The Effectiveness of Online-Only Blended Cardiopulmonary Resuscitation Training: Static-Group Comparison Study

BackgroundBasic life support (BLS) education is essential for improving bystander cardiopulmonary resuscitation (CPR) rates, but the imparting of such education faces obstacles during the outbreak of emerging infectious diseases, such as COVID-19. When face-to-face teaching i...

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Main Authors: Kah Meng Chong, Hsiang-Wen Yang, Hsien-Chin He, Wan-Ching Lien, Mei-Fen Yang, Chien-Yu Chi, Yen-Pin Chen, Chien-Hua Huang, Patrick Chow-In Ko
Format: Article
Language:English
Published: JMIR Publications 2023-04-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2023/1/e42325
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author Kah Meng Chong
Hsiang-Wen Yang
Hsien-Chin He
Wan-Ching Lien
Mei-Fen Yang
Chien-Yu Chi
Yen-Pin Chen
Chien-Hua Huang
Patrick Chow-In Ko
author_facet Kah Meng Chong
Hsiang-Wen Yang
Hsien-Chin He
Wan-Ching Lien
Mei-Fen Yang
Chien-Yu Chi
Yen-Pin Chen
Chien-Hua Huang
Patrick Chow-In Ko
author_sort Kah Meng Chong
collection DOAJ
description BackgroundBasic life support (BLS) education is essential for improving bystander cardiopulmonary resuscitation (CPR) rates, but the imparting of such education faces obstacles during the outbreak of emerging infectious diseases, such as COVID-19. When face-to-face teaching is limited, distance learning—blended learning (BL) or an online-only model—is encouraged. However, evidence regarding the effect of online-only CPR training is scarce, and comparative studies on classroom-based BL (CBL) are lacking. While other strategies have recommended self-directed learning and deliberate practice to enhance CPR education, no previous studies have incorporated all of these instructional methods into a BLS course. ObjectiveThis study aimed to demonstrate a novel BLS training model—remote practice BL (RBL)—and compare its educational outcomes with those of the conventional CBL model. MethodsA static-group comparison study was conducted. It included RBL and CBL courses that shared the same paradigm, comprising online lectures, a deliberate practice session with Little Anne quality CPR (QCPR) manikin feedback, and a final assessment session. In the main intervention, the RBL group was required to perform distant self-directed deliberate practice and complete the final assessment via an online video conference. Manikin-rated CPR scores were measured as the primary outcome; the number of retakes of the final examination was the secondary outcome. ResultsA total of 52 and 104 participants from the RBL and CBL groups, respectively, were eligible for data analysis. A comparison of the 2 groups revealed that there were more women in the RBL group than the CBL group (36/52, 69.2% vs 51/104, 49%, respectively; P=.02). After adjustment, there were no significant differences in scores for QCPR release (96.9 vs 96.4, respectively; P=.61), QCPR depth (99.2 vs 99.5, respectively; P=.27), or QCPR rate (94.9 vs 95.5, respectively; P=.83). The RBL group spent more days practicing before the final assessment (12.4 vs 8.9 days, respectively; P<.001) and also had a higher number of retakes (1.4 vs 1.1 times, respectively; P<.001). ConclusionsWe developed a remote practice BL–based method for online-only distant BLS CPR training. In terms of CPR performance, using remote self-directed deliberate practice was not inferior to the conventional classroom-based instructor-led method, although it tended to take more time to achieve the same effect. Trial RegistrationNot applicable.
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spelling doaj.art-1923a9f8fdbf4c61af99550a645c2c402023-08-28T23:50:59ZengJMIR PublicationsJournal of Medical Internet Research1438-88712023-04-0125e4232510.2196/42325The Effectiveness of Online-Only Blended Cardiopulmonary Resuscitation Training: Static-Group Comparison StudyKah Meng Chonghttps://orcid.org/0000-0001-8129-9021Hsiang-Wen Yanghttps://orcid.org/0000-0002-6410-3485Hsien-Chin Hehttps://orcid.org/0000-0002-7276-1955Wan-Ching Lienhttps://orcid.org/0000-0001-9448-5093Mei-Fen Yanghttps://orcid.org/0000-0002-1016-8865Chien-Yu Chihttps://orcid.org/0000-0001-5814-9615Yen-Pin Chenhttps://orcid.org/0000-0002-2473-0847Chien-Hua Huanghttps://orcid.org/0000-0003-2981-4537Patrick Chow-In Kohttps://orcid.org/0000-0002-1696-1936 BackgroundBasic life support (BLS) education is essential for improving bystander cardiopulmonary resuscitation (CPR) rates, but the imparting of such education faces obstacles during the outbreak of emerging infectious diseases, such as COVID-19. When face-to-face teaching is limited, distance learning—blended learning (BL) or an online-only model—is encouraged. However, evidence regarding the effect of online-only CPR training is scarce, and comparative studies on classroom-based BL (CBL) are lacking. While other strategies have recommended self-directed learning and deliberate practice to enhance CPR education, no previous studies have incorporated all of these instructional methods into a BLS course. ObjectiveThis study aimed to demonstrate a novel BLS training model—remote practice BL (RBL)—and compare its educational outcomes with those of the conventional CBL model. MethodsA static-group comparison study was conducted. It included RBL and CBL courses that shared the same paradigm, comprising online lectures, a deliberate practice session with Little Anne quality CPR (QCPR) manikin feedback, and a final assessment session. In the main intervention, the RBL group was required to perform distant self-directed deliberate practice and complete the final assessment via an online video conference. Manikin-rated CPR scores were measured as the primary outcome; the number of retakes of the final examination was the secondary outcome. ResultsA total of 52 and 104 participants from the RBL and CBL groups, respectively, were eligible for data analysis. A comparison of the 2 groups revealed that there were more women in the RBL group than the CBL group (36/52, 69.2% vs 51/104, 49%, respectively; P=.02). After adjustment, there were no significant differences in scores for QCPR release (96.9 vs 96.4, respectively; P=.61), QCPR depth (99.2 vs 99.5, respectively; P=.27), or QCPR rate (94.9 vs 95.5, respectively; P=.83). The RBL group spent more days practicing before the final assessment (12.4 vs 8.9 days, respectively; P<.001) and also had a higher number of retakes (1.4 vs 1.1 times, respectively; P<.001). ConclusionsWe developed a remote practice BL–based method for online-only distant BLS CPR training. In terms of CPR performance, using remote self-directed deliberate practice was not inferior to the conventional classroom-based instructor-led method, although it tended to take more time to achieve the same effect. Trial RegistrationNot applicable.https://www.jmir.org/2023/1/e42325
spellingShingle Kah Meng Chong
Hsiang-Wen Yang
Hsien-Chin He
Wan-Ching Lien
Mei-Fen Yang
Chien-Yu Chi
Yen-Pin Chen
Chien-Hua Huang
Patrick Chow-In Ko
The Effectiveness of Online-Only Blended Cardiopulmonary Resuscitation Training: Static-Group Comparison Study
Journal of Medical Internet Research
title The Effectiveness of Online-Only Blended Cardiopulmonary Resuscitation Training: Static-Group Comparison Study
title_full The Effectiveness of Online-Only Blended Cardiopulmonary Resuscitation Training: Static-Group Comparison Study
title_fullStr The Effectiveness of Online-Only Blended Cardiopulmonary Resuscitation Training: Static-Group Comparison Study
title_full_unstemmed The Effectiveness of Online-Only Blended Cardiopulmonary Resuscitation Training: Static-Group Comparison Study
title_short The Effectiveness of Online-Only Blended Cardiopulmonary Resuscitation Training: Static-Group Comparison Study
title_sort effectiveness of online only blended cardiopulmonary resuscitation training static group comparison study
url https://www.jmir.org/2023/1/e42325
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