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Attrition of skills after basic life support (BLS) training is common. Psychology studies have established that for basic memory recall tasks, spaced learning strategies improve retention. Spaced learning is often organized as a refresher or 'booster' course after initial training. This study aims to investigate if this principle holds true for BLS skills, which require rapid memory recall and efficient deployment of procedural skills while under time pressure.
Novice laypeople who have not received BLS training in the 6 months leading up to the date of participation will be recruited from the University of Ottawa and the general public. Participants will be randomized into one of three groups: early booster, late booster, or no booster (control). Currently, no booster is the educational standard. The early booster group will receive a booster at 3 weeks, the late booster at 2 months, and no booster for the control. All participants will undergo BLS training, an immediate post-test, and a retention post-test at 4 months. Post-tests involve a simulated cardiac arrest scenario. Raters will be blinded to the group allocation and simulation test order.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early Booster Teaching | Experimental | The early booster group will receive a booster teaching session at 3 weeks post-training followed by feedback. |
|
| Late booster Teaching | Active Comparator | The late booster group will receive a booster teaching session at 2 months post-training followed by feedback. |
|
| Control group | No Intervention | The control group will receive no booster at all. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early Booster Teaching | Other | The early booster group will receive a booster teaching session at 3 weeks post-training followed by feedback. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Basic Life Support performance, as measured by the standardized Heart and Stroke Heartsaver checklist | BLS performance, as measured by the standardized Heart and Stroke Heartsaver checklist | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Time to start chest compression; | Time from entering the scene to initiation of compression (in seconds) | 4 months |
| Accuracy of compression depth | Percentage of compressions that are deep enough |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sylvain Boet, MD | The Ottawa Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Ottawa Hospital | Ottawa | Ontario | K1Y4E9 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35438450 | Derived | Boet S, Waldolf R, Bould C, Lam S, Burns JK, Moffett S, McBride G, Ramsay T, Bould MD. Early or late booster for basic life support skill for laypeople: a simulation-based randomized controlled trial. CJEM. 2022 Jun;24(4):408-418. doi: 10.1007/s43678-022-00291-3. Epub 2022 Apr 19. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Oct 1, 2022 | |
| Reset | Aug 18, 2023 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Oct 1, 2022 | Aug 18, 2023 |
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| Late Booster Teaching | Other | The late booster group will receive a booster teaching session at 2 months post-training followed by feedback |
|
| 4 months |
| Compression ratio | The percentage of time during the scenario that compressions are done | 4 months |
| Hand position | The percentage of time the hand position is correct | 4 months |
| Tidal volume | Mean tidal volume (ml) | 4 months |
| Ventilation success rate | The percentage of time ventilations are done with adequate volume 400-700mls | 4 months |
| Time to defibrillation using AED. | Time from start to defibrillation using AED (in seconds) | 4 months |