Coping Skills Clinical Trial
Official title:
CPR Training in Students to Increase Bystander Intervention in Out-of-hospital Cardiac Arrest.
The overall aim of this thesis is to identify the factors that may affect 13 year old
students' acquisition of CPR skills and their willingness to act. The primary hypothesis is
that the training method (intervention) influences the participants' acquisition of practical
CPR skills and willingness to intervene.
The study used a cluster randomized design, based on a randomization list generated by an
independent statistician. The school classes were randomly assigned to different CPR training
interventions.
A strategic sample, where invitation to participate in the study was sent to the headmasters
of all council schools, with seventh grade students, in two Swedish municipalities (140,000).
Thus, the sample consists of participants with different cultural as well as socio-economic
background. Eighteen of 24 schools agreed to participate. Four schools did not respond and
two schools had a routine to offer CPR education only for grade nine (all six schools from
the same municipality). The eighteen schools who agreed to participate consisted of
sixty-eight classes with 1547 students.
Prior to study participation, students and their guardians obtained a letter with study
information. Study participation of the individual students was voluntary and all
participants gave an oral informed consent.
Inclusion criteria: seventh grade student in one of the participating schools. Exclusion
criteria: student does not want to participate, student with a physical handicap that limited
the physical performance, classes of students with development disabilities (these classes
are age-integrated and have fewer students per class).
The main interventions were app or DVD-based education. In addition to the main intervention some classes were randomized to various additional interventions; web-course, visits of elite athletes, practical test, reflection and AED training. All CPR education was performed in accordance with the ERC guidelines of 2010. Training was given to the entire class together. The classes consisted of 14-29 students. All participants in all intervention groups used an individual training manikin, MiniAnne, during the training. The schools were allowed to keep the training manikins after the end of study. Ten teachers were previous CPR instructors and another 19 teachers received a five hours education to become CPR instructor. All teachers obtained individual oral and written instructions about each class randomized intervention method and written bullet points about how the course would be implemented, to ensure that they were up to date with present guidelines and training. The teachers acted as facilitators; they introduced the lesson, gave advice on the fly, answered questions and completed the course. ;
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