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Effects of native language on CPR skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial

OBJECTIVES: The aim was to investigate whether the students’ native language, Swedish as native language (SNL) versus other native language (ONL), affects cardiopulmonary resuscitation (CPR) skills or willingness to act after film-based training in Swedish. SETTING: 13-year-old students in two munic...

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Autores principales: Hollenberg, Jacob, Claesson, Andreas, Ringh, Mattias, Nordberg, Per, Hasselqvist-Ax, Ingela, Nord, Anette
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502066/
https://www.ncbi.nlm.nih.gov/pubmed/31061026
http://dx.doi.org/10.1136/bmjopen-2018-025531
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author Hollenberg, Jacob
Claesson, Andreas
Ringh, Mattias
Nordberg, Per
Hasselqvist-Ax, Ingela
Nord, Anette
author_facet Hollenberg, Jacob
Claesson, Andreas
Ringh, Mattias
Nordberg, Per
Hasselqvist-Ax, Ingela
Nord, Anette
author_sort Hollenberg, Jacob
collection PubMed
description OBJECTIVES: The aim was to investigate whether the students’ native language, Swedish as native language (SNL) versus other native language (ONL), affects cardiopulmonary resuscitation (CPR) skills or willingness to act after film-based training in Swedish. SETTING: 13-year-old students in two municipalities. DESIGN: A subgroup from a previous randomised study was analysed. During 2013 to 2014, a film-based CPR method was evaluated. Practical skills and willingness to act were assessed directly after training and after 6 months. CPR skills were evaluated using a modified Cardiff test. PARTICIPANTS: A total of 641 students were included in the analysis (SNL, n=499; ONL, n=142). PRIMARY AND SECONDARY OUTCOME MEASURES: Primary endpoint was the total score of the modified Cardiff test at 6 months. The secondary endpoints were total score directly after training, individual variables for the test and self-reported willingness to act. RESULTS: At the practical test, SNL students scored better than ONL students; directly after training, 67% vs 61% of maximum score, respectively (p<0.001); at 6 months, 61% vs 56% of maximum score (p<0.001). Most students were willing to perform compressions and ventilation on a friend (SNL 85% vs ONL 84%). However, if the victim was a stranger, ONL students were more willing to perform both compressions and ventilation than SNL students (52% vs 38% after training, p<0.001; 42% vs 31% at 6 months, p=0.032). SNL students preferred to initiate chest compressions only. CONCLUSIONS: SNL students scored slightly higher in the practical CPR skill test than ONL students. Willingness to act was generally high, however ONL students reported higher willingness to perform both compressions and ventilation if the victim was a stranger. Further research is needed to investigate how CPR educational material should be designed and simplified for optimal learning by students. Different language versions or including feedback in CPR training can be a way to increase learning. ETHICS APPROVAL: The study was approved by the Regional Ethical Review Board of Linköping, Sweden (2013/358-31). TRIAL REGISTRATION NUMBER: NCT03233490; Pre-results.
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spelling pubmed-65020662019-05-21 Effects of native language on CPR skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial Hollenberg, Jacob Claesson, Andreas Ringh, Mattias Nordberg, Per Hasselqvist-Ax, Ingela Nord, Anette BMJ Open Medical Education and Training OBJECTIVES: The aim was to investigate whether the students’ native language, Swedish as native language (SNL) versus other native language (ONL), affects cardiopulmonary resuscitation (CPR) skills or willingness to act after film-based training in Swedish. SETTING: 13-year-old students in two municipalities. DESIGN: A subgroup from a previous randomised study was analysed. During 2013 to 2014, a film-based CPR method was evaluated. Practical skills and willingness to act were assessed directly after training and after 6 months. CPR skills were evaluated using a modified Cardiff test. PARTICIPANTS: A total of 641 students were included in the analysis (SNL, n=499; ONL, n=142). PRIMARY AND SECONDARY OUTCOME MEASURES: Primary endpoint was the total score of the modified Cardiff test at 6 months. The secondary endpoints were total score directly after training, individual variables for the test and self-reported willingness to act. RESULTS: At the practical test, SNL students scored better than ONL students; directly after training, 67% vs 61% of maximum score, respectively (p<0.001); at 6 months, 61% vs 56% of maximum score (p<0.001). Most students were willing to perform compressions and ventilation on a friend (SNL 85% vs ONL 84%). However, if the victim was a stranger, ONL students were more willing to perform both compressions and ventilation than SNL students (52% vs 38% after training, p<0.001; 42% vs 31% at 6 months, p=0.032). SNL students preferred to initiate chest compressions only. CONCLUSIONS: SNL students scored slightly higher in the practical CPR skill test than ONL students. Willingness to act was generally high, however ONL students reported higher willingness to perform both compressions and ventilation if the victim was a stranger. Further research is needed to investigate how CPR educational material should be designed and simplified for optimal learning by students. Different language versions or including feedback in CPR training can be a way to increase learning. ETHICS APPROVAL: The study was approved by the Regional Ethical Review Board of Linköping, Sweden (2013/358-31). TRIAL REGISTRATION NUMBER: NCT03233490; Pre-results. BMJ Publishing Group 2019-05-05 /pmc/articles/PMC6502066/ /pubmed/31061026 http://dx.doi.org/10.1136/bmjopen-2018-025531 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Medical Education and Training
Hollenberg, Jacob
Claesson, Andreas
Ringh, Mattias
Nordberg, Per
Hasselqvist-Ax, Ingela
Nord, Anette
Effects of native language on CPR skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial
title Effects of native language on CPR skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial
title_full Effects of native language on CPR skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial
title_fullStr Effects of native language on CPR skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial
title_full_unstemmed Effects of native language on CPR skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial
title_short Effects of native language on CPR skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial
title_sort effects of native language on cpr skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial
topic Medical Education and Training
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502066/
https://www.ncbi.nlm.nih.gov/pubmed/31061026
http://dx.doi.org/10.1136/bmjopen-2018-025531
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