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| ID | Type | Description | Link |
|---|---|---|---|
| 2026-0345-YB-05 | Other Grant/Funding Number | Tongji University |
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| Name | Class |
|---|---|
| Tongji University | OTHER |
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The investigators conducted a stratified randomized controlled trial with an embedded cost-effectiveness analysis at a tertiary hospital in China. Participants were randomized to either traditional instructor-led ACLS training (ILT ACLS) or blended-learning HeartCode ACLS training (HC ACLS). The primary outcome was the overall first-attempt ACLS certification pass rate. A cost-effectiveness analysis was conducted from the institutional perspective using certification pass rate as the effectiveness measure. Costs estimation included program delivery costs and productivity losses associated with participant training time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HeartCode ACLS | Experimental | Participants received blended-learning HeartCode ACLS training, which combines online self-paced modules with hands-on practice sessions. |
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| Instructor-Led ACLS Training | Active Comparator | Participants received traditional instructor-led ACLS training (ILT ACLS) delivered entirely in-person by certified instructors. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HeartCode ACLS Blended Learning | Behavioral | A blended-learning ACLS course combining online HeartCode self-paced modules with instructor-facilitated hands-on practice sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Overall First-Attempt ACLS Certification Pass Rate | The proportion of participants who pass the ACLS certification examination on their first attempt after completing the assigned training program. | Up to 2 days. |
| Measure | Description | Time Frame |
|---|---|---|
| First-Attempt Pass Rate for Individual Assessments | Proportion of participants who pass each of the three individual assessments (high-quality BLS, airway management, and Megacode) on the first attempt. | Up to 2 days. |
| CPR Quality - Compression Depth |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Min Ding, MMED | Department of Post-Graduate Education, Shanghai East Hospital, Tongji University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai East Hospital Affiliated To Tongji University | Shanghai | Shanghai Municipality | 200120 | China |
Individual participant data (IPD) will not be shared because the informed consent did not include provisions for data sharing. Additionally, data sharing is restricted by applicable Chinese privacy laws (Personal Information Protection Law) regarding personal performance data. Given the single-center design and moderate sample size, the generalizability of the data is limited, and the study does not involve investigational products or regulatory submission.
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This is an educational intervention study comparing two training methods.
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| Instructor-Led ACLS Training | Behavioral | A traditional, entirely in-person ACLS course delivered by certified instructors, following standard American Heart Association (AHA) guidelines, without online pre-learning components. |
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Mean chest compression depth (mm) recorded during Megacode assessment, measured by high-fidelity manikin with QCPR technology.
| Up to 2 days. |
| CPR Quality - Compression Rate | Mean chest compression rate (compressions per minute) recorded during Megacode assessment. | Up to 2 days. |
| CPR Quality - Chest Recoil | Proportion of compressions with adequate chest recoil (percentage) recorded during Megacode assessment. | Up to 2 days. |
| Training Cost per Participant | Mean total training cost per participant (in RMB), including program delivery costs (equipment, facilities, materials, personnel) and productivity losses. | Through study completion, an average of 6 months. |
| Participant Satisfaction | Learner satisfaction measured using the AHA ACLS Classroom Course Evaluation Form, completed immediately after course completion. | Up to 2 days. |