correct or not correct assess of the adult basic life support, each right assess is 1 point) on the practical adult basic life support skills. If the assessment score is over 70%, it indicates that the nursing student is successful. | 4 weeks after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the total score of practical adult basic life support skills | Total score from the checklist (20 steps with correct or not correct assess of the adult basic life support, each right assess is 1 point) on the practical adult basic life support skills. If the assessment score is over 70%, it indicates that the nursing student is successful. | 6 mounts after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the total score of practical adult basic life support skills | Total score from the checklist (20 steps with correct or not correct assess of the adult basic life support, each right assess is 1 point) on the practical adult basic life support skills. If the assessment score is over 70%, it indicates that the nursing student is successful. | 1 year after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the total score of practical adult basic life support skills | Total score from the checklist (20 steps with correct or not correct assess of the adult basic life support, each right assess is 1 point) on the practical adult basic life support skills. If the assessment score is over 70%, it indicates that the nursing student is successful. | 3 years after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the level of acute stress | Level of acute stress measure by Empatica E4 watch (1-5 is non stress area, and 6-10 is stress area). | 2 weeks after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the level of acute stress | Level of acute stress measure by Empatica E4 watch (1-5 is non stress area, and 6-10 is stress area). | 4 weeks after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the level of acute stress | Level of acute stress measure by Empatica E4 watch (1-5 is non stress area, and 6-10 is stress area). | 6 mounts after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the level of acute stress | Level of acute stress measure by Empatica E4 watch (1-5 is non stress area, and 6-10 is stress area). | 1 year after baseline intervention | 
| Impact of the use of the MOBI-CPR game on the level of acute stress | Level of acute stress measure by Empatica E4 watch (1-5 is non stress area, and 6-10 is stress area). | 3 years after baseline intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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basic life support, adult, mobile learning, stress, knowledge, skills, retention, home