E-learning in pediatric basic life support: A randomized controlled non-inferiority study

Abstract

ObjectiveDissemination of pediatric basic life support (PBLS) skills is recommended. E-learning is accessible and cost-effective, but it is currently unknown whether laypersons can learn PBLS through e-learning. The hypothesis of this study was to investigate whether e-learning PBLS is non-inferior to instructor-led training. Study designParticipants were recruited among child-minders and parents of children aged 0–6 years. Participants were randomized to either 2-h instructor-led training or e-learning using an e-learning program (duration 17min) including an inflatable manikin. After training, participants were assessed in a simulated pediatric cardiac arrest scenario. Tests were video recorded and PBLS skills were assessed independently by two assessors blinded to training method. Primary outcome was the pass rate of the PBLS test (≥8 of 15 skills adequately performed) with a pre-specified non-inferiority margin of 20%. ResultsIn total 160 participants were randomized 1:1. E-learning was non-inferior to instructor-led training (difference in pass rate −4%; 95% CI −9:0.5). Pass rates were 100% among instructor-led trained (n=67) and 96% among e-learned (n=71). E-learners median time spent on the e-learning program was 30min (range: 15–120min) and the median number of log-ons was 2 (range: 1–5). After the study, all participants felt that their skills had improved. ConclusionE-learning PBLS is non-inferior to instructor-led training among child-minders and parents with children aged 0–6 years, although the pass rate was 4% (95% CI −9:0.5) lower with e-learning.