Teaching cards as low-cost and brief materials for teaching basic life support to 6–10-year-old primary school children – a quasi-experimental combination design study

Abstract Aim Teaching Basic Life Support (BLS) in schools is a key initiative to improve the survival rates after out-of-hospital cardiac arrest. Low-cost training materials can reach a wider population. Our aim was to compare the effectiveness of using teaching cards with the traditional instructor...

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Main Authors: Anita Kovács, Henrietta Bánfai-Csonka, József Betlehem, Luca Anna Ferkai, Krisztina Deutsch, János Musch, Bálint Bánfai
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-022-03730-3
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author Anita Kovács
Henrietta Bánfai-Csonka
József Betlehem
Luca Anna Ferkai
Krisztina Deutsch
János Musch
Bálint Bánfai
author_facet Anita Kovács
Henrietta Bánfai-Csonka
József Betlehem
Luca Anna Ferkai
Krisztina Deutsch
János Musch
Bálint Bánfai
author_sort Anita Kovács
collection DOAJ
description Abstract Aim Teaching Basic Life Support (BLS) in schools is a key initiative to improve the survival rates after out-of-hospital cardiac arrest. Low-cost training materials can reach a wider population. Our aim was to compare the effectiveness of using teaching cards with the traditional instructor-led and combined methods on BLS skills and attitude and to evaluate the long-term effects after two months. Methods A quasi-experimental combination design study. Two hundred sixty-three schoolchildren aged 6 to 10 years were assigned to three groups with different methods to teach BLS: teaching card group (n = 100), traditional instructor-led teaching group (n = 91), combined teaching group (n = 72). BLS skills and attitude were measured and compared before the training (T0), after the training (T1), and two months later (T2). Results BLS skills improved in every group at T1 compared to T0 (p < 0.001) and remained higher at T2 than at T0 in almost all cases (p < 0.001). Skill performance was similar in most of the skills between the three groups at T1. The best skill scores acquired were calling the ambulance and the correct hand position by chest compression. Positioning the head during check the breathing was more effective in the traditional group (48.4%) and combined group (61.1%) than in the teaching card group (19.0%) (p < 0.001) at T1. However, some skills improved significantly in the teaching card group at T2: check breathing for 10 s (p = 0.016); positioning the head by check breathing (p < 0.001); and positioning the head by ventilation (p = 0.011). Attitude did not change significantly in any of the groups (p > 0.05). Furthermore, the level of attitude was inferior in the teaching card group compared with the traditional (p = 0.005), and the combined groups (p = 0.049). Conclusion Using low-cost materials for teaching BLS for young schoolchildren can improve their skills, however, could not improve attitudes. Teaching cards were not inferior compared to traditional and combined methods in some skills but inferior in others. Therefore, hands-on training opportunity is still important. Teaching cards are useful for long-term learning. To learn correctly the whole sequence of BLS is difficult for 6 to 10 years-old children, however, they are able to learn more BLS-related skills separately.
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spelling doaj.art-5e010344f0cf44279fdeb80968cbfd442022-12-22T04:13:51ZengBMCBMC Pediatrics1471-24312022-11-0122111210.1186/s12887-022-03730-3Teaching cards as low-cost and brief materials for teaching basic life support to 6–10-year-old primary school children – a quasi-experimental combination design studyAnita Kovács0Henrietta Bánfai-Csonka1József Betlehem2Luca Anna Ferkai3Krisztina Deutsch4János Musch5Bálint Bánfai6Institute of Emergency Care and Pedagogy of Health, University of Pécs Faculty of Health SciencesInstitute of Emergency Care and Pedagogy of Health, University of Pécs Faculty of Health SciencesInstitute of Emergency Care and Pedagogy of Health, University of Pécs Faculty of Health SciencesInstitute of Emergency Care and Pedagogy of Health, University of Pécs Faculty of Health SciencesInstitute of Emergency Care and Pedagogy of Health, University of Pécs Faculty of Health SciencesInstitute of Emergency Care and Pedagogy of Health, University of Pécs Faculty of Health SciencesInstitute of Emergency Care and Pedagogy of Health, University of Pécs Faculty of Health SciencesAbstract Aim Teaching Basic Life Support (BLS) in schools is a key initiative to improve the survival rates after out-of-hospital cardiac arrest. Low-cost training materials can reach a wider population. Our aim was to compare the effectiveness of using teaching cards with the traditional instructor-led and combined methods on BLS skills and attitude and to evaluate the long-term effects after two months. Methods A quasi-experimental combination design study. Two hundred sixty-three schoolchildren aged 6 to 10 years were assigned to three groups with different methods to teach BLS: teaching card group (n = 100), traditional instructor-led teaching group (n = 91), combined teaching group (n = 72). BLS skills and attitude were measured and compared before the training (T0), after the training (T1), and two months later (T2). Results BLS skills improved in every group at T1 compared to T0 (p < 0.001) and remained higher at T2 than at T0 in almost all cases (p < 0.001). Skill performance was similar in most of the skills between the three groups at T1. The best skill scores acquired were calling the ambulance and the correct hand position by chest compression. Positioning the head during check the breathing was more effective in the traditional group (48.4%) and combined group (61.1%) than in the teaching card group (19.0%) (p < 0.001) at T1. However, some skills improved significantly in the teaching card group at T2: check breathing for 10 s (p = 0.016); positioning the head by check breathing (p < 0.001); and positioning the head by ventilation (p = 0.011). Attitude did not change significantly in any of the groups (p > 0.05). Furthermore, the level of attitude was inferior in the teaching card group compared with the traditional (p = 0.005), and the combined groups (p = 0.049). Conclusion Using low-cost materials for teaching BLS for young schoolchildren can improve their skills, however, could not improve attitudes. Teaching cards were not inferior compared to traditional and combined methods in some skills but inferior in others. Therefore, hands-on training opportunity is still important. Teaching cards are useful for long-term learning. To learn correctly the whole sequence of BLS is difficult for 6 to 10 years-old children, however, they are able to learn more BLS-related skills separately.https://doi.org/10.1186/s12887-022-03730-3Basic Life SupportKIDS SAVE LIVESResuscitation trainingSchoolchildrenTeaching cardsAttitude
spellingShingle Anita Kovács
Henrietta Bánfai-Csonka
József Betlehem
Luca Anna Ferkai
Krisztina Deutsch
János Musch
Bálint Bánfai
Teaching cards as low-cost and brief materials for teaching basic life support to 6–10-year-old primary school children – a quasi-experimental combination design study
BMC Pediatrics
Basic Life Support
KIDS SAVE LIVES
Resuscitation training
Schoolchildren
Teaching cards
Attitude
title Teaching cards as low-cost and brief materials for teaching basic life support to 6–10-year-old primary school children – a quasi-experimental combination design study
title_full Teaching cards as low-cost and brief materials for teaching basic life support to 6–10-year-old primary school children – a quasi-experimental combination design study
title_fullStr Teaching cards as low-cost and brief materials for teaching basic life support to 6–10-year-old primary school children – a quasi-experimental combination design study
title_full_unstemmed Teaching cards as low-cost and brief materials for teaching basic life support to 6–10-year-old primary school children – a quasi-experimental combination design study
title_short Teaching cards as low-cost and brief materials for teaching basic life support to 6–10-year-old primary school children – a quasi-experimental combination design study
title_sort teaching cards as low cost and brief materials for teaching basic life support to 6 10 year old primary school children a quasi experimental combination design study
topic Basic Life Support
KIDS SAVE LIVES
Resuscitation training
Schoolchildren
Teaching cards
Attitude
url https://doi.org/10.1186/s12887-022-03730-3
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