Improving CPR Quality With Longitudinal Practice and Realtime Feedback - RCT With CEA
The Effect of a New Training Program on CPR Quality of Pediatric Healthcare Providers: A Randomized Control Trial With Economic Evaluation
1 other identifier
interventional
110
1 country
1
Brief Summary
Objectives: The primary objective of this project is to assess whether the implementation of a new cardiopulmonary resuscitation (CPR) training program (longitudinal training with real-time feedback) can improve CPR quality of healthcare providers compared with traditional training method. The secondary objective is to identify whether the implementation of the new training program will result in cost-effectiveness. Design: Randomized trial to compare new training program with tradition training method and cost-effectiveness alongside this trial Participants and setting: Paediatric healthcare providers in Emergency Department at Alberta Children's Hospital. Subjects will be enrolled in either intervention (new training program) or control (traditional training program) by random. Statistical analysis: Investigators will conduct chi-square test and independent t-test to compare the proportion of excellent CPR and 3 metrics of CPR quality of intervention group with control group at the end of 12-month interval. A multi-level logistic regression and linear regression models will be used to assess the effect of training method and time on proportion of excellent CPR and 3 metrics of CPR quality. Investigators will also conduct a full-economic evaluation in a health care system prospective. cost-effectiveness will be expressed as cost per increased CPR excellence according to incremental cost-effectiveness ratio (ICER). A one-way sensitivity analysis and a probabilistic sensitivity analysis will be conducted to deal with uncertainty in effects and costs. Conclusion: The new CPR training program will serve as an example of competency-based psychomotor skill training program and help healthcare providers to improve quality of CPR, and potentially improve the survival of children with cardiac arrest. The results of the studies might provide evidence to inform and update in resuscitation education guideline to change the way of CPR training and improve the cost-effectiveness of CPR training program.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2015
CompletedFirst Submitted
Initial submission to the registry
August 23, 2015
CompletedFirst Posted
Study publicly available on registry
September 3, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2017
CompletedSeptember 3, 2015
August 1, 2015
2.3 years
August 23, 2015
September 2, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Achieving "excellent CPR" at the end of the study (number and percentage)
dichotomous variable based on chest compression depth, rate and recoil
month 12
Secondary Outcomes (3)
Change of percentage of adequate compression depth from baseline (numeric, percent)
month 3,6,9,12
Change of percentage of adequate compression rate from baseline (numeric, percent)
month 3,6,9,12
Change of percentage of adequate compression recoil from baseline (numeric, percent)
month 3,6,9,12
Other Outcomes (1)
Cost (Canadian Dollar)
month 12
Study Arms (2)
control
ACTIVE COMPARATORAnnual BLS training
intervention
EXPERIMENTALBrief CPR training dispersed over a year period of time with real-time feedback during working hour
Interventions
Brief CPR practice distributed during working hours with real-time feedback
Eligibility Criteria
You may qualify if:
- Paediatric Healthcare providers in the Emergency Department at Alberta Children's Hospital (nurses and physicians)
You may not qualify if:
- Not Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), or Pediatric Advanced Life Support (PALS) certified within the past two years
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Alberta Children's Hospital/KidSIM simulation center
Calgary, Alberta, T3B 6A8, Canada
Related Publications (3)
Lin Y, Savage T, Gravel G, Davidson J, Tofil N, Duff J, Cheng A. Who is the real team leader? Comparing leadership performance of the team leader and CPR Coach during simulated cardiac arrest. Resusc Plus. 2023 May 24;14:100400. doi: 10.1016/j.resplu.2023.100400. eCollection 2023 Jun.
PMID: 37265710DERIVEDCheng A, Kessler D, Lin Y, Tofil NM, Hunt EA, Davidson J, Chatfield J, Duff JP; International Network for Simulation-based Pediatric Innovation, Research and Education (INSPIRE) CPR Investigators. Influence of Cardiopulmonary Resuscitation Coaching and Provider Role on Perception of Cardiopulmonary Resuscitation Quality During Simulated Pediatric Cardiac Arrest. Pediatr Crit Care Med. 2019 Apr;20(4):e191-e198. doi: 10.1097/PCC.0000000000001871.
PMID: 30951004DERIVEDLin Y, Cheng A, Grant VJ, Currie GR, Hecker KG. Improving CPR quality with distributed practice and real-time feedback in pediatric healthcare providers - A randomized controlled trial. Resuscitation. 2018 Sep;130:6-12. doi: 10.1016/j.resuscitation.2018.06.025. Epub 2018 Jun 23.
PMID: 29944894DERIVED
Related Links
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, MHSc, PhD candidate, Simulation Fellow
Study Record Dates
First Submitted
August 23, 2015
First Posted
September 3, 2015
Study Start
June 1, 2015
Primary Completion
September 1, 2017
Last Updated
September 3, 2015
Record last verified: 2015-08