Abstract
Study hypothesisCardiopulmonary resuscitation (CPR) training can increase the likelihood of patient survival and better neurological outcomes. However, conventional learning (CL) has cost, time, and space constraints. This study aimed to evaluate whether laypersons who completed instructor-led distance learning (DL) acquired a level of CPR skill comparable to that achieved via CL training.MethodsThis randomized controlled study recruited students from 28 Korean high schools who were randomized to complete instructor-led DL or CL training. The CL training involved classroom-based face-to-face training, whereas the instructor-led DL training was provided online using a videoconferencing system.ResultsThe study enrolled 62 students who were randomized to the CL group (31 participants) or the DL group (31 participants). Relative to the CL group, the DL group achieved remarkably similar results in terms of most CPR variables. In addition, the DL group had a significant improvement in the mean compression depth (before: 46 mm [interquartile range: 37–52 mm] vs. after: 49 mm [interquartile range: 46–54 mm], p<0.001).ConclusionsInstructor-led DL can be a suitable alternative to CL for providing CPR training to laypersons. In settings like the current COVID-19 pandemic, where face-to-face CL is not practical, DL may be a useful tool for delivering CPR training.
Highlights
Cardiopulmonary resuscitation (CPR) performed by a bystander is one of the most important prognostic factors for out-of-hospital cardiac arrest (OHCA)
Instructor-led distance learning (DL) can be a suitable alternative to conventional learning (CL) for providing CPR training to laypersons
In settings like the current COVID-19 pandemic, where face-to-face CL is not practical, DL may be a useful tool for delivering CPR training
Summary
Cardiopulmonary resuscitation (CPR) performed by a bystander is one of the most important prognostic factors for out-of-hospital cardiac arrest (OHCA). Technological advances have created new vehicles for delivering training, and several studies have evaluated different CPR training methods, including distance learning (DL) [3,4,5]. In this context, DL is defined as the use of computer technology to provide training, which includes technical support that includes both online and offline learning [6]. Previous studies of DL for CPR training have used video-based and self-instruction methods, which provide online videos and allow the student to follow the course [9,10]. Self-instruction methods lack instructor feedback, and it is possible that students might learn improper techniques (e.g., the wrong compression location)
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