Basic Life Support (BLS) and Barriers to Cross-Cultural Education

NCT00715767 | Completed

• 1 other identifier: 2008-1-5700
• Study Type: interventional
• Target: 215
• Locations: 0 countries
• Sites: N/A

Brief Summary

This is a randomized, multi-center intervention trial comparing two educational programs on healthcare provider performance in the Botswana national hospital system. This study addresses the critical question of how to effectively and consistently measure and associate CPR knowledge and psychomotor skills, enabling the optimization of the learners' environment.

Conditions

Medical Education

Keywords

BLS training; CPR; post graduate education; resource-limited settings; medical education; CPR retention; cultural barriers

Outcome Measures

Primary Outcomes (1)

• To determine selected cognitive knowledge and critical thinking skills.

  1 year

Interventions

Assessment BEHAVIORAL

Cognitive Assessment: Knowledge base and critical thinking will be evaluated by a 50-question BLS multiple-choice examination. At the designated 4 cognitive assessments in the study (pre-course, immediately post course, 3 months and 6 months) 50 equivalent questions will be used to cover all core BLS objectives. Technical Skills Assessment: Primary outcome measures of adequacy of chest compressions and ventilations as well as key actions for each of the 3standardized basic life support skill tests during 3-minute testing scenarios. Video review by 2independent experts will be utilized for objective assessment of time and order dependent skills, and manikin output will be utilized to assess qualitative effectiveness of skills (adequate ventilation, compression, and defibrillation). Survey Instrument for Barriers to Acute Medicine Education: A survey tool will be used to identify barriers to acute medicine education implementation and efficacy.

Also known as: cognitive assessment, critical thinking, outcome measures of adequacy of chest compressions, outcome measures of adequacy of ventilations

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Healthcare providers involved in patient contact.
• Participation in BLS for Healthcare Provider Course

You may not qualify if:

• Have received formal Basic Life Support training in previous 12 months.
• Inability to perform or complete cognitive and skills assessment testing (pre, immediate post, 3 or six month post).
• Healthcare personnel performing an educational rotation at the district or referral hospital will not be eligible due to loss of follow-up.

Sponsors & Collaborators

• Children's Hospital of Philadelphia: lead
• Laerdal Medical: collaborator

MeSH Terms

Interventions

Restraint, Physical; Mental Status and Dementia Tests

Intervention Hierarchy (Ancestors)

Behavior Control; Therapeutics; Immobilization; Investigative Techniques; Neuropsychological Tests; Psychological Tests; Behavioral Disciplines and Activities

Study Officials

• Pete Meaney, MD

  Children's Hospital of Philadelphia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: July 14, 2008
• First Posted: July 15, 2008
• Study Start: January 1, 2009
• Primary Completion: June 1, 2010
• Study Completion: September 1, 2010
• Last Updated: October 14, 2010

Record last verified: 2010-10