Evaluating the Impact of Simulated Patients on Knowledge, Skills and Attitudes of Laypeople Following a Basic First Aid Course: Protocol for a Cluster-Randomized Controlled Trial05/09/2019
Background: Teaching first aid to laypeople is a cost-effective way to improve public health. However, it is currently unclear what the most effective ways are to teaching first aid. It has already been shown that simulated patients have an added value in teaching emergency care to healthcare professionals. This paper describes the protocol for a cluster-randomized controlled trial that will investigate the influence of using a simulated patient during basic first aid training for laypeople on their knowledge, skills and self-efficacy.
Hypothesis: The null hypothesis of this research is that the use of simulated patients during basic first aid training does not result in a statistically significant change in knowledge, skills and self-efficacy concerning the first aid topics for which a simulated patient is used. The alternative is that knowledge, skills and self-efficacy will be influenced by using simulated patients during training.
Methods: This study will be a cluster-randomized controlled trial, that will take place from September 2018 to June 2020. The study population will consist of employees from several organisations taking a three day first aid certification course with the Belgian Red Cross. The organisations requesting a first aid course will be randomised in receiving a course with or without simulated patient. The simulated patient will only be used for the topics “first aid for burns” and “first aid for stroke” in the intervention group. The participants will complete a questionnaire to measure their knowledge and self-efficacy, and complete a practical skills test after the course testing these first aid topics. To test whether the retention of first aid knowledge and self-efficacy is influenced by using a simulated patient during a certification course, participants following a refresher course one year after the certification course will complete a follow-up questionnaire.
Conclusion: This cluster-randomized controlled trial will be, to our knowledge, the first to investigate the added value of simulated patients during first aid courses for laypeople.
Determining First Aid Knowledge and Skills Retention With Laypeople: A Randomized Controlled Trial in Nepal09/26/2019
Background: First aid (FA) education is important in building a resilient society. Millions of people are trained annually in FA worldwide. However, the knowledge concerning retention of FA and optimal retraining frequency is limited. The aims of the current study were to investigate the two-year retention of FA knowledge and skills, and to determine to what extent refresher courses with different contents after one year influence retention.
Methods: 502 Nepalese laypeople were trained in basic FA during 21 separate 4-day courses. One year after the basic FA course, participants received one of two refresher courses. The first one (“FA theory + FA skills”) comprised theory on several FA topics, in addition to practical skills for cardiopulmonary resuscitation (CPR) and bleeding, while the other (“Other theory + other FA skills”) did not include FA theory, but other concepts such as road safety, in addition to practical skills for CPR and fractures. Theoretical knowledge on non-resuscitative FA was assessed before (t0) and after (t1) the basic FA course, before (t2) and after (t3) the refresher course and two years after (t4) the basic FA course. Selected practical FA skills were assessed after the basic FA course (t1), before the refresher course (t2) and two years after the basic FA course (t4). Changes in theoretical knowledge and practical skills in function of time and type of refresher course were evaluated with linear mixed models analyses.
Results: FA theoretical knowledge and practical skills decreased significantly over time. Attending an active refresher course after one year was associated with a lesser decay in non-resuscitative FA knowledge (p=0.04), while no effect could be shown on the retention of practical skills for bleeding (p=0.52). Surprisingly, retention of practical skills for fractures was decreased in the group that was refreshed for this skill (p=0.006). An exploratory analysis on practical CPR skills, comparing participants who participated in the refresher courses and those who did not, showed that those following a refresher had better skills retention over time (p=0.023).
Conclusion: Retention in non-resuscitative FA knowledge, and resuscitative and non-resuscitative practical skills, decreases over two years’ time. A refresher after one year seems to have modest effects on non-resuscitative FA knowledge and practical CPR skills. These results support providing annual refreshers.
« Previous | 1 - 3 of 3 | Next »