Peers Vs Professionals in Basic Life Support Training

NCT03511872 | Completed

• 1 other identifier: 2210110616
• Study Type: interventional
• Target: 72
• Locations: 0 countries
• Sites: N/A

Brief Summary

An Evaluation of Peer-led basic life support training course compared with professional-led course in a limited resource environment; A randomized controlled trial

Conditions

Basic Life Support Training Course

Keywords

Basic life support; cardiopulmonary resuscitation; medical undergraduate students; crisis; randomized controlled trial.

Outcome Measures

Primary Outcomes (1)

• BLS practical skills

  A practical simulated scenario assessment using a checklist based evaluation in objective structured clinical examination (OSCE) design. The checklist is constructed in accordance to European resuscitation council (ERC) guideline. Students should perform each point correctly to pass the assessment (1- Safe approach, 2- call for help, 3- opening airway, 4-checking cardiopulmonary situation, 5- call ambulance, 6- CPR with effective depth, 7-rate and 8-position, 9-rescue breaths).

  Training and assessment were held at the same day of the experiment for both groups, 1) within 24 hours of providing the bls training course.

Secondary Outcomes (2)

• BLS knowledge questionnaire

  Training and assessment were held at the same day of the experiment for both groups. 1) within 24 hours of providing the bls training course.

• Students' evaluation of BLS course survey

  Training and assessment were held at the same day of the experiment for both groups. 1) within 24 hours of providing the bls training course.

Study Arms (2)

Peers' group

EXPERIMENTAL

36 Medical students are allocated randomly to Peers' group where they are trained on BLS skills by senior students. Four students from the latest three years of study in medical schools in Syria (4th, 5th, and 6th) are randomly selected and enrolled to be instructors for basic life support training course to transfer the resuscitation skills to medical students from pre-clinical years.

Other: Basic life support training

Professionals' group

EXPERIMENTAL

36 students are allocated randomly to professionals' group where they are trained on BLS skills by professional trainers in emergency. Four professionals (2 emergency doctors, cardiologist and anesthesiologist) are leading training to the control group to deliver the basic life support training course with the same duration and content as the intervention group.

Other: Basic life support training

Interventions

Basic life support training OTHER

A course design was made to be consistent with ERC guidelines with local modifications made by emergency professionals in duration, instructor-to-trainee ratio, course materials, methods to deliver these materials theoretically, and the type of the manikin used to practice CPR. One-day-course consisting of 75, 20, 20, 20 minutes for theoretical BLS, chocking, recovery position, the practical representation of BLS scenario respectively followed by 40-minute practical training on BLS skills for each subgroup. Both arms of the study follow the same timeline and no extra time is given to any group. Same manikins were used for the training and the assessment. On the day of the experiment students in each arm are divided into 4 subgroups of maximum 9 students, each led by two trainers of BLS skills with a maximum ratio of 2 instructors to 9 students per group.

Peers' group; Professionals' group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Medical student from 1st, 2nd and third year at Syrian Private University.
• Sign the consent form.

You may not qualify if:

• presence of any health problems preventing students from doing physical exercise.
• any serious acute or chronic illness (infectious, psychological, physical).
• scheduling conflict between the date of the BLS course and other faculty's classes or exams.
• missing the course or the assessment for any reason.
• refusing to sign the consent and having any prior experience in BLS skills (previously trained on BLS).

Sponsors & Collaborators

• Damascus University: lead

Related Publications (5)

• Association AH. ECC Course Evaluation. 2012.

  BACKGROUND

• Perkins GD, Handley AJ, Koster RW, Castren M, Smyth MA, Olasveengen T, Monsieurs KG, Raffay V, Grasner JT, Wenzel V, Ristagno G, Soar J; Adult basic life support and automated external defibrillation section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015 Oct;95:81-99. doi: 10.1016/j.resuscitation.2015.07.015. Epub 2015 Oct 15. No abstract available.

  PMID: 26477420 BACKGROUND

• Charlier N, Van Der Stock L, Iserbyt P. Peer-assisted Learning in Cardiopulmonary Resuscitation: The Jigsaw Model. J Emerg Med. 2016 Jan;50(1):67-73. doi: 10.1016/j.jemermed.2015.04.002. Epub 2015 Jun 20.

  PMID: 26099910 BACKGROUND

• Fujiwara T, Nishimura M, Honda R, Nishiyama T, Nomoto M, Kobayashi N, Ikeda M. Comparison of peer-led versus professional-led training in basic life support for medical students. Adv Med Educ Pract. 2011 Jul 26;2:187-91. doi: 10.2147/AMEP.S22948. Print 2011.

  PMID: 23745089 BACKGROUND

• Perkins GD, Hulme J, Bion JF. Peer-led resuscitation training for healthcare students: a randomised controlled study. Intensive Care Med. 2002 Jun;28(6):698-700. doi: 10.1007/s00134-002-1291-9. Epub 2002 Apr 24.

  PMID: 12107673 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Two blinded 10-year experienced professionals in emergency training (trainers in the Syrian resuscitation council) are asked to evaluate students' skills independently A third assessor who is also professional in emergency training is asked to resolve conflict judgments between live and camera assessment when existed.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A randomized controlled trial with blinded assessors on medical students from the pre-clinical years (1st to 3rd years in Syria) at Syrian Private University. Students are randomly assigned to peer-led or to professional-led training group for one-day-course of basic life support skills.

Study Record Dates

• First Submitted: April 12, 2018
• First Posted: April 30, 2018
• Study Start: March 1, 2016
• Primary Completion: May 1, 2016
• Study Completion: October 1, 2016
• Last Updated: May 1, 2018

Record last verified: 2018-04