Evaluating video-supported layperson CPR compared to a standard training course: A randomized controlled trial

Abstract

Background: While just-in-time (JIT) training is associated with time and cost savings, limited evidence directly compares layperson CPR performance using JIT videos to in-person CPR courses. We measured layperson CPR performance using a JIT video compared to an in-person course or no training. Methods: Adult employees at a professional sports stadium were randomized to perform CPR in a simulated scenario a) after completing an AHA HeartSaver® course, b) using a JIT training video, or c) neither (control). CPR performance was assessed by trained evaluators and QCPR-enabled simulators. The primary outcome was the performance of pre-defined critical actions. Participants were blinded to study objectives and trained evaluators used standardized checklists. Results: Of 230 eligible subjects, 221 were included in analysis, without significant differences in group characteristics. Correct CPR performance was low, though significantly higher in the AHA group (AHA: 40%, 95%CI 28–51; JIT: 15%, 95%CI 8–26; control 10%, 95%CI 4–19). Compression fraction was significantly greater in the AHA group (90%, IQR 69–98) compared to JIT (61%, IQR 29–89) or control (65%, IQR 33–93). An AED was requested more frequently in the AHA group (47%) than in the JIT (15%) or control (10%) groups. Conclusions: While overall performance of correct CPR skills was best following a traditional CPR course, laypersons using real-time video training performed as well as those taking an AHA HeartSaver® course on several key measures including time to chest compressions and compression rate.Trial Registration.NCT05983640.

Keywords

• Cardiopulmonary Resuscitation
• Just in Time Training
• Laypersons
• Public Health Education
• Emergency Response Education
• Video-based Learning