Massive open online learning in basic life support and automated external defibrillation: an efficient way to improve confidence and readiness of lay people to provide help

Abstract

BackgroundEducation of lay people in cardiopulmonary resuscitation (CPR) is recognised as an important contributor to increased survival from out-of-hospital cardiac arrest. Nowadays, due to the increased risk of COVID-19, it is recommended to withhold traditional face-to-face training in CPR [1]. Whereas Internet-based distance learning is suggested as a suitable alternative to instructor-led training, little is currently known about the effectiveness of the online learning in resuscitation.PurposeThe objective of this study was to investigate the effects of self-learning in basic life support (BLS) and automated external defibrillation (AED) utilising a massive open online course (MOOC) on lay people's self-confidence and willingness to provide help.MethodsLay trainees of the brief (approximately one hour long) theoretical self-paced Russian-language MOOC in BLS/AED were inquired to rate their knowledge of resuscitation and readiness to attempt CPR on a stranger both in the beginning and after completion of the course based on a five-point rating scale. A retrospective analysis of data obtained for one year (July 2018 – July 2019) was conducted.ResultsDuring the studied period, 11,924 persons joined the MOOC, and 3,445 (29%) trainees have finished the course. Of those who completed the course, 42% had some form of previous training in resuscitation, 45% were males; median age – 23 years. When compared to the pre-training levels, after mastering the course material the average levels of self-perceived knowledge and readiness to attempt CPR on a stranger improved significantly (p<0.001): from 2.2 points to 4.0 points, and from 3.3 points to 4.2 points, respectively. After the training, the proportion of people who expressed a high level of willingness to give CPR (4–5 points) was almost two times higher than at baseline (81% vs. 44%; p<0.001). Completion of the course curriculum and higher levels of self-confidence and readiness to provide CPR were strongly associated with previous resuscitation training (p<0.001).ConclusionsTo the best of the authors' knowledge, no previous study has investigated and demonstrated the motivating effect of online learning in CPR. This study suggests that the free-of-charge massive online course in BLS/AED represent an effective tool for increasing coverage of the population with resuscitation training, improving self-confidence of potential rescuers and their willingness to provide the life-saving help. The distant theoretical training provides an important way to enhance and support laypeople's motivation to attempt CPR during the COVID-19 pandemic. Further research could be conducted to determine the effectiveness of the Internet-based massive self-directed learning supplemented with synchronous or asynchronous hands-on practice.FUNDunding AcknowledgementType of funding sources: None.