Effect of an Educational Intervention on CPR Knowledge and Skills in Schoolchildren

NCT06929715 | Not Yet Recruiting

• 1 other identifier: AVAL 20-24
• Study Type: interventional
• Target: 388
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effectiveness of a CPR intervention for children aged 7 and 8. Given the high prevalence of out-of-hospital cardiac arrests (OHCA) and the proven benefits of early CPR training, the study seeks to determine whether a structured intervention can improve young children's knowledge and skills in basic life support. What is the effect of a CPR training intervention on the knowledge and skills of 7- and 8-year-old schoolchildren? Cardiac arrest is a leading cause of mortality worldwide. Research shows that survival rates increase significantly when CPR is performed promptly by a trained bystander. Countries with early CPR training programs in schools, such as Norway and Denmark, report better survival outcomes. However, in Latin America, CPR education in schools is still in its early stages. Evidence suggests that children can effectively learn and retain CPR knowledge, and they can serve as multipliers by passing their knowledge to family and peers. Study Design: This is a non-randomized, double-blind controlled trial with four phases:

Conditions

CPR; Cardiac Arrest (CA)

Keywords

schoolchildren; learning; intervention; knowledge; skills

Outcome Measures

Primary Outcomes (1)

• Change in knowledge and practical skills in basic CPR-specifically, the first link in the chain of survival

  The primary outcome measure for this study is the change in knowledge and practical skills in basic CPR-specifically, the first link in the chain of survival-among 7- and 8-year-old schoolchildren. This will be assessed through a structured pre- and post-intervention questionnaire that evaluates theoretical understanding of CPR and an observational checklist used during simulated scenarios to gauge practical skill execution.

  3 moths

Study Arms (2)

Intervention Arm

EXPERIMENTAL

This group of students receives the structured educational program designed to teach the first link in the chain of survival, specifically tailored for their age. The intervention is delivered in the school setting and focuses on enhancing the knowledge and practical CPR skills of 7- and 8-year-old children.

Other: Intervention for Teaching the First Link in the Chain of Survival to 7- and 8-Year-Old Children

Control Arm

PLACEBO COMPARATOR

This group does not receive the CPR educational intervention during the study period but will receive a first aid intervention that does not include teaching the first link in the chain of survival. This group serves as a reference to compare and evaluate the effectiveness of the program implemented in the intervention group.

Other: Placebo Intervention - First Aid (Excluding Basic CPR)

Interventions

Intervention for Teaching the First Link in the Chain of Survival to 7- and 8-Year-Old Children OTHER

Unlike traditional CPR training programs designed primarily for older children or adults, this intervention is uniquely tailored for 7- and 8-year-old schoolchildren. It employs a narrative-based, age-appropriate educational approach that incorporates storytelling, interactive activities, and practical simulation exercises aligned with the cognitive and motor development of young learners. Delivered by school nurses in a classroom setting, the program not only focuses on teaching the first link in the chain of survival but also ensures that its content and methods are rigorously validated by experts. Moreover, the intervention includes a follow-up evaluation at three months to assess the retention of knowledge and skills, distinguishing it from other clinical studies that lack such long-term assessment.

Intervention Arm

Placebo Intervention - First Aid (Excluding Basic CPR) OTHER

In the control arm, participants receive a structured first aid educational program that intentionally excludes any training on the first link in the chain of survival. This intervention focuses on general first aid skills-such as wound care, management of minor injuries, and other non-cardiac emergency procedures-ensuring that no content related to recognizing a cardiac emergency or activating the emergency response system is provided. Delivered in a classroom setting by qualified personnel, the program is designed to mirror the overall structure, duration, and engagement level of the CPR intervention without overlapping its core content. Expert validation has been obtained to confirm that the curriculum remains neutral and strictly adheres to general first aid, thereby serving as a robust comparator to isolate the specific effects of CPR training in young schoolchildren.

Control Arm

Eligibility Criteria

• Age: 7 Years - 8 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Schoolchildren aged between 7 and 8 years.
• Students enrolled in an educational institution that has authorized their participation in the study.
• Not participating in any other intervention or educational program related to CPR during the study period.

You may not qualify if:

• Students whose parents, legal guardians, teachers, or the students themselves report any health condition that prevents them from participating in the study.
• Students who indicate having received prior training in CPR or related skills.
• Students whose parents, legal guardians, or teachers report any cognitive condition that limits their ability to understand and follow the instructions necessary to learn and practice CPR in simulated scenarios.

Sponsors & Collaborators

• Universidad Nacional de Colombia: lead

Study Sites (1)

Universidad Nacional de Colombia

Bogotá, Bogota D.C., 111321, Colombia

Location

Related Publications (15)

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  PMID: 36740509 BACKGROUND

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  PMID: 34495875 BACKGROUND

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  PMID: 30389590 BACKGROUND

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  PMID: 25447432 BACKGROUND

• Ong ME, Shin SD, De Souza NN, Tanaka H, Nishiuchi T, Song KJ, Ko PC, Leong BS, Khunkhlai N, Naroo GY, Sarah AK, Ng YY, Li WY, Ma MH; PAROS Clinical Research Network. Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The Pan Asian Resuscitation Outcomes Study (PAROS). Resuscitation. 2015 Nov;96:100-8. doi: 10.1016/j.resuscitation.2015.07.026. Epub 2015 Jul 30.

  PMID: 26234891 BACKGROUND

• De Buck E, Van Remoortel H, Dieltjens T, Verstraeten H, Clarysse M, Moens O, Vandekerckhove P. Evidence-based educational pathway for the integration of first aid training in school curricula. Resuscitation. 2015 Sep;94:8-22. doi: 10.1016/j.resuscitation.2015.06.008. Epub 2015 Jun 18.

  PMID: 26093230 BACKGROUND

• Suss-Havemann C, Kosan J, Seibold T, Dibbern NM, Daubmann A, Kubitz JC, Beck S. Implementation of Basic Life Support training in schools: a randomised controlled trial evaluating self-regulated learning as alternative training concept. BMC Public Health. 2020 Jan 13;20(1):50. doi: 10.1186/s12889-020-8161-7.

  PMID: 31931770 BACKGROUND

• Yeung J, Kovic I, Vidacic M, Skilton E, Higgins D, Melody T, Lockey A. The school Lifesavers study-A randomised controlled trial comparing the impact of Lifesaver only, face-to-face training only, and Lifesaver with face-to-face training on CPR knowledge, skills and attitudes in UK school children. Resuscitation. 2017 Nov;120:138-145. doi: 10.1016/j.resuscitation.2017.08.010. Epub 2017 Oct 1.

  PMID: 28974344 BACKGROUND

• Bohn A, Van Aken H, Lukas RP, Weber T, Breckwoldt J. Schoolchildren as lifesavers in Europe - training in cardiopulmonary resuscitation for children. Best Pract Res Clin Anaesthesiol. 2013 Sep;27(3):387-96. doi: 10.1016/j.bpa.2013.07.002.

  PMID: 24054517 BACKGROUND

• Universidad Nacional de Colombia - Sede Bogotá, Enfermería F de. Avances de investigación en la Facultad de Enfermería. Editorial. Vol. 1, Editorial Universidad Nacional de Colombia. 2022. 1-426 p.

  BACKGROUND

• Malta Hansen C, Kragholm K, Pearson DA, Tyson C, Monk L, Myers B, Nelson D, Dupre ME, Fosbol EL, Jollis JG, Strauss B, Anderson ML, McNally B, Granger CB. Association of Bystander and First-Responder Intervention With Survival After Out-of-Hospital Cardiac Arrest in North Carolina, 2010-2013. JAMA. 2015 Jul 21;314(3):255-64. doi: 10.1001/jama.2015.7938.

  PMID: 26197186 BACKGROUND

• Wissenberg M, Lippert FK, Folke F, Weeke P, Hansen CM, Christensen EF, Jans H, Hansen PA, Lang-Jensen T, Olesen JB, Lindhardsen J, Fosbol EL, Nielsen SL, Gislason GH, Kober L, Torp-Pedersen C. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA. 2013 Oct 2;310(13):1377-84. doi: 10.1001/jama.2013.278483.

  PMID: 24084923 BACKGROUND

• Plant N, Taylor K. How best to teach CPR to schoolchildren: a systematic review. Resuscitation. 2013 Apr;84(4):415-21. doi: 10.1016/j.resuscitation.2012.12.008. Epub 2012 Dec 11.

  PMID: 23246989 BACKGROUND

• Bottiger BW, Lockey A, Aickin R, Castren M, de Caen A, Escalante R, Kern KB, Lim SH, Nadkarni V, Neumar RW, Nolan JP, Stanton D, Wang TL, Perkins GD. "All citizens of the world can save a life" - The World Restart a Heart (WRAH) initiative starts in 2018. Resuscitation. 2018 Jul;128:188-190. doi: 10.1016/j.resuscitation.2018.04.015. Epub 2018 Apr 19.

  PMID: 29679697 BACKGROUND

• Semeraro F, Greif R, Bottiger BW, Burkart R, Cimpoesu D, Georgiou M, Yeung J, Lippert F, S Lockey A, Olasveengen TM, Ristagno G, Schlieber J, Schnaubelt S, Scapigliati A, G Monsieurs K. European Resuscitation Council Guidelines 2021: Systems saving lives. Resuscitation. 2021 Apr;161:80-97. doi: 10.1016/j.resuscitation.2021.02.008. Epub 2021 Mar 24.

  PMID: 33773834 BACKGROUND

MeSH Terms

Conditions

Heart Arrest

Interventions

Methods

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Investigative Techniques

Central Study Contacts

Diana M Blanco-Avila, Master of Nursing

CONTACT

+573115616350; dmblancoa@unal.edu.co

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: In this study, masking is implemented to minimize bias in outcome assessment. Specifically, both the participants and the investigators conducting the measurements are blinded to the group assignments. In addition, the statistician responsible for data analysis remains masked to the intervention allocation. To further reduce potential contamination, different educational institutions have been selected for each arm of the study. This comprehensive masking approach ensures that data collection, evaluation, and analysis are conducted without bias from knowledge of group allocation.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal researcher

Study Record Dates

• First Submitted: March 20, 2025
• First Posted: April 16, 2025
• Study Start: May 1, 2025
• Primary Completion: August 15, 2025
• Study Completion: September 1, 2025
• Last Updated: April 16, 2025

Record last verified: 2025-04

Locations

CO (1)