Repetitive sessions of formative self-testing to refresh CPR skills: A randomised non-inferiority trial

Abstract Objectives To investigate whether repetitive sessions of formative self-testing (RFST) result in an equal cardiopulmonary resuscitation (CPR) skill level compared to repetitive sessions of formative self-testing with additional practice (RFSTAP). Methods In a non-inferiority trial, 196 thir...

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Published in:Resuscitation 2014-09, Vol.85 (9), p.1282-1286
Main Authors: Mpotos, Nicolas, De Wever, Bram, Cleymans, Nick, Raemaekers, Joris, Loeys, Tom, Herregods, Luc, Valcke, Martin, Monsieurs, Koenraad G
Format: Article
Language:English
Subjects:
Assessment
Basic Life Support
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - education
Clinical Competence
Diagnostic Self Evaluation
Emergency
Feedback
Female
Formative self-testing
Humans
Male
Self-learning
Young Adult
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cited_by cdi_FETCH-LOGICAL-c471t-934ab9a28869e2e52ffef003b12936de85ae8acdc9476b8f8e48b2dd946538813
cites cdi_FETCH-LOGICAL-c471t-934ab9a28869e2e52ffef003b12936de85ae8acdc9476b8f8e48b2dd946538813
container_end_page 1286
container_issue 9
container_start_page 1282
container_title Resuscitation
container_volume 85
creator Mpotos, Nicolas
De Wever, Bram
Cleymans, Nick
Raemaekers, Joris
Loeys, Tom
Herregods, Luc
Valcke, Martin
Monsieurs, Koenraad G
description Abstract Objectives To investigate whether repetitive sessions of formative self-testing (RFST) result in an equal cardiopulmonary resuscitation (CPR) skill level compared to repetitive sessions of formative self-testing with additional practice (RFSTAP). Methods In a non-inferiority trial, 196 third-year medical students were randomised to an RFST or RFSTAP group. Testing and practising took place in a self-learning station equipped with a manikin connected to a computer. Each cycle of RFST consisted of a 2-min CPR test followed by feedback and feedforward. In the RFSTAP group, additional practice consisted of CPR exercises with a computer voice feedback. To be successful, a combined score consisting of ≥70% compressions with a depth of ≥50 mm and ≥70% compressions with complete release (
doi_str_mv 10.1016/j.resuscitation.2014.06.011
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Methods In a non-inferiority trial, 196 third-year medical students were randomised to an RFST or RFSTAP group. Testing and practising took place in a self-learning station equipped with a manikin connected to a computer. Each cycle of RFST consisted of a 2-min CPR test followed by feedback and feedforward. In the RFSTAP group, additional practice consisted of CPR exercises with a computer voice feedback. To be successful, a combined score consisting of ≥70% compressions with a depth of ≥50 mm and ≥70% compressions with complete release (&lt;5 mm) and a compression rate of 100–120 min−1 and ≥70% ventilations with a volume of 400–1000 ml had to be achieved within 6 weeks. Skill retention was measured after 6 months. The non-inferiority margin was predefined as a 10% difference in success rate. Results After six weeks the success rate in both groups was 96%: 99/103 (RFST) and 89/93 (RFSTAP). After 6 months, the success rate in the competent students was 26/96 (27%) for RFST and 32/86 (37%) for RFSTAP (three students dropped out in each group). The difference in the success rate between RFSTAP and RFST was 10% and 90% (CI −2 to 23%), respectively. As the upper bound exceeded 10%, non-inferiority was inconclusive. For each CPR skill separately, RFST was non-inferior for ventilation and complete release, superior for compression depth and inferior for compression rate. Conclusions RFST and RFSTAP were equally effective to refresh skills within 6 weeks. After 6 months, non-inferiority was inconclusive for the combined score. Our results indicate the potential of RFST to refresh CPR skills.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2014.06.011</identifier><identifier>PMID: 24983199</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Assessment ; Basic Life Support ; Cardiopulmonary resuscitation ; Cardiopulmonary Resuscitation - education ; Clinical Competence ; Diagnostic Self Evaluation ; Emergency ; Feedback ; Female ; Formative self-testing ; Humans ; Male ; Self-learning ; Young Adult</subject><ispartof>Resuscitation, 2014-09, Vol.85 (9), p.1282-1286</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2014 Elsevier Ireland Ltd</rights><rights>Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-934ab9a28869e2e52ffef003b12936de85ae8acdc9476b8f8e48b2dd946538813</citedby><cites>FETCH-LOGICAL-c471t-934ab9a28869e2e52ffef003b12936de85ae8acdc9476b8f8e48b2dd946538813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24983199$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mpotos, Nicolas</creatorcontrib><creatorcontrib>De Wever, Bram</creatorcontrib><creatorcontrib>Cleymans, Nick</creatorcontrib><creatorcontrib>Raemaekers, Joris</creatorcontrib><creatorcontrib>Loeys, Tom</creatorcontrib><creatorcontrib>Herregods, Luc</creatorcontrib><creatorcontrib>Valcke, Martin</creatorcontrib><creatorcontrib>Monsieurs, Koenraad G</creatorcontrib><title>Repetitive sessions of formative self-testing to refresh CPR skills: A randomised non-inferiority trial</title><title>Resuscitation</title><addtitle>Resuscitation</addtitle><description>Abstract Objectives To investigate whether repetitive sessions of formative self-testing (RFST) result in an equal cardiopulmonary resuscitation (CPR) skill level compared to repetitive sessions of formative self-testing with additional practice (RFSTAP). Methods In a non-inferiority trial, 196 third-year medical students were randomised to an RFST or RFSTAP group. Testing and practising took place in a self-learning station equipped with a manikin connected to a computer. Each cycle of RFST consisted of a 2-min CPR test followed by feedback and feedforward. In the RFSTAP group, additional practice consisted of CPR exercises with a computer voice feedback. To be successful, a combined score consisting of ≥70% compressions with a depth of ≥50 mm and ≥70% compressions with complete release (&lt;5 mm) and a compression rate of 100–120 min−1 and ≥70% ventilations with a volume of 400–1000 ml had to be achieved within 6 weeks. Skill retention was measured after 6 months. The non-inferiority margin was predefined as a 10% difference in success rate. Results After six weeks the success rate in both groups was 96%: 99/103 (RFST) and 89/93 (RFSTAP). After 6 months, the success rate in the competent students was 26/96 (27%) for RFST and 32/86 (37%) for RFSTAP (three students dropped out in each group). The difference in the success rate between RFSTAP and RFST was 10% and 90% (CI −2 to 23%), respectively. As the upper bound exceeded 10%, non-inferiority was inconclusive. For each CPR skill separately, RFST was non-inferior for ventilation and complete release, superior for compression depth and inferior for compression rate. Conclusions RFST and RFSTAP were equally effective to refresh skills within 6 weeks. After 6 months, non-inferiority was inconclusive for the combined score. Our results indicate the potential of RFST to refresh CPR skills.</description><subject>Assessment</subject><subject>Basic Life Support</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiopulmonary Resuscitation - education</subject><subject>Clinical Competence</subject><subject>Diagnostic Self Evaluation</subject><subject>Emergency</subject><subject>Feedback</subject><subject>Female</subject><subject>Formative self-testing</subject><subject>Humans</subject><subject>Male</subject><subject>Self-learning</subject><subject>Young Adult</subject><issn>0300-9572</issn><issn>1873-1570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqNkVFrFDEUhYModq3-BQn44stMk0xmJlEQylK1UFCqPodMclOznU3WJFPYf98suwr65FMgnHvOud9F6A0lLSV0uNi0CfKSjS-6-BhaRihvydASSp-gFRVj19B-JE_RinSENLIf2Rl6kfOGENL1cnyOzhiXoqNSrtDdLeyg-OIfAGfIuRpmHB12MW316Xd2TYFcfLjDJeIErub_xOuvtzjf-3nO7_AlTjrYuPUZLA4xND44SD4mX_a4JK_nl-iZ03OGV6f3HP34ePV9_bm5-fLpen150xg-0tLIjutJaibEIIFBz5wDV2tPlMlusCB6DUIbayQfh0k4AVxMzFrJh74Tgnbn6O3Rd5fir6W2VrWUgXnWAeKSFe17zkfOBKnS90epSTHnupbaJb_Vaa8oUQfSaqP-Iq0OpBUZVCVdp1-fgpZpC_bP7G-0VXB1FEBd98FDUtUIggHrE5iibPT_GfThHx8z--CNnu9hD3kTlxQqUUVVZoqob4ejH25OOSEDlbx7BMAkriQ</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Mpotos, Nicolas</creator><creator>De Wever, Bram</creator><creator>Cleymans, Nick</creator><creator>Raemaekers, Joris</creator><creator>Loeys, Tom</creator><creator>Herregods, Luc</creator><creator>Valcke, Martin</creator><creator>Monsieurs, Koenraad G</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>Repetitive sessions of formative self-testing to refresh CPR skills: A randomised non-inferiority trial</title><author>Mpotos, Nicolas ; De Wever, Bram ; Cleymans, Nick ; Raemaekers, Joris ; Loeys, Tom ; Herregods, Luc ; Valcke, Martin ; Monsieurs, Koenraad G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-934ab9a28869e2e52ffef003b12936de85ae8acdc9476b8f8e48b2dd946538813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Assessment</topic><topic>Basic Life Support</topic><topic>Cardiopulmonary resuscitation</topic><topic>Cardiopulmonary Resuscitation - education</topic><topic>Clinical Competence</topic><topic>Diagnostic Self Evaluation</topic><topic>Emergency</topic><topic>Feedback</topic><topic>Female</topic><topic>Formative self-testing</topic><topic>Humans</topic><topic>Male</topic><topic>Self-learning</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mpotos, Nicolas</creatorcontrib><creatorcontrib>De Wever, Bram</creatorcontrib><creatorcontrib>Cleymans, Nick</creatorcontrib><creatorcontrib>Raemaekers, Joris</creatorcontrib><creatorcontrib>Loeys, Tom</creatorcontrib><creatorcontrib>Herregods, Luc</creatorcontrib><creatorcontrib>Valcke, Martin</creatorcontrib><creatorcontrib>Monsieurs, Koenraad G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mpotos, Nicolas</au><au>De Wever, Bram</au><au>Cleymans, Nick</au><au>Raemaekers, Joris</au><au>Loeys, Tom</au><au>Herregods, Luc</au><au>Valcke, Martin</au><au>Monsieurs, Koenraad G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Repetitive sessions of formative self-testing to refresh CPR skills: A randomised non-inferiority trial</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>85</volume><issue>9</issue><spage>1282</spage><epage>1286</epage><pages>1282-1286</pages><issn>0300-9572</issn><eissn>1873-1570</eissn><abstract>Abstract Objectives To investigate whether repetitive sessions of formative self-testing (RFST) result in an equal cardiopulmonary resuscitation (CPR) skill level compared to repetitive sessions of formative self-testing with additional practice (RFSTAP). Methods In a non-inferiority trial, 196 third-year medical students were randomised to an RFST or RFSTAP group. Testing and practising took place in a self-learning station equipped with a manikin connected to a computer. Each cycle of RFST consisted of a 2-min CPR test followed by feedback and feedforward. In the RFSTAP group, additional practice consisted of CPR exercises with a computer voice feedback. To be successful, a combined score consisting of ≥70% compressions with a depth of ≥50 mm and ≥70% compressions with complete release (&lt;5 mm) and a compression rate of 100–120 min−1 and ≥70% ventilations with a volume of 400–1000 ml had to be achieved within 6 weeks. Skill retention was measured after 6 months. The non-inferiority margin was predefined as a 10% difference in success rate. Results After six weeks the success rate in both groups was 96%: 99/103 (RFST) and 89/93 (RFSTAP). After 6 months, the success rate in the competent students was 26/96 (27%) for RFST and 32/86 (37%) for RFSTAP (three students dropped out in each group). The difference in the success rate between RFSTAP and RFST was 10% and 90% (CI −2 to 23%), respectively. As the upper bound exceeded 10%, non-inferiority was inconclusive. For each CPR skill separately, RFST was non-inferior for ventilation and complete release, superior for compression depth and inferior for compression rate. Conclusions RFST and RFSTAP were equally effective to refresh skills within 6 weeks. After 6 months, non-inferiority was inconclusive for the combined score. Our results indicate the potential of RFST to refresh CPR skills.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>24983199</pmid><doi>10.1016/j.resuscitation.2014.06.011</doi><tpages>5</tpages></addata></record>
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subjects Assessment
Basic Life Support
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - education
Clinical Competence
Diagnostic Self Evaluation
Emergency
Feedback
Female
Formative self-testing
Humans
Male
Self-learning
Young Adult
title Repetitive sessions of formative self-testing to refresh CPR skills: A randomised non-inferiority trial
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