Mastery Learning Versus Time-based Education: Skill Acquisition and Retention of Basic Life Support in Laypeople

Not Applicable

Completed

• Conditions: Basic Life Support; Cardiac Arrest
• Interventions: Other: Mastery based learning; Other: Time based learning

• Registration Number: NCT02059395
• Lead Sponsor: Ottawa Hospital Research Institute

Brief Summary

Background:

In cardiac arrest survival rates dramatically increase when bystanders are present and initiate Basic Life Support (BLS). However, even though serious efforts have been made, skill retention after a traditional time-based BLS course for laypeople remains suboptimal. In contrast, a mastery learning-based educational approach was shown to be efficacious and might be promising even for laypersons. Therefore the investigators aim to evaluate the impact of a mastery learning-based BLS course on skills retention of BLS in laypeople.

Methods:

Forty laypeople without previous BLS experiences will be randomized into the traditional time-based BLS course group (Control - TB group) or mastery learning-based group (Intervention - ML group).

Both groups will receive BLS training consisting of 6 successive stations including diagnosis of cardiac arrest, chest compression, ventilation, one-rescuer BLS, two-rescuer BLS and AED use. In the ML group, subjects will deliberately practice and receive feedback at each station until a pre-set target level is reached. Subjects will be allowed to proceed to the next station only when they achieve the required target level of performance. In contrast, participants of the TB group will be taught the same 6 stations in two hours, according to standard American Heart Association BLS criteria. All subjects will have an assessment of knowledge and skills immediately after teaching (immediate post-test) and at four months (retention post-test).

Implications:

Previous research has shown that mastery learning-based education improves learners' procedural skill performance. The investigators study will determine the impact of a mastery learning-based BLS course on skill retention in laypeople.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2013-11
• Study First Submitted: 2014-02-07
• Study First Submitted QC: 2014-02-10
• Study First Posted: 2014-02-11
• Primary Completion: 2014-05
• Study Completion: 2015-09-24
• Results First Submitted: 2017-02-01
• Status Verified: 2017-03
• Results First Submitted QC: 2017-07-05
• Last Update Submitted: 2017-07-05
• Results First Posted: 2018-01-30
• Last Update Posted: 2018-01-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 49

Inclusion Criteria

• University students in Ottawa

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Exclusion Criteria

• Students of the Faculty of Medicine
• Previous Basic Life Support Training Certificate

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Mastery based	Mastery based learning	Participants do follow the content of the Canadian Heart and Stroke Foundation Heartsaver Course content based on their own pace (timeframe)
Time based	Time based learning	Participants follow the traditional Canadian Heart and Stroke Foundation Heartsaver Course

Primary Outcome Measures

Name	Time	Method
Skill Retention Estimated From the Change of AHA Heartsaver Total Score From Immediate Post-test to Retention Test	Baseline and 4 months	The official AHA Heartsave adult CPR AED Skill Sheet checklist for single-rescuer BLS was used to capture participants' skills for single-rescuer BLS and defibrillation with an AED. The AHA Heartsaver checklist has 11 action items, participant receives 1 point when an action on the checklist is performed. Therefore, the total score range from 0-11, with higher values represent a better outcome. Immediate post-test and retention test skill performance were evaluated by 2 independent raters. Skill retention was estimated by calculating the change in score from immediate post-test to retention test.

Trial Locations

Locations (1)

The University of Ottawa Skills and Simulation Centre; 🇨🇦 Ottawa, Ontario, Canada